Excess Risk Managed Care Clinician

Welcome to Highmark Health! We are currently seeking a highly motivated and compassionate Excess Risk Managed Care Clinician to join our team. As a leader in the healthcare industry, we are committed to providing quality care to our members and promoting health and wellness in our communities. In this role, you will play a critical role in managing and mitigating risk for our members, ensuring they receive the best possible care while keeping costs under control. We are looking for someone with a strong clinical background, excellent communication skills, and a passion for helping others. If you are ready to make a positive impact in the lives of our members, we encourage you to apply for this exciting opportunity.

1. Conduct comprehensive assessments of member health status to identify potential risk factors and develop appropriate care plans.
2. Collaborate with interdisciplinary teams to develop and implement strategies for managing and mitigating risk for members.
3. Utilize evidence-based guidelines and best practices to guide decision-making and promote quality care for members.
4. Monitor and track member progress and outcomes, making adjustments to care plans as necessary to ensure optimal results.
5. Communicate with members, families, and caregivers to educate them on risk management strategies and promote self-management of health conditions.
6. Serve as a resource for providers, offering guidance and support on risk management strategies and best practices.
7. Maintain accurate and detailed records of member interactions and care plans.
8. Act as an advocate for members, ensuring their needs are met and their voices are heard within the healthcare system.
9. Stay current on industry trends and updates related to risk management and healthcare regulations, incorporating this knowledge into daily practice.
10. Participate in quality improvement initiatives and assist in the development of new programs and processes to enhance member outcomes.
11. Adhere to all ethical and legal standards, maintaining confidentiality and privacy of member information at all times.

According to JobzMall, the average salary range for a Excess Risk Managed Care Clinician is between $75,000 and $125,000 per year. This can vary depending on factors such as location, years of experience, and specific job responsibilities.

Highmark Inc. is among the largest health insurers in the United States and the fourth-largest Blue Cross and Blue Shield-affiliated company. Highmark and its diversified businesses and affiliates operate health insurance plans in Pennsylvania, Delaware and West Virginia that serve 5.2 million members. Its diversified health businesses serve group customer and individual health needs across the United States through dental insurance, vision care and other related health businesses. Highmark is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.