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Clinical Risk Manager Jobs in Long Branch, NJ (NOW HIRING)

Oscar Health

Senior Data Scientist

New York, NY · Hybrid

$163K - $215K/yr

... clinical risk and power our risk adjustment submissions-work that directly impacts Oscar ... You will report to the Senior Manager, Data Science on the Risk Adjustment team. Work Location:

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Clinical Risk Manager information

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.

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.

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.

Is healthcare risk management a good career?

Healthcare risk management is a growing field that involves identifying and reducing risks to improve patient safety and compliance. Clinical risk managers typically need strong analytical skills, knowledge of healthcare regulations, and certifications such as Certified Professional in Healthcare Risk Management (CPHRM). It offers opportunities for advancement and a stable career in the healthcare industry.

What do clinical risk managers do?

Clinical risk managers identify, assess, and develop strategies to reduce risks related to patient safety and healthcare quality. They analyze incident reports, implement safety protocols, and ensure compliance with healthcare regulations, often using data analysis tools. Their role helps prevent errors and improve overall clinical outcomes.

What cities near Long Branch, NJ are hiring for Clinical Risk Manager jobs?

Cities near Long Branch, NJ with the most Clinical Risk Manager job openings:

Clinical Risk Manager jobs near you
Infographic showing various Clinical Risk Manager job openings in Long Branch, NJ as of August 2026, with employment types broken down into 100% Full Time. Highlights an 50% In-person, and 50% Remote job distribution.

Clinical Risk Management Manager

Foundation Risk Partners

Edison, NJ

Full-time

Posted 4 days ago

Foundation Risk Partners rating

8.5

Company rating: 8.5 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

108th of 311 rated insurance

Job description

Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firms in the US, is adding a Clinical Risk Management Consultant to their Cornell Insurance Services team in the Edison, NJ office. 

Job Summary:

The Clinical Risk Management Consultant is focused on identifying, assessing, and mitigating clinical risks for healthcare providers within an insurance brokerage firm, utilizing their medical expertise to analyze potential claims, advise clients on risk reduction strategies, and work with underwriters to secure appropriate coverage based on clinical risk factors. 

Essential Functions:

  • Clinical Risk Assessment:
    • Review medical records, incident reports, and claims data to identify potential clinical risks associated with patient care, including medication errors, standard of care compliance risks, and diagnostic errors.
    • Detect and manage risk exposure
    • Maintain and update an organization's policies
    • Improve documentation practices
    • Seek ways to reduce the legal exposure of the organization
    • Create and maintain risk audit databases
    • Identify for clients' ways to take the steps needed to prevent data breaches
    • Investigate any events that result in death or injuries
  • Trend Analysis:
    • Analyze clinical data to identify trends and patterns of risk within a healthcare provider's practice, allowing for proactive risk mitigation strategies. 
  • Risk Mitigation Consulting:
    • Advise clients on clinical best practices, quality improvement initiatives, and risk reduction strategies to minimize potential claims. 
  • Claims Review and Analysis:
    • Evaluate clinical aspects of claims, including medical necessity and appropriateness of treatment, to identify areas for improvement and potential cost savings. 
  • Underwriting Support:
    • Collaborate with underwriters to assess clinical risk profiles of healthcare providers, informing coverage recommendations and premium calculations. 
  • Education and Training:
    • Develop and deliver clinical risk management training programs for healthcare providers, including staff on topics like informed consent, documentation best practices, and patient safety. 
  • Regulatory Compliance:
    • Stay updated on relevant healthcare regulations and industry standards to ensure clients are adhering to appropriate clinical risk management practices. 

Competencies & Qualifications: 

  • Clinical Background:
    • Registered Nurse (RN), Physician Assistant (PA), or other relevant healthcare professional license with significant clinical experience. 
  • Risk Management Knowledge:
    • Understanding of risk management principles, including risk identification, assessment, mitigation, and transfer. 
  • Analytical Skills:
    • Ability to analyze complex medical data and identify potential risk factors. 
  • Communication Skills:
    • Effective communication skills to interact with healthcare providers, underwriters, and clients, explaining complex clinical issues in a clear and concise manner. 
  • Problem-Solving Skills:
    • Ability to identify root causes of clinical incidents and develop practical solutions to mitigate risk. 

Note: The specific responsibilities of an insurance broker clinical risk management role may vary depending on the size and focus of the brokerage firm, as well as the healthcare provider clientele they serve. 

Education & Experience:

  • Bachelor's degree in Nursing, or other health related science
  • Master's preferred
  • 3-5 years Risk Management experience preferred
  • Skilled Nursing Facility experience preferred in the geriatric field
  • RN, NP or P.A. or allied health professional licensure 
  • CPHRM preferred

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