clinical risk manager

Southern California Hospitals

<div><p><b>Position Summary</b></p><p>
The Clinical Risk Manager is responsible for coordinating clinical risk management programs, patient safety, patient complaints, and data analysis related activities. Participates in the review of accident and incident reports to track trending and develop preventative measures. Identifies potential and actual concerns. Assists with implementing strategies for best practices, providing educational opportunities and risk management support to clinical providers and staff.</p><b>
Essential Job Functions / Major Areas of Responsibility</b><p>
The essential functions below are not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position.
</p><ul><li>Proactively assists hospital Risk Management Director in the development and delivery of education programs to all employees, including orientation of employees, which involve all components of clinical risk management, risk assessment, risk identification and risk avoidance, to address the risk management process and regulatory guidelines.</li><li>
Develops case timelines and assists with in depth analysis of reported incidents, grievances and claims to identify causation, mitigation and improvement opportunities. Communicates relevant clinical risk management findings to the appropriate leadership team members.</li><li>
Manages, tracks, trends, and analyzes the frequency and causation of general categories and types of incidents and accidents. Assists with managing and analyzing risk management data including management of online incident report system and tracking incidents to closure. Audits medical records and monitors performance measures for risk management sentinel events, report events and trends. Assists with FMEA, gap analysis, and incident trend analysis.</li><li>
Prepares documents and correspondence, demonstrating excellent writing, editing, proofreading skills. Assists with coordination of Patient Safety Committee. Effectively coordinates activities associated with meeting management, transcription of minutes, report generation, and follow-up as assigned.</li></ul><p><b>
Required Qualifications:</b></p><ul><li>
7 years of clinical experience</li><li>
Prior risk management/patient safety experience, including experience in trend analysis and report generation</li><li>
Excellent verbal and written communication skills</li><li>
Quality Improvement or Med/Mal experience</li><li>
Computer Literacy and Proficiency in MS Office, specifically Word and Excel</li><li>
Bachelor of Science in Nursing or other Health Science related field</li><li>
Ability to maintain flexibility and work well in a fast paced, constantly changing environment</li><li>
Ability to establish and maintain effective working relationships across the organization</li></ul><p><b>
Preferred Qualifications:</b></p><ul><li>
Masters Degree</li><li>
Registered Nurse</li><li>
CPHQ or HACP or CPHRM</li><li>
Advanced degree in a clinical or healthcare field</li></ul><p><b>
Pay Rate: Min - $103,100 | Max - $141,775</b></p></div>

Clinical Risk Manager - Full Time, Days (Culver City)

