Risk Management Specialist - Full-Time - Provo

At Revere Health, we believe there is a better path to healing and healthcare maintenance, and we’re working on this mission—one patient at a time. We’re a national leader in a movement called value-base care which aims to improve treatment outcomes and keep costs down. Our internal culture is one that promotes respect and consistently recognizes the impact that individual employees have on the mission of the organization.

Position Summary
The Risk Management Specialist supports the organization’s safety, compliance, and liability reduction efforts across our ambulatory clinic network. This role serves as a primary coordinator for triaging patient concerns, supporting employee health and safety protocols, and conducting proactive risk assessments. The ideal candidate possesses a strong clinical or healthcare administrative background and the critical thinking skills necessary to identify and mitigate potential hazards before they escalate.

Key Responsibilities

Patient Experience & Clinical Triage

• Act as the first point of contact for receiving and triaging patient grievances, quality of care concerns, and clinical incident reports.
• Review medical records and interview involved staff to provide objective summaries of reported events.
• Collaborate with Clinic Managers and providers to facilitate early resolution of patient concerns, utilizing "Service Recovery" techniques to maintain patient trust.
• Assist in the preparation of files for the legal or insurance teams if a concern escalates.

Employee Health & Safety Support

• Support the administration of employee health protocols, including coordinating follow-up documentation for needle-stick injuries or bloodborne pathogen exposures.
• Facilitate and track employee compliance with mandatory health requirements, such as TB screenings and immunizations.
• Review and investigate reports of workplace injuries (slips, trips, falls) to identify environmental causes and support HR with workers' compensation documentation.
• Monitor clinic adherence to OSHA standards and the proper use of Personal Protective Equipment (PPE).

Proactive Risk Assessment & Compliance

• Conduct regular "safety rounds" and environmental risk audits at various clinic sites to identify hazards (e.g., medication storage security, expired supplies, or HIPAA/privacy risks).
• Assist with internal audits of clinical workflows (e.g., patient identification process, high-risk procedure documentation) to ensure policy compliance.
• Track and trend incident data to identify patterns or high-risk departments that may require additional staff training or process changes.
• Assist in "near-miss" reviews to develop preventive strategies and improve overall clinic safety.

Qualifications

• Education/Licensure: Current LPN license, Certified Medical Assistant (CMA/RMA), or a Bachelor’s degree in Healthcare Administration, Risk Management, or a related field.
• Experience: Minimum of 3–5 years in a clinical environment (ambulatory, outpatient, or urgent care) with exposure to patient safety, quality improvement, or office management.
• Regulatory Knowledge: Familiarity with HIPAA, OSHA, and general healthcare compliance standards.
• Technical Skills: Proficiency in Electronic Health Records (EHR) and data entry; ability to pull and analyze basic incident reports.

Core Competencies

• Analytical Thinking: Ability to review a situation and identify the "root cause" of a mistake or hazard.
• Communication: Exceptional verbal and written skills; ability to speak professionally with both frustrated patients and executive leadership.
• Discretion: Absolute commitment to maintaining confidentiality regarding sensitive patient and employee information.
• Organization: Ability to manage multiple investigations and audits simultaneously across different clinic locations.

Preferred Skills

• Prior experience in patient advocacy or insurance claims.
• Familiarity with Root Cause Analysis (RCA) or Failure Mode and Effects Analysis (FMEA) methodologies.