PRIMARY DUTIES AND RESPONSIBILITIES

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  Reviews incident reports, assesses need for further investigation, and determine subsequent action.
• Investigates incidents involving potential risk. Reviews relevant medical and hospital documents, conducts interviews with involved persons, and assesses present liability and future risk.
• Determines appropriate action for current risk situations. May open active claims, adjust hospital bill, or negotiate settlement within given parameters.
• Recommends planned interventions to prevent future risks, such as recommending policy and procedure changes or providing educational opportunities.
• Works with the hospital’s defense attorneys and hospital’s claim service to arrange interviews, obtain information, write reports, and provide other assistance as required.
• Codes and enters incidents into computer databases. Monitors and evaluates success of planned interventions by comparing frequency, severity, and trend data.
• Serves on various hospital committees, such as the Resuscitation/Code Blue Committee, the Mortality and Morbidity Committee, the P&T Committee, and the Infection Control Committee. Acts as a liaison with Risk Management. Develops and presents reports and makes recommendations.
• Practices proper safety techniques in accordance with hospital and departmental policies and procedures. Immediately reports any mechanical or electrical equipment malfunctions, unsafe conditions, or employee/patient/visitor injury/accident to Manager.
• Available after hours as a Risk Management resource to staff and physicians, as needed.

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  Registered nurse with a Bachelor of Science in nursing, or equivalent education or experience.
• Three (3) years clinical experience in a clinic or hospital setting,

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  Experience in medical malpractice claim management, medical record review, or legal nurse consultant experience.
• Demonstrated computer knowledge.