Senior Clinical Quality RN - Remote AZ QOC Investigator
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- Remote job
UnitedHealth Group is seeking a Senior Clinical Quality of Care RN to investigate and manage quality of care cases for Arizona Medicaid and Medicare members. Remote with up to 25% travel, with 40% in-office optional in Phoenix. Responsibilities include reviewing inpatient/outpatient care, drafting case summaries, and interfacing with providers and facilities. Requires AZ RN license, 5+ years RN, 25% travel capability. #J-18808-Ljbffr Jobtome
- UnitedHealthcare is seeking a Senior Clinical Quality of Care RN based in Arizona to lead quality of care investigations for Medicaid and Medicare members. You will review events... ...standards. This role offers Arizona-based remote work with up to 40% in-office and travel up...Remote jobQualitySeniorWork at office
- UnitedHealth Group in Phoenix, AZ is seeking a Senior Clinical Quality of Care RN to conduct quality of care investigations, manage regulatory incident reporting, and ensure compliance... .... This full-time, day-shift role allows a remote-based arrangement with the option to work...Remote jobQualitySeniorFull timeWork at officeDay shift
- UnitedHealthcare, a leading health care provider, seeks a Senior Clinical Quality of Care RN to lead QOC investigations for Arizona Medicaid and Medicare members. You... ...and are reported timely. This Arizona-based remote role requires up to 25% travel, with an option for...Remote jobQualitySeniorWork at office
- UnitedHealthcare is seeking a Senior Clinical Quality of Care RN for Arizona-based remote work with up to 40% in-office collaboration at the Phoenix area 1... ...Street office. The role focuses on quality of care investigations for Arizona Medicaid and Medicare members, with...Remote jobQualitySeniorWork at office
$72.8k - $130k
The Senior Clinical Quality of Care RN will conduct quality of care investigations, manage regulatory incident reporting, and... ...Location: Phoenix, AZ Schedule: Full Time, Day... ...Style: Arizona based remote position with the option... ...in response to QOC occurrences. Interface...Remote workQualitySeniorFull timeFor contractorsWork at officeDay shift- UnitedHealth Group in Arizona is seeking a Senior Clinical Quality of Care RN to conduct QOC investigations and manage regulatory IAD processes. The role supports Medicaid/Medicare members with Arizona-based remote work and up to 25% travel, with 40% in-office as needed...Remote jobQualitySeniorWork at office
$72.8k - $130k
...and removing barriers to quality care. The work you do here... .... Growing together The Senior Clinical Quality of Care RN will be responsible for conducting... ...quality of care (QOC) investigation, review and management of... ...is an Arizona based remote position with the option...Remote workQualitySeniorMinimum wageFull timeFor contractorsWork experience placementWork at officeLocal area- ...another. This is a remote role that may only be hired... ..., NC or Phoenix, AZ . Candidates must reside... ...locations. The Senior Fraud Governance Analyst... ...Prevention, or Financial Crimes Investigation Preferred Licenses... ...designed and quality benefits program to meet...Remote workQualitySeniorFull time
- Guidehealth, a remote-first healthcare company, is seeking a Clinical Compliance Auditor II to ensure compliance across clinical operations, utilization management... ...to identify risks and drive improvements in quality and regulatory readiness. The position offers autonomy...Remote jobQualitySenior
- UnitedHealth Group seeks a Sr. Clinical Quality Consultant RN to drive STARS and quality improvement across the Inner West Valley Phoenix region. This hybrid role combines remote work with in-person meetings and trainings, supporting providers to achieve higher quality...Remote workQualitySenior
- UnitedHealth Group is seeking a Sr. Clinical Quality Consultant RN to drive STAR/HEDIS performance across the Inner West Valley region. The role blends fieldwork and remote work, with meetings in the Phoenix metro area as needed. You will develop business plans, analyze...Remote workQualitySenior
$60.2k - $107.4k
About This Role The Senior Clinical Administrative RN role focuses on reviewing member appeals and fair hearing... ...the healthcare system while working remotely in Texas. Highlights Pay: $60,200 -... ...of decisions Perform internal Quality Control reviews and develop recommendations...Remote jobQualitySeniorFull timeDay shift- Registered Nurse - Pain Clinic - RN job at Mayo Clinic. Phoenix, AZ. City Phoenix State AZ Remote NO Department Nursing Why Mayo Clinic Mayo Clinic is top-ranked in more... ..., informal and formal leadership roles, and quality improvement efforts. The RN delegates patient care...Remote workQualityFull timeFlexible hoursShift workNight shiftWeekend workAfternoon shift
- ...Sr. Clinical Quality Consultant RN Office-based role working in the office/field 3 days a week and remote/home 2 days a week and which is contingent upon the business needs. This does require travel in the field to provide offices approximately 35% of time in rural...Remote workQualitySeniorHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaNight shift2 days per week3 days per week
$60.2k - $107.4k
