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Remote Healthcare Risk Management Jobs in Tennessee

Altegra Health

Remote Certified Coders

Memphis, TN · Remote

$21.75 - $29.75/hr

... healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk ... Strong clinical skills related to chronic illness diagnosis, treatment and management; Reliability ...

Altegra Health

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

... healthcare data for healthcare organizations. Altegra Health specializes in: 1. CMS HCC Risk ... Manager of Clinical Operations. • Comply with the Standards of Ethical Coding as set forth by the ...

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Remote Healthcare Risk Management information

How much does healthcare risk management make?

Healthcare risk management professionals typically earn between $70,000 and $120,000 annually, depending on experience, location, and certification level. Senior roles or those in large healthcare organizations can earn higher salaries, often exceeding $130,000. Strong knowledge of healthcare regulations and risk assessment tools can enhance earning potential.

Can risk managers work remotely?

Remote healthcare risk management roles are increasingly common, allowing risk managers to perform tasks such as policy review, data analysis, and reporting from home. These positions often require strong communication skills, familiarity with healthcare regulations, and the use of digital tools like risk management software. However, some roles may require on-site presence for audits or investigations depending on the employer's policies.

How to make $80,000 a year working from home?

Remote healthcare risk management professionals can earn $80,000 or more annually by gaining relevant certifications, such as Certified Professional in Healthcare Risk Management (CPHRM), and developing expertise in compliance, patient safety, and insurance processes. Building experience through healthcare organizations or consulting firms and utilizing strong communication and analytical skills can also help achieve this income level while working remotely.

What is a Remote Healthcare Risk Management job?

A Remote Healthcare Risk Management job involves identifying, assessing, and mitigating risks within healthcare organizations while working remotely. Professionals in this role help ensure patient safety, regulatory compliance, and operational efficiency by analyzing data, developing policies, and implementing risk reduction strategies. They may collaborate with healthcare providers, legal teams, and insurance professionals to address potential liabilities. Strong analytical skills, knowledge of healthcare regulations, and experience in risk management are essential for success in this field.

What are the key skills and qualifications needed to thrive in the Remote Healthcare Risk Management position, and why are they important?

To thrive in Remote Healthcare Risk Management, you typically need a background in healthcare administration, risk analysis, compliance, and a relevant degree such as nursing, public health, or healthcare management. Familiarity with risk management software, incident reporting systems, HIPAA regulations, and certifications like Certified Professional in Healthcare Risk Management (CPHRM) are highly valuable. Strong analytical thinking, attention to detail, and effective virtual communication skills set candidates apart in this role. These competencies are crucial for identifying, assessing, and mitigating risks in healthcare environments while maintaining regulatory compliance and patient safety—all from a remote setting.

What are the typical daily responsibilities of someone working in Remote Healthcare Risk Management?

Professionals in Remote Healthcare Risk Management are responsible for identifying potential risks to patient safety, evaluating compliance with healthcare regulations, and developing policies to minimize those risks. On a typical day, their tasks might include reviewing incident reports, analyzing data, conducting virtual training sessions, and collaborating with clinical and administrative teams through video conferencing. They also work closely with legal and compliance departments to ensure all processes adhere to federal, state, and organizational standards. This role requires strong organizational skills, proactive communication, and the ability to manage sensitive information within a remote work environment.

Is healthcare risk management a good career?

Healthcare risk management is a growing field that involves identifying and mitigating risks to improve patient safety and compliance. It typically requires knowledge of healthcare regulations, risk assessment skills, and certifications such as Certified Professional in Healthcare Risk Management (CPHRM). The role offers stability, opportunities for advancement, and the chance to contribute to quality care in healthcare organizations.
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What job categories do people searching Remote Healthcare Risk Management jobs in Tennessee look for? The top searched job categories for Remote Healthcare Risk Management jobs in Tennessee are:
What cities in Tennessee are hiring for Remote Healthcare Risk Management jobs? Cities in Tennessee with the most Remote Healthcare Risk Management job openings:
Remote Healthcare Risk Management jobs near you
Care Advocate - Care Delivery

Care Advocate - Care Delivery

Wider Circle

Nashville, TN • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Job description

