Responsible for supporting the organizational strategic goals and objectives specifically those related to clinical risk management as part of the System's Peer Review process. Performs all duties in a manner that promotes a team concept and reflects the goal of providing seamless support for patients.
Performs claims administration, identification of adverse patient events, investigation, documentation and reporting to Legal Services and Corporate Risk and Insurance.
Communicates and reports real and potential risk issues to department managers and administration as appropriate.
Collaborates with Department managers to systemic performance shaping factors and staff perceptions of risk that lead to at-risk behaviors or human error.
Works with departments in establishing and monitoring strategies to avoid, eliminate, and reduce risk situations associated with the provision of patient care and services.
Identifies Departmental trends for actual or potential risk management issues or patient safety concerns based on review of patient incidents and adverse patient events Participates in the development and implementation of department and facility policies and procedures that affect managing risk and patient safety.
Conducts a thorough and credible root cause analysis.
Consults and collaborates with the Legal Services to mitigate the potential loss associated with adverse patient events.
Conducts a thorough and credible investigation of adverse patient events with follow-up on identified risk management cases and patient safety action items as a result of the adverse patient event.
Stays current with compliance requirements for regulatory agencies for the reporting of incidents, grievances, serious events and other occurrences as required.
Educates staff, both formally and informally, on principles of patient safety and risk management.
Responsible for a set amount of onsite time at selected healthcare facilities.
Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.
Weekly on call is required along with weekend and holiday coverage on a rotation basis.
This position will interact with the hospital leadership team.
Bachelor's Degree-Nursing (Required)
Minimum of 5 years-Clinical (Required)
Certification(s) and License(s)
Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.