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  • RN Claims Review and Utilization Management

     ...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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    Work at office
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    MedTrust LLC

    Oklahoma City, OK
    3 days ago

  • Clinical Claim Review RN

    $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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    Hourly pay
    Minimum wage
    Full time
    Contract work
    Work experience placement
    Live in
    Local area
    Remote work
    Monday to Friday
    Shift work

    UnitedHealth Group

    Boston, MA
    3 days ago

  • Assistant Director of Nursing, RN

    $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
    2 days ago

  • Assistant Director of Nursing, RN

    $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... 
    Suggested
    Full time
    Work at office
    Local area
    Immediate start

    Erickson Living

    Dallas, TX
    5 days ago

  • Ambulatory Clinic RN Care Coordinator - Cardiology-New patient Navigation

    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... 
    Suggested
    Full time
    Work at office

    The University of Kansas Health System

    Remote
    17 hours ago

  • RN Care Manager

     ...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... 
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    Temporary work
    Monday to Friday
    Flexible hours

    Legacy Community Health

    Houston, TX
    1 day ago

  • Clinical Quality Coordinator (RN)

    $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... 
    Suggested
    Full time
    Part time
    Work at office
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    Work from home
    Flexible hours

    Centene Corporation

    Tallahassee, FL
    1 day ago

  • RN Complex Care Case Manager

    $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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    Minimum wage
    Full time
    Work experience placement
    Local area
    Remote work
    Monday to Friday

    UnitedHealthcare At Home

    United States
    4 days ago

  • Case Manager RN

    $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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    Minimum wage
    Full time
    Work experience placement
    Local area
    Remote work
    Flexible hours

    UnitedHealth Group

    Hayden, AL
    5 days ago

  • Case Manager RN

    $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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    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Remote work
    Flexible hours
    Afternoon shift

    Anacalifornia

    Brooklyn, NY
    1 day ago

  • Case Manager, RN

     ...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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    Temporary work
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    Worldwide

    University of Miami

    Miami, FL
    2 days ago

  • Medical Coder

    $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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    Hourly pay
    Full time
    Temporary work
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    Local area
    Remote work
    Flexible hours

    Matrix Medical Netowrk

    United States
    2 days ago

  • Paramedic - Medical Solutions

     ...Paramedic Opportunity 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... 
    Suggested
    Part time
    Work at office
    Local area
    Remote work
    Flexible hours
    Shift work
    Afternoon shift

    Crisis24

    Amenia, NY
    2 days ago

  • Paramedic - Medical Solutions

     ...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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    Local area
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    Crisis24

    Hana, HI
    1 day ago

  • Full-Time Paramedic

     ...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... 
    Suggested
    Full time
    Work at office
    Local area
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    Crisis24

    Coeur D Alene, ID
    2 days ago

  • RN Care Manager - Cardiac

    $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 population...  ...triage, care plan development, and high-risk care management, including Transitional... 
    Hourly pay
    Full time
    Contract work
    Remote work
    Monday to Friday

    Seamless Assist

    Texas City, TX
    a month ago

  • Case Management Supervisor RN

    $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
    Work at office
    Local area
    Remote work
    Flexible hours
    Night shift

    CorVel Healthcare Corporation

    Folsom, CA
    3 days ago

  • Medical Reviewer/Safety Reviewer III

     ...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 work
    Remote work

    Randstad

    Great Lakes, IL
    3 days ago

  • Medical Reviewer/Safety Reviewer III

    $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 pay
    Full time
    Contract work
    Temporary work
    Work experience placement
    Work at office
    Remote work

    None

    North Chicago, IL
    6 hours ago

  • Manager of Quality (RN)

    $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
    10 days ago

  • RN QRM Acute Transitional Case Manager - Multiple Part-Time and Full-Time Positions Available

    $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 time
    Part time
    Work experience placement
    Work at office
    Local area
    Relocation package
    Shift work
    Weekend work

    Kaiser Permanente

    Atlanta, GA
    1 day ago

  • Medical Support Assistant

     ...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 wage
    Permanent employment
    Full time
    Contract work
    For contractors
    Work at office
    Local area
    Remote work

    International SOS Government Medical Services

    Harrison, MT
    3 days ago

  • Telephonic RN Case Manager, Care at Home - Washington and Colorado

    $60.2k - $107.4k

     ...supporting members in their preferred care setting. As a Telephonic RN Case Manager, you will serve as a primary point of contact for members with...  ...care plans that reflect each member’s goals, preferences, risks, strengths, and desired level of independence Coordinate care... 
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Remote work
    Monday to Friday

    UnitedHealth Group

    Tacoma, WA
    4 days ago

  • Experienced RN Complex Case Manager (NY RN License Required)

    $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 pay
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Remote work
    Work from home

    Optum

    Fishkill, NY
    2 days ago

  • Clinical Rev Cycle, Sr. Associate (PB)

     ...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

    Kodiak Solutions

    Remote
    4 days ago

  • Probation and Parole Officer

     ...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 office
    Trial period
    Flexible hours
    Weekend work
    Afternoon shift

    State of Vermont

    White River Junction, VT
    4 days ago

  • Fully Remote Registered Nurse (RN) Care Manager

     ...Opportunity Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready...  ...community-based services. In cases where urgent or high-risk situations arise, you will use your clinical judgment to escalate... 
    Work at office
    Remote work
    Work from home
    Flexible hours

    The CKHobbie Group

    United States
    4 days ago

  • Clinical Audit Associate

     ...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... 

    Kodiak Solutions

    Remote
    5 days ago

  • Remote RN: Clinical Documentation Specialist

    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 time
    Remote work

    Ascension

    United States
    1 day ago

  • Remote RN Clinical Documentation Integrity Specialist

     ...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

    JobDiva

    United States
    1 day ago