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Hospital Risk Manager Jobs in Reston, VA (NOW HIRING)

Reston Hospital Center

Case Manager MSW

Reston, VA

We have an exciting opportunity for you to join Reston Hospital Center which is part of the nation ... The MSW performs crisis intervention, patient/family interventions, high-risk screening, focused ...

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Hospital Risk Manager information

See Reston, VA salary details

$53.6K

$116.1K

$176.9K

How much do hospital risk manager jobs pay per year?

As of Jun 19, 2026, the average yearly pay for hospital risk manager in Reston, VA is $116,058.00, according to ZipRecruiter salary data. Most workers in this role earn between $93,600.00 and $134,200.00 per year, depending on experience, location, and employer.

What does a risk manager do in a hospital?

A hospital risk manager is responsible for identifying, assessing, and mitigating risks that could harm patients, staff, or the organization. They develop safety protocols, ensure compliance with regulations, and analyze incident reports to prevent future issues, often using data analysis and risk management tools. Certification such as the Certified Professional in Healthcare Risk Management (CPHRM) is commonly required.

What are hospital risk managers and what do they do?

Hospital risk managers are professionals responsible for identifying, assessing, and minimizing risks within healthcare facilities to ensure patient safety and protect the hospital from legal and financial liabilities. They analyze incidents, develop policies and procedures, conduct staff training, and collaborate with other departments to address potential risks. Their work helps maintain compliance with regulations, improve patient care quality, and reduce the likelihood of lawsuits or costly errors.

How to become a hospital risk manager?

To become a hospital risk manager, individuals typically need a bachelor's degree in healthcare administration, nursing, or a related field, along with experience in healthcare or risk management. Many pursue certifications such as the Certified Professional in Healthcare Risk Management (CPHRM) to enhance their qualifications. Strong analytical, communication, and problem-solving skills are essential in this role.

What is the highest salary for a risk manager?

Hospital risk managers can earn salaries up to $130,000 or higher annually, especially with extensive experience, advanced certifications, and working in large healthcare facilities. Top earners often have specialized skills in compliance, patient safety, and risk assessment, and may receive bonuses or other benefits.

What are the key skills and qualifications needed to thrive as a Hospital Risk Manager, and why are they important?

To thrive as a Hospital Risk Manager, you need a solid understanding of healthcare regulations, risk assessment, and compliance, typically supported by a degree in healthcare administration or a related field and relevant experience. Familiarity with risk management software, incident reporting systems, and certifications like Certified Professional in Healthcare Risk Management (CPHRM) are commonly required. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for this role. These competencies are essential for identifying potential risks, ensuring regulatory compliance, and promoting patient and staff safety in a complex healthcare environment.

What are some of the common challenges faced by Hospital Risk Managers on a day-to-day basis?

Hospital Risk Managers often face the challenge of balancing regulatory compliance with patient care needs. They must stay updated on constantly changing healthcare laws and accreditation standards, while also working with clinical and administrative teams to identify and mitigate risks. Coordinating incident investigations and implementing effective risk-reduction strategies requires strong communication and analytical skills. Additionally, managing multiple priorities such as data analysis, staff training, and reporting can be demanding, but these tasks are crucial to maintaining a safe hospital environment.

What is the difference between Hospital Risk Manager vs Hospital Safety Coordinator?

AspectHospital Risk ManagerHospital Safety Coordinator
CertificationsRisk Management Certification, CPR, OSHA trainingOSHA training, Safety certifications
Work EnvironmentAdministrative, strategic planning, policy developmentOn-site safety inspections, staff training
Employer & Industry UsageHospitals, healthcare organizationsHospitals, clinics, healthcare facilities

The Hospital Risk Manager focuses on identifying and mitigating risks across the hospital, including legal and financial risks, while the Hospital Safety Coordinator concentrates on maintaining a safe environment through inspections and safety protocols. Both roles require safety-related certifications and work within healthcare settings, but their primary responsibilities differ in scope and focus.

How much does healthcare risk management make?

Healthcare risk managers typically earn a median annual salary of around $75,000 to $100,000, depending on experience, location, and the size of the healthcare facility. Senior or specialized risk managers can earn over $120,000 annually, especially with certifications like the Certified Professional in Healthcare Risk Management (CPHRM).
What are popular job titles related to Hospital Risk Manager jobs in Reston, VA? For Hospital Risk Manager jobs in Reston, VA, the most frequently searched job titles are:
What job categories do people searching Hospital Risk Manager jobs in Reston, VA look for? The top searched job categories for Hospital Risk Manager jobs in Reston, VA are:
What cities near Reston, VA are hiring for Hospital Risk Manager jobs? Cities near Reston, VA with the most Hospital Risk Manager job openings:
Hospital Risk Manager jobs near you
Infographic showing various Hospital Risk Manager job openings in Reston, VA as of June 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, 1% Temporary, and 3% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $116,058 per year, or $55.8 per hour.
RN In Hospital Transiton of Care Case Manager

