Schuyler Hospital
  • Nursing Administration
  • Montour Falls, NY, USA
  • Full Time

The RN Risk Analyst collaborates with organizational leadership and safety partners to proactively identify clinical risks and implement mitigation efforts to eliminate harm in healthcare. Acts as a hospital resource for Risk Management activities. Assists the System Director of Risk Management and Clinical Liability in managing incidents by performing timely investigations (including reporting of incidents to required entities such as NYPORTS), Root Cause Analysis and proactive risk assessment. Provides staff education and consultation in the fields of Risk Management and regulatory compliance. The UM and Appeals Specialist coordinates and monitors daily activities of utilization management ensuring the appropriate allocation of hospital resources while maintaining quality of care. The UM and Appeals Specialist is responsible for assuring regulatory compliance requirements are met and responding to and coordinating medical necessity appeals, Medicare pre-payment reviews, RAC discussion letters and appeals, and cost outlier reviews. The UM and Appeals Specialist coordinates and collaborates with the Business Office to optimize the revenue cycle.

    • Current unencumbered NYS RN Licensure, or Bachelor`s degree in a healthcare or business related field with acute care risk management training or experience required.
    • Three (3) years recent experience in an acute care setting and/or in a position of similar responsibility and complexity required.
    • Strong written and oral communication skills.
    • Knowledge of quality and risk management principles.
    • Knowledge of regulatory and accreditation standards.
    • Ability to collect and interpret data.
  • Recent experience in healthcare quality or risk management preferred.
  • Education: BSN preferred

    • Experience: a minimum of 4 years clinical experience
  • Licensure: RN

Schuyler Hospital
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