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Orlando, Florida, Clinical Risk Manager at AdventHealth Orlando (ONSITE) All the benefits and perks you need for you and your family: ·     Paid Parental Leave ·     Pet Insurance ·     Benefits from Day One ·     Student Loan Repayment Program & Debt-free Education Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. Location: AdventHealth Orlando – 601 East Rollins Street, Orlando, FL 32801 Schedule:   Full time The role you’ll contribute:  The Clinical Risk Manager (CRM) is responsible for managing the risk management program for the assigned areas. This position is responsible for working in collaboration with the clinical team to ensure adherence to all federal regulations and hospital policies. The CRM or their designee will systematically investigate all clinical incidents/accidents/events that could lead to patient harm and/or financial loss and ensures all risk management activities, including the internal event report system and patient grievance process are in compliance with FL State Statute 395.0197. The CRM identifies areas of risk and facilitates risk mitigation/safety strategies including the Root Cause Analysis and Response process as well as regulatory surveys.   The CRM identifies potential compensatory events and works collaboratively with claims management coordinators to mitigate litigation. The CRM is responsible for integrating the risk management program into the quality and safety activities of assigned areas. The value you’ll bring to the team: Develop, manage, and administer facility-wide systems for risk identification, investigation, and reduction. Assess operational and clinical risk across the assigned areas based on knowledge of national and state regulatory and accreditation standards and/or licensing requirements. Assess, develop, implement, and maintain educational risk management programs for all personnel, leaders, and Executive Team on identified issues and any other related activities as statutorily required. Maintain working knowledge of CMS, DNV, AHCA, or other state. national and/or federal standards such as required reporting of quality of care issues, Sentinel Events, corporate compliance related issues and any other requirements that directly impact the continued operation of the facility/entity. Ensures compliance with patient safety and risk management related standards by DNV and other accrediting and regulatory entities and participates in the clinical quality and safety efforts of the facility. Responsible for the management of the internal event report system for assigned area, in compliance with Florida Statute 395.0197 including identification and reporting of adverse events. Identify, investigate, and report on Sentinel Events and facilitate the Root Cause Analysis & Action process. Participate directly in the facility process for Disclosure of Unanticipated Outcomes. Responsible for integrating the risk management program with the quality and safety activities of the assigned areas. Qualifications The expertise and experiences you'll need to succeed: EDUCATION, LICENSURE AND EXPERIENCE REQUIRED : Registered Nurse, Advanced Registered Nurse Practitioner, Respiratory Therapist, Occupational Therapist, Physical Therapist, Speech Pathologist, Radiology Technologist, Ultrasound Technician, Physician Assistant, Paramedic, Pharmacist, and three to five years clinical experience in a healthcare-related field, OR Three to five years experience in risk management or claims field AND Experience in process improvement/patient safety/clinical risk management/quality activities Bachelor’s degree in health care related field This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Irvine, California, Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Position Highlights: Region: Orange County Schedule: Monday – Friday Introduce the member’s medical group, Optum California to members, family members and caregivers Counsel and educate patient and families regarding health plan benefits, health plan network and other programs and tools available to help improve quality of lifestyle Conduct assessments and annual wellness exams with patient (clinic, IPA office, SNF, home setting or virtual). Document chief complaint, previous medical, family, and social history, review of systems, examination, assessment, and appropriate plan of care.  Responsible for the coordination of care with specialists and appropriate ancillary services Complete all documentation and paperwork in a timely manner. Maintain quality of care standards as defined by the medical group Identifies members needs and any gaps of care; provide recommendation of benefits/ programs associated with member’s health plan and guide members appropriately We offer competitive compensation including sign-on incentive , specialty incentive and a comprehensive benefit package including medical malpractice coverage and tail policy, generous Paid Time Off (PTO) and holidays, CME time and dollars, medical, dental and vision benefits, company paid life insurance, bonus potential. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:  Master’s degree from four-year college and/or a professional certification beyond a four-year college Certificate of completion from accredited Nurse Practitioner Program Current AANP Certification required Unrestricted CA NP license Current CA DEA certificate required prior to start date Active BLS certification EMR Proficient Excellent patient care and time management skills Flexible, multi-prioritizing skills and time management skills Ability to work independently and without direct supervision Preferred Qualifications:   Fluency in Spanish 1+ years experience; preferably in outpatient/managed care setting Working knowledge of managed care, health plans, medical groups, IPA networks California Residents Only : The salary range for this role is $109,513 to $147,146 per year. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.   Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.   OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.  

