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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...  .... Connecting. Growing together. The Clinical Claim Review RN will be responsible for performing compliance reviews of medical... 
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    UnitedHealth Group

    Boston, MA
    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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    Full time
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    The University of Kansas Health System

    Remote
    1 day 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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    Monday to Friday

    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
    2 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
  • 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... 
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    Central Health

    Austin, TX
    6 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,... 
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    Anacalifornia

    Brooklyn, NY
    2 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... 
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    Matrix Medical Netowrk

    United States
    3 days 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... 
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    Worldwide

    University of Miami

    Miami, FL
    3 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 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... 
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    Crisis24

    Hana, HI
    2 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,... 
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    Crisis24

    Amenia, NY
    3 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 time
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    Crisis24

    Coeur D Alene, ID
    3 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... 
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    10000 Sanford

    Aurora, CO
    4 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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    None

    North Chicago, IL
    1 day 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

    Bartlett, NE
    4 days ago
  • $35.29 - $54.71 per hour

     ...Nursing program if less than 3 years' experience. Preferred: Bachelor's degree in Nursing. * State licensure as a Registered Nurse (RN). * 6 months of nursing (RN) experience. * BLS through the American Heart Association or the American Red Cross with card in-hand before... 
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    UCHealth

    Greeley, CO
    3 days 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). Relevant certification as determined at position level. ~6 months of Women and Infants nursing (RN) experience or completion of... 
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    UCHealth

    Pueblo, CO
    3 days ago
  • $35.29 - $54.71 per hour

     ...Description Location: UCHealth UCHlth Yampa Valley Med Center, US:CO:Steamboat Springs Department: YVMC RN L&D Birth center to include Postpartum Care Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Nights Pay: $35.29 -... 
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    UCHealth

    Steamboat Springs, CO
    4 days 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 Women and Infants nursing (RN) experience or completion of the UCHealth Fellowship program. ~ NRP within 6 months... 
    Full time
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    UCHealth

    Colorado Springs, CO
    4 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... 
    Minimum wage
    Full time
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    CorVel Healthcare Corporation

    Folsom, CA
    4 days 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
  • $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 pay
    Full time
    Contract work
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    Seamless Assist

    Texas City, TX
    5 days 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... 
    For contractors
    Casual work
    Second job
    Local area

    Allegheny Health Network

    Wexford, PA
    4 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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    Monday to Friday

    Spectraforce Technologies, Inc.

    Jacksonville, FL
    5 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... 
    Remote job
    Hourly pay
    Full time
    Contract work

    Seamless Assist

    Dallas, TX
    2 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... 
    Full time
    Weekend work

    LHC Group

    Kirkland, WA
    2 days ago