Clinical Risk Manager
CareAgents by K&B
Clinical Risk Manager Role Overview: The Clinical Risk Manager is a dynamic professional who leverages their risk management expertise to enhance resident safety and reduce the risk of future litigation, improving operational efficiency in senior living communities. This role requires a proactive approach to identifying and mitigating risks through various methods. The Risk Manager will work closely with clients to help ensure timely implementation of risk management recommendations including 3 rd party vendor services from VirtuSense and WoundRounds. This role requires a self-motivated individual who can seamlessly blend risk management knowledge with effective communication and relationship-building skills. The ideal candidate will be passionate about improving safety and quality of care in senior living environments while driving business growth through innovative risk management solutions. Key Responsibilities: Conduct comprehensive on and off-site clinical risk assessments at long-term care communities to assess potential risks and areas for improvement. Accurately maintain detailed client reports, including clear documentation of risk analysis and mitigation strategies. Develop and implement proactive risk management programs, tools, templates, and trainings tailored to each facility’s unique needs. Mentor and guide health professionals and staff in risk management principles and best practices. Design and deliver engaging presentations to educate staff on best practices. Build positive and supportive relationships with senior living operators during the sales process to secure buy-in and collaborate with clinical and operational teams post-binding to ensure successful implementation of risk management strategies. Participate in scheduled meetings with underwriters to discuss accounts, renewals, and evolving risk management needs for each client. Collaborate with claim staff to thoroughly review, strategically mitigate, and efficiently resolve potential claims. Monitor and evaluate the effectiveness of implemented risk management strategies. Stay up to date on industry trends, regulatory changes, and best practices in healthcare risk management. Required: 3+ years in the senior living healthcare industry 3+ years in the professional liability insurance and risk management industry Proficient in Microsoft Office Suite Ability to travel 75% of the time Home office work area and high-speed internet capability Excellent written/verbal communication skills Ability to work independently and to interact with internal staff, department managers, and outside medical faculty on sensitive clinical practice issues. Preferred: Nursing Home Administrator and/or Director of Nursing experience RN certified designation
- ...Job Description Clinical Risk Manager Role Overview: The Clinical Risk Manager is a dynamic professional who leverages their risk management expertise to enhance resident safety and reduce the risk of future litigation, improving operational efficiency in senior...SuggestedWork at officeWork from homeHome office
- ...analytics. The areas of focus include originations, portfolio management strategy/criteria design, vintage analysis, portfolio segmentation... ...regions. What You'll Be Doing: Manage a team of risk and reporting analysts to provide analytical and reporting support...SuggestedWork experience placement
- ...implementations for the commercial lines of business. The Program Manager Clinical Consultant, will report to the Regional Medical Director. In... ...in the design and launch of clinical programs focused on high-risk members, hospital initiatives, and behavioral health as well...SuggestedFull timeContract workPart timeWork at officeLocal areaWork from homeHome office2 days per week
$112.7k - $193.2k
...expertise in SAS and Python, along with strong analytical skills. Responsibilities include collaborating with Healthcare Economics and managing stakeholder communications. Candidates must have a relevant bachelor's degree and at least 6 years of programming experience. The...SuggestedWork at officeRemote work- Dungarvin inc in Lakewood, California is hiring a Clinical Services Manager (BCBA or Licensed Clinician). This full-time position offers no billable hours and a consistent Monday-Friday schedule focused on hands-on clinical work supporting adults in structured day programs...SuggestedFull timeMonday to Friday
- ...Job Description Job Description POSITION SUMMARY The Clinical Services Manager is responsible for overseeing daily operations related to Utilization Management (UM), Clinical Auditing, and quality improvement initiatives within the organization. This role provides...Work at officeFlexible hours
$150k - $203k
...and accountable for leading the development, implementation, and management of environmental health and safety programs across all US... ...promoting a culture of safety, environmental responsibility, and risk management. The Director will work closely with various departments...Permanent employmentContract workLocal areaFlexible hours$66.32 - $99.47 per hour
...Description Title: RN, Clinical Supervisor Location: Long Beach, CA Department: Adult CCU Status: Full Time... ...to ensure consistent high-quality, cost-effective patient care. Manages material and labor resources as defined in the departmental annual...Full timeWork experience placementRelocation packageShift workNight shift- ...you fill positions, but you also build a strong personal brand, backed by the infrastructure akin to a Fortune 500 company. You'll manage full-cycle placements while cultivating robust partnerships with clients who value your insights and expertise. In this role, you...Permanent employmentImmediate startRemote work
- ...Source Candidates by utilizing our proprietary CRM/ATS system, along with your own network. Utilize Our Platform to efficiently manage candidate interactions and workflow, ensuring nothing falls through the cracks. Focus on Permanent Placements resulting in long...Permanent employmentContract workImmediate startRemote work
