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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... 
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    MedTrust LLC

    Oklahoma City, OK
    4 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...  ...Caring. Connecting. Growing together. The Clinical Claim Review RN will be responsible for performing compliance reviews of... 
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    Registered Nurse

    Brooklyn, NY
    3 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... 
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    Erickson Living

    Dallas, TX
    1 day 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... 
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    Erickson Senior Living

    Dallas, TX
    3 days 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... 
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    The University of Kansas Health System

    Remote
    2 days ago
  •  ...providers and staff for the assessment and management of patients with wounds, ostomies, or...  ..., chart reviews) to identify patients at risk for wounds, ostomies, or continence issues...  ...Experience: Two (2) years' experience as an RN. Licensure: Registered Nurse (RN)... 
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    Health First Shared Services

    Melbourne, FL
    3 days ago
  •  ...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... 
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    Legacy Community Health

    Houston, TX
    2 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... 
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    Centene Corporation

    Tallahassee, FL
    3 days ago
  • $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*... 
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    UnitedHealth Group

    Hayden, AL
    1 day 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,... 
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    Anacalifornia

    Brooklyn, NY
    2 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... 
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    UnitedHealth Group

    Madison, WI
    2 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... 
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    Crisis24

    Coeur D Alene, ID
    3 days 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... 
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    CorVel Healthcare Corporation

    Folsom, CA
    4 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... 
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    Seamless Assist

    Texas City, TX
    17 hours ago
  • $32 - $48 per hour

     ...· Robust benefits package (benefits vary based on full-time or part-time status Job Summary The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to provide... 
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    Good Samaritan

    Newman Grove, NE
    4 days ago
  • $7.53k - $8.89k

     ...Nurse III RN Shift Supervisor Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to...  ...coordinator, home supervisor, on-duty supervisor, incident and risk management staff, and other department heads. Responds by assessing nursing... 
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    Credenza Health

    Corpus Christi, TX
    1 day ago
  • $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

    Thyme Care

    Remote
    11 days ago
  • 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... 
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    Spectraforce Technologies, Inc.

    Jacksonville, FL
    17 hours ago
  •  ...notification of the administrator on call, Legal Dept and/or Risk Management when appropriate. (30%) Serves as a resource person in dealing...  ...requirements. (20%) QUALIFICATIONS: Minimum Current State of PA RN licensure OR Current multi-state licensure through the... 
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    Highmark Health

    New York, NY
    4 days ago
  • $115k - $125k

    Join to apply for the Patient Care Manager role at LHC Group . Compensation: $115k to $125k...  ...frequency, as appropriate, when the on‑call RN takes supplemental verbal orders which...  ...and incidents/occurrences into the online Risk Management Incident Reporting System, as specified... 
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    LHC Group

    Kirkland, WA
    2 days ago
  • The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing...  ...and organize patient care delivery through effectively managing time, supplies, and resources. Revises plan of care as indicated... 
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    Intermountain Health

    Wheat Ridge, CO
    9 hours agonew
  • $32.5 - $48 per hour

     ...status) Shift Details · 7:00am - 7:30pm · Every other weekend and holiday rotation required *Active RN license required at time of hire Apply today to learn more! Job Summary The Registered Nurse (RN) is responsible... 
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    Good Samaritan

    Hoople, ND
    4 days ago
  • Remote position - Senior Care Manager - RNFull-timeIntegrated Resources, Inc., is led by a seasoned...  ...with accommodations.Manage caseload, risk stratification, and care transitions....  ...Preferred licenses: LCSW, LCPC, LMFT; Psychiatric RN acceptable with a Bachelor's degree.... 
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    Integrated Resources Inc.

    Miami, FL
    4 days ago
  • Cardiac Care Alliance is seeking experienced Registered Nurse (RN) Care Managers to support high-acuity cardiac patients. This is a full-time,...  ...focused on clinical triage, care plan development, and high-risk care management including RPM and other programs. The... 
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    Seamless Assist

    Dallas, TX
    2 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... 
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    North Chicago, IL
    4 days ago
  •  ...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... 
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    Randstad

    Great Lakes, IL
    4 days ago
  •  ...looking for positive, compassionate, hardworking registered nurses (RN) who can provide the high-quality care patients and families...  ...adaptable, great communicators, detail-oriented and have excellent time management skills. Because innovation impacts everything we do, our nursing... 
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    Sanford Health

    Gann Valley, SD
    4 hours agonew
  • $35.29 - $54.71 per hour

     ...nursing approved Registered/Professional Nursing program if less than 3 years' experience. ~ State licensure as a Registered Nurse (RN). ~6 months of nursing (RN) experience. ~ PALS and NIHSS within 6 months of hire. TNCC or ATCN within 6 months of hire. ~... 
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    UCHealth

    Aurora, CO
    17 hours ago
  • $35.29 - $54.71 per hour

     ...nursing approved Registered/Professional Nursing program if less than 3 years‘ experience. ~ State licensure as a Registered Nurse (RN). ~6 months of nursing (RN) experience. ~ PALS or ENPC ~ Registered Nurse ~ Advanced Cardiac Life Support ~ PALS... 
    Full time
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    UCHealth

    Commerce City, CO
    4 days ago
  •  ...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... 
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    Afternoon shift

    State of Vermont

    White River Junction, VT
    1 day ago