Aga Khan University

<div><div>Senior Manager - Clinical Affairs - (2600015E)</div><div><div><br>
</div><p><b>Senior Manager - - Clinical Affairs</b></p><p><b>
Department: </b>Patient Experience and Clinical Risk Management Department</p><p><b>
Entity:</b> Aga Khan University</p><p><b>
Introduction to the Aga Khan University:</b></p><p>
Chartered in 1983, Aga Khan University (AKU) is a private, autonomous, and self-governing international university with 13 teaching sites in 6 countries distributed across three continents. As an integral part of the Aga Khan Development Network, AKU provides higher education in several disciplines, carries out research pertinent to the countries in which it exists and has campuses, programs and/or teaching hospitals in Afghanistan, Kenya, Pakistan, Tanzania, Uganda, and the UK. As an international institution, AKU operates on the core principles of quality, relevance, impact, and access; and AKU is a model of academic excellence and an agent of social change.</p><p>
As an equal opportunity employer, AKU believes in promoting a diverse and inclusive culture and is committed to adopt appropriate standards for safeguarding and promoting a respectful relationship with and between diverse workforce of its faculty, staff, trainees, volunteers, beneficiaries, wider communities, and other stakeholders with whom it works, including children and vulnerable adults and expects all employees/trainees and partners to share this commitment.</p><p><b>
Job Roles / Responsibilities:</b></p><p>
You will be responsible to:</p><ul><li><div>
Review all patient feedback and guide the Feedback Office team to ensure timely closure of complaints.</div></li><li><div>
Monitor the complaints log daily and track sensitive complaints closely.</div></li><li><div>
Discuss complex cases with departmental leadership to ensure effective resolution.</div></li><li><div>
Review investigation reports and response letters prepared by the Feedback Office team.</div></li><li><div>
Coordinate with the Legal Office when required for medico-legal advice.</div></li><li><div>
Conduct meetings with clinical departments to share complaint trends and improvement opportunities.</div></li><li><div>
Arrange and participate in meetings with patients and families to address concerns, involving senior leadership (CEO, CMO) when necessary.</div></li><li><div>
Monitor all reported incidents in the Adverse Event Management System daily.</div></li><li><div>
Supervise the team in organizing, categorizing, and reviewing reported incidents.</div></li><li><div>
Conduct investigations through chart reviews and coordination with relevant clinical teams.</div></li><li><div>
Ensure implementation and follow-up of corrective and preventive actions.</div></li><li><div>
Prepare and present weekly reports of adverse events to hospital leadership.</div></li><li><div>
Present RCA findings to Quality &amp; Patient Safety Committee and Joint Staff Committee.</div></li><li><div>
Report sentinel events in Health Service Committee and Chancellor&rsquo;s reports.</div></li><li><div>
Coordinate all patient care related legal matters with the Legal Office.</div></li><li><div>
Maintain records of lawsuits, legal notices, and case documentation.</div></li><li><div>
Review case histories and prepare clinical briefs for legal proceedings.</div></li><li><div>
Coordinate with clinicians for timely submission of documentation and court appearances.</div></li><li><div>
Analyse litigation data and prepare periodic reports for hospital leadership.</div></li><li><div>
Present medico-legal case updates to the Joint Staff Committee.</div></li><li><div>
Oversee the Clinical Affairs Desk (CAD) to ensure effective support for legal matters.</div></li></ul></div><div></div><div><div><br>
</div><p><b>Requirements:</b></p><p>
The applicant should have:</p><ul><li>
Medical or Nursing Graduate.</li><li>
Master&rsquo;s degree in Hospital Administration, Healthcare Management, or a related field.</li></ul><ul><li>
8&ndash;10 years of management experience in the healthcare industry, preferably in patient experience, quality assurance, or clinical risk management.</li><li>
Experience in handling patient complaints, adverse event management, and medico-legal matters in a hospital setting.</li><li>
Proven ability to analyze, interpret, and present data, including preparation of reports for senior leadership.</li></ul><ul><li>
Excellent leadership, communication, and interpersonal skills.</li><li>
Ability to manage sensitive and complex situations involving patients, families, and clinicians.</li><li>
Knowledge of hospital ethics, patient safety standards, and healthcare quality frameworks.</li><li>
Understanding of medico-legal processes and regulatory requirements in Pakistan.</li><li>
Ability to lead teams and coordinate across multiple departments and healthcare facilities.</li></ul><p>
Comprehensive employment reference checks will be conducted.</p><div><br>
</div></div><div>
Primary Location: Pakistan</div><div>
Organisation: Aga Khan Hospital &amp; Medical College</div><div>
Employee Status: Regular</div><div>
Job Type: Standard</div><div>
Job Posting: 12/03/2026, 11:14:21 PM</div><div>
Closing Date: 29/03/2026, 1:59:00 PM</div></div>

