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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, OK3 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, TX2 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, TX5 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...SuggestedFull timeWork at office
- ...Montrose Allen Parkway - 2929 Allen Pkwy. Houston, TX 77019 RN Care Manager - Job Overview Schedule: Monday-Friday (8AM-4:30PM or 8:30AM... ...of the Care Team, you will coordinate holistic care for high-risk, emerging high-risk, high-utilizer, and chronic illness patients...SuggestedTemporary workMonday to FridayFlexible hours
Legacy Community Health
Houston, TX1 day ago - Overview Under general direction of the Manager of Behavioral Health and Social Work, the Medical Behavioral Social Worker assists with... ...documentation of services within ethical, confidentiality, and risk-management guidelines Supports and encourages consistent levels...SuggestedWork at officeShift work
$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, AL5 days ago- ...administrative processing and procedures with staff management. May assist with providing feedback in... .... Accountable to follow up with risk management and training of clinical staff... ...years’ experience as a registered nurse (RN) in a clinical role preferred. Thorough knowledge...SuggestedWork experience placementShift workDay shift
$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 FridayReliant Medical Group
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, NY1 day 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, FL2 days 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 States2 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....SuggestedRemote jobPermanent employmentTemporary workWork at officeLocal area
- 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...Remote jobHourly payFull timeContract 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
- ...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...For contractorsCasual workSecond jobLocal area
$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$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...Full timeWeekend work- ...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...Work at officeLocal areaRemote work
Crisis24
Hana, HI1 day 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,...Part timeWork at officeLocal areaRemote workFlexible hoursShift workAfternoon shift
Crisis24
Amenia, NY2 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...Full timeWork at officeLocal areaRemote work
Crisis24
Coeur D Alene, ID2 days ago $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$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$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, CA3 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...Contract workRemote work
$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$54.1k - $155.54k
CVS Health is hiring for a remote Registered Nurse focusing on high-risk maternity case management. Candidates with a compact RN license can apply. Responsibilities include assessing and coordinating member care, developing individualized care plans, and facilitating transitions...Remote job$47.37 - $60.85 per hour
...RN QRM Acute Transitional Case Manager - Multiple Part-Time and Full-Time Positions Available Primary Location Atlanta, Georgia Employee Status: Regular... ...management informed. Refers cases identified as risk management, peer review or quality issues to Quality and...Full timePart timeWork experience placementWork at officeLocal areaRelocation packageShift workWeekend work
