Role Title: Healthcare Risk Management PMLocation: RemoteMinimum years of work exp: 5 Years Education: Bachelor's Degree in Nursing, Business/Management or a Healthcare related field. Required Skills:
Certification in HRM (ASHRM) strongly preferred
Certification in PM strongly preferred
Current, unencumbered RN licensure preferred
MHS/DHA experience preferred
Ability to effectively communicate at various levels within the organization (i.e., HQ, market, facility
Proficient in Microsoft Office tools
At least two years of experience in Healthcare Risk Management
At least 5 years
Receive 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), and Air Force Instruction (AFI) 44-119, Medical Quality Operations.
Additional Update: Please refer to the CPHRM Certificate Holder List in the Information File section. You can first reach out to them and submit their profile. In case if you are approaching candidates who doesnt hold certification, then should be able to clear an exam which includes:
At least 5 years of experience in a health care setting or with a provider of services to the health care industry and
3,000 hours or 50 percent of full-time job duties within the last three years dedicated to health care risk management in a health care setting or with a provider of services (e.g. consultant, broker, or attorney) to the health care industry.
Note: Public Trust or ability to acquire W2 candidates only US citizens only Right to Hire - Yes