Dallas, Texas, JOB SUMMARY Partners with and helps key stakeholders' teams to implement reporting and quality improvement projects in help of BSWH's strategy to deliver high-quality, safe care and achieve excellence in accordance with regulatory statues, policies and procedures. ESSENTIAL FUNCTIONS OF THE ROLE Performs concurrent and retrospective medical record review to investigate quality and/or patient safety concerns and to identify performance improvement opportunities. Helps and/or facilitates quality and patient safety initiatives to improve safety and foster an environment of service excellence through successful interventions, data testing and development of action plans. Develops and disseminates ongoing and ad hoc reports to ensure clinicians, administrators, medical staff committees and corporate teams receive timely and accurate data to meet their needs in ensuring quality care and patient safety within their departments. Partners in the development and presentation of educational materials designed to educate staff and management about patient safety processes. Identifies regional, system, and industry best practices, providing feedback to managers and team members. Participates on quality improvement teams as requested by leadership. Participates in unit and/or facility huddles. Helps the ZERO Harm rounding process as directed by leadership. Helps and/or facilitates departmental processes that ensure facility compliance with regulatory body requirements. KEY SUCCESS FACTORS Basic knowledge of patient safety and quality improvement values and concepts Basic knowledge of Texas, Joint Commission and CMS standards Verbal, social, and written communication skills Competent in the use of computers, and related software applications Able to establish and maintain effective combined working relationships Able to help and help patient safety and quality improvement initiatives Able to examine data and prepare reports Able to appropriately prioritize tasks to meet desired deadlines Licensed clinician such as nurse, physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred. BENEFITS Our competitive benefits package includes the following Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based on position type and/or level QUALIFICATIONS EDUCATION - Associate's or 2 years of work experience above the minimum qualification  EXPERIENCE - 2 Years of Experience

Dallas, Texas, JOB SUMMARY Reporting to the SVP, Chief Corporate Ethics and Compliance Officer, the VP Corporate Compliance is responsible for planning, developing, and enforcing compliance programs for Baylor Scott and White Health (BSWH), which includes varied compliance risk-based functions and programs such as hospital regulatory compliance, provider compliance, research compliance, third party compliance and other compliance activities. Leads the development of compliance programs to prevent and detect non-conformance to laws as assigned, regulations, standards, and BSWH policies and ensures the implementation of a compliance program for assigned area of the organization. Develops and implements strategies, policies, procedures, and practices that establish BSWH standards for compliance. Ensures compliance to all applicable laws, regulations, and accreditation standards, such as the Joint Commission, Centers for Medicare and Medicaid (CMS), National Committee for Quality Assurance (NCQA), and Occupational Safety and Health Administration (OSHA). Responds and reacts to changes and developments in laws or the regulatory environment that might affect BSWH compliance and implements necessary changes. Investigates, audits, and resolves alleged violations or incidents of nonconformance and verifies that compliance deficiencies have been corrected. Provides key support and reporting to the Audit and Compliance Committee of the BSWH Board. May develop and implement targeted compliance training curriculum. Collaborates closely with executive leadership, operations, legal, risk management, finance, and Information Security to identify and resolve compliance issues in accordance with overall BSWH business objectives. A system Vice President (VP) develops strategy and business plans for one or more business units or functional areas. Business unit or area may include a level of smaller entity vice presidents (e.g., small hospitals, clinics, etc.). Leads strategy development and execution, identifies resourcing needs, and provides guidance for significant tactical decisions. Focuses on current-year operations and participates in establishing multi-year strategies and business plans. Erroneous decisions at this level tend to have a long-term negative effect on the success of the organization. Leads and directs a large division, multiple departments, or a single business unit. Typically directs multiple levels of subordinate vice presidents (entity/region), directors, and/or managers covering varied disciplines and skill levels. Has managerial accountability for staffing and budgets for a large span of control (at least 2 directors/managers) or is over a critical but small staff function. Exercises wide latitude in determining objectives and approaches to critical assignments. Responsible for executing a portion of the business strategy. ESSENTIAL FUNCTIONS - Oversees the corporate compliance risk based functions for BSWH. - Develops and implements the annual compliance audit work plan based upon risk assessment, current patterns and trends in the industry, outstanding corporate integrity agreements or settlements, or BSWH specific issues. - Develops and communicates corporate compliance updates, progress, and status reports for the Chief Compliance Officer, Corporate Compliance Committee, and Board of Trustees Audit & Compliance Committee. - Leads compliance improvement programs and activities, including key response time, service quality, risk mitigation, and completion of corrective action plans. - Collaborates with BSWH senior leadership to implement the compliance reviews, including risk assessment, program development, education, and program monitoring. - Oversees compliance audits that includes potential problem identification and intervention to offset adverse impact. - Leads the selection and development of curriculum for annual and new-hire compliance education for all BSWH employees. KEY SUCCESS FACTORS - Bachelor's degree in healthcare administration, or related field or equivalent experience required. Master's degree or Juris Doctorate (JD) strongly preferred. - 7+ years of healthcare compliance experience with complex regulatory environments, preferably a large-scale, multi-facility healthcare system or integrated delivery network. - 3+ years of experience in a leadership role. - Experience developing, scaling, and leading an enterprise-wide compliance program. - Strong working knowledge of healthcare compliance practices, ethics, and regulatory requirements. - Experience conducting healthcare compliance investigations and addressing non-compliance. - Healthcare compliance professional certification preferred (e.g., Certified in Healthcare Compliance (CHC),  - Excellent written, verbal, and presentation skills. MINIMUM REQUIREMENTS - Bachelor's degree or equivalent experience required; Master's Degree or Juris Doctorate (JD) preferred - 7 years of experience