Senior Manager - Clinical Affairs

HCA Florida North Florida Hospital​

<p></p><div><p>Do you want to join an organization that invests in you as an RN Patient Safety Coordinator? At HCA Florida North Florida Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.</p><p></p><h5 class="jobSectionHeader"><b>
Job Summary and Qualifications</b></h5><p>
The RN Patient Safety Coordinator will be responsible for risk/CMS data management, claims management, education components of the facility&rsquo;s risk management program, and ensuring claims and compliance with regulatory and accreditation agency risk management standards are met. In an effort to increase patient satisfaction and reduce liabilities and exposures for the facility, this position will establish, coordinate and manage Patient Safety education initiatives which include, but are not limited to, new employees in orientation, current employees, visitors and students doing clinical rotations in the facility. This role will collaborate with all facility leadership and work as a liaison to the appropriate committees to address complaints, grievances and concerns to identify patient satisfaction opportunities.</p><p></p><ul><li>
Assists with development of Hospital Risk Management Program and correlate with facility Strategic plan.
</li><li>Assists with clinical risk assessments and analysis.
</li><li>Assists with an annual evaluation of the effectiveness of the Risk Management Program and develops/modifies goals as indicated.</li><li>
Assists with an analysis plan for data management.
</li><li>Assists in analyzing incidents/occurrences and identifies patterns as evidence for decision-making and process improvement.</li><li>
Analyzes, investigates and responds to Quality of Care Concerns.
</li><li>Investigates incidents that could lead to professional/general liability claims; makes adjustments to patient accounts as needed and approves payment for lost items.</li><li>
Collaborates with staff, physicians, patients/families and visitors where appropriate to resolve outstanding issues within the guidelines approved by facility administration.</li><li>
Assists in developing policies and procedures to implement the Risk Management Program and annual risk management plan. Coordinates the tracking and trending of occurrence reports.</li><li>
Assists in working closely with the Ethics and Compliance Officer and the Director Quality to ensure compliance with statutory mandates, regulatory requirements and accreditation standards of professional organizations such as the Agency for Health Care Administration, TJC. (Statutory and regulatory requirements include but are not limited to the following: FDA, OSHA, EPA, EMTALA, Medicare and Medicaid provisions of the Social Security Act.)</li><li>
Assists in disseminating information and research related to changes in regulatory requirements and clinical research pertinent to potential liability exposures and risk issues.</li><li>
Assists with Code 15 investigations and annual reports to the State per statutory requirements.
</li><li>Maintains current knowledge and education in risk management through educational materials, seminars and pertinent information and research.</li><li>
Serves as a member of select committees, as assigned, critical to the effectiveness of the Risk Management and Patient Safety Program.</li><li>
Assists appropriate medical staff and nursing committees in the resolution of peer review, medical quality of care and nursing quality of care issues posing clinical risk exposure.</li><li>
Analyzes, interprets and facilitates distribution of patient information to Leadership. Incorporates complaints, grievances and compliments to guide daily process improvement.</li><li>
Assists in the development of improvement strategies that direct the patient experience, identifies barriers to improvement and develops effective mitigation strategies.</li><li>
Assists with developing and/or providing education to hospital staff on patient safety and other issues.
</li><li>Produces thorough, accurate, well-designed and appropriate documents.
</li><li>Performs other functions as assigned.
</li></ul><p></p><h6 class="jobSectionHeader"><b>What qualifications you will need:</b></h6><ul><li>
RN Diploma required. Bachelor&rsquo;s Degree or significant experience beyond the required minimum preferred.</li><li>
2 years related clinical and/or risk management/patient safety experience required.</li><li>
Currently licensed as a registered professional nurse in the state(s) of practice and/or has an active compact license, in accordance with law and regulation. Certified Professional in Patient Safety (CPPS) or Certified Professional in Healthcare Quality (CPHQ) certification to be achieved within 1 year of hire.</li></ul><p></p><h5 class="jobSectionHeader"><b>
Benefits</b></h5><p>
HCA Florida North Florida Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:</p><ul><li><b>
Comprehensive benefits</b> for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li><b>
Wellbeing support,</b> including free counseling and referral services</li><li><b>
Time away from work</b> programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li><b>
Savings and retirement resources</b>, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li><b>
Education support</b> through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li><b>
Additional benefits</b> for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul><p>
Learn more about Employee Benefits</p><p>
</p><p><b><i>Note: Eligibility for benefits may vary by location.</i></b></p><p></p><p>
HCA Florida North Florida Hospital is a 523-bed, full-service medical and surgical acute care center. For over 49 years, we have served North Central Florida. We offer comprehensive cardiovascular care, oncology, orthopedics, and neurosciences. We offer minimally-invasive laparoscopic and robotic surgery, weight loss surgery and treatment. Other services that we provide include women&rsquo;s health and wound therapy. We are fully accredited by the Joint Commission and certified as a Comprehensive Stroke Center. Our hospital has an Accredited Chest Pain Center by ACC (American College of Cardiology) and is designated as a Blue Distinction Center for Spine Surgery and Bariatric Surgery. We are committed to patient safety and quality of care. We have received the highest scores available in recognition of this commitment.</p>
<p>HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.</p><p></p><p><br>
&quot;Good people beget good people.&quot;- Dr. Thomas Frist, Sr.<br>
HCA Healthcare Co-Founder</p>
<p>We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our RN Patient Safety Coordinator opening. Qualified candidates will be contacted for interviews. <b>Submit your resume today to join our community of caring!</b></p><p><i>
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</i></p></div>

