Remote RN Manager, Clinical Quality & Grievance
Council Of State and Territorial Epidemiologists
The Council of State and Territorial Epidemiologists is looking for a Clinical Supervisor to manage clinical staff within California's Optum CA Quality Improvement Department. The role involves overseeing grievance investigations and ensuring quality standards across health plan operations. The successful candidate will have a background in nursing, with experience in grievance management and clinical supervision. You'll enjoy remote work flexibility while leading a team committed to improving health outcomes. #J-18808-Ljbffr
$91.7k - $163.7k
...Corporation is seeking a Clinical Manager to oversee the day-to-... ...within the Optum CA Quality Improvement Department... ...involves managing grievances and working closely with... ...possess an active CA RN or LVN license, with 2... ...roles. Opportunities for remote work available, with...Remote work- ...Health Institute is looking for a clinical staff manager within their Grievance/Peer Review Lane. This remote position involves overseeing... ...and collaborating with the Quality Improvement Department to manage... ...a nursing degree, an active RN or LVN license in California,...Remote workFlexible hours
- ...seeking an experienced clinical manager in El Segundo, CA. This... ...clinical staff within the Grievance/Peer Review Lane, collaborating... ...manage grievances and quality issues. Flexibility to work remotely is offered. The ideal... ...nursing degree, a valid RN or LVN license, and...Remote work
- Optum in El Segundo is seeking a Clinical Manager to oversee the QI Nurses in the Grievance/Peer Review Lane. This role involves... ...grievance processes and ensuring quality by collaborating with clinical staff. Flexibility to work remotely is provided. Ideal candidates will...Remote job
$100k - $130k
...Imagine Pediatrics is seeking a nursing manager for a remote position that includes quarterly travel to Tampa, FL. The successful candidate will... .... Candidates should have a Bachelor's degree, an active RN license in Florida, and significant nursing and management experience...Remote work$160k - $187k
...Senior Manager, Clinical Quality Assurance Boston, MA or Remote Responsibilities Reporting to the Executive Director of Quality Assurance, the Senior Manager, Clinical Quality Assurance (CQA) is responsible for supporting the development and implementation of processes...Remote workSummer holidayWork at officeHome office$110.03k - $165.04k
...Manager, GMP Quality Assurance - Clinical, QA At Agios, we are fueled by connections to transform rare diseases. We foster an inclusive, collaborative... ...preference. This role has the ability to be either remote in the US or hybrid in our Cambridge Headquarters. Hybrid...Remote workContract workTemporary workFor contractorsWork from homeFlexible hours3 days per week$66k - $75k
...experience through compassionate care, clinical excellence, and innovative technology... .... About the Role The Senior Manager, Clinical & Quality Operations is a dynamic, blended clinical... ...working in a fast‑paced, tech‑enabled, remote‑first environment. Preferred Qualifications...Remote work3 days per week$130k - $159k
...Senior Manager, Clinical Quality & Documentation Integrity Grow Therapy is on a mission to serve as the trusted partner for therapists growing... ...The base compensation range for this position is: Fully Remote Commitment: $130,000 - 159,000 USD Annually Hybrid...Remote workFull timeWork at officeHome officeFlexible hoursDay shift3 days per week- ...ExamWorks, Inc. is seeking a Clinical Quality Assurance Coordinator to join our remote team. This role involves reviewing medical records and transforming them into narrative summaries. Qualifications include a nursing license and strong knowledge of medical terminology...Remote workFlexible hours
$150k - $190k
...Manager/Sr. Manager Clinical Quality Assurance - CQA Salary: $150–190k (flexible depending on experience) Location: Morristown, NJ area – Hybrid Preferred - Remote is possible Therapeutic Area : Oncology and Rare Disease We are partnered with a growing, commercial...Remote workFor contractorsFlexible hours- ...Foodsmart is seeking a Senior Product Manager to own systems ensuring high-quality care delivery. This role focuses on clinical operations, enhancing Registered Dietitians' workflows... ...PTO, healthcare coverage, and a flexible remote work environment. #J-18808-Ljbffr...Remote workFlexible hours
$95k - $105k
...Performant Financial Corporation is hiring a Supervisor for Quality Assurance (Clinical) in Plantation, Florida. This role involves leading a remote team of nurses, overseeing clinical review audits, and ensuring quality standards are met. The ideal candidate will have...Remote work$52.5 per hour
...RN Clinical Manager / Clinical Consultant (RN or MSW) – California Pay Rate: $52.50–$53.00/hr... ...AM – 5:30 PM PST, Monday–Friday Model: Remote-First (with limited field visits as needed... ...care coordination when requested Quality, Compliance & DHCS Requirements • Ensure...Remote workContract workLocal areaMonday to Friday- (Hiring)Quality Clinical RN Manager We are seeking a Quality Clinical RN Manager -to join our team!You will be responsible for the assessment, diagnosis, and treatment of assigned patients. Responsibilities: Administer nursing care to ill, injured, or disabled patients...
