The Clinical Risk Coordinator manages the scheduling of RN Assessor visits and provides essential administrative support to the Clinical Risk department. Key duties include maintaining client databases, conducting paperwork audits, and communicating with members to arrange appointments.
Village Care
6 Remote Job Openings at Village Care
The Care Manager is responsible for care planning, coordination, and conducting health assessments for a diverse patient population. They oversee patient transitions and collaborate with interdisciplinary teams to implement interventions for health and psychosocial risks.
The manager coordinates Risk Adjustment and Quality coding operations, overseeing retrospective and prospective chart review programs. They act as the operational bridge between Risk Adjustment and HEDIS teams to improve RAF performance and STARs quality outcomes.
The Manager of Broker Sales Operations oversees the operational integrity of the broker infrastructure, including onboarding, system configuration, and enrollment tracking. This role acts as a liaison between Sales, Finance, Compliance, and IT to ensure accurate broker compensation and seamless member access to benefits.
Provide comprehensive care management, including psychosocial assessments and the coordination of health services for members. Identify social determinants of health and connect members to essential community resources and entitlements.
Develop and maintain financial reports and dashboards using SQL and Tableau to provide leadership with key insights. Support the monthly close process, conduct claim reserve analysis, and manage medical claims reinsurance reporting.