RN Patient Safety Coordinator

MedPro Group

Meet MedPro Group. We’re an industry-leading Berkshire Hathaway insurance company with a passion for our clients and our team. We are hundreds of professionals with varied backgrounds and experience levels who came together to achieve one goal: protecting those who have made it their mission to serve and care for others. Never considered the insurance industry before? We think you should.
<br><br>
In this role, you will…
<br><br>
Provide risk consultations for all lines of business to include Hospitals, Physician Practices, Senior Care and Healthcare Facilities.
<br>Conduct risk assessments and provide guidance and recommendations to promote safe patient care.
<br>Develop relationships that will strengthen ties with customers or prospects.
<br>Identify ways to assist team members to address customer specific risk management needs, supporting the development of new and existing business by engaging with customers and team members.
<br>Identify ways to leverage risk expertise & industry knowledge to provide a marketing advantage.
<br>Provide content for new and ongoing risk management informational products and presents educational programs.
<br>Organize, plan and execute on-site (or phone) reviews of customers / prospects.
<br>Be able and willing to quickly grasp new concepts and learn new tasks.
<br>Take on other duties as assigned.
<br><br>
We are looking for candidates with…
<br><br>
Bachelor's Degree in Nursing (required).
<br>Master's degree in Nursing (preferred).
<br>10+ years experience in a clinical nursing area with risk management experience.
<br>Ability to travel extensively (Texas, New Mexico, Louisiana).
<br>CPHRM designation (preferred).
<br>Quality Training (is a plus).
<br><br>
Why MedPro?
<br><br>
MedPro Group’s mission is built on a century-old legacy of protecting those who protect others. From our roots in our hometown of Fort Wayne, Indiana, we've worked diligently to become the nation's premier healthcare liability coverage provider, currently insuring more than 300,000 customers. With that growth, we've built a significant presence in all 50 states. Our team works across the country to provide the best strategies to mitigate risk and preserve the reputations of those who have entrusted their good name to us. That passion – built on a foundation of a culture that values uncompromised integrity, obsessive client focus, great teamwork, and a long-term mindset – make MedPro a preferred employer that many call their career home.
<br><br>
<b>General:</b> MedPro Group is an Equal Opportunity Employer. The annual gross base salary range is $100,000 to $140,000. This range anticipates the low and high end of the salary for this position. Actual salaries will vary and are based on factors such as a candidate’s qualifications, skills and competencies. Salary is one component of MedPro’s total compensation and benefits package, which includes medical, vision and dental insurance options, life and accident insurance, 401(k), and short-term and long-term disability insurance. For a more detailed overview, visit our careers website at www.medpro.com/careers. #LI-Remote# LI-EH1

