Remote RN Manager, Clinical Quality & Grievance
$91.7k - $163.7kStryker Orthopaedics
- Remote job
Stryker Corporation is seeking a Clinical Manager to oversee the day-to-day management of clinical staff within the Optum CA Quality Improvement Department. This role involves managing grievances and working closely with leaders to address quality issues. The ideal candidate will possess an active CA RN or LVN license, with 2+ years of experience in related roles. Opportunities for remote work available, with salary ranging from $91,700 to $163,700 annually. #J-18808-Ljbffr Stryker Corporation
- ...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 job
- ...Health is seeking an experienced Registered Nurse Project Manager to lead development and support initiatives across... ...care outcomes. The position requires a BSN with TX RN licensure and at least five years of clinical nursing experience, plus experience in project or team...Remote job
$102.18k
...Supervisor, Appeals and Grievances Clinical Operations RN Job Category: Clinical Department... ...is to provide access to quality health care for Los... ...supports the A&G Clinical Manager. This role also assists the... ...weekends, holidays, a hybrid remote schedule, occasional...Remote workFull timeShift workWeekend work$137.8k - $206.8k
Job Description The Senior Manager, Clinical Study Quality Lead provides study-level quality oversight for assigned clinical trials to help ensure... ...position is on‑site or hybrid and is not eligible for a fully remote work arrangement. Key Duties and Responsibilities Serve...Remote workFlexible hours2 days per week$138k - $190k
...Company Description Job Description The Senior Manager, Clinical Quality Assurance is responsible for the development, maintenance and oversight of GCP activities related to the Clinical Trial activities sponsored by Deciphera. The primary responsibilities are...Remote workContract work$160k - $187k
...Senior Manager, Clinical Quality Assurance Boston, MA or Remote Are you ready to join a team committed to making a meaningful impact on cancer treatment through the discovery and development of precision medicines? At Kura Oncology, you have an opportunity to be...Remote workSummer holidayWork at officeHome office- ...MES Solutions is seeking a self-driven Registered Nurse (RN) for the remote role of Clinical Quality Assurance Coordinator. This position involves ensuring peer review reports maintain exceptional quality and integrity, aligning with regulatory standards. The ideal candidate...Remote work
- 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 jobFlexible hours
- ...MES Solutions is seeking a Clinical Quality Assurance Coordinator (RN or LPN) for a 100% remote role. You will oversee peer review reports, ensure evidence-based rationales, and maintain alignment with client agreements and regulatory standards. The job emphasizes quality...Remote workMonday to Friday
- ...Join MES Solutions as a Clinical Quality Assurance Coordinator in a fully remote role. You will utilize your clinical skills to ensure the quality of peer review... ...and regulatory standards. The role requires an active RN/LPN license and a commitment to delivering...Remote work
- ...objectives in improving hospital quality and safety. Responsible for... ...bodies. Coordinates and manages data collection, and prepares... ...organization of qualitative clinical, financial, operational, and... ...Locations TGH WFLA Eligible for Remote Work On Site Job Quality/Utilization...Remote workFull timeWork experience placementMonday to FridayShift work
- ...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...Remote workLocal areaFlexible hours
- ...POSITION SUMMARY: The Quality Education Manager serves as a member of the Home Health Quality Team,... ...fifty percent travel and fifty percent remote work. Nursing license in the State of... ...online training, training manuals, and clinical protocol guides Training deliverables...Remote workWork at officeLocal areaFlexible hours
- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...Remote work
- MES Solutions in Norwood, MA is seeking a Clinical Quality Assurance Coordinator to ensure high-... ...quality peer review case reports. This fully remote role offers flexible hours primarily... ...integrity. Candidates must possess an active RN license, at least two years of...Remote jobFlexible hours
- ...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...
- ...looking for an individual to oversee the clinical contact center services at the hospital.... ...and patient satisfaction while leading a remote team. An ideal candidate will have a Bachelor... ...5-10 years of experience, and possess an RN license. Benefits include comprehensive...Remote job
- IntelliResume is looking for a Clinical Grievances Nurse to review member cases ensuring proper healthcare quality. This role requires a current RN license and experience in behavioral health... ...experience. The position is fully remote, ideal for those passionate about improving...Remote job
- ...is seeking a skilled professional for a clinical role addressing provider appeals and grievances. This position demands expertise in managed care while ensuring compliance with privacy... ...possess a relevant degree, an active RN license, and several years of experience...Remote job
- ...Unit Manager (RN) Looking for qualified Unit Manager... ...nursing staff, ensure quality patient care, and drive... ...Nursing Staff – Oversee Clinical Nurses and Nurse... ...and staff to address grievances and maintain resident... ...telemedicine services and remote health monitoring to advanced...Remote workFull timeLocal areaShift workNight shiftDay shiftAfternoon shift
- ...RN Weekend Unit Manager Looking for qualified Weekend Nursing Unit Manager... ...passion for leadership and high-quality resident care? Do you... ...residents and families, ensuring grievances are handled professionally... ...telemedicine services and remote health monitoring to...Remote workFull timePart timeLocal areaShift workNight shiftWeekend workDay shiftAfternoon shift
- ...Clinical Supervisor, UM Denial Compliance... ...Type: Hybrid (85% remote, 15% onsite in Burbank... ...in ensuring a high-quality, efficient, and... ...denial unit staff, managing daily tasks, performance... ...Nursing Program; RN preferred.... ...authorization, appeals & grievance, or health plan...Remote workPermanent employmentTemporary work
$248.5k - $373k
...Appeals And Grievances Medical Director At UnitedHealthcare... ...removing barriers to quality care. The work you do... ...flexibility to work remotely from anywhere within... ...the application of clinical criteria of medical policies... .../Department of Managed Healthcare, and CMS regulatory...Remote jobMinimum wageWork experience placementLocal areaWork from home- ...the hospital with emphasis on clinical quality, physician engagement,... ...and provider satisfaction. Manages a leadership team to achieve... ...a department that is largely remote workers. Manages individual(... ...Licenses & Certifications RN Preferred Requirements Education...Remote workFull timeFlexible hours
- Everest Clinical Research Services Inc. is seeking a Senior Clinical Data Manager for their Bridgewater, New Jersey location, with remote work options available. The role includes developing and maintaining project plans, overseeing data management deliverables, and providing...Remote job
- ...Care Service Corporation (HCSC) is seeking a RN Manager to lead and manage clinical operations across Utilization Management, Quality Management, project oversight, and... ...This hybrid position offers in-office and remote work with a competitive pay range. #J-1880...Remote workWork at office
- ...organization in California seeks a Nursing Leader to provide safe, high-quality care. Responsibilities include supervising staff, collaborating... ...with standards. Candidates must have a Bachelor's in nursing, RN licensure, and leadership experience are preferred. The role...
- ...Angeles, CA is seeking a Lead Appeals and Grievances RN to help develop and lead a cohesive A&G clinical unit. The role focuses on quality review of complex cases, ensuring... ...knowledge of healthcare regulations. A hybrid remote schedule is supported along with after-hours...Remote job
$95k - $105k
Help at Home is seeking a Senior Manager, Clinical Services for GA. This remote role requires an RN license and involves overseeing clinical operations, ensuring quality care delivery, and managing staff development. Applicants should have at least five years of experience...Remote job$102.18k
...Solution Center Appeals and Grievances RN Job Category: Clinical Location: Los Angeles,... ...is to provide access to quality health care for Los Angeles... ...may provide feedback to management on performance of staff.... ...weekends, holidays, a hybrid remote schedule, and occasional...Remote workFull timeShift workWeekend work
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