Medical Risk Management Specialist
6 days ago
The primary objective of this role is to provide risk management services and education to Texas physicians and their staff members. This position is based in Austin and requires 60% day travel with frequent overnight stays.
Key Responsibilities:- Respond to inquiries from physicians/healthcare personnel regarding medical risk management issues; refer to other departments or sources as appropriate.
- Schedule appointments for physician practice review evaluations with independent practitioners and medical groups.
- Review in-house claims and underwriting data prior to meetings.
- Assess potential exposure for liability by reviewing medical records, touring facilities, evaluating office policies and procedures, and utilizing established questionnaires and checklists to interview physicians/administrators/office managers.
- Conduct wrap-up meetings and present recommendations using internal and external resources.
- Use Microsoft Teams or other virtual platforms and develop PowerPoint presentations as needed for remote wrap-up meetings.
- Conduct continuing medical education components of practice reviews if elected by physicians.
- Follow up with written recommendation reports within 10 business days.
- Identify insured physician and practice needs to suggest and develop new resources, recommendation clauses, and products for the risk management department.
- Plan and develop topics, research, analyze statistical data, form graphs as needed, and write articles for inclusion in company publications.
- 1+ years' experience in healthcare risk management, quality assurance, or a related field, required.
- Bachelor's degree in nursing or equivalent experience in a clinical setting or in healthcare-related risk management, preferred.
- Excellent written and oral communication skills and presentation skills, required.
- Strong analytical skills, needed.
- Requires 60% day travel with frequent overnight stays.
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