Senior Risk Solutions Consultant - Texas

Lockton Companies

<div><div><div><div><div><div>Working at Lockton
</div><p>At Lockton, we&rsquo;re passionate about helping our people achieve their ultimate potential. Our people are curious, action-oriented and always striving to make ourselves and those around us better. We&rsquo;re active listeners working to ensure understanding and problem solvers developing innovative solutions. If you can see yourself delivering excellent service to clients, giving back to our communities and being a part of our caring culture, <b>you belong here.
</b></p></div><div>Secondary locations
<div>Kansas City
</div></div><div><div><div>Business unit
</div><div>Center Services
</div></div><div><div>Schedule
</div><div>Full-time
</div></div><div><div>Lockton Benefits Offerings
</div><div>Click Here
</div></div><div><div>Workplace
</div><div>In Office
</div></div></div><div></div><div><div><div>Your Responsibilities
</div></div><div><p>Lockton is currently seeking a Clinical Claims Specialist within our Specialty Practice unit. The objective of this role is to improve and reduce the severity of complex and catastrophic claims, reduce the cost of risk while improving the health of our employer client&rsquo;s employee health plan.
</p><ul><li>Provide explanation of disease states and associated costs to internal and external stakeholders.
</li><li>Provide cost-of-care estimates used in the risk assessment of stop loss underwriting.
</li><li>Consult with and advise underwriting on medical/clinical care approaches, standards of care and research of data for new business and renewals.
</li><li>Serve as a resource regarding medical necessity issues, standards of care and analysis for the reimbursement of submitted stop loss claims.
</li><li>Review claims and clinical documents to identify and monitor opportunities to increase member quality of care and overall cost reduction.
</li><li>Collaborate with various key stake holders to strategize clinical and cost savings strategies and assist on execution of plan.
</li><li>Coordinate implementation of claims savings solutions with Lockton Client Service Teams, TPAs, and stop loss carriers including regular tracking to measure savings and plan performance.
</li><li>Manage and organize task lists and open items and cases.
</li><li>Attend team clinical rounds to discuss cases and strategy solutions.
</li></ul></div></div><div></div><div><div><div><div>Qualifications
</div></div><ul><li>Licensure as a RN or Bachelor&rsquo;s in Healthcare Management or related field.
</li><li>A minimum of 5 years of clinical/risk management experience.
</li><li>Experience and/or knowledge of health insurance processes.
</li><li>CCM, NANCM, or other certification or designation is a plus.
</li><li>Working knowledge or experience in quality and care management.
</li><li>Proven time management experience.
</li><li>Strong organizational skills with ability to handle multiple tasks, in a fast-paced environment.
</li><li>Excellent oral and written communication skills.
</li><li>Ability to translate complex clinical topics and subjects to a non-clinical audience.
</li><li>Demonstrated advanced analytical and problem-solving skills.
</li><li>Working knowledge of Microsoft products (Word, Outlook, PowerPoint)
</li></ul><p>Lockton Companies LLC is proud to provide everyone an equal opportunity to grow and advance. We strive to cultivate an environment that learns from, celebrates, and thrives because of our breadth of differences. We are committed to fostering a culture where every member of the Lockton family feels valued and accepted as they are and safe to bring their authentic selves to work every single day. At the end of the day, our mission is to ensure that our family can be anyone&rsquo;s family.</p><p></p><p><br>
</p></div></div><div><div>Equal Opportunity Statement
</div><p>Lockton Companies is proud to provide everyone an equal opportunity to grow and advance. We are committed to an inclusive culture and environment where our people, clients and communities are treated with respect and dignity.
</p><p>At Lockton, supporting diversity, equity and inclusion is ingrained in our values, and we believe that we are at our best when we fully embrace everyone. We strive to cultivate a caring culture that learns from, celebrates and thrives because of our breadth of differences. As such, we recognize that recruiting, developing and retaining people with diverse backgrounds and experiences is vital and enabling our people to thrive personally and professionally is critical to our long-term success.
</p></div><div><div><div>About Lockton
</div><p>Lockton is the largest privately held independent insurance brokerage in the world. Since 1966, our independence has allowed us to serve our clients, take care of our people and give back to our communities. As such, our 13,100+ Associates doing business in over 155 countries are empowered to do what&rsquo;s right every day.
</p><p>At Lockton, we believe in the power of all people. You belong at Lockton.
</p></div><p></p><div><div>How We Will Support You