The Care Advocate is an integral part of the member's care team and works closely with the clinicians and the clinical operations team. The Care Advocate will support our Care Delivery program (WiderCare+), using approved curriculum to build trust and promote health, while simultaneously driving the Community Health Integration (CHI) and Principal Illness Navigation (PIN) programs to bridge the gap between clinical care and social needs.
Company Overview
Wider Circle works with health plans and providers nationally to deliver unique community care programs that connect neighbors for better health. Centered on trusted relationships, Wider Circle connects health plan members with like-minded neighbors to inform, support and motivate one another, empowering them to be more proactive about their health. Wider Circle's trusted delivery network has been proven to drive resilience, improve member experience and engagement, and reduce inappropriate utilization and has been published in peer-reviewed literature. Today, Wider Circle offers its unique neighborhood care programs to tens of thousands of communities nationwide. To learn more, visit widercircle.com.
What We Do (And Why It Matters)
We are a mission-driven team dedicated to stabilizing high-risk populations and ensuring that no one falls through the cracks of the healthcare system.
Our mission is to integrate Case Management, Care Navigation, and Benefits Enrollment into a single seamless layer of support with a focus on patients and their Social Determinants of Health (SDOH).
This work bridges the gap between clinical requirements and social stability, and this role is vital to achieving that balance.
The Care Advocate's responsibilities include:
  • Principal Illness Navigation (PIN): Execute person-centered care plans for patients with serious, high-risk illnesses. Assist in monitoring and revising disease-specific plans, especially when frequent adjustments in medication or treatment regimens are required.
  • Clinical Care Bridge: Act as the link between the patient and the billing practitioner. Support care coordination by managing provider availability, rescheduling, and providing post-hospital discharge support.
  • SDOH Assessment & Goal Setting: Conduct person-centered assessments to understand the patient's social and cultural context. Identify unmet social needs-such as food insecurity or housing instability-that impact the management of their serious condition and develop specific action plans to address them.
  • System Navigation & Advocacy: Assist patients and caregivers in navigating the Nashville healthcare landscape. Teach self-advocacy skills to help patients communicate effectively with specialists and coordinate transportation or access to telehealth.
  • Technical & Workflow Support: Support patient communication templates and automation. Coordinate with the tech team to set up workflows, handle technical troubleshooting, and update patient charts in the Case Management System (CMS) with precision.
  • Resource Coordination: Refer patients to supportive services and community-based resources. Establish and maintain partnerships with local Nashville organizations to bring targeted resources (legal aid, food assistance, etc.) to our members' attention.
  • Behavioral & Social Support: Use motivational interviewing and capacity-building to help patients manage the stress of chronic illness. Provide tailored education to improve treatment adherence and offer emotional support to families and caregivers.
  • CMS Compliance & Documentation: Maintain detailed logs of all interactions, including the amount of time spent and specific activities performed. Ensure all documentation meets the standards required for Medicare clinical and social integration services.

Essential Functions:
  • PA Locality: Safely and consistently drive to public places and member homes within a 50-mile radius in Nashville.
  • Remote Independence: Successfully work in a remote team environment with high independence and minimal oversight.
  • Physical Presence: Frequently carry up to 30 pounds of supplies and stand/walk for the duration of home visits or member interactions.
  • Digital Literacy: Ability to use a computer, tablet, and smartphone to update data in multiple secure systems with accuracy.

Requirements
The Successful Care Advocate will:
  • Community Health Worker (CHW) Certification preferred; candidates with a CHW background or completed CHW training are also strongly encouraged to apply.
  • Compliance: Be willing to complete and maintain all CMS-mandated training and state-applicable requirements, including competencies in interpersonal building, service coordination, and professional ethical conduct.
  • Experience: Have 3+ years of relevant community outreach, facilitation, or healthcare experience. Experience navigating high-risk chronic conditions or complex care management is a major plus.
  • Technical Savvy: Have strong computer skills and the ability to navigate web-based and app-based systems with ease.
  • Cultural Competency: Possess a deep understanding of the socio-economic and public health challenges facing disenfranchised populations in Nashville.
  • Communication: Have excellent written and verbal communication skills, with an outgoing personality and the ability to motivate and influence different types of people.
  • Logistics: Have a high school diploma/GED (college degree preferred). Must have a valid driver's license, reliable transportation, and a flexible schedule for occasional work outside regular business hours.
  • Commitment: Be committed to a drug-free workplace and ready for pre-employment substance abuse testing and background checks.

Benefits
As a venture-backed company, Wider Circle offers competitive compensation, including:
  • Comprehensive health coverage, including medical, dental, and vision
  • 401(k) Plan
  • Paid Time Off
  • Employee Assistance Program
  • Health Care FSA
  • Dependent Care FSA
  • Health Savings Account
  • Voluntary Disability Benefits
  • Basic Life and AD&D Insurance
  • Adoption Assistance Program
  • Training and Development
  • Compensation: $20.77 - $23.84 per hour

And most importantly, an opportunity to make the world a better place!
Wider Circle is proud to be an equal-opportunity employer that does not tolerate discrimination or harassment, of any kind. Our commitment to Diversity & Inclusion supports our ability to build diverse teams and develop inclusive work environments. We believe in empowering people and valuing their differences. We are committed to equal employment opportunity without consideration of race, color, religion, ethnicity, citizenship, political activity or affiliation, marital status, age, national origin, ancestry, disability, veteran status, sexual orientation, gender identity, gender expression, sex or gender, or any other basis protected by law.

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