Risk Management Nurse

Overview
Join our dynamic healthcare team as a Risk Management Nurse, where your expertise will be vital in safeguarding patient safety, ensuring compliance with healthcare regulations, and promoting quality care standards. In this energetic role, you will lead efforts to identify, analyze, and mitigate risks across clinical and administrative operations. Your proactive approach will help foster a culture of safety, accountability, and continuous improvement, making a tangible difference in patient outcomes and organizational excellence.

Responsibilities

• Conduct comprehensive reviews of clinical documentation to ensure adherence to HIPAA privacy standards and Medicare regulations.
• Monitor and evaluate compliance with FDA regulations, JCAHO accreditation requirements, and other relevant healthcare standards.
• Analyze incident reports and patient safety data to identify trends and develop targeted risk mitigation strategies.
• Collaborate with clinical staff to implement CPT coding, ICD-9, ICD-10, and ICD coding best practices for accurate billing and documentation.
• Develop and maintain policies and procedures that support compliance management across all departments.
• Provide education and training sessions on risk reduction, regulatory updates, and best practices for staff at all levels.
• Serve as a liaison with regulatory agencies during audits or investigations, ensuring transparent communication and swift resolution of issues.

Experience

• Proven experience in healthcare risk management or quality assurance roles within a clinical setting.
• Strong knowledge of HIPAA privacy rules, CPT coding, ICD coding (ICD-9/ICD-10), Medicare requirements, and FDA regulations.
• Familiarity with accreditation standards from JCAHO or similar organizations.
• Demonstrated ability to interpret complex healthcare data and implement effective compliance strategies.
• Excellent communication skills for training staff, preparing reports, and liaising with regulatory bodies.
• Certification in risk management or related fields is preferred but not mandatory; ongoing professional development is highly valued. Join us in creating safer healthcare environments where quality care thrives! Your expertise will empower teams to uphold the highest standards of compliance while delivering exceptional patient experiences every day.
• Previous experience in a long-term care, skilled nursing facility setting is highly desirable.

Pay: $25.00 - $35.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• AD&D insurance
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Work Location: In person