</div><p>At Lockton, we empower you to be true to yourself in all that you do. Your success is our success, and we provide opportunities to help you grow and create a rewarding career path, however you envision it.
</p><p>We are ready to meet you where you are today, and as your needs change over time. In addition to industry-leading health insurance, we offer additional options to support your overall health and wellbeing.</p><p><br>
</p></div></div><div><div>No Agencies Please
</div><p>Any Employment Agency, person or entity that submits an unsolicited resume to this site does so with the understanding that the applicant's resume will become the property of Lockton Companies, Inc. Lockton Companies will have the right to hire that applicant at its discretion and without any fee owed to the submitting Employment Agency, person or entity. Employment Agencies, who have fee Agreements with Lockton Companies must submit applicants to the designated Lockton Companies Employment Coordinator to be eligible for placement fees.
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<div>Lockton is proud to be named one of Glassdoor&rsquo;s 2026 Employees&rsquo; Choice Award winners, earning a Top 10 spot on the inaugural Consulting, Finance &amp; Insurance list and securing a place on the U.S. Large Best Places to Work list for the second year in a row. These awards come directly from the people who know us best: our Associates. Glassdoor, a global leader in workplace insights, bases its rankings solely on anonymous, voluntary employee feedback. There is no company-driven nomination or application process, just real reviews from current and former Associates over the past year. &ldquo;This recognition from Glassdoor is especially meaningful because it reflects the experiences and voices of our own people,&rdquo; said Martyn Worsley, Lockton&rsquo;s Chief People Officer. &ldquo;At Lockton, we&rsquo;ve created an environment where people are trusted, supported, and encouraged to grow - both professionally and personally. Our Associates shape our culture every day, and this recognition is a powerful reflection of the care, opportunity, and ownership mindset they experience here. We&rsquo;re building something special at Lockton, and recognition like this reinforces that we&rsquo;re on the right path.&rdquo; From career growth to meaningful work to the freedom to be yourself, our Associates continue to shape a culture that stands out. Here&rsquo;s what some Associates are saying about Lockton on Glassdoor: Excellence is at the core of their educational programs, client facing strategies and culture. It is the Mercedes Benz of global brokerage firms, and anyone fortunate enough to work with a great unit leader gains invaluable experience. Benefits, wellness program, and 401k match are competitive. Over 50 years of building a brand, a culture and a community. Well done, Lockton. -Kansas City, MO Associate Lockton is a great place to work! Family oriented, flexible schedule and great work life balance in my role. -Dallas, TX Associate Strong emphasis on employee well-being and work-life balance. Supportive team environment with approachable leadership. Beautiful office spaces and thoughtful amenities. Great benefits, including generous PTO and health coverage. Opportunity to take on diverse responsibilities and develop new skills. &ndash;Miami, FL Associate Great company with great people! Always feel empowered/supported and management consistently looking to give employees opportunity to move up. -Nashville, TN Associate When Lockton says it cares about their employees, they mean it, and they show it. Lots of pros for us to take advantage of. Management is incredible. My managers are always present, available, and attentive at all times. I feel heard, seen and appreciated. This is the best company I have ever worked for. -Hartford, CT Associate
</div></div></div></div><div></div><div><div><div><div>January 13, 2026
</div>Lockton Releases Ann...
<div>At Lockton, we believe business success and community impact go hand in hand. Our annual Lockton Cares Community Impact Report showcases how Lockton Associates around the world are creating meaningful change through volunteering, charitable giving, and sustainability initiatives that strengthen the communities where we live and work. This commitment to giving back isn&rsquo;t just a program: it&rsquo;s part of our culture. From thousands of volunteer hours to global giving campaigns, Lockton empowers its people to make a difference. That&rsquo;s what sets us apart from our peers and makes Lockton a place where purpose and career growth thrive together. Why Lockton? Empowered people: We trust our Associates to lead, innovate, and give back. Global reach: Impact that spans continents and cultures. Caring culture: A privately held company focused on people, not shareholders. If you&rsquo;re looking for a career where you can grow professionally while making a positive impact, Lockton is the place for you. Explore the full Lockton Cares Community Impact Report.</div></div></div></div></div></div></div></div></div><div></div>