- ...leading commission rates, your efforts will be directly rewarded according to the value you contribute. What You Will Do Manage Full-Cycle Searches: From initial intake to successful closure. Act as a Trusted Client Partner: Gain a deep understanding of...Permanent employmentImmediate startRemote work
- ...commission structures available, your earnings will directly reflect the value you deliver. Your Primary Responsibilities Manage Complete Recruitment Processes from initial consultation to successful placement. Transform into a Client Consultant, diving deep...Permanent employmentContract workFlexible hours
$280k - $305k
...Practitioner — is widely recognized across the state as a leading voice in reproductive psychiatry. The practice she's built reflects that: clinically rigorous, deeply mission-driven, and highly committed to a kind of holistic and thoughtful women's mental health care that is...Full timeWork at officeImmediate start$238k - $357.5k
...Crains Cleveland is seeking a remote Appeals and Grievances Medical Director responsible for the clinical review and adjudication of appeals and grievances cases. The role requires an MD or DO with an active, unrestricted license and significant clinical experience. Responsibilities...Remote work$238k - $357.5k
...UnitedHealthcare seeks a Medical Director specializing in Appeals and Grievances. This remote role involves clinical review of cases across various health plans. Responsibilities include reviewing appeals, communicating with medical directors, and participating in team...Remote work$250k - $400k
...the country? As our National Medical Director, you'll provide clinical leadership and strategic direction for multiple locations, ensuring... ...and treatment orders, information about the medical management of any of the patient's conditions unrelated to the terminal illness...Hourly payFull timeContract workFlexible hoursShift work$238k - $357.5k
...seeking an Appeals and Grievances Medical Director responsible for clinical review and adjudication of appeals for various health plans.... ..., and demonstrate excellent communication and project management skills. Join a team committed to quality and patient care in a...Remote workFlexible hours- ...Crains Cleveland is looking for a Medical Director to oversee clinical reviews and adjudicate medical appeals for UnitedHealthcare. The... ..., and have 5+ years of clinical and 2+ years of Quality Management experience. This position also requires strong communication and...Remote work
$75 per hour
...Job Description Our group practice is seeking a licensed Clinical Supervisor to provide temporary coverage while the primary supervisor and practice owner is on maternity leave. This is a fully virtual contract position running from early August through approximately...Contract workTemporary work$248.5k - $373k
...Medical Director for Appeals and Grievances to oversee ongoing clinical reviews and adjudications. This role requires an MD or DO with... ...and extensive clinical experience, including quality management. Key responsibilities include reviewing cases related to medical...Remote work- ...compensation modeling, analytics, and cross-functional healthcare operations . If you enjoy combining strategy, data, relationship management, and process improvement in a mission-driven environment, we’d like to connect with you. Position Overview The...Full timeWork at officeMonday to Friday
$238k - $357.5k
...Appeals and Grievances Medical Director to be responsible for clinical review and adjudication of cases. This role allows for flexible... ...board-certified, and possess significant clinical and Quality Management experience. You will collaborate with medical directors and...Remote workFlexible hours- ...Your Role The Medical Management team ensures that Blue Shield is on the cutting edge... ...role you will deliver and collaborate on clinical review activities, which includes management... ...of care, case management, Health risk assessment and Individualized Care plans...Full timeWork at office
- ...services provided to plan members. • Supports plan utilization management program and accompanying action plan(s), which includes... ...for NCQA standards/guidelines for the plan including compliant clinical quality improvement activity (QIA) in collaboration with clinical...Work at officeLocal area
$186.2k - $363.09k
...care. Based in Nevada Essential Job Duties Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical dependency services - working closely...Work experience placementWork at officeLocal area- ...Plan Medical Director will report to the Promise Health Plan Senior Medical Director, Utilization Management. The Promise Health Plan Medical Director provides clinical leadership within the Blue Shield Promise Health Plan. The Medical Director's duties include oversight...Work at officeAfternoon shift2 days per week
$248.5k - $373k
...Stryker Corporation is hiring a Medical Director responsible for ongoing clinical review of appeals and grievances for UnitedHealthcare. This role allows for remote work flexibility across the U.S. The ideal candidate must be an MD or DO with board certification and 5...Remote work- ...services provider in Long Beach is seeking an experienced Automotive Floorplan Territory Manager. Responsibilities include developing sales strategies for automotive dealerships, managing risks, and ensuring customer satisfaction. Ideal candidates have a strong understanding...Remote work
- ...A prominent healthcare organization is seeking an Appeals and Grievances Medical Director to manage clinical reviews of appeals for various health plans. The role offers flexibility to work remotely. Qualified candidates should have an MD or DO, be board certified, and...Remote work
- ...culture where doctors and technicians collaborate to deliver clinically excellent care Lead team meetings for your VEG with a focus... ...~5+ years of traditional 24/7 ER experience and critical case management ~ Unrelenting passion for customer satisfaction through providing...Full timeLocal areaFlexible hoursNight shiftWeekend work
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