238 risk manager jobs found

Job Summary The RN - Clinical Risk Manager (“CRM”) is responsible for identifying, assessing, and mitigating risks across the MVHS system while enhancing patient safety and quality of care.  This position will administer MVHS’s risk management program on a day-to-day basis, documenting, managing and analyzing risk management data, conducting proactive risk assessments, delivering targeted risk management education, and providing risk management consultation to ensure compliance with regulatory standards, promoting a culture of safety, throughout the organization. Responsible for management of pending insurance claims and