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Day Risk Reduction Jobs in New Jersey (NOW HIRING)

WebMD

Risk & Compliance Engineer

Newark, NJ · On-site

Beyond the day-to-day, you'll improve our assessment methodology and questionnaires and maintain ... prioritize real risk reduction over check-the-box control work. What you'll do: * Continuous ...

WebMD

Risk & Compliance Engineer

Newark, NJ · On-site

Beyond the day-to-day, you'll improve our assessment methodology and questionnaires and maintain ... prioritize real risk reduction over check-the-box control work. What you'll do: * Continuous ...

WebMD LLC

Risk & Compliance Engineer

Newark, NJ · On-site

$80 - $100/hr

Beyond the day-to-day, you'll improve our assessment methodology and questionnaires and maintain ... risk reduction over check‑the‑box control work. What you'll do: * Continuous improvement using ...

DTCC

Cyber Security Strategy Senior Associate

Jersey City, NJ · On-site

$109K - $141K/yr

DTCC offers a flexible/hybrid model of 3 days onsite and 2 days remote (onsite Tuesdays, Wednesdays ... Evaluate cost vs. risk reduction value for tools, services, and programs to optimize investment ...

DTCC

Cyber Security Strategy Senior Associate

Jersey City, NJ · On-site

$109K - $141K/yr

DTCC offers a flexible/hybrid model of 3 days onsite and 2 days remote (onsite Tuesdays, Wednesdays ... Evaluate cost vs. risk reduction value for tools, services, and programs to optimize investment ...

DTCC

Cyber Security Strategy Senior Associate

Jersey City, NJ · Hybrid

$109K - $141K/yr

DTCC offers a flexible/hybrid model of 3 days onsite and 2 days remote (onsite Tuesdays, Wednesdays ... Evaluate cost vs. risk reduction value for tools, services, and programs to optimize investment ...

RWJBarnabas Health

Risk Manager

Newark, NJ · On-site

$95K - $115K/yr

Day Pay Range: $95,000.00 - $115,000.00 per year Pay Transparency: The above reflects the ... loss reduction strategies This Role Might Be For You If ... * You are excellent skills in ...

RWJBarnabas Health

Risk Manager

Newark, NJ · On-site

$95K - $115K/yr

Day Pay Range: $95,000.00 - $115,000.00 per year Pay Transparency: The above reflects the ... loss reduction strategies This Role Might Be For You If ... * You are excellent skills in ...

Citizens

Manager Application Security

Iselin, NJ · On-site +1

$133K - $190K/yr

... with 4 days on site and 1 remote in one of the following organizational hubs: Johnston, RI ... risk reduction without slowing delivery. Key Responsibilities Lead the enterprise application ...

Citizens

Manager Application Security

Iselin, NJ · On-site +1

$133K - $190K/yr

... with 4 days on site and 1 remote in one of the following organizational hubs: Johnston, RI ... risk reduction without slowing delivery. Key Responsibilities Lead the enterprise application ...

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Clinical Risk Management Manager

Edison, NJ • On-site

Foundation Risk Partners
Insurance Services • 501 - 1,000 employees
Learn more about Foundation Risk Partnersexternal

$100K - $125K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 21 days ago

Key responsibilities

  • Review medical records, incident reports, and claims data to identify potential clinical risks associated with patient care.

  • Advise clients on clinical best practices, quality improvement initiatives, and risk reduction strategies to minimize potential claims.

  • Evaluate clinical aspects of claims, including medical necessity and appropriateness of treatment, to identify areas for improvement and potential cost savings.

Foundation Risk Partners rating

8.5

Company rating: 8.5 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

112th of 315 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

This range represents the estimated low and high end of the salary range for this position. Actual salaries will vary and may be above or below the range based on factors including but not limited to performance, location, and experience. The range listed is just one component of FRP's total compensation package for employees.
Pay Transparency Range
$100,000-$125,000 USD
Disclaimer:
While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add, or remove duties from particular jobs and to assign other duties as necessary.
Equal Employment Opportunity (EEO):
FRP provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other classifications protected by law.
Benefits:
FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental. We offer a 401(k) with company match, company paid life insurance, STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays!

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