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- ...Job Description Job Description The utilization review and management (UM) component program ensures that external healthcare services... ..., while supporting regulatory compliance and organizational risk management. The Joint Commission Compliance component ensures MedTrust...SuggestedWork at officeRemote work
MedTrust LLC
Oklahoma City, OK4 days ago $29 - $52 per hour
...empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results... .... Connecting. Growing together. The Clinical Claim Review RN will be responsible for performing compliance reviews of medical...SuggestedHourly payMinimum wageFull timeContract workWork experience placementLive inLocal areaRemote workMonday to FridayShift workUnitedHealth Group
Boston, MA3 days ago$115k
...quality areas including wound care, infection control, falls risk reduction, pain management, weight loss, and dehydration. Participating in Wound... ...for annual bonus What you will need: Current RN nursing license with no restrictions for the state in which...SuggestedLocal areaImmediate startErickson Senior Living
Dallas, TX3 days ago$115k
...quality areas including wound care, infection control, falls risk reduction, pain management, weight loss, and dehydration. Participating in Wound... ...for annual bonus What you will need Current RN nursing license with no restrictions for the state in which...SuggestedFull timeWork at officeLocal areaImmediate startErickson Living
Dallas, TX1 day ago- Position Title Ambulatory Clinic RN Care Coordinator - Cardiology-New patient NavigationDays... ...Job Functions Responsible for management of patient flow, triage, and direct patient... ..., discharge, and ER visits. Manage high risk patient care, including management of patients...SuggestedFull timeWork at office
- ...RN Care Manager Location: Legacy Montrose Allen Parkway - 2929 Allen Pkwy. Houston, TX 77019 Schedule: Monday-Friday (8AM-4:30PM or 8... ...of the Care Team, you will coordinate holistic care for high-risk, emerging high-risk, high-utilizer, and chronic illness patients...SuggestedMonday to Friday
Legacy Community Health
Houston, TX2 days ago $56.2k - $101k
...member access to community based services Identify related risk management quality concerns and report these scenarios to the appropriate... ...Experience in a government sponsored managed care program preferred RN - Registered Nurse - State Licensure and/or Compact State...SuggestedFull timePart timeWork at officeRemote workWork from homeFlexible hours$60.2k - $107.4k
...meaning behind: Caring. Connecting. Growing together. Care Manager, RN provides leadership in the coordination of patient-centered care... ...innovative and evidence-based practice, and to reduce the risk of readmission. You’ll enjoy the flexibility to telecommute*...SuggestedMinimum wageFull timeWork experience placementLocal areaRemote workFlexible hoursUnitedHealth Group
Hayden, AL1 day ago$25 per hour
...comprehensive in-home health assessments, serving Medicare Advantage, Managed Medicaid and Commercial patients across all 50 states. With a... ...Whole Person Care that includes diagnostic testing, risk identification, medication management and preventive health education...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workFlexible hoursMatrix Medical Netowrk
United States3 days ago$60.2k - $107.4k
.... Growing together. We are looking for an RN Care Coordinator as an addition to the Optum... ...RN Care Coordinator is responsible for managing patients attributed to provider practices... ...Coordinator focuses on care transitions, high risk patient management, referral coordination,...SuggestedMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workFlexible hoursAfternoon shiftAnacalifornia
Brooklyn, NY2 days ago$60.2k - $107.4k
...driving the health care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population... ...Experience in utilization review, concurrent review, or risk management Experience in a telephonic role *All employees...SuggestedMinimum wageFull timeWork experience placementLocal areaRemote workMonday to FridayUnitedHealth Group
Atlanta, GA4 days ago- ...About Crisis24 Crisis24, a GardaWorld company, is widely regarded as the leading integrated risk management, crisis response, consulting, and global protective solutions firm, serving the world's most influential people, disruptive brands, and prominent organizations...SuggestedFull timeWork at officeLocal areaRemote work
Crisis24
Coeur D Alene, ID3 days ago - ...About Crisis24 Crisis24 is a global, AI-enhanced provider of travel risk management, mass communications, critical event management, crisis-security consulting, personal protection solutions and global medical concierge capabilities, allowing prominent organizations,...SuggestedPart timeWork at officeLocal areaRemote workFlexible hoursShift workAfternoon shift
Crisis24
Amenia, NY3 days ago - ...About Crisis24 Crisis24 is a global, AI-enhanced provider of travel risk management, mass communications, critical event management, crisis-security consulting, personal protection solutions and global medical concierge capabilities, allowing prominent organizations...SuggestedWork at officeLocal areaRemote work
Crisis24
