The Clinical Documentation Manager assists in the development of operational framework focused on scalable and repeatable best practices as it relates to Risk Adjustment. This position supports and ...
The Clinical Documentation Manager assists in the development of operational framework focused on scalable and repeatable best practices as it relates to Risk Adjustment. This position supports and ...
The Clinical Documentation Manager assists in the development of operational framework focused on scalable and repeatable best practices as it relates to Risk Adjustment. This position supports and ...
The Clinical Documentation Manager assists in the development of operational framework focused on scalable and repeatable best practices as it relates to Risk Adjustment. This position supports and ...
... Office Manager, to support clinical outcomes, documentation integrity, and contract hour ... for nutritional risk, including malnutrition, weight changes, wounds, and enteral/parenteral ...
Quick apply
... Office Manager, to support clinical outcomes, documentation integrity, and contract hour ... for nutritional risk, including malnutrition, weight changes, wounds, and enteral/parenteral ...
Overview Join Diversicare as a Director of Clinical Education at Rocky Top Care Center! At ... Current licensure by State Board of Nursing or certified or licensed Risk Manager with at least two ...
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Clinical Manager
$238K - $341K/yr
The Associate Market Clinical Director will directly supervise, performance manage and train ... Experience of population risk management or complex chronic disease care management. * History of ...
Clinical Manager
$238K - $341K/yr
The Associate Market Clinical Director will directly supervise, performance manage and train ... Experience of population risk management or complex chronic disease care management. * History of ...
Clinical Manager
$238K - $341K/yr
The Associate Market Clinical Director will directly supervise, performance manage and train ... Experience of population risk management or complex chronic disease care management. * History of ...
Clinical Manager
$238K - $341K/yr
The Associate Market Clinical Director will directly supervise, performance manage and train ... Experience of population risk management or complex chronic disease care management. * History of ...
Overview Join Diversicare as a Director of Clinical Education at Rocky Top Care Center! At ... Current licensure by State Board of Nursing or certified or licensed Risk Manager with at least two ...
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Join Diversicare as a Director of Clinical Education at Rocky Top Care Center! At Diversicare, w ... Current licensure by State Board of Nursing or certified or licensed Risk Manager with at least two ...
Join Diversicare as a Director of Clinical Education at Rocky Top Care Center! At Diversicare, w ... Current licensure by State Board of Nursing or certified or licensed Risk Manager with at least two ...
Overview Join Diversicare as a Director of Clinical Education at Rocky Top Care Center! At ... Current licensure by State Board of Nursing or certified or licensed Risk Manager with at least two ...
Overview Join Diversicare as a Director of Clinical Education at Rocky Top Care Center! At ... Current licensure by State Board of Nursing or certified or licensed Risk Manager with at least two ...
... Partner with Risk Management and Enterprise Resilience leadership on loss trend interpretation tied to operational risks (e.g., EHR outages, clinical events, natural disasters) Stakeholder ...
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Case manager, foster care
Nashville, TN · On-site
$17 - $18.77/hr
Conducts in home visits and manages issues and concerns of foster children/families, provides ... clinical risk, and patient safety.
Case manager, foster care
Nashville, TN · On-site
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Conducts in home visits and manages issues and concerns of foster children/families, provides ... clinical risk, and patient safety.
Our contract model with health plans puts us at risk for the financial and quality outcomes of our ... You are an excellent manager who can create a following * You have clinical experience working with ...
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The clinician will conduct initial patient assessments, develop treatment plans, and coordinate ... Risk Management (Intermediate): Demonstrates full command of risk management in situations of a ...
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Case manager, foster care
Nashville, TN · On-site
$17 - $18.77/hr
Conducts in home visits and manages issues and concerns of foster children/families, provides ... clinical risk, and patient safety.
Case manager, foster care
Nashville, TN · On-site
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Conducts in home visits and manages issues and concerns of foster children/families, provides ... clinical risk, and patient safety.
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Mitigate clinical risk and ensure appropriate corrective actions Strategic Leadership * Translate ... Drive change management and organizational transformation * Align labor, productivity, and resource ...
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... risk manager Collaborate on patient care initiatives with medical director, social worker ... Excellent communication skills Demonstrated clinical excellence Ability to multitask and prioritize ...
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... clinical setting with a lower caregiver-to-patient ratio than other providers. The Dialysis Nurse ... Coordinate DCI, QAPI and risk management program implementation with the quality and risk manager
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... clinical setting with a lower caregiver-to-patient ratio than other providers. The Dialysis Nurse ... Coordinate DCI, QAPI and risk management program implementation with the quality and risk manager
Psychosocial Educator
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$19.10 - $26.80/hr
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Psychosocial Educator
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Clinical Risk Manager information
See Tennessee salary details
$80.7K - $86.3K
11% of jobs
$91.7K is the 25th percentile. Wages below this are outliers.
$86.3K - $91.9K
15% of jobs
$91.9K - $97.4K
15% of jobs
The median wage is $101.9K / yr.
$97.4K - $103K
12% of jobs
$103K - $108.5K
11% of jobs
$108.5K - $114.1K
4% of jobs
$114.1K - $119.6K
2% of jobs
$119.6K - $125.2K
2% of jobs
$127.6K is the 75th percentile. Wages above this are outliers.
$125.2K - $130.7K
9% of jobs
$130.7K - $136.3K
17% of jobs
$136.3K - $141.8K
3% of jobs
$80.7K
$108K
$141.8K
How much do clinical risk manager jobs pay per year?
How does a Clinical Risk Manager collaborate with clinical staff to improve patient safety?
What does very clinical mean?
What do we mean by clinical?
What are the key skills and qualifications needed to thrive as a Clinical Risk Manager, and why are they important?
What is the difference between Clinical Risk Manager vs Clinical Risk Coordinator?
| Aspect | Clinical Risk Manager | Clinical Risk Coordinator |
|---|---|---|
| Certifications | CPHRM, RAC | CPHRM, RAC (sometimes) |
| Work Environment | Hospitals, healthcare organizations, risk management departments | Clinics, healthcare facilities, risk management teams |
| Responsibilities | Oversees risk management programs, develops policies, analyzes risks | Assists in risk assessments, supports risk mitigation efforts, data collection |
The Clinical Risk Manager typically holds more advanced certifications and has broader responsibilities in developing and overseeing risk management strategies. The Clinical Risk Coordinator supports these efforts through data collection and risk assessment assistance. Both roles are essential in healthcare risk management but differ in scope and seniority.
What is the movie clinical about?
What does a Clinical Risk Manager do?
What does it mean for someone to be clinical?
- Clinical Informatics Manager
- Professional Risk Manager
- Remote Clinical Strategy
- Per Diem Clinical Documentation Specialist Cds
- Registered Nurse Clinical Denial Management
- Certified Project Risk Manager
- Full Time Clinical Research Coordinator
- Manager Risk Manager
- Risk And Compliance Manager
- Clinical Informatics Coordinator

Other
Posted 9 days ago
Baptist Memorial Health Care rating
7.2
Based on 111 frontline employees who took The Breakroom Quiz
328th of 873 rated healthcare providers
Job description
Clinical Documentation Manager
Summary:
The Clinical Documentation Manager assists in the development of operational framework focused on scalable and repeatable best practices as it relates to Risk Adjustment. This position supports and aligns planning to ensure the key strategic activities aimed at HCC/RAF management for Value-Based Care is delivered and executed at the clinic level. Expert in reviewing, assigning and validating ICD-10-CM codes for diagnoses performed by physicians and other qualified healthcare providers. Ensures diagnostic coding accuracy and compliance for each Plan's member. The Clinical Documentation Manager will coordinate work in clinics to provide support and education to all market leaders, Providers and clinic staff. This position identifies, develops and implements simplification and automation to improve HCC/RAF initiatives. The Clinical Documentation Manager will also act as a facilitator, leader, mentor and change agent. Travel is required throughout the region.
Duties:
- Review clinical documentation and assign accurate diagnosis codes according to guidelines and project
- Review medical documents such as surgical reports, medical visits, and diagnostic reports in order to create educational strategies to ensure correct diagnosis code assignment by the provider.
- Perform Clinical Chart Audits for proper HCC documentation on an ongoing basis.
- Extracts data from practice EMR or network database to identify HCC documentation and care gap opportunities to assess positive and negative changes in quality scores month over month.
- Reviews registries with PCPs and/or key office staff to identify care gaps and opportunities for outreach, HCC documentation and/or care gap closure.
- Be able to identify opportunities in diagnosis coding, clinical documentation and billing within the provider's day-to-day operations.
- Collaborate with and support primary care providers and practice support staff to improve population health performance and achieve quality incentives related to managed care contracts by managing and organizing data, engaging patients, and optimizing workflow, with the goal of optimizing our patients' health and wellbeing.
- Facilitates and assists with outreach to patients via phone calls, mail or electronic messaging, to schedule appointments, screenings, and preventive tests.
- Educate practitioners/clinical staff and provide ongoing clinical guidance related to the Risk Adjustment process.
- Maintains a log of audits and education performed of diagnosis/HCC gaps.
- Prepares and submits a monthly report of activities performed during payer meetings.
Core Competencies:
- Understands the CMS-HCC (Hierarchical Condition Category) Risk Adjustment Model and ICD-9/10 guidelines.
- Extensive background in supporting risk adjustment management activities and clinical informatics
- Experience with Risk Adjustment Data Validation
- Demonstrate the ability to teach and evaluate clinical staff as it relates to HCC/RAF management at the clinic level.
- Maintain compliance with AAPC coding standards and CMS Risk Adjustment guidelines.
- Remains current on CMS rules and guidelines.
5 years of general healthcare experience
3 years of clinical coding experience with strong attention to detail and a high level of accuracy.
Education Registered Nurse and/or AAPC Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) Bachelor's Degree in Nursing (8 or more years of additional experience beyond the required years of experience may be substituted in lieu of a bachelor's degree. Training Certified Risk Adjustment Coder (CRC) certification or proof that certification has been obtained within 6 months of start date from the American Academy of Professional Coders. Special Skills MS Office Suite, moderate to advanced EXCEL and PowerPoint skills. Knowledge of audiovisual equipment set up. Licensure AAPC Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) or if current RN license in good standing, must be a Certified Risk Adjustment Coder (CRC)Ability to work a flexible work schedule and travel to all assigned BMG clinics.
What Baptist Memorial Health Care employees say
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Benefits
Hours and flexibility
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About Baptist Memorial
Sourced by ZipRecruiter
Baptist Memorial, based in Memphis, TN, US, is a leading health care organization renowned in the healthcare industry. The company's official website is baptistonline.org which provides a comprehensive view of their services and operations. Baptist Memorial operates a myriad of hospitals, health clinics, and medical facilities providing expert and compassionate care. Founded in 1912, it has a rich legacy of over a hundred years of dedication to its community, offering services which include acute care, diagnostic services, and a broad range of speciality health services fulfilling various patient needs.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Memphis, TN, US