Director of Clinical Risk Management

Title: Director of Clinical Risk Management

Agency: PRESIDENT

Location: Norfolk, VA

FLSA: Exempt

Hiring Range:

Full Time or Part Time:

Additional Detail

• Expert-level understanding of clinical care processes, standards of care, patient safety science (human factors, high-reliability principles, just culture), diagnostic error, communication failures, transitions of care, medication safety, informed consent, documentation standards, and event prevention.
• Ability to provide authoritative, real-time clinical risk guidance to physicians, APPs, nursing, and leadership during active events—balancing patient safety, ethical obligations, and liability exposure across diverse ambulatory and procedural settings.

• Demonstrated knowledge of specialty-driven risk patterns and controls for:
• OB/GYN: fetal monitoring, shoulder dystocia, postpartum hemorrhage, surgical consent, obstetric emergencies, high-risk pregnancy coordination.
• Surgery & Procedural Practices (including ENT, Ophthalmology, Dermatology): wrong-site/wrong-procedure prevention, time-outs, specimen management, perioperative communications, sedation/airway considerations, post-op follow-up.
• Radiation Oncology: treatment planning verification, dosing/field verification, safety time-outs, documentation of intent and consent, incident reporting pathways.
• Psychiatry & Behavioral Sciences: suicide/self-harm risk assessment, involuntary holds, capacity/consent, duty to warn, documentation and continuity of care, boundary concerns.
• Family & Community Medicine / PM&R: chronic disease management, diagnostic delay, care coordination, opioid/controlled substances risk, functional assessments, therapy/referral management.
• Ability to translate these risks into standardized clinic protocols, training, and auditing.

• Advanced working knowledge of federal and state healthcare requirements and risk implications (HIPAA/privacy, documentation and record integrity, professional practice standards, scope-of-practice, mandated reporting, informed consent, telehealth considerations, EMTALA awareness when applicable, and patient rights).
• Ability to partner with counsel to interpret requirements, set defensible clinical risk positions, and embed compliance into operational workflows.

• Strong knowledge of professional liability/medical malpractice concepts: standard of care, causation, damages, documentation defensibility, disclosure and apology frameworks, privilege/peer review protections, claim lifecycle management, deposition preparation coordination, and insurer/TPA engagement.
• Ability to oversee investigations with a “claims-ready” approach while prioritizing patient safety improvements.

• Deep familiarity with ambulatory and academic medical group operations, quality structures, credentialing/privileging concepts, interdepartmental workflows, emergency response pathways, patient grievances, and risk controls across clinical sites.
• High proficiency with RMIS platforms (e.g., OrigamiRisk) and comfort leveraging EMR data for clinical event review, trend analysis, and corrective action monitoring.

• Advanced understanding of healthcare contracting risk (insurance requirements, indemnification, limitations of liability, clinical affiliation agreements, GME agreements, coverage for trainees, and third-party clinical services).
• Ability to lead risk review and recommend contract language aligned with institutional risk tolerance and clinical realities.

• Ability to lead analysis of complex adverse events, near misses, patient complaints, and clinical claims; identify deviations from standards of care; evaluate documentation and communication quality; and determine priority mitigations.
• Ability to produce clear, defensible executive summaries and recommendations tailored to clinical leaders.

• Ability to serve as the primary on-call/consultative risk leader for physicians, clinic administrators, nursing, and leadership during sentinel events and high-severity situations.
• Ability to directs immediate response actions (care stabilization, escalation pathways, documentation guidance, preservation of evidence, and communication management) while coordinating with Patient Safety, Legal, Compliance, and insurers as needed.

• Ability to lead or chair RCAs and structured investigations; ensure consistent methodology; manages sensitive interviews; identifies system-level contributors; and drive sustainable corrective actions with defined owners, deadlines, metrics, and follow-up verification.

• Ability to guide clinically appropriate disclosure processes and communication strategies with patients/families following adverse events, partnering with clinicians, patient relations, and counsel. Ability to ensure coordination of messaging, documentation standards, and follow-up planning.

• Ability to design and deliver targeted education to faculty, residents, fellows, and staff on patient safety, documentation, informed consent, escalation/reporting, and specialty-specific risk controls.
• Ability to build a non-punitive learning environment that reinforces accountability, psychological safety, and continuous improvement.

• Demonstrated ability to lead across physician enterprise stakeholders (department chairs, clinic directors, practice administrators) and collaborate with senior executives.
• Skilled in aligning diverse groups around risk priorities, establishing standards, and gaining adoption of practice changes.

• Ability to set annual clinical risk management plans, priorities, and performance goals; manage multiple concurrent initiatives; oversee dashboards and reporting; and ensure timely execution across clinical departments and sites.

• Ability to develop and execute a comprehensive clinical risk management program for a medical school and faculty medical group, including governance structures, standardized protocols, and performance monitoring across all clinical specialties and sites.

• Ability to lead FMEA and other prospective risk assessments; identify high-risk clinical workflows; implement controls (standard work, checklists, time-outs, escalation triggers); and measure effectiveness over time.

• Ability partner with insurers/TPAs to manage claims exposure, support investigation strategy, improve documentation defensibility, and integrate claims learnings into safety improvements. Ability to ensure effective coordination with counsel and leadership while maintaining appropriate confidentiality and privilege.

• Ability to lead development/revision of clinical risk policies (event reporting, informed consent, documentation, chaperone policies, controlled substances practices, test result management, follow-up standards, procedural time-outs, radiation safety verification). Ability to establish audit mechanisms to verify adherence and reduce variation across clinics.

• Ability to provide leadership for GME-related risk controls: resident supervision standards, escalation expectations, documentation practices, trainee onboarding/training, rotation agreements, and clear delineation of clinical responsibilities and coverage. Ability to coordinate with GME leadership on complex events and corrective actions.

• Ability to build dashboards and executive reporting for trends in incidents, claims, patient complaints, specialty-specific events, and near misses. Ability to use data to set priorities, allocate resources, and target education and process improvements.

• Ability to support readiness for audits, reviews, and inquiries involving clinical risk issues; coordinates responses and documentation; and partner with compliance and counsel on regulatory reporting thresholds and institutional response.

• Ability to lead risk management response for high-severity events (wrong-site procedure, serious medication error, severe radiation dosing deviation, suicide attempt/self-harm event, severe OB outcomes). Ability to coordinate rapid mitigation, internal notifications, documentation expectations, and follow-up actions.

• Ability to lead contract/affiliation review for clinical services and training arrangements; evaluates insurance and indemnification; recommend risk transfer strategies; and ensure agreements support clinical operations while protecting the institution.

• Ability to navigate ethically complex situations, competing priorities, and high-stakes decisions while maintaining integrity, confidentiality, and alignment with patient safety and organizational risk tolerance.

• Ability to partner effectively with department chairs and specialty leaders to implement standards, address practice variation, and resolve sensitive issues without undermining clinical autonomy.

• Ability to propose resource needs, justify investments (training, RMIS enhancements, audits), and manage program resources to achieve measurable safety and risk outcomes.
• MBA, MPH, or other master's degree in a related field; or a Bachelor's degree in a related field with related experience equivalent to a master's degree.
• Considerable progressively responsible experience in clinical risk management, including leadership roles.
• Demonstrated expertise in clinical risk management, patient safety, and healthcare liability
• Considerable knowledge of insurance management, risk financing principles, and regulatory compliance.
• Strong leadership, analytical, and communication skills.

• Registered Nurse (RN) licensure preferred.
• JD or advanced degree in Nursing, Healthcare Administration, or related field strongly preferred.
• Certified Professional in Healthcare Risk Management (CPHRM) preferred.