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RN Clinical Risk Manager

Company: UnitedHealth Group
Location: Dallas
Posted on: June 25, 2022

Job Description:

Opportunities with American Health Network, OptumCare partner. When you join American Health Network (AHN), you become part of a team that strives to identify and retain the top healthcare professionals in the markets it serves. At American Health Network, we want to be the best health care organization we can be. Our mission is to improve the health of our patients. We're a physician-led organization, operating over 70 medical offices in Indiana and Ohio, with over 300 providers and 1200 employees. We're also an OptumCare partner, part of the UnitedHealth Group family of businesses, and backed by the resources of a global health care organization working to help people live healthier lives and help make the health system work better for everyone. That's an important differentiator as more people need our help simplifying the complexities of the American health care system. At the same time, the culture of AHN supports work-life flexibility for providers and places a high value on their physical, emotional, financial and other aspects of well-being. Find out what it means to be part of an exceptional company that values its providers, its role in health care, and making a difference one patient at a time. Take a look at American Health Network and explore a new path to your life's best work.(sm)

The RN Clinical Risk Manager is responsible for leading efforts related to clinical policy writing and document management as well as incident report review, investigation, remediation support, and cross organizational process improvements including that associated with Peer Review. -

If you are located in the CENTRAL INDIANA region, you will have the flexibility to telecommute* as you take on some tough challenges. - -The position requires up to 15% travel.

Primary Responsibilities:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Provides subject matter expertise and guidance related to policy inclusion details and risk mitigation strategies -
  • Ensures clinical policies are aligned and remain current with current evidence-based research, Optum/National policies and guidelines, and the overarching organizational strategy
  • Ensures complete and accurate documentation of incident investigation, remediation efforts
  • Collaborates effectively with all department experts when drafting policy, investigating incidents, supporting remediation and/or process improvement activities
  • Leads root cause analysis events related to specific incidents
  • Assist in developing and delivering risk-related training, education, and targeted support to clinicians as applicable
  • Conducts data aggregation and analyses to assess performance improvement opportunities and measure improvements
  • Identifies collaborative support opportunities surrounding practice health and safety, occupational health and safety, clinical compliance, risk mitigation, performance excellence, and continuous process improvement
  • The position serves as a primary point of contact for all clinical department policies, risk management, and peer review processes.
  • Supports other functions of clinical operations and performs other related duties as assigned.
  • The position requires up to 15% travel.

    You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
    Required Qualification:
    To perform this job successfully, an individual must have the following education and/or experience

    • Current, unrestricted RN License in the state of Indiana
    • Minimum of three years of experience in Healthcare Risk Management
    • Knowledge of Healthcare Policy writing and associated document management, Root Cause Analysis, Failure Mode Analysis Tools, and other risk management and quality improvement techniques
    • Able to demonstrate basic levels of statistical analysis including data correlations to determine drivers of risk.
    • Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation

      Preferred Qualifications:

      • Master's degree in Nursing
      • Certified Professional in Healthcare Risk Management (CPHRM)
      • History of successful results in developing and/or managing a risk management program for a large healthcare organization

        To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

        Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

        *All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy

        Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
        UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Keywords: UnitedHealth Group, Dallas , RN Clinical Risk Manager, Executive , Dallas, Texas

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