- ...Foodsmart combines personalized clinical nutrition care, behavior... ...regional and national Medicaid managed care organizations, Medicare... ...ensure Foodsmart delivers high-quality, safe, and efficient care at... ...About our benefits and perks Remote-First Company Unlimited PTO Flexible...Remote workLocal areaFlexible hours
- ...Indero (formerly Innovaderm) is seeking a Risk Manager to develop and execute risk-based monitoring strategies in clinical research projects. The role emphasizes risk... ...a home-based work opportunity, ensuring data quality throughout clinical trial lifecycles. #J-18808...Remote workWork from home
$137.8k - $206.8k
...General Summary The Senior Manager, Clinical Study Quality Lead provides study‑level quality oversight for assigned clinical trials to ensure they... ...Designation Hybrid‑Eligible or On‑Site Eligible. Hybrid: work remotely up to two days per week; On‑Site: work five days per week...Remote workSummer workFlexible hours2 days per week- ...Director to perform case reviews for appeals and grievances within various health plans. The role involves... ...with board certification, at least 5 years of clinical practice, and expertise in quality management. This is a remote position available within the U.S. with a...Remote work
- BJC HealthCare in St. Louis, Missouri, seeks a Registered Nurse (RN) Manager responsible for overseeing contact center services with a focus on clinical quality, operational efficiency, and patient satisfaction. Candidates should possess at least a Bachelor’s Degree in...
- ...Supervisor, Quality Assurance (Clinical) In October 2025, Machinify acquired Performant... ...and experience leading others to manage staff and operational results for a remote team of nurses and other audit... ...in good standing, is required (RN license is required for government...Remote workHourly payContract workFor subcontractorWork from homeHome officeShift work
$73.26k - $91.54k
...Position Title: Supervisor, Quality Performance & Grievance and Appeals Location:... ...expectations of what a community clinic can deliver, we... ...also leading key Quality Management activities that drive regulatory... ...of the background report. Remote Type: Hybrid About US As the...Remote workLocal areaFlexible hours$246.1k - $344.2k
...Corporate Medical Director to provide clinical interpretation and medical... ...collaboration with various teams to address grievances and appeals. With responsibilities in a remote setting, the role offers a... ...have strong knowledge of the managed care industry and at least five...Remote work- ...Job Title: RN - Unit Manager Location (On-site, Remote, or Hybrid?): Westbrook, ME(onsite)... ...for the delivery of high-quality and cost-effective health... ...while achieving positive clinical outcomes, and patient/... ...incident, adverse event and grievances/concerns are fully...Remote workContract workShift workWeekend work
- ...Elevance Health is seeking a Nurse Appeals RN for their Quality of Care team based in Louisiana. The role involves investigating member grievances and reviewing medical records, ensuring... ...at least 2 years of experience in a managed care setting. This position allows for...Remote workFull time
- ...Looking for qualified Unit Manager (RN or LPN) to join our... ...nursing staff, ensure quality patient care, and... ...Nursing Staff - Oversee Clinical Nurses and Nurse Assistants... ...and staff to address grievances and maintain resident... ...services and remote health monitoring to advanced...Remote workFull timeLocal areaShift work
$248.5k - $373k
...responsible for reviewing appeals and grievances within various health products. The... ..., and have over 5 years of clinical practice and Quality Management experience. Compensation ranges from... ...comprehensive benefits package available for remote employees within the U.S. #J-18808-...Remote work$248.5k - $373k
...Director specializing in Appeals and Grievances, offering the flexibility to work remotely from anywhere in the U.S. This role involves clinical review of appeals related to healthcare... ..., along with skills in project management and data analysis. Competitive compensation...Remote work$248.5k - $373k
...Crains Cleveland seeks a qualified MD or DO for a remote position focused on managing health plan appeals and grievances. The role requires extensive clinical experience and the ability to communicate effectively with medical directors. You will also provide clinical...Remote work$248.5k - $373k
...Join UnitedHealthcare as an Appeals and Grievances Medical Director, working remotely from anywhere in the U.S. You'll oversee appeals and grievances for... ...an MD or DO with board certification and extensive clinical experience. UnitedHealthcare offers a competitive...Remote work
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