Remote Utilisation Management / Case Management leader (RN/Physician-advisor) - AI Trainer
Mercor
- Remote job
Certified Medical Records Coder (Inpatient) – Riverside University Health System The County of Riverside – Riverside University Health System – Medical Records Department is seeking to fill a Certified Medical Records Coder position located in Riverside. Under general supervision, performs advanced coding and abstracting of inpatient medical record entries according to the most current edition of International Classification of Diseases – Clinical Modification System (ICD‑CM), Procedure Coding System (PCS) and Current Procedural Terminology (CPT); performs other related duties as required. The Certified Medical Records Coder – Inpatient classification performs the most complex coding and abstracting of a high volume of patient records in the Medical Records Department and reports to an appropriate supervisory or manager level position. The Certified Medical Records Coder – Inpatient is distinguished from the Certified Medical Records Coder – Outpatient in that the latter does not require an extensive knowledge of complex code and Diagnosis Related Group (DRG) assignment. Incumbents are expected to be familiar with the Inpatient Prospective Payment System (IPPS), inpatient coding guidelines, and be able to work closely with the Clinical Documentation Team as well as physicians. Candidates with acute hospital experience are encouraged to apply. Applicants will be tested as part of the hiring process. Work Location: 7898 Mission Grove Pkwy Ste 200, Riverside, CA 92508. Work Schedule – This position offers a hybrid work schedule, which may include working both in the office and remotely at the department's discretion. The selected candidate must maintain both the productivity and accuracy standards established by the department. Employees may be required to work swing shifts, weekends, and some holidays depending on operational needs. Standard Schedule Options • Monday – Friday (5/80 schedule) – Day Shift – Typical hours: 8:00 AM – 4:30 PM, or 8:30 AM – 6:00 PM Alternative Schedule Options
- Sunday – Thursday
- Tuesday – Saturday
$32 per hour
...Institution in a metropolitan city with a diverse population as a CST responsible for the overall cleaning, decontamination, sterilization, case cart pulling, assembly, packaging, restocking supplies, and dispensing of surgical instruments, equipment and supplies needed for...Remote jobMonday to FridayShift workNight shiftWeekend work$100 - $150 per hour
...lead the evaluation of AI tools that enhance clinical... ...workflows. As a Utilisation Management and Case Management leader, your clinical and operational... ...determinations. Manage the physician advisor program to support... ...Active clinical licensure (RN required; physician...SuggestedNight shift$45 per hour
...blueprint reading. AI data lab for... ...… $45.00 hourly Remote Full‑time AI Data... ...Registered Nurse (RN) - Telemetry (TravelNurseSource... ...& HCC Coding Leader (Mercor) Mercor... ...‑time Denials Management and Appeals... ...Remote Full‑time Utilisation Management & Case Management Leader...Remote jobHourly payFull timeImmediate startShift workNight shift$180k
Logistics & Supply Chain Management Specialist Remote - Full-time - Salary: $180,000.00 yearly... ...organizational objectives. Utilisation Management and Case Management Leader - Mercor Full-time Responsibilities... ...programs for next‑generation AI systems. Collaborate with...Remote jobHourly payFull timeTraineeship$21.5 per hour
Under the Supervision of the Community Manager, the Maintenance Manager is responsible to... ...Full-time +1 Make a Meaningful Impact as a Case Supervisor at Alora Behavioral Health!.... ...Technical Systems, a Flex Company, is a leader in power distribution and protection systems...Remote jobHourly payFull timeCasual workAll shiftsFlexible hoursShift work$85k
...A leading digital health company is looking for a Care Manager to support its Value Based Care Management program. This role involves telephonic case management with a focus on improving health outcomes for members. Candidates should be Registered Nurses with significant...Remote workWork from home$60.52k - $129.62k
...CVS Health is seeking a Full-Time Telephonic Case Manager for a work-at-home position. This role focuses on enhancing medical appropriateness... ...of experience as a Registered Nurse and must possess an active RN license. Responsibilities include performing patient...Remote workFull timeWork from home- ...The Hispanic Alliance for Career Enhancement is seeking a Nurse Case Manager (RN) for a work-from-home position that requires local travel in Denton County. This role involves providing comprehensive case management services through telephonic and face-to-face engagements...Remote workLocal areaWork from home
- ...An innovative firm is seeking a dedicated healthcare professional to lead medical management and health education initiatives. This role involves conducting programs for government health care customers, analyzing data for regulatory compliance, and effectively communicating...Remote workWork from home
$54k - $86k
...Enlyte is seeking a Telephonic Case Manager to work in a flexible, full-time, work-from-home role. This position requires a Compact RN license and URAC-recognized certification in... ...successful candidate will collaborate with physicians and manage treatment plans to support...Remote workFull timeWork from homeFlexible hours- ...is seeking a full-time California Workers’ Compensation Nurse Case Manager based in the Orange County Area. The role involves assessing and... ...communication among all parties involved. Applicants need a California RN License and strong communication skills. The company offers...Remote workFull timeWork from homeFlexible hours
$32 - $36 per hour
A leading health and safety firm is seeking an experienced telehealth RN to join their case management team. This remote position requires strong communication and decision-making skills, along with a minimum of 5 years of clinical experience. Responsibilities include...Remote workHourly pay- A healthcare staffing company seeks an experienced professional to conduct medical management and health education programs. This position requires a valid nursing license and experience in clinical settings. The role involves data analysis and direct communication with...Remote workWork from home
$62.9 - $99.31 per hour
...operations of the care management team. Supervises Care... ..., as well SMG and PCN leaders to support cost-effective... ...’s Degree ~3 years Case Management experience... .... Whether through physician clinics, education, research... ...Workplace Type: Remote Pay Range: $62.90...Remote workMinimum wageFull timeLocal areaShift work- ...RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital – Albuquerque *Inpatient *Outpatient *Utilization... ...care. There is limited patient interaction. · Primarily a remote work from home position once applicant has successfully completed...Remote workFull timePart timeReliefWork from homeRelocation packageMonday to FridayNight shiftDay shiftAfternoon shiftWeekday work
- ...Essential Functions Statement Manage patient care and scheduling. Maintain... ...plans as indicated by physician orders and patients' responses... ...Certificates & Licenses Valid Louisiana RN license without restrictions... .... WORK ENVIRONMENT Primary or Remote office and occasional patient...Remote workWork at officeWork from home
- Ahhmgt is looking for a dedicated Registered Nurse in Louisiana to manage patient care and scheduling. Key responsibilities include... ...improvement. The successful candidate will hold a valid Louisiana RN license and possess one to two years of related experience, with...Remote jobWork from home
- The Hispanic Alliance for Career Enhancement is seeking an LTSS RN Case Manager to work from home with 25-50% travel required in Michigan. This role involves conducting in-home assessments, managing care plans, and coordinating services for dual-eligible Medicare and Medicaid...Remote jobWork from home
- A healthcare organization in the United States is seeking a dedicated RN Field Case Manager. The ideal candidate will have at least 1.5 years of Workers Compensation case management experience and will work closely with injured workers, providing advocacy and coordinating...Remote jobWork at officeWork from home
- Enlyte is seeking a dedicated Field Case Manager to assist injured individuals in their recovery journey based in McKinney, Texas. The position... ...professionals, and ensuring effective case management. An RN license and relevant clinical experience are essential for this...Remote jobFull timeLocal areaWork from home
- ...RN Care Manager The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care... ...staff Evaluate and process member referrals from physicians to other specialty providers Assess, plan,...Remote workWork at officeLocal areaWork from homeHome officeMonday to Friday
- ...Us Hines is a nationwide, independent leader in personalized managed health care, focused on what’s important... ...for growth! Overview: Our Case Manager role allows you to utilize your... ...the employee is working in. Must be an RN. Successful completion of case management...Remote workFull timeWork at officeWork from homeHome officeMonday to FridayNight shift
$33.61 - $56 per hour
...to join our team as a Registered Nurse Case Manager. Overview: The Direct Care Registered... ...) Certification/Licensure Valid RN License in state of practice (VA) (... .... For positions that are available as remote work, Sentara Health employs associates...Remote workFull timeTemporary workShift workDay shift- ...every year. Belle trains and manages a network of nail technicians... ...these issues arise, a team of remote nurses coordinate care with other... ...time, remote Telephonic Nurse Case Manager to help deliver high-... ...Personality Active Registered Nurse (RN) license with Multi-State...Remote workFull timeWork from homeWeekend work
- ...RN Field Case Manager – Kansas City (MO/KS) This Field Case Manager will cover our Kansas City (MO/KS) region and must live in this area in order... ...from illness or injury. Work in a hybrid environment: remote interaction with injured workers and medical professionals while...Remote workLive inWork at officeWork from home
- ...Sentara Obici Hospital is hiring an Inpatient Case Manager, Inpatient Case Manager, Registered... ...preferred. Education RN-Associate's Degree OR RN-Bachelor's... .... For positions that are available as remote work, Sentara Health employs associates...Remote workTemporary workShift work
- ## RN Field Case ManagerApplylocations: Fredricksburg, VAtime type: Full timeposted on: Posted... ...Financial Services & InsuranceRN Field Case Manager**This Field Case Manager will cover our... ...the health and lives of others, and a remote work environment that allows face to...Remote workLive inWork at officeWork from home
$100k - $110k
About This Role Care Team Manager (RN) exists to lead and support Medical Assistants while providing... ...Coordinate care with providers, case managers, and care teams to ensure a seamless... ...‑solving skills Comfortable working in a remote, tech‑enabled environment People‑first...Remote work- ...Opportunity Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready... ...them with appropriate community-based services. In cases where urgent or high-risk situations arise, you will use your...Remote workWork at officeWork from homeFlexible hours
- Swedish in Edmonds is looking for a Manager Case Management to oversee the department's activities and ensure quality patient care. The role includes supervising RN Case Managers, managing budgets, and enhancing care coordination. The ideal candidate should have a Bachelor...
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