Mercy Health

Risk

• Provide strategic leadership and accountability for loss prevention strategies and risk mitigation initiatives across assigned facilities and service lines
• Maintain an influential presence within assigned areas and partner with Senior Leadership on insurance, claims management, loss prevention, adverse events, and operational risk exposures
• Collaborate with Human Resources, Legal, Quality, Compliance, and Patient Safety stakeholders to identify, prioritize, and mitigate risk exposures
• Provide cross-coverage support for the Risk Director or other team members during absences or temporary reassignments
• Serve as a subject matter expert and contribute to system-wide initiatives, committees, networks, task forces, and projects
• Lead timely initial event response, assess facts and risks, and determine next steps
• Serve as key point of contact for complex or high-risk event-related concerns
• Lead comprehensive investigations with clinical, legal, and operational stakeholders; synthesize findings, conduct risk assessments, and escalate significant issues
• Provide risk guidance through grievance committees and refine response communications where liability exposure exists
• Lead Apology & Disclosure strategy and Just-In-Time training, including materials development and logistics
• Coach clinicians and leaders on communication following adverse or unanticipated outcomes
• Identify cases for Early Liability Review and support resolution strategies and outcomes
• Partner with claims management on reporting and handling potentially compensable events
• Collaborate with outside counsel on interviews, fact development, and case preparation
• Manage administrative claims related to professional licensure and board investigations
• Provide risk guidance during CMS, Joint Commission, and Department of Health surveys and investigations
• Analyze claims, incident data, and post-loss outcomes to identify trends, root causes, and emerging risks
• Monitor risk mitigation action plans and ensure follow-up and escalation
• Design and implement loss prevention and risk reduction strategies with operational leadership
• Translate data insights, claim trends, and regulatory changes into facility- and system-level initiatives
• Deliver education on risk management, claims, and insurance principles

Senior Risk Manager – Risk and Insurance

Nurse

• Coordinate patient transfer logistics using client-defined workflows to support patient acceptance and bed placement
• Identify appropriate level of care, accepting provider, consultation, and access from hospitals, clinics, extended care facilities, and physician offices
• Ensure accurate clinical presentation, timely access, appropriate bed assignment, and accurate patient information documentation
• Collaborate with clinicians, physicians, hospital staff, medical staff, leadership teams, and outside agencies
• Use critical thinking and clinical decision-making to develop appropriate destination plans of care
• Act as a liaison between patients, physicians, hospital staff, client facilities, and outside agencies
• Monitor individual and team compliance and performance
• Support process changes and regulatory and quality initiatives
• Identify, trend, and report barriers to patient access and throughput
• Report safety, compliance, and operational risks through the defined chain of command
• Participate in process improvement, professional development, peer development, peer review, shared leadership, and quality data collection
• Maintain active RN licensure within the states where transfer center services are provided
• Perform other tasks and analysis as requested or directed
• Work assigned shifts on a six-week rotation, including every-other-weekend, on-call, and rotating holiday requirements
• Complete three weeks of orientation from 8:00 a.m. to 4:30 p.m. ET and align with a preceptor during the fourth week

Registered Nurse – Transfer Center Specialist

• Provide safe, patient-centered nursing care according to Mercy standards, policies, and procedures
• Assess patients and families and develop, implement, coordinate, and evaluate individualized plans of care
• Communicate relevant clinical information during handoffs and with patients, families, and healthcare team members
• Document nursing care accurately and in real time
• Provide nursing interventions, respond to emergencies, and promote patient safety
• Educate patients and families
• Delegate and direct licensed and non-licensed personnel
• Coordinate Cardiac Imaging procedures for staff, physicians, and patients
• Operate or support ancillary equipment including treadmill stress systems, telemetry monitors, Holter/event monitors, and specialized IV infusion pumps
• Monitor cardiac rhythms and implement appropriate interventions
• Supervise stress testing independently or with ancillary staff
• Assist with pacemaker changes for MRI, MRI stress testing, CT coverage, and TEE exams with sedation
• Complete documentation and charge entry accurately and timely
• Maintain current evidence-based practice, protocols, procedures, and safety practices

Staff Nurse, RN – Cardiac Imaging

Insurance

• Support the strategic plan for risk assumption, risk transfer, and loss prevention activities
• Participate in collecting underwriting information for captive, reinsurance, physician, commercial insurance policy renewals, and bonds
• Maintain historical underwriting data
• Assist with risk evaluation and physician onboarding into the captive
• Maintain databases of insured entities, properties, vehicles, drivers, and physicians in the risk management information system
• Maintain insurance schedules, policies, premiums, and policy summaries
• Assist with physician credentialing and loss history requests
• Analyze risk and implement loss prevention activities, including education
• Assist with compliance with patient compensation funds and special state funds
• Process and track invoices, premium payments, and premium returns
• Manage certificate requests with facilities, practice managers, real estate, finance, human resources, and other internal departments
• Work on special projects and keep Administrative, Clinical, Market, and System Risk leaders apprised of significant events and risk management activities

Risk and Insurance Manager

• Support the coordination of the centralized insurance program under the direction of the System Director, Insurance
• Support management of program/facility loss prevention strategies and initiatives
• Support strategic planning for risk assumption, risk transfer, and loss prevention activities involving physician and non-clinical risks
• Assist in collecting underwriting information for captive, reinsurance, physician, and commercial insurance policy renewals and bonds
• Maintain historical underwriting data
• Assist with risk evaluation and physician onboarding into the captive
• Maintain databases of insured entities, properties, vehicles, drivers, and physicians in the risk management information system
• Maintain schedules of insurance, policies, premiums, and policy summaries
• Process and track invoices, premium payments, and premium returns
• Coordinate certificate requests with facilities, practice managers, real estate, finance, human resources, and other internal departments
• Work on special projects and assist as needed

Risk Analyst – Risk and Insurance

• Support the strategic plan for risk assumption, risk transfer, and loss prevention activities associated with physician and non-clinical risks
• Participate in collecting underwriting information for captive, reinsurance, physician, commercial insurance policy renewals, and bonds
• Maintain underwriting data for historical purposes
• Assist with risk evaluation and physician onboarding into the captive
• Maintain databases of insured entities, properties, vehicles, drivers, and physicians in the risk management information system
• Maintain insurance schedules, policies, premiums, and policy summaries
• Assist with physician credentialing and loss history requests
• Analyze risk and implement loss prevention activities, including education, for clinical and non-clinical policies
• Assist with compliance related to patient compensation funds and other special state funds
• Process and track invoices, premium payments, and premium returns
• Coordinate certificate requests with facilities, practice managers, real estate, finance, human resources, and other internal departments
• Work on special projects and assist as needed
• Keep Administrative and Clinical Leaders and Market/System Risk informed of significant events and risk management activities