Clinical Risk Manager

Why You Should Work With Us :

At Sinceri Senior Living, we are a fun loving, employee-centric company like no other! Maybe that's why we have been certified by our employees as a Great Place to Work ® for our 6th Year in a row. Create your career with us and learn about all the career growth opportunities we offer.

Have we sparked your interest yet? Apply online and join our wonderful team. Questions about the application process? Come visit us and our staff will be happy to assist you!

Sinceri Senior living is proud to be an Equal Employment Opportunity employer. We celebrate diversity and do not discriminate based on race, religion, color, national origin, sex, sexual orientation, age, veteran status, disability status, or any other applicable characteristics protected by law. Minors must be at least 16 years of age to be employed by Sinceri Senior Living. Candidates submitted by unsolicited 3rd party recruiters will not be considered.

Purpose :

This critical role combines clinical nursing expertise with risk management responsibilities to protect our organization and residents through proactive risk assessment, claims management, and quality improvement initiatives. The position requires a Registered Nurse or Licensed Practical Nurse with strong analytical skills and the ability to work collaboratively with legal teams, insurance carriers, and community staff.

Essential Job Functions :

Claims Management & Insurance Coordination

• Submit and manage claims to insurance carriers, ensuring accurate and timely processing
• Coordinate with insurance adjusters and carriers throughout the claims process
• Prepare comprehensive claim documentation and supporting materials
• Assist in annual insurance renewals by providing claims data and risk assessments
• Maintain detailed records of all claims activities and outcomes
• Analyze claims patterns to identify trends and prevention opportunities

Litigation Support & Legal Coordination

Risk Assessment & Loss Prevention

Quality Improvement & Community Support

Documentation & Reporting

Additional Responsibilities

Minimum Eligibility Requirements

Preferred Qualifications