...communities and removing barriers to quality care. The work you do here... ...is to provide a front line clinical resource to provide education... ...enjoy the flexibility to work remotely * from anywhere within the U.S... ...Qualifications: Current and unrestricted RN compact license 4+ years of...Remote jobQualitySeniorMinimum wageFull timeWork experience placementLocal areaMonday to Friday- A clinical-stage biotechnology firm is seeking a Senior Clinical Quality Associate to lead quality assurance activities in clinical research. This remote role requires strong knowledge of FDA regulations and GCP standards, with opportunities for growth in the innovative...Remote jobQualitySenior
- Mathematica, Inc. seeks a Senior Clinical Advisor to apply clinical knowledge, informatics expertise, and quality measurement experience to lead the development, testing, and... ...including quality measures and analytics. This remote-eligible role collaborates with clients to...Remote jobQualitySenior
- Corbus Pharmaceuticals Holdings, Inc. in Norwood, MA seeks a Clinical Trial Manager to lead day-to-day trial execution across phases, coordinating... ..., budgeting, and cross-functional collaboration to ensure quality and on-time delivery. Applicants should have advanced knowledge...Remote jobQualitySenior
$46.99k - $102k
...Senior Investigator We're building a world of health around every individual — shaping a more... ...accountable and prioritize safety and quality in everything we do. Join us and be part... ...Researches and prepares cases for clinical and legal review Documents all appropriate...Remote workQualitySeniorHourly payFull timeWork at officeLocal area- Jazz Pharmaceuticals, Inc. is seeking a Lead Clinical Research Associate to independently manage on-site and remote monitoring across Jazz-sponsored trials. The role... ...KPIs, and contribute to study start-up and data quality initiatives while traveling as #J-18808-Ljbffr...Remote workQualitySenior
- Actalent is seeking a Sr. Clinical Project Manager to lead complex clinical trials from start-up to closeout in a fully remote capacity. You will serve as the primary client contact, manage timelines, budgets, quality, and cross-functional teams to ensure on-time delivery...Remote jobQualitySeniorPermanent employment
- ...Section 1: Position SummaryThe Senior Fraud Investigator is a senior individual... ...Core Values of People Matter, Quality First and Integrity Always.... ...experience preferredFor all virtual remote positions, in order to... ...: Remote, Florida; Phoenix, AZ; Nashville, TN; Houston, TX;...Remote workQualitySeniorFull timeSecond job
- ...professional for a full-time, remote role. You will direct multiple... ...analytics projects, collaborate with clinical and administrative clients,... ...health-related bachelor’s (or RN) and at least 2 years of... ...healthcare data experience, with ECQM/quality metrics preferred. This...Remote jobQualitySeniorFull time
$65 - $85 per hour
...Sub Investigator - Physician Assistant - Clinical Research El Paso, Texas At Headlands Research, we are dedicated... ...network dedicated to high-quality data, patient-centered care, and innovation... ...El Paso, TX (no opportunities for remote or hybrid) Schedule: 8-hour...Remote workQualityPart timeLocal areaWork from homeFlexible hoursShift work3 days per week$60.2k - $107.4k
...Senior Clinical Administrative Nurse At UnitedHealthcare, we're simplifying the health care... ...healthier communities and removing barriers to quality care. The work you do here impacts the... ...: ~ Current and unrestricted RN compact license ~ Ability to obtain additional...Remote workQualitySeniorMinimum wageFull timeWork experience placementLocal areaWeekday work$130k - $155k
...Practitioner / Physician Assistant (Clinic Advanced) – Tucson, AZ Overview & Highlights... ...at least 10 years of prior RN experience in... ...medical record. Monitor quality-of-care metrics and contribute... ...position. Prefer a fully remote or hybrid clinical role....Remote workQualityFull timeTemporary workMonday to ThursdayWeekday work$116.2k - $193.6k
...POSITION SUMMARY The Senior Clinical Consultant, Academic Detailing supports Evernorth’s Provider... ...that improve medication use, quality, safety, and affordability. This role evaluates... ...and financial outcomes. LOCATION: REMOTE ESSENTIAL FUNCTIONS Analyze pharmacy...Remote workQualitySeniorFull timeWork at officeLocal areaWork from home- UnitedHealth Group is seeking a Sr. Clinical Quality Consultant RN in the Phoenix area for a hybrid role. You will drive quality improvements, develop... ...and meetings. The position requires a registered nurse in AZ (or compact state) with 4+ years in healthcare and 2+ years...QualitySenior
$130k - $155k
...Practitioner / Physician Assistant (Clinic Advanced) - Peoria, AZ Overview & Highlights:... ...with extensive specialty RN experience Setting: On-... ...medical record. Monitor quality-of-care metrics and... ...position. Prefer a fully remote or hybrid clinical role....Remote workQualityFull timeTemporary workWork at officeRelocationMonday to ThursdayWeekday work$72.8k - $130k
...us to start Caring. Connecting. Growing together. The Sr. Clinical Quality Consultant RN will drive consistency, efficient processes and share best... ...interested in. Required Qualifications: Registered Nurse (within AZ and/or a compact state) 4+ years of healthcare experience 2...QualitySeniorMinimum wageFull timeWork experience placementWork at officeLocal area
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