RN | Complex Claims Specialist - AMAP

Baylor Scott & White Health

<div><p><b>JOB SUMMARY</b></p><p><b>
Hybrid position</b></p><p>
The Cybersecurity Risk Manager plays a key role in strengthening the cyber risk management capabilities across a large, complex healthcare environment. This position leads a team responsible for identifying, assessing, and managing risks that impact clinical systems, patient data, operational continuity, and enterprise information assets.</p><p>
You will collaborate with technology, clinical, compliance, and operational teams to ensure risk‑management practices are:</p><ul><li> Well‑structured, repeatable, and aligned with industry frameworks such as NIST CSF 2.0.</li><li> Compliant with regulatory requirements, including the HIPAA Security Rule.</li></ul><p></p><p><b>
ESSENTIAL FUNCTIONS OF THE ROLE</b></p><p><b>
Risk Management Leadership</b></p><ul><li>
Lead a team of cybersecurity analysts executing risk identification, analysis, scoring, and monitoring.</li><li>
Guide the development and continual enhancement of risk‑management processes using industry frameworks (e.g., NIST CSF 2.0, HIPAA).</li><li>
Provide coaching, performance feedback, and professional development support to team members.</li><li>
Promote alignment and consistency across cybersecurity and IT functions regarding risk practices and governance.</li></ul><p><b>
Reporting &amp; Continuous Improvement</b></p><ul><li>
Develop clear, concise risk reporting through associated tooling, tailored for senior leaders and operational stakeholders.</li><li>
Track and measure progress through Objectives &amp; Key Results (OKRs) aligned to cybersecurity and organizational priorities.</li><li>
Identify opportunities to streamline processes, drive operational excellence, and improve transparency into cyber risk.</li></ul><p><b>
Risk Management &amp; Assessment</b></p><ul><li>
Oversee enterprise-wide cyber risk assessments, including but not limited to EHR systems, medical devices, IoT clinical equipment, and cloud-hosted PHI.</li><li>
Lead threat modeling and control evaluations based on NIST CSF 2.0 categories (Identify, Protect, Detect, Respond, Recover, Govern).</li><li>
Coordinate mitigation strategies with IT, Clinical Engineering, and operational leaders.</li><li><ul><li> Support risk-related governance forums and risk review discussions with leadership.</li></ul></li><li>
Maintain risk registers and compliance monitoring.</li></ul><p><b>
Compliance &amp; Regulatory Alignment</b></p><ul><li>
Continuously refine cyber risk processes informed by healthcare threat intelligence, regulatory changes, and HIPAA Security Rule requirements.</li><li>
Oversee periodic audits and corrective action tracking.</li><li>
Ability to execute tasks through tooling such as ServiceNow, M365, and Power BI.</li></ul><p></p><p><b>
KEY SUCCESS FACTORS</b></p><ul><li>
Master&rsquo;s Degree is preferred in Cybersecurity, Information Systems, Risk Management, or related field.</li><li>
Strong understanding of healthcare technology environments (e.g., EHR systems, clinical devices, PHI handling).</li><li>
Demonstrated ability to communicate risk effectively to both technical and non-technical audiences.</li><li>
Experience working within Agile delivery environments.</li><li>
Experience with NIST CSF 2.0, HITRUST, HIPAA Security Rule, and healthcare technology environments.</li><li>
Strong understanding of clinical workflows, EHR systems, and medical device cybersecurity.</li><li>
Proficiency with GRC and risk platforms.</li><li><p>
Certifications such as CISSP, CISM, CRISC, HCISPP, HITRUST CCSFP, or other relevant industry certifications are strongly preferred.</p><p></p><div><b><br>
BENEFITS</b><br>
<br>
Our competitive benefits package includes the following<br>
<ul><li>Immediate eligibility for health and welfare benefits</li><li>401(k) savings plan with dollar-for-dollar match up to 5%</li><li>Tuition Reimbursement</li><li>PTO accrual beginning Day 1</li></ul>
Note: Benefits may vary based upon position type and/or level</div></li></ul><b><br>
QUALIFICATIONS</b><br>
<br>
- EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification<br>
<br>
- EXPERIENCE - 5 Years of Experience</div>

