The Clinical Risk Nurse is responsible for receiving, investigating, documenting and summarizing all customer complaints and adverse clinical events directed to the Quality Management Department. Job Relationships • Reports to the Risk Manager. Principal Responsibilities • Take all customer complaints directed to Quality Management Department. • Investigate complaints and prepare report including recommendations for resolution. • Prepare letters and account action worksheets for Director approval. • Maintain aggregate statistics for reporting complaints. • Prepare reports of complaints handled for Quality Management Committee. Assist in identification of cases for Committee review. • Identify trends and discuss with the Risk Manager and/or Director for reporting to Quality Management Committee. • Conduct special investigations/reviews as requested by Administration and/or Medical Directors for specified patient populations or conditions, procedures performed/utilized and prepare reports. • Conduct Ambulatory Surgery Center (ASC) chart audits and edits to ensure accuracy, completeness, and regulatory compliance. • Perform monthly site surveys at off-site locations to assess quality, compliance, and operational standards. • Conduct root cause analyses to identify underlying causes of quality, safety, or operational concerns • Design, perform, and evaluate quality studies related to risk management, patient safety, and process improvement initiatives • Comply with the Springfield Clinic incident reporting policy and procedures. • Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy. • Provide excellent customer service and adhere to SC Way customer service philosophy. • Perform other job duties as assigned. Education/Experience • RN BSN preferred. • Minimum of five (5) years' experience in a health care setting; medical office preferred. • Familiarity with EHR clinical products and experience in medical record review Licenses/Certificates • RN with license in good standing in the State of Illinois. • Greenbelt within 1st year of hire. If hired prior to 2026, Green Belt is due by July 1st, 2027. Knowledge, Skills and Abilities • Expertise with Microsoft Office products (Word, Excel, MS Access, MS Outlook). • Customer oriented with pleasant telephone voice. • Excellent organizational, verbal and written communication skills. • Ability to solve problems and interpret clinic policy. Working Environment • Office environment. • Sitting for long periods/computer work. PHI/Privacy Level • HIPAA1