RN In Hospital Transiton of Care Case Manager

MedStar Health

Washington, DC • On-site

Full-time

Posted 2 days ago

Medstar Health rating

7.8

Company rating: 7.8 out of 10

Based on 238 frontline employees who took The Breakroom Quiz

134th of 873 rated healthcare providers

Job description

About the Job
General Summary of Position
An exciting new role has been added to the team, offering a unique opportunity to make a direct impact on patient outcomes at a critical point in care. The In-Hospital Transition of Care RN Case Manager partners closely with hospital discharge planners to coordinate patient care at discharge, ensuring seamless continuity across care settings and reducing avoidable readmissions through proactive coordination, patient education, and timely follow-up.
This position is based at either Washington Hospital Center or The Psychiatric Institute of Washington (PIW) and offers the opportunity to work across diverse patient populations, with flexibility to provide coverage at both locations.
In this highly collaborative and autonomous role, the RN Case Manager manages a complex caseload and takes ownership of case management program(s), driving high-quality, cost-effective outcomes while enhancing the patient experience. The role includes coordinating and managing care for members/enrollees, completing pre-authorization reviews to ensure medical necessity and timely access to services, and conducting pharmacy reviews aligned with the population served. Working alongside an interdisciplinary team, you will play a key role in discharge planning, connecting patients to the right resources, and ensuring smooth transitions across the continuum of care.
This is an excellent opportunity for a nurse who thrives in a fast-paced environment, values critical thinking and autonomy, and is passionate about improving care transitions and patient outcomes. We are committed to fostering a supportive, inclusive environment where associates from diverse backgrounds can grow, advance, and make a meaningful difference.
Primary Duties and Responsibilities
  • Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
  • Actively develops and manages complex case management cases and develops individualized plans of care according to NCQA standards/ guidelines and the District of Columbia Contract.
  • Acts as a liaison to MedStar Family Choice contracted vendors to facilitate care. Identifies gaps in contracted services and develops a plan to access care.
  • Acts as an advocate while assisting members/enrollees to coordinate and gain access to medical psychiatric psychosocial and other essential services to meet their healthcare needs. Authorizes and monitors covered services according to policy.
  • Assists hospital case management staff with discharge planning if applicable. Makes recommendation to alternate tier of Case Management programs or level of care as acuity necessitate.
  • Attends and participates in MFC staff meetings Clinical Operations department meetings Special Needs Forums work groups District/ community agencies meetings etc. as assigned. Provides input completes assignments and shares new findings with other staff. Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
  • Provides face to face case management in the community as the member/enrollee's health necessitate.
  • Demonstrates behavior consistent with MedStar Health mission vision goals objectives and patient care philosophy.
  • Demonstrates skill and flexibility in providing coverage for other staff.
  • For assigned Case Management program(s) develops strategies assessment(s) and evaluation/goal tools according to NCQA standards/ guidelines and District of Columbia Contract for the population served. Utilizes standards/ guidelines to manage and document interactions for the program (s). Responsible for verifying that assigned program utilizes up-to-date standards in the medical and behavioral health community for the population served. Keeps informed about disease processes treatment modalities and resources.
  • Identifies and reports potential coordination of benefits subrogation third party liability worker's compensation cases etc. Identifies quality risk or utilization issues to appropriate MedStar personnel.
  • Identifies inpatients requiring additional services and initiates care with appropriate practitioners.
  • Maintains current knowledge of MFC benefits and enrollment issues in order to accurately coordinate services.
  • Maintains timely and accurate documentation in the clinical software system per Clinical Operation department's policy.
  • Monitors utilization of all services for fraud waste and abuse.
  • Performs telephonic ACD line coverage for Clinical Operations' needs.
  • Enters authorization as appropriate to the program and sends the reviews to Medical Director as appropriate. Coordinates review decisions and notifications per policy NCQA standards/ guidelines and District of Columbia Contract for timely decision making.
  • Participates in meetings and on committees and represents the department and hospital in community outreach efforts.
  • Participates in multi-disciplinary quality and service improvement teams.

Minimal Qualifications
Education
  • Graduate of an accredited School of Nursing required and
  • Bachelor's degree preferred

Experience
  • 1-2 years Case management experience required and
  • 1-2 years UM or related experience required and
  • 3-4 years Diverse clinical experience required

Licenses and Certifications
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure Valid RN license in the District of Columbia and/or the State of Maryland based on work location(s) Upon Hire required and
  • CCM - Certified Case Manager Upon Hire preferred

Knowledge Skills and Abilities
  • Verbal and written communication skills. Ability to use computer to enter and retrieve data. Ability to create edit and analyze Microsoft office (Word Excel and PowerPoint) preferred.

This position has a hiring range of
USD $89,065.00 - USD $162,801.00 /Yr.

What Medstar Health employees say

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About Medstar Health

Sourced by ZipRecruiter

MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Columbia, MD, US

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