Hobe Sound, FL7 hours ago - ...worklet, please review this tip sheet.Case Manager RNThe UHealth System at the University of... ...an exciting opportunity for a Case Manager RN in the Population Health Department.... ...Core Job FunctionsIdentifies the patients' risk factors or obstacles to care, and discharge...SuggestedTemporary workWork at officeRemote workWorldwide
University of Miami
Miami, FL3 days ago $45 - $51.17 per hour
job summary: Are you a licensed RN with specialized expertise in medical device risk management and post-market surveillance? A top-tier global medical device leader is seeking a detail-oriented Medical Reviewer/Safety Reviewer III for a 1-year, fully remote contract...Hourly payFull timeContract workTemporary workWork experience placementWork at officeRemote work$126k - $140k
...moment that matters. ABOUT THE ROLE As Manager of Quality at Thyme Care , you will own... ...Thyme Care’s patient safety and clinical risk program as our care model and membership... ...clinical quality gap closure. You will use your RN background to evaluate clinical evidence,...Full time- ...clients. Specialized professional casework providing services to offenders in a community setting. Incumbents will provide risk control and risk management services to adult offenders under the supervision of community furlough, probation or parole status. Work is performed...Work at officeTrial periodFlexible hoursWeekend workAfternoon shift
State of Vermont
White River Junction, VT1 day ago $77.96k - $120.37k
...Description Job Description The Case Management Supervisor is responsible for directing the... ...on whether or not unit manager is an RN) For Supervisors who are not RN’s, the... ...website: CorVel Careers | Opportunities in Risk Management In general, our opportunities...Minimum wageFull timeWork at officeLocal areaRemote workFlexible hoursNight shiftCorVel Healthcare Corporation
Folsom, CA4 days ago$45 - $60 per hour
...Alliance (CCA) Cardiac Care Alliance is a Management Services Organization (MSO) dedicated to... ...is seeking experienced Registered Nurse (RN) Care Managers to support a high-acuity... ...triage, care plan development, and high-risk care management, including Transitional Care...Hourly payFull timeContract workRemote work- Position Title: Care Manager RN Work Location: Remote - FL Assignment Duration: 3 Months Potential to extend or conversion Work Schedule... ...assigned members, focusing on maternal-child health and high‑risk Medicaid populations. Daily responsibilities include reviewing...Work at officeRemote workMonday to Friday
- ...Medical Reviewer/Safety Reviewer III Are you a licensed RN with specialized expertise in medical device risk management and post-market surveillance? A top-tier global medical device leader is seeking a detail-oriented Medical Reviewer/Safety Reviewer III for a 1-year...Contract workRemote work
$151.05k
...Assistant Nurse Manager - Medicine/Telemetry, Full-Time, Nights Clinical or Leadership Cert Required Nursing -- Management/Leadership... ...Communicates significant patient care issues, family concerns, safety, risk management concerns and critical events to leadership on duty at...Full timeLocal areaShift workNight shift- ...Company Description International SOS Government Medical Services, Inc. delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate...Minimum wagePermanent employmentFull timeContract workFor contractorsWork at officeLocal areaRemote work
International SOS Government Medical Services
Harrison, MT4 days ago $78k - $85k
...time Description AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional... ...Requirements: Candidate MUST have an active and good standing RN license in the state of Texas. The candidate must be domiciled...Full timeLocal areaRemote workIntercare Holdings Insurance Services, Inc.
United States5 days ago- About Crisis24 Crisis24 is a global, AI-enhanced provider of travel risk management, mass communications, critical event management, crisis-security consulting, personal protection solutions and global medical concierge capabilities, allowing prominent organizations, disruptive...Part timeWork at officeLocal areaRemote workShift workAfternoon shift
- ...healthcare industry through cutting-edge, technology-driven solutions. We specialize in healthcare finance, unclaimed property, risk management, and revenue cycle management, helping healthcare organizations streamline complex financial operations. Our mission is to...Full time
- Ascension is seeking a Clinical Documentation Specialist to join the Clinical Integrity Documentation team in a remote, full-time capacity. The role focuses on admission reviews, DRG assignment, and ensuring documentation supports severity of illness and level of service...Full timeRemote work
Ascension
United States2 days ago - ...AlliedTech1 is seeking a RN Clinical Documentation Integrity Specialist to work remotely in the United States. The role focuses on ensuring that clinical documentation meets quality and regulatory standards and supports accurate coding and billing. You will collaborate...Remote work
TalentBurst
United States2 days ago $29 - $52 per hour
Optum NY, is seeking an RN Case Manager to join our team anywhere within the U.S. Optum is a clinician‑led care organization that is changing... ...referrals from physicians and healthcare facilities for high‑risk members. This position involves significant member education related...Hourly payMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workWork from home
