Maine Licensed Clinical Risk Manager

Company: VirtualVocations
Location: Vista
Posted on: May 7, 2025

Job Description:

A company is looking for a Clinical Risk Manager to evaluate and manage stop loss claims.
Key Responsibilities:

Review and analyze clinical data to assess potential stop loss claim liabilities
Provide cost projections on high-dollar claimants to support underwriting decisions
Utilize case management techniques to ensure effective cost containment and management of high-risk claims

Required Qualifications:

Associate or Bachelor's degree in Nursing or a related field is preferred
At least 3 years of clinical experience, with a minimum of 1 year in stop loss nursing or clinical risk management
Current and valid Registered Nurse (RN) license
Experience in oncology or cardiology is a plus

Keywords: VirtualVocations, Lake Elsinore , Maine Licensed Clinical Risk Manager, Executive , Vista, California

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