Clinical Risk Manager Jobs in Ridgewood, NJ (NOW HIRING)

This role combines clinical leadership, staff education, and risk management to ensure the highest quality of resident care. Responsibilities * Assist the DON with daily nursing operations * Lead ...

Strong understanding of clinical risk management, incident review processes, and quality improvement methodologies. * Active New York State Clinical License required (RN, LCSW, LMHC, Psychologist, NP ...

Strong understanding of clinical risk management, incident review processes, and quality improvement methodologies. * Active New York State Clinical License required (RN, LCSW, LMHC, Psychologist, NP ...

Proficiency with the EmpiRx Health Population Health Management Model, Johns Hopkins ACG risk ... Review clinical cases as part of the Clinical Quality Improvement Committee. * Document case ...

Strong understanding of healthcare laws, electronic health records (EPIC preferred), and clinical risk management. Why Join This Team? * Lead a dedicated team focused on delivering high-quality ...

... 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:

Provide clinical supervision to Case Managers, including case analysis, service planning, and crisis intervention guidance. * Lead clinical risk assessments, including suicide risk, DV lethality ...

Provide clinical supervision to Case Managers, including case analysis, service planning, and crisis intervention guidance. * Lead clinical risk assessments, including suicide risk, DV lethality ...

Beyond risk adjustment, this role is part of the broader Clinical Operations team and will flex ... Evaluate and manage vendors supporting chart prep, suspecting, and coding workflows * Establish ...

... 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:

Manage a caseload of patients who you will follow for 8 to 12 weeks providing crisis psychotherapy * Conduct comprehensive risk assessment and safety planning * Utilize validated clinical tools to ...

... 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:

Manage a caseload of patients who you will follow for 8 to 12 weeks providing crisis psychotherapy * Conduct comprehensive risk assessment and safety planning * Utilize validated clinical tools to ...

Manage a caseload of patients who you will follow for 8 to 12 weeks providing crisis psychotherapy * Conduct comprehensive risk assessment and safety planning * Utilize validated clinical tools to ...

Track and manage PMPM cost trends and clinical risk for assigned clients. * Monitor the drug pipeline for new-to-market drugs, first-time generics, and biosimilars to identify proactive clinical ...

Overview The Risk Management Consultant, is an integral part of the Compliance team and will work ... Clinical Knowledge * Cultural Competence and Adaptation * Conflict Resolution Supervisory Duties:

Support client audit activities and broader contractual-guarantee visibility (e.g., clinical and program guarantees) as part of the overall risk management framework. Required Qualifications

Track and manage PMPM cost trends and clinical risk for assigned clients. * Monitor the drug pipeline for new-to-market drugs, first-time generics, and biosimilars to identify proactive clinical ...

Support client audit activities and broader contractual-guarantee visibility (e.g., clinical and program guarantees) as part of the overall risk management framework. Required Qualifications

Support client audit activities and broader contractual-guarantee visibility (e.g., clinical and program guarantees) as part of the overall risk management framework. Required Qualifications