Cybersecurity Risk Manager - Healthcare

Shannon Health

<div><div><p><b>Job Summary</b></p>
<p>The peri-operative nurse case manager combines clinical documentation optimization, preoperative risk stratification, and case management expertise. The primary purpose of this role is to have a comprehensive, systematic approach to optimize workflows, pre-op risk assessment and documentation before, during, and after surgery, with an emphasis on surgical medical necessity, status appropriateness, and prior authorization. The role is a specialized position that combines oversight of the medical record with coordination of patient care focusing on regulatory compliance, improving patient outcomes, and managing healthcare resources efficiently. The role simultaneously manages patient cases, ensuring complete and accurate medical record documentation for coding and reimbursement and identifying high-risk surgical populations with chronic conditions or advanced age, while collaborating with the healthcare team to improve quality of care and documentation. The peri-operative case manager, working under the direction of case management leadership, in conjunction with office managers, directors, clinical documentation specialists, coders and lead physicians, will have utilization review and compliance expertise to identify and facilitate modifications to quality and completeness of medical record documentation and allow for early identification of clinical, functional, and social risk factors that may influence admission status, length of stay, and discharge needs for surgical patients. The perioperative case manager will be responsible for aligning workflows, assisting with pre-operative risk assessment, and documentation to ensure financial, compliance, and operational optimization.
</p><p></p><p><b>Supervises the Following Positions</b></p>
<p>Positions: N/A</p>
<p></p><p><b>Physical Requirements</b></p>
<ul><li>The ability to perform the duties and responsibility of the position, with or without reasonable accommodations for disabilities.
</li><li>The ability to consistently lift, push or pull loads of up to fifty (50) pounds. (Unless nursing 50)</li>
<li>Sufficient strength, mobility and stamina to make frequent location and position changes, assist with patient care, and perform other physical activities of average difficulty.
</li><li>Candidates whose disabilities make them unable to meet the requirements will still be considered fully qualified if they can perform the essential functions of the job with reasonable accommodations.</li>
<li>May be exposed to infectious or contagious disease.</li>
<li>May have to handle emergency situations.</li>
<li>May be subject to irregular hours.</li>
<li>May be required to wear protective equipment such as eye protection, face protection, masks, sterile/nonsterile gloves, isolation gowns.</li>
<li>May be exposed to toxic/caustic/chemicals/detergents.
</li><li>Physical activities include continuous sitting, and occasional walking, standing, bending, squatting, climbing, kneeling and twisting.</li>
<li>Activity Conditions (Occasionally, Frequently, Continuously):
<ul><li>Sitting- Continuously</li>
<li>Walking- Frequently</li>
<li>Standing- Frequently</li>
<li>Bending-Frequently</li>
<li>Squatting- Frequently</li>
<li>Climbing-Occasionally</li>
<li>Kneeling-Occasionally</li>
<li>Twisting-Occasionally</li><br>
</ul></li></ul><p></p><p><b>Visual and Hearing Requirements</b></p>
<ul><li>Must be able to see with corrective eye wear.</li>
<li>Must be able to hear clearly with assistance</li>
</ul>
<p></p><p><b>Working Conditions</b></p>
<p>Primarily Works in a well-lighted and air-conditioned environment with period of heavy workload and stress. Works in various conditions.</p>
<p><b>Performance: Essential Functions</b></p>
<p><b><i>Decision Making:</i></b><b><i> </i></b>Ability to make decisions and takes appropriate action based on the information they have. Recognizes own limitations and consults with the supervisor, manager, or team member when appropriate.</p>
<p><b><i>Time Management:</i></b><b><i> </i></b>Works efficiently and manages duties to ensure that tasks are completed with accuracy and within the scheduled shift or reasonable amount of time.</p>
<p><b><i>Quality &amp; Quantity:</i></b><b><i> </i></b>Demonstrates accurate, knowledge and skill to carry out job duties. Follows departmental work policies and procedures. Speed and consistency of output, and time utilization of job duties.</p>
<p><b><i>Computer Knowledge &amp; Electronic Equipment Use:</i></b><b><i> </i></b>Demonstrates ability to consistently utilize electronic equipment and online computer programs to perform job duties, including electronic documentation, and order entry.</p>
<p><b><i>Resource Utilization:</i></b><b><i> </i></b>Consistently utilizes and maintains supplies and equipment to minimize lost charges and unnecessary equipment repair-replacement.</p>
<p><b><i>Confidentiality:</i></b><b><i> </i></b>Adheres to established policies on privacy and security requirements for compliance with the Health Insurance Portability and Accountability Act (HIPAA), as applicable by Shannon Policy.</p>
<p></p><p><b>Performance: Position Specific Essential Functions</b></p>
<ul><li>Onsite clinical collaboration working directly with the healthcare team to attend meetings, provide education, and discuss specific cases.
</li><li>Collecting patient information related to diagnosis and care by conducting chart reviews.
</li><li>Assessing documentation validity via utilization review, analytic software, and critical thinking skills to: modify risk by developing recommendations for risk reduction such as patient safety indicators; improve the clinical depiction of the patient leading to better quality outcomes in surgical settings; contribute to hospital efficiency, cost savings, and appropriate use of resources; provide data for performance metrics and quality initiatives.
</li><li>Identifying and communicating documentation or risk assessment opportunity with providers (for needed documentation support, ambiguity, or conflict).</li>
<li>Meeting productivity requirements established in department standards.
</li><li>Collaborating with physicians, nurses, and other clinical staff to clarify documentation, address gaps, identify opportunities for improvement in the documentation process, and provide education on best practices for accurate and compliant record keeping.
</li><li>Upholding the integrity of the hospital medical record by complying with organizational, legal, ethical, and regulatory requirements.
</li><li>Manage patient cases from admission through discharge by ensuring that necessary documentation supports the care plan and subsequent billing.
</li><li>Providing superior customer service to customers and coworkers with professional conduct and respectful behavior.
</li><li>Strong interpersonal skills that allow for effective communication with different levels of hospital personnel</li>
<li>Solid verbal and written communication skills required.
</li><li>Organization, prioritization, critical thinking, and attention to detail are needed.
</li><li>Basic computer and office equipment knowledge; Electronic Medical Record training provided.</li>
<li>Prior knowledge of medical and pharmacology terminology required.</li>
<li>Performs other duties as assigned.</li>
</ul>
<p></p><p><b>Qualifications</b></p>
<p>Education</p>
<ul><li>Required
<ul><li>High School Diploma</li>
<li>Associate's degree in nursing</li>
</ul></li><li>Preferred
<ul><li>Bachelor's degree in nursing</li>
</ul></li></ul><p>Experience:</p>
<ul><li>Required
<ul><li>Five years of experience in acute care/hospital setting</li>
</ul></li><li>Preferred
<ul><li>One year of experience in clinical documentation improvement, utilization review, and/or acute care case management</li>
</ul></li></ul><p>Certification/Licensure:</p>
<ul><li>Required
<ul><li>Registered Nurse (RN) with Authorization to Practice in the State in Texas</li>
</ul></li><li>Preferred
<ul><li>CCM/ACM or relevant clinical documentation certification</li>
</ul></li></ul></div><br>
Location: Shannon Health &middot; CASE MANAGEMENT<br>
Schedule: Full Time, Days, M-F</div>

Peri-Operative Case Manager

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