RN Consultant Sr - Professional Liability

RN Consultant Sr - Professional Liability

PRIMARY PURPOSE

To handle complex or high exposure claim issues; to provide medical knowledge of the health care system and health care issues; to independently investigate, analyze and evaluate medical malpractice claims for self-insured and commercially insured clients; to provide information needed to clients as needed to determine liability issues and exposure; and to assist in identification of risk management issues to decrease liability exposure and associated legal costs.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Handles complex or high exposure claim issues; advises and leads Nurse Consultant - PL colleagues.
• Receives requests for investigation; reviews and develops action plans and investigates cases accordingly.
• Collects data from Company and clients to document and communicate results as appropriate.
• Prepares reports summarizing medical records and interviews; outlines issues related to summary reports; and provides analysis and recommendations for further claims handling.
• Interviews practitioners involved in medical malpractice claims at hospital facilities weekly as needed.
• Participates in follow-up review and investigation as directed and assists in discovery requests as needed.

QUALIFICATIONS

Education & Licensing

Bachelor's degree from an accredited college or university preferred. RN license required. LNC (Legal Nurse Consultant) Certification or training preferred.

Experience

Five (5) years related clinical nursing experience and two (2) years nurse consultant experience required. General or Professional Liability investigation related experience preferred.

Skills & Knowledge

• Technical claims knowledge of medical malpractice claims procedures and practices
• Excellent oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

For the jurisdiction noted in this job posting only, the range of starting pay for this role is $80,000 - $85,000.