RN Quality of Care - Remote Health Plan Auditor
Banner Health
- Remote job
Banner Health is seeking an RN Quality of Care professional to review medical records, investigate quality concerns, and support member safety. You will navigate AHCCCS portals, coordinate with providers, and help maintain high care standards. The role requires on-site orientation with remote work after training and may include occasional AZ travel. Candidates must reside in AZ and hold an active RN license, with 2+ years in health care and knowledge of AHCCCS regulations. #J-18808-Ljbffr Banner Health
- Banner Health is seeking an HP RN Quality of Care to support Banner Health Plans by reviewing medical records, investigating concerns, ensuring compliance, and supporting member safety. The role involves triaging referrals, collaborating with providers, and occasional travel...Remote jobHealth InsuranceFlexible hoursShift work
$33.11 - $55.18 per hour
...Job Category: Risk, Quality and Safety The... ...possibilities. At Banner Health, we're excited... ...future holds for health care. That's why we're... ...from you! As a HP RN Quality of Care ,... ...support ourBanner Health Plans. You will be... ...overnights.This is a remote opportunity....Remote workHealth InsuranceWork experience placementLive inMonday to FridayFlexible hoursShift workAfternoon shift$35.29 - $54.71 per hour
Join to apply for the RN Acute Care Virtual Quality Support role at TieTalent 1 day... ...does not offer a hybrid or remote option** Minimum Requirements... ...spending accounts for health care and dependent care, health... ...with HD/HSA medical plan only), identity theft protection...Remote workHealth InsuranceShorter hoursFull timeTemporary workLocal areaRelocation packageFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...Department: Virtual Quality Support FTE:... ...offer a hybrid or remote option Work nights... ...assists with patient care needs, and helps... ...Registered Nurse (RN). Basic Life Support... ...competitive. Health and well-being Medical... ..., group legal plan, identity theft protection...Remote workHealth InsuranceFull timeTemporary workLocal areaFlexible hoursShift workNight shiftRotating shiftAfternoon shift- ...provide skilled nursing care to participants in... ...team to support their health, independence, and quality of life. This role... ...in daily in-person or remote morning huddles to set... ...Active Colorado RN License and graduation... ...offers 6 different health plans: 3 Major Medical...Remote workHealth InsuranceTemporary workLocal areaDay shift
$2,142 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Asheville, NC... ...healthcare professionals Health insurance - comprehensive medical... ...in MedSurg, Telemetry (remote), and Step-Down (PCU) Certifications... ...our commitment to quality, safety, and excellence in healthcare...Remote workHealth InsuranceWeekly payFull timeImmediate startFlexible hoursShift work$2,142 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Asheville, NC... ...healthcare professionals Health insurance - comprehensive medical... ...in MedSurg, Telemetry (remote), or Step-Down (PCU) level... ...demonstrating our commitment to quality, safety, and excellence in healthcare...Remote workHealth InsuranceWeekly payFull timeImmediate startFlexible hoursShift workWeekend work$90k
...HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are... ...' and members' needs. These high-quality healthcare plans are designed to help keep... ...candidates ~ BSN for new graduates ~ NYS RN license required ~ CCM preferred ~1...Remote workHealth InsuranceFull timePart timeRelocation packageFlexible hours- Providence Health Plan Group is looking for a clinical leader to supervise day-to-day operations of the care management team. This role involves managing nursing and non-clinical staff to ensure high-quality medical services. Aiming to improve patient outcomes and foster...Remote jobHealth Insurance
- ...Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina... ...- some transition of care outreach after ED or... ...team, vendors and HEDIS auditors. Assists the... ...years experience in health plan quality improvement,...Remote workHealth Insurance
- CVS Health is seeking a Quality Practice Liaison for a work-at-home role supporting the Arizona Mercy Care Plan. You will present HEDIS gaps in care, educate on measures, and abstract data... ...plan teams. Ideal candidates hold an RN license with 3+ years clinical experience...Remote jobHealth Insurance
- UPHP seeks a Remote Community Based Clinical Coordinator - Care Manager to perform care management functions... ...care teams to ensure high-quality, cost-effective care.... ...include assessment, care planning, and coordination with providers, home health, and community resources,...Remote jobHealth Insurance
- ...Position Title: Transitions of Care RN 100% Virtual, CareBridge... ...Virtual, CareBridge CareBridge Health is a proud member of the... ...health, independence, and quality of life through home-care and... ...coordinates specific health coaching plan needs to address objectives...Remote workHealth InsuranceFull timeTemporary workWork at officeLocal areaShift workWeekend work1 day per week
- Upper Peninsula Health Plan (UPHP) seeks a Remote Community Based Clinical Coordinator - Care Manager to support Western UP members. This full-time remote role requires frequent... ..., and collaborate with care teams to ensure quality, cost-effective care while maintaining...Remote jobHealth InsuranceFull time
- UPHP is seeking a Remote Community Based Clinical Coordinator - Care Manager to perform care... ..., and promote high-quality cost-effective care... ...requires Michigan RN license and 2+... .... Benefits include health insurance, 401(k),... ...8-Ljbffr Upper Peninsula Health Plan (UPHP)Remote jobHealth Insurance
