Collaborate with internal clinical, quality, risk adjustment and reporting teams to: * Stay ... Strong relationship management and interpersonal communication skills. * Ability to simplify ...
Collaborate with internal clinical, quality, risk adjustment and reporting teams to: * Stay ... Strong relationship management and interpersonal communication skills. * Ability to simplify ...
... clinically appropriate care. Our name reflects our mission - Forza means "strength," representing ... ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative ...
... clinically appropriate care. Our name reflects our mission - Forza means "strength," representing ... ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative ...
... clinically appropriate care. Our name reflects our mission - Forza means "strength," representing ... ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative ...
... clinically appropriate care. Our name reflects our mission - Forza means "strength," representing ... ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative ...
... clinically appropriate care. Our name reflects our mission - Forza means "strength," representing ... ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative ...
... clinically appropriate care. Our name reflects our mission - Forza means "strength," representing ... ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative ...
... clinically appropriate care. Our name reflects our mission - Forza means "strength," representing ... ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative ...
... clinically appropriate care. Our name reflects our mission - Forza means "strength," representing ... ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative ...
... clinically appropriate care. Our name reflects our mission - Forza means "strength," representing ... ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative ...
Quick apply
... clinically appropriate care. Our name reflects our mission - Forza means "strength," representing ... ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative ...
... clinically appropriate care. Our name reflects our mission - Forza means "strength," representing ... ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative ...
Quick apply
... clinically appropriate care. Our name reflects our mission - Forza means "strength," representing ... ForzaCare is proud to be part of Ethos Risk Services, a leading national provider of investigative ...
Crisis Operations Manager
Pryor, OK · On-site
$60K - $70K/yr
... of crisis intervention, risk assessment, co-occurring disorders, and behavioral health ... Clinical Oversight & Direct Service Support • Provide limited direct services, including ...
Crisis Operations Manager
Pryor, OK · On-site
$60K - $70K/yr
... of crisis intervention, risk assessment, co-occurring disorders, and behavioral health ... Clinical Oversight & Direct Service Support • Provide limited direct services, including ...
... the risk of hospital re-admissions. Minimum Education: Has completed the basic professional ... Minimum 3 years of clinical experience as a registered nurse. Case management or discharge planning ...
... the risk of hospital re-admissions. Minimum Education: Has completed the basic professional ... Minimum 3 years of clinical experience as a registered nurse. Case management or discharge planning ...
Case Manager II - PRN Days
Broken Arrow, OK · On-site
$19 - $25/hr
Essential Functions Care Coordination * Assist in coordinating clinical and/or psycho-social ... Appropriately refers high risk patients who would benefit from additional support. * Serves as a ...
Case Manager II - PRN Days
Broken Arrow, OK · On-site
$19 - $25/hr
Essential Functions Care Coordination * Assist in coordinating clinical and/or psycho-social ... Appropriately refers high risk patients who would benefit from additional support. * Serves as a ...
Positive Parenting Program Manager
Tulsa, OK · On-site
$50K - $60K/yr
Deliver reflective, clinical, and administrative supervision, including onboarding, mentoring ... solving, risk assessment, courageous conversations, and evidence-based decision-making.
Positive Parenting Program Manager
Tulsa, OK · On-site
$50K - $60K/yr
Deliver reflective, clinical, and administrative supervision, including onboarding, mentoring ... solving, risk assessment, courageous conversations, and evidence-based decision-making.
Technical Consultant - Patient Monitoring (Field: Kansas City, KS)
Tulsa, OK · On-site
$35 - $54/hr
... risk management.Diagnoseandresolvecomplex system and performance issues using advanced ... Collaborate cross-functionallywith sales, clinical, service, and project teams while mentoring ...
Technical Consultant - Patient Monitoring (Field: Kansas City, KS)
Tulsa, OK · On-site
$35 - $54/hr
... risk management.Diagnoseandresolvecomplex system and performance issues using advanced ... Collaborate cross-functionallywith sales, clinical, service, and project teams while mentoring ...
Labor & Delivery Registered Nurse | L&D RN | $10,000 Sign On Bonus | AM & PM Shifts Available
Tulsa, OK · On-site
$33 - $52/hr
Ability to prioritize and manage multiple patients in a fast-paced environment Preferred: * Experience in high-risk obstetrics * Familiarity with clinical pathways and patient-centered care models
Quick apply
Labor & Delivery Registered Nurse | L&D RN | $10,000 Sign On Bonus | AM & PM Shifts Available
Tulsa, OK · On-site
$33 - $52/hr
Ability to prioritize and manage multiple patients in a fast-paced environment Preferred: * Experience in high-risk obstetrics * Familiarity with clinical pathways and patient-centered care models
Positive Parenting Program Manager
Tulsa, OK · On-site
$50K - $60K/yr
Deliver reflective, clinical, and administrative supervision, including onboarding, mentoring ... solving, risk assessment, courageous conversations, and evidence-based decision-making.
Positive Parenting Program Manager
Tulsa, OK · On-site
$50K - $60K/yr
Deliver reflective, clinical, and administrative supervision, including onboarding, mentoring ... solving, risk assessment, courageous conversations, and evidence-based decision-making.