Durham, North Carolina,   General Description of the Job Class   Support the following performance management and improvement services for Duke University Hospital, Duke Health Raleigh Hospital, Durham Regional Hospital, and other entities within the Duke University Health System Management engineering - to include the productivity management system, labor budgeting and productivity/process analyses and improvement. Operational Support - supporting Senior Operational leadership with focused analyses or improvement efforts and management of administrative projects and efforts. Decision support - to include clinical decision support and ongoing performance improvement support. Performance Reporting - to include management of the balanced scorecard and reporting of related performance metrics. Patient Satisfaction - to coordinate and support of related performance improvement efforts. Performance Improvement - to include project management and support. This position would consist of three levels, with varying levels of autonomy, accountability and interaction within the organizations.   Duties and Responsibilities of this Level   Management Engineering: Development and maintenance of labor standards used to develop departmental staffing requirements. These same standards are also used as procedural-level labor standards by the Cost Accounting staff of Corporate Finance and Hospital Departmental Managers in the costing and flexible budgeting techniques. Support of Hospital leadership with productivity improvement efforts to include analyses of departments and processes. Perform labor variance analyses in cooperation with departmental leadership to support their efforts in meeting defined productivity goals. Operational Support: Support of Hospital leadership with project management and analytical support of operational initiatives. Decision Support and Performance Reporting: Development and initiation of clinical analyses in support of the CSU leadership to improve the management and quality of care. Coordinate the improvement process as appropriate. Ongoing decision support in support of clinical and patient safety improvement efforts. Provide routine reporting of key quality and patient safety metrics in support of the ongoing quality management process. Support of the balanced scorecard program and related reporting. Patient Satisfaction: Coordination and support of the improvement efforts designed to improve the overall patient satisfaction scores as appropriate. Performance Improvement: Lead performance improvement teams as assigned. Support performance improvement teams within the assigned area of responsibility. This could include being an active team member or providing analytical support.   Minimum Qualifications   Education Level 2 Minimum of a Bachelor's degree in Industrial Engineering or related field Master's degree desired Level 3 Minimum of a Bachelor's degree in Industrial Engineering or related field Master's degree desired Level 4 Minimum of a Bachelor's degree in Industrial Engineering or related field Master's degree desired   Experience   Level 2 Minimum of 4 years of PS or related experience. Experience can be supplemented with a Master's degree with a Master's being equivalent to two years of experience. , with 2 years of Duke ME I experience   Level 3 Minimum of 6 years of PS or related experience. Experience can be supplemented with a Master's degree with a Master being equivalent to two years of experience.   Level 4 Team Lead: minimum of 6 years of PS or related experience. Experience can be supplemented with a Master's degree with a Master being equivalent to two years of experience.   Technical Lead: minimum of 6 years of PS or related experience. Experience can be supplemented with a Master's degree with a Master's being equivalent to two years of experience or advanced training in technical skills directly applicable to work assignment   Distinguishing Characteristics of this Level Level 2 Works under general supervision by departmental leadership. Guidance is frequently provided regarding tasks and approaches to accomplish assignments and how to deliver on the core responsibilities of the department. Interacts with internal or CSU staff and leadership primarily to gather inputs or review results of analyses. Begins to work with leadership to define priorities and actively supports performance improvement work.   Level 3 Works autonomously within the work assignment. Establishes own approaches and works independently to execute. They set their own priorities with general oversight by departmental leadership. Progress and success are defined by goal attainment.   Interacts with operational and departmental leadership. Works with leadership to define priorities and is frequently asked to support performance improvement work. Begins to assume an active role in improvement efforts as a facilitator or improvement expert   Level 4 Works autonomously within the work assignment. Coordinates the services for the assigned CSU and provides oversight and workflow supervision to assigned staff. May provide direct supervision to up to two staff. Consult with Managers and Directors for performance evaluations. Progress and success are defined by goal attainment and the success of the entities or services they are assigned. Interacts with operational and departmental leadership to include Presidents, VPs, and Clinical Chairs. Works with leadership to define priorities and is routinely asked to support performance improvement work. Coordinates the work of others from Performance Services to support the execution of plans. Assumes an active role in the improvement efforts as a facilitator or improvement expert.       Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.   Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.   Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.