- Upper Peninsula Health Plan (UPHP) is seeking a Remote Community Based Clinical Coordinator - Care Manager. The role involves care management duties, coordinating services... ...with visits to homes and facilities, ensuring quality, cost-effective care while adhering to MDHHS...Remote jobHealth Insurance
$75k - $85k
...Description Privia Health™ is a technology-... ...groups, health plans, and health systems... ...delivering high-value care in both in-person... ...Program (MDPCP AHEAD) RN Care Coordinato r... ...~ Ensure high quality care for patients by... ...Requirements (for remote workers only, not applicable...Remote workHealth InsuranceWork at officeLocal areaHome office$91.25k - $120.91k
...authentic experience. At Inland Empire Health Plan (IEHP), we believe the highest quality of care should be delivered to all in the... ...unencumbered Registered Nurse (RN) license issued by the California... ...is eligible for telecommuting/remote work location upon completing the...Remote workHealth InsuranceTemporary workWork experience placement$85k - $92k
...to identify a Clinical Quality Reviewer. This role focuses... ...quality within health plans, hospital systems, or government... ...patterns in care delivery and outcomes... ...as a Registered Nurse (RN) or Licensed Clinical Social... ...environment Other Information Remote or onsite depending on...Remote jobHealth InsuranceHourly payWork at officeHome office$80k - $95k
...we deliver whole-person care - clinical, behavioral,... ...workers, community health workers, and medical professionals... ...patient-driven care plans to drive improved... ...improving the individuals quality of life through... ...position primarily allows for remote work; however, it...Remote workHealth InsuranceFull timeWork at officeLocal areaWork from homeFlexible hours$25 - $30 per hour
...Privia Health™ is a technology-driven, national... ...medical groups, health plans, and health systems to... ...delivering high-value care in both in-person and virtual... ...actively recruiting for an RN our remote Care Advice Line, (CAL... ...~ Accepts feedback and quality improvement initiatives...Remote workHealth InsuranceHourly payPart timeWork at officeLocal areaWork from homeHome office10 hours per weekFlexible hoursShift workNight shiftWeekend workWeekday work$91.25k - $120.91k
...the direction of the Manager, Quality Management Nurses, Quality Program... ...Flexible Spending Account - Health Care/Childcare CalPERS retirement 4... ...Medi-Cal Managed Health Plan Provider If not a CSR, the candidate... ...Registered Nurse (RN) license issued by the California...Remote jobHealth InsuranceTemporary workFlexible hours- ...the direction of the primary care operations team, the Primary... ...clinical care team to drive quality outcomes for an attributed... ...Position Details: Full Time RN/LPN Hybrid/Remote 8a-5p with 2 days onsite... ..., and matched retirement plans for team members working 32+...Remote workHealth InsuranceFull time
$78k - $91k
Care Manager I - RN (Maryland) Department: Population Health Employment Type: Full Time Location: 1600 Corporate... ...the Individual Care Plan, which is client-... ...nurses to ensure high quality care Act as the patient... ...Conditions This is a remote position. This position...Remote workHealth InsuranceFull time$40 - $45 per hour
Immediate need for a talented RN Care Management Coordinator .... ...long-term potential and is Remote , but the candidate must be... ...(employee benefits include health insurance, 401(k) plan, paid sick leave). Job ID:... ...Appropriately refer cases to the Quality Management Department and/...Remote workHealth InsuranceContract workLocal areaImmediate start- ...entire team delivers care. As a Nurse Practitioner with Esperta Health, you'll elevate the... ...position combines remote clinical... ...and partner to the RN field team. Key Responsibilities... ..., and care plans for accuracy and clinical... ...plans Support quality assurance, compliance...Remote workHealth InsuranceFull timeTemporary work
$41.2 - $62.17 per hour
...Job Description: The RN Hospital Care Manager I delivers... ...patient-centered care plans with shared goals and... ...to ensure timely, high-quality care. Process Improvement... .... If applying for a remote or hybrid role, this... ...employment. Intermountain Health is an equal...Remote workHealth InsuranceHourly payPart timeShift workWeekend work$38.55 - $64.24 per hour
...Stepdown / Intermediate Care********REQUIREMENTS... ...18 months Previous RN ICU, Stepdown /... ..., leads safety and quality initiatives,... ...mission to improve health every day and a vision... ...Medical, Dental, Vision plans• Adoption,... ...that are available as remote work,** **Sentara Health...Remote workHealth InsuranceFull timeTemporary workShift workNight shift$70 per hour
...Travel Registered Nurse (RN) - Stepdown Intermediate Care Unit (10K)****... ...cares about our People, Quality, Patient Safety,... ...mission to improve health every day and a vision... ...Medical, Dental, Vision plans• Adoption, Fertility... ...are available as remote work,** **Sentara...Remote workHealth InsuranceFull timeContract workTemporary workShift workNight shift$90k - $98k
Ambulatory Care RN Population Health/Chronic Care Regular Full-Time Brandywine,... ...dedicated to providing high-quality healthcare across Southern... ...women's health, Title X family planning, dental care, behavioral... ...strategic care coordination and remote patient monitoring. This...Remote workHealth InsuranceFull timeWork at office
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