Recruitment Fraud Notice »

Nurse Risk Manager

Published May 18th, 2023

Nurse Risk Manager
Manet Community Health
Quincy, MA

  • Direct Hire
  • $90K-$100K+ depending on experience.
General Definition and Scope of Job:

Under the direction of the Chief Medical Officer (or designee), is responsible for the Risk Management Program and related projects.  Reviews and recommends to the CMO administrative policies and procedures, as indicated. Facilitates staff education regarding commitment to Manet’s commitment to Risk Management Compliance.

Core Responsibilities
  • Serves as internal consultant to leaders, department heads, and staff on matters of risk management.
  • Works in conjunction with the Quality and PI Manager to ensure the highest quality of care, and any risk issues are addressed.
  • Reports to the CMO, but also maintains direct communication with the Senior Director Human Resources in matters of non-clinical risk management.
  • Maintains current and accurate knowledge of pertinent regulations, laws and standards.
  • Acts as Claims Manager for all claims-related activities and serves as the claims point of contact.
  • Gathers, analyzes information and reports on incidents and complaints on a monthly, semi-annual and annual basis.
  • Prepares quarterly, semi-annual, and annual reports for leadership, governance and regulators.
  • Identifies potential risk management areas and works with CMO to resolve issues.  Develops reports based upon findings from occurrence monitoring and assists with staff education related to same.
  • Directs safety occurrence reporting and serious complaint management systems including investigations, in-depth, root cause and failure mode analysis, proactive risk assessments, action and reporting. In collaboration with the Directors of Clinical Services and Operations, investigates, reports and coordinates related corrective action plans for adverse events.
  • Performance Improvement Committee /Risk Management–.  Ensures that patient risk management protocols and regulations are monitored continuously and that follow-up actions are taken, as necessary.  Collaborates with leadership to identify and set priorities to annual risk management goals; organizes trains all staff on Risk Management.
  • Other duties as needed.
Minimum Skills, Experience and Educational Requirements
  • Five to 10 years’ experience successfully implementing quality and compliance programs in a complex health care environment, FQHC preferred.
  • Bachelor’s degree in nursing with current MA nursing license preferred, LPN required with current MA active license.  Master’s preparation in nursing preferred.  Clinical experience required. 
  • Master’s preparation in relevant field preferred, (e.g. MHA, MPH, MPA, and/or MBA).
  • CPHQ certification preferred.
  • Working knowledge of a variety of rigorous process improvement and quality outcome measurement methodologies, such as Lean, Change Management, Value Stream Mapping, Rapid Cycle Testing, PDSA, FMEA, 330 Health Care and Business Plans, Healthy People 2010/2020, HEDIS, P4P.
  • Proven leadership, meeting facilitation, project management and time management skills.
  • Effective computer software skills including performance management-related applications and database management.  Computer literacy and the ability to perform sophisticated statistical analysis.
Attach a resume file. Accepted file types are DOC, DOCX, PDF, HTML, and TXT.

We are uploading your application. It may take a few moments to read your resume. Please wait!

Skip to content