WORK ENVIRONMENT Work is performed in a clinical and/or hospital environment. There is common ... Prepare flow sheets to manage and monitor risk factors and treatment. * Provide education to ...
WORK ENVIRONMENT Work is performed in a clinical and/or hospital environment. There is common ... Prepare flow sheets to manage and monitor risk factors and treatment. * Provide education to ...
... clinical documentation with established agency timelines. • Plan, coordinate, advocate, and ... risk for harm to self or other, hospitalization, or involvement with law enforcement. Respond to ...
... clinical documentation with established agency timelines. • Plan, coordinate, advocate, and ... risk for harm to self or other, hospitalization, or involvement with law enforcement. Respond to ...
Case Manager- Housing Stability
Tulsa, OK · On-site
$55K/yr
... clinical documentation with established agency timelines. • Plan, coordinate, advocate, and ... risk for harm to self or other, hospitalization, or involvement with law enforcement. Respond to ...
Case Manager- Housing Stability
Tulsa, OK · On-site
$55K/yr
... clinical documentation with established agency timelines. • Plan, coordinate, advocate, and ... risk for harm to self or other, hospitalization, or involvement with law enforcement. Respond to ...
Case Manager- Homeless Outreach
Tulsa, OK · On-site
$55K/yr
... clinical documentation with established agency timelines. • Plan, coordinate, advocate, and ... risk for harm to self or other, hospitalization, or involvement with law enforcement. Respond to ...
Case Manager- Homeless Outreach
Tulsa, OK · On-site
$55K/yr
... clinical documentation with established agency timelines. • Plan, coordinate, advocate, and ... risk for harm to self or other, hospitalization, or involvement with law enforcement. Respond to ...
... clinical documentation with established agency timelines. • Plan, coordinate, advocate, and ... risk for harm to self or other, hospitalization, or involvement with law enforcement. Respond to ...
... clinical documentation with established agency timelines. • Plan, coordinate, advocate, and ... risk for harm to self or other, hospitalization, or involvement with law enforcement. Respond to ...
WORK ENVIRONMENT Work is performed in a clinical and/or hospital environment. There is common ... Prepare flow sheets to manage and monitor risk factors and treatment. * Provide education to ...
WORK ENVIRONMENT Work is performed in a clinical and/or hospital environment. There is common ... Prepare flow sheets to manage and monitor risk factors and treatment. * Provide education to ...
Clinical Risk Manager information
How does a Clinical Risk Manager collaborate with clinical staff to improve patient safety?
What is the highest salary for a risk manager?
How to become a clinical risk manager?
How much does a risk manager get paid?
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 does a clinical risk manager do?

Full-time
Re-posted 11 days ago
Job description
The Provider Performance Specialist plays a key role in strengthening relationships between the health plan and its provider network by offering education, support, and guidance on performance improvement initiatives. This position collaborates closely with internal clinical and reporting teams to deliver impactful outreach focused on Star Ratings, HEDIS, care gap closure, and risk adjustment strategies. The position will be responsible for training Provider Services colleagues so all are prepared to educate and function as a resource for providers, helping them navigate performance expectations, improve documentation, and optimize quality outcomes.
KEY RESPONSIBILITIES:
- Serves as the primary provider-facing representative for quality and risk adjustment education within the Provider Services team.
- Train Provider Services colleagues to educate assigned providers on quality and risk adjustment performance improvement initiatives, understand plan tools, resources, and reporting dashboards to support assigned provider's performance improvement activities.
- Collaborate with internal clinical, quality, risk adjustment and reporting teams to:
- Stay informed on evolving regulatory and program updates impacting provider performance.
- Align messaging and coordinate provider outreach strategies as appropriate.
- Educate provider offices on key performance programs including CMS Star Ratings, HEDIS, risk adjustment (HCC coding/recapture), and preventive care initiatives.
- Coordinate and participate in on-site, virtual, or group educational sessions with providers/office staff and internal clinical, quality and risk adjustment team members.
- Assist with responding to provider inquiries regarding performance metrics, care gap reporting, and coding best practices, escalating clinical concerns to internal partners as needed.
- Assist providers with understanding plan tools, resources, and reporting dashboards to support performance improvement.
- Support onboarding of new providers by communicating expectations around documentation, coding accuracy, and member care opportunities.
- Perform other duties as assigned.
QUALIFICATIONS:
- Strong relationship management and interpersonal communication skills.
- Ability to simplify complex quality and performance concepts for provider audiences.
- Collaborative team player who thrives in a cross-functional environment.
- Organized, detail-oriented, and comfortable managing multiple priorities and projects.
- Proficient in Microsoft Office (Excel, PowerPoint, Teams) and comfortable learning new tools and dashboards.
- Ability to travel locally or regionally to provider offices as needed.
- Must have a current driver's license, insurance verification and reliable transportation.
- Successful completion of Health Care Sanctions background check.
EDUCATION/EXPERIENCE:
- Bachelor's degree in Healthcare Administration, Business, Public Health, or related field preferred.
- 3+ years of experience in provider relations, provider engagement, or health plan operations, ideally within a Medicare Advantage, Medicaid, or Commercial setting.
- Working knowledge of CMS Star Ratings, HEDIS, and risk adjustment programs (HCC coding, care gap closure, etc.) preferred.
- Experience collaborating with clinical teams or delivering provider education preferred.
CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin