We are looking for a skilled HEALTHCARE RISK MANAGEMENT SME who will work primarily to minimize risk in their organization by implementing, monitoring, and evaluating risk management plans. To do this, they analyze data, audit procedures, survey care providers and patients, and prepare reports. While this job may seem tedious, the outcomes can have a positive effect on patient care.

EDUCATION

• Bachelor's Degree in Nursing, Business/Management or a Healthcare related field

REQUIREMENTS

• On-site in San Antonio is required
• MHS/DHA experience is required 
• Maintains current, unencumbered RN licensure
• Minimum of 2 years' experience in Healthcare Risk Management
• Certification in HRM (ASHRM) strongly preferred
• Ability to effectively communicate at various levels within the organization (i.e., HQ, market, facility
• Proficient in Microsoft Tools

ROLE RESPONSIBILITIES

Support Small Stand Alone Office (SSO) in San Antonio, TX to:

• Receive, review and record malpractice claim payments monthly, active-duty death/disability cases and initiate the required clinical quality review process 
• Correctly identify and process medical malpractice claims by legal outcome (payment) type and standard of care
• Process clinical, government administrative and criminal adverse action cases in Accordance with
  • (IAW) Department of Defense Instruction 6025.13, Medical Quality Assurance (MQA) in the Military Health System (MHS)
  • Defense Health Agency Procedural Manual 6025.13, Clinical Quality Management in the Military Health System (DHA-PM 6025.13)