Sr Clinical Risk Management Professional

• Become a part of our caring community
• The Sr Clinical Risk Management Professional identifies and investigates potential sources of clinical and operational loss to reduce risk and improve patient safety.

Reporting to the Associate Director, you will focus on moderately complex to complex issues requiring in-depth evaluation of clinical events, patient behavior incidents, and safety trends. You will operate with autonomy and contribute to the development of risk management strategy through data-driven insights and collaboration. You will make meaningful contributes to our clinical risk and patient safety programs. You will be analyzing, and managing clinical occurrence reports, patient behavior events, and other patient safety-related concerns. You will identify trends and system vulnerabilities that may affect patient or staff safety and work with clinical, compliance, legal, and operational partners to mitigate risk.

• Role Responsibilities:

• + Review and triage occurrence reports, including patient safety events, adverse events, near misses, and patient behavior incidents.

+ Conduct/Coordinate detailed clinical risk assessments and root cause or gap analyses related to reported events. + Identify patterns and emerge risk trends related to patient care, clinical decision-making, and patient or visitor behavior. + Partner with clinical leaders and staff to support event follow-up, corrective action planning, and sustainable risk reduction strategies. + Help with the development and monitoring of risk controls, policies, and best practices related to patient safety and clinical risk. + Ensure compliance with organizational guidelines, regulatory requirements, and internal reporting standards. + Communicate clinical risk findings to partners across the organization. + Begin to influence departmental strategy through subject matter expertise in clinical risk, patient safety, and event management. + Exercise independent judgment on moderately complex to complex issues related to technical approach, analysis, and prioritization of work. You will use your clinical background to support a culture of safety and continuous improvement.

• Use your skills to make an impact
• Required Qualifications
• + Active clinical license: LPN/LVN, RN, APRN, or PA + 5 or more years of healthcare experience + Strong written and verbal communication skills, with the ability to clearly document and discuss sensitive clinical risk issues
• Preferred Qualifications
• + Background in quality improvement, patient safety, or risk management + Working knowledge of occurrence reporting systems, clinical event review processes, and patient behavior management + Experience identifying and mitigating clinical risk in a value-based care or population health setting
• Additional Information
• Remote Nationwide
• Interview Format
• As part of our hiring process for this opportunity, we will use an interviewing technology called HireVue to enhance our hiring. HireVue allows us to quickly connect and gain valuable information from you about your relevant experience at a time that is best for your schedule.
• Work at home requirements:
• + To ensure Home or Hybrid Home/Office employees', the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + We require at minimum a download speed of 25 Mbps and an upload speed of 10 Mbps; we suggest a wireless, wired cable or DSL connection.

+ Leadership can only approve satellite, cellular and microwave connection if they use it. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet our requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member

PHI / HIPAA

information.

Travel:

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

• Scheduled Weekly Hours
• 40 •Pay Range•The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting.

The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $86,300 - $118,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

• Description of Benefits
• Humana, Inc.

and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline:

05-22-2026

• About us

•

About CenterWell Senior Primary Care:

CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being. About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (

NYSE:

HUM). Learn more about what we offer at CenterWell.com. ​

• Equal Opportunity Employer
• It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.

It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources