Clinical Risk Nurse
Springfield Clinic · Springfield
The Clinical Risk Nurse is responsible for receiving, investigating, documenting and summarizing all customer complaints and adverse clinical events directed to the Quality Management Department.
Job Relationships
- Reports to the Risk Manager.
Principal Responsibilities
- Take all customer complaints directed to Quality Management Department.
- Investigate complaints and prepare report including recommendations for resolution.
- Prepare letters and account action worksheets for Director approval.
- Maintain aggregate statistics for reporting complaints.
- Prepare reports of complaints handled for Quality Management Committee. Assist in identification of cases for Committee review.
- Identify trends and discuss with the Risk Manager and/or Director for reporting to Quality Management Committee.
- Conduct special investigations/reviews as requested by Administration and/or Medical Directors for specified patient populations or conditions, procedures performed/utilized and prepare reports.
- Conduct Ambulatory Surgery Center (ASC) chart audits and edits to ensure accuracy, completeness, and regulatory compliance.
- Perform monthly site surveys at off-site locations to assess quality, compliance, and operational standards.
- Conduct root cause analyses to identify underlying causes of quality, safety, or operational concerns
- Design, perform, and evaluate quality studies related to risk management, patient safety, and process improvement initiatives
- Comply with the Springfield Clinic incident reporting policy and procedures.
- Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
- Provide excellent customer service and adhere to SC Way customer service philosophy.
- Perform other job duties as assigned.
Education/Experience
- RN BSN preferred.
- Minimum of five (5) years' experience in a health care setting; medical office preferred.
- Familiarity with EHR clinical products and experience in medical record review
Licenses/Certificates
- RN with license in good standing in the State of Illinois.
- Greenbelt within 1st year of hire. If hired prior to 2026, Green Belt is due by July 1st, 2027.
Knowledge, Skills and Abilities
- Expertise with Microsoft Office products (Word, Excel, MS Access, MS Outlook).
- Customer oriented with pleasant telephone voice.
- Excellent organizational, verbal and written communication skills.
- Ability to solve problems and interpret clinic policy.
Working Environment
- Office environment.
- Sitting for long periods/computer work.
PHI/Privacy Level
- HIPAA1
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