Clinical Risk Nurse

The Clinical Risk Nurse is responsible for receiving, investigating, documenting and summarizing all customer complaints and adverse clinical events directed to the Quality Management Department.

Job Relationships

- Reports to the Risk Manager.

Principal Responsibilities

- Take all customer complaints directed to Quality Management Department.
- Investigate complaints and prepare report including recommendations for resolution.
- Prepare letters and account action worksheets for Director approval.
- Maintain aggregate statistics for reporting complaints.
- Prepare reports of complaints handled for Quality Management Committee. Assist in identification of cases for Committee review.
- Identify trends and discuss with the Risk Manager and/or Director for reporting to Quality Management Committee.
- Conduct special investigations/reviews as requested by Administration and/or Medical Directors for specified patient populations or conditions, procedures performed/utilized and prepare reports.
- Conduct Ambulatory Surgery Center (ASC) chart audits and edits to ensure accuracy, completeness, and regulatory compliance.
- Perform monthly site surveys at off-site locations to assess quality, compliance, and operational standards.
- Conduct root cause analyses to identify underlying causes of quality, safety, or operational concerns
- Design, perform, and evaluate quality studies related to risk management, patient safety, and process improvement initiatives
- Comply with the Springfield Clinic incident reporting policy and procedures.
- Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
- Provide excellent customer service and adhere to SC Way customer service philosophy.
- Perform other job duties as assigned.

Education/Experience

- RN BSN preferred.
- Minimum of five (5) years' experience in a health care setting; medical office preferred.
- Familiarity with EHR clinical products and experience in medical record review

Licenses/Certificates

- RN with license in good standing in the State of Illinois.
- Greenbelt within 1 st year of hire. If hired prior to 2026, Green Belt is due by July 1 st , 2027.

Knowledge, Skills and Abilities

- Expertise with Microsoft Office products (Word, Excel, MS Access, MS Outlook).
- Customer oriented with pleasant telephone voice.
- Excellent organizational, verbal and written communication skills.
- Ability to solve problems and interpret clinic policy.

Working Environment

- Office environment.
- Sitting for long periods/computer work.

PHI/Privacy Level

- HIPAA1