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Clinical Risk Manager Jobs in Canton, GA (NOW HIRING)

Swiss Re

Clinical Risk Manager

Alpharetta, GA · Hybrid

$84K - $140K/yr

A background in a Clinical Risk Management position is encouraged but will consider qualified candidates especially those with an oncology or cardiology background. This position is ideal for ...

jobr.pro

Director, Risk Management

Alpharetta, GA · On-site

$150 - $210/hr

Lead and manage the company's operational risk management function across retail stores, healthcare/clinical locations, distribution centers, and corporate operations. * Develop and implement risk ...

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Clinical Risk Manager information

How does a clinical risk manager collaborate with clinical staff to improve patient safety?

Clinical Risk Managers work closely with nurses, physicians, and other healthcare professionals to identify potential risks and prevent adverse events. They often conduct root cause analyses after incidents, facilitate safety training sessions, and lead multidisciplinary meetings to discuss risk mitigation strategies. By fostering open communication and encouraging reporting of near-misses, they help create a culture of safety and continuous improvement within the healthcare facility.

How to become a clinical risk manager?

To become a clinical risk manager, individuals typically need a bachelor's degree in nursing, healthcare administration, or a related field, followed by relevant work experience in healthcare settings. Many pursue certifications such as the Certified Professional in Healthcare Risk Management (CPHRM) to enhance their credentials. Strong knowledge of healthcare regulations, risk assessment skills, and the ability to analyze clinical data are essential for success in this role.

What do clinical risk managers do?

Clinical risk managers are responsible for identifying, assessing, and reducing risks related to patient safety and healthcare quality within medical facilities. They analyze incident reports, develop safety protocols, and ensure compliance with healthcare regulations, often using data analysis tools and requiring relevant certifications. Their goal is to minimize adverse events and improve overall clinical outcomes.

What are the key skills and qualifications needed to thrive as a clinical risk manager?

To thrive as a Clinical Risk Manager, you need a solid background in healthcare, risk management, and regulatory compliance, typically supported by a clinical degree and certifications such as CPHRM (Certified Professional in Healthcare Risk Management). Familiarity with incident reporting systems, electronic health records, and risk analysis tools is essential. Strong analytical thinking, communication, and problem-solving skills enable effective collaboration with healthcare teams and leadership. These competencies are vital for identifying, mitigating, and preventing risks to ensure patient safety and regulatory compliance in healthcare organizations.

What is the difference between Clinical Risk Manager vs Clinical Risk Coordinator?

AspectClinical Risk ManagerClinical Risk Coordinator
CertificationsCPHRM, RACCPHRM, RAC (sometimes)
Work EnvironmentHospitals, healthcare organizations, risk management departmentsClinics, healthcare facilities, risk management teams
ResponsibilitiesOversees risk management programs, develops policies, analyzes risksAssists 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 job categories do people searching Clinical Risk Manager jobs in Canton, GA look for?

The top searched job categories for Clinical Risk Manager jobs in Canton, GA are:

What cities near Canton, GA are hiring for Clinical Risk Manager jobs?

Cities near Canton, GA with the most Clinical Risk Manager job openings:

Clinical Risk Manager jobs near you

Clinical Risk Manager

Swiss Re

Alpharetta, GA • Hybrid

$84K - $140K/yr

Full-time

Re-posted 29 days ago

Job description

Swiss Re uses a hybrid work model requiring at least three days in the office each week.

This position can be based near one of our Swiss Re offices, including (but not limited to) Alpharetta, GA -- Windsor, CT -- Schaumburg, IL. 

We have an excellent opportunity for an experienced Clinical Risk Manager to join our team in Swiss Re's Accident & Health division!

About the Role:

This position requires a strong clinical background in disease state management/case management experience.  A background in a Clinical Risk Management position is encouraged but will consider qualified candidates especially those with an oncology or cardiology background.  This position is ideal for applicants looking to enter the insurance sector in a nurse consultant role.

In this position you have the responsibility to use your knowledge and experience to project expected treatment costs based on ICD 9 / ICD 10 codes, current treatment plan and other pertinent medical information.

Principal responsibilities include:

  • Review medical conditions and respond with a cost analysis coordinated to the Stop Loss case characteristics.  Including the review and assessment of large claim reports, shock claim summary reports, trigger reports and large case management notes
  • Identify high risk associated with individuals and communicate required stop loss cost analyzation of current clinical conditions and future cost projections
  • Utilize provided clinical resoources such as Predict Dr., NCCN, NORD, and CDC 
  • Supply and manage documentation with clinical summary and estimated cost of services for each individual identified as at risk

About the Team:

The Clinical Risk team brings value to Swiss Re working in close collaboration with Underwriters to determine and evaluate potential risk and associated costs of projected treatments and care.  We are a welcoming team of nurses who are passionate about what they do.  Diversity and Inclusion are a part of our winning culture.  We believe that our individual performances contribute to the success of the team.  Come join us and be a part of something big!

About You:

You bring your strong analytical and problem-solving expertise!  Your excellent interpersonal skills enable you to successfully navigate cross-functional collaboration.  You have an ability to prioritize well and work independently with little direct supervision, while handling numerous projects at once.

Additional requirements include:

  • Minimum of Associate or Bachelor's degree in nursing with at least 1 year of Stop Loss Nursing experience
  • Must have up to date registered nurse (RN) license
  • Able to demonstrate a track record of producing work that is highly accurate, shows attention to detail, and reflects well on the organization
  • Proven experience managing mulitple projects and working well while handling large volumes of work (with deadlines)
  • Excellent written and verbal communication skills
  • Computer proficiency, specifically strong typing skills and Internet research skills, must have a clear understanding of Microsoft Word, Microsoft Office and Excel

The estimated base salary range for this position is $84,000 to $140,000.  The specific salary offered for any given role will take into account a number of factors including but not limited to job location, scope of role, qualifications, complexity/specialization/scarcity of talent, experience, education, and employer budget. At Swiss Re, we take a "total compensation approach" when making compensation decisions. This means that we consider all components of compensation in their totality (such as base pay, short-and long-term incentives, and benefits offered), in setting individual compensation.

About Swiss Re

Swiss Re is one of the world's leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. Combining experience with creative thinking and cutting-edge expertise, we create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 14,000 employees across the world.
Our success depends on our ability to build an inclusive culture encouraging fresh perspectives and innovative thinking. We embrace a workplace where everyone has equal opportunities to thrive and develop professionally regardless of their age, gender, race, ethnicity, gender identity and/or expression, sexual orientation, physical or mental ability, skillset, thought or other characteristics. In our inclusive and flexible environment everyone can bring their authentic selves to work and their passion for sustainability.
If you are an experienced professional returning to the workforce after a career break, we encourage you to apply for open positions that match your skills and experience.

We may use AI-powered tools to support the review and evaluation of applications for this position. These tools provide additional insights to our recruitment teams, but all hiring decisions are carefully reviewed and made by people. To learn more about how we use AI in recruitment and how we handle your personal data, please review our Data Privacy Statement before applying.

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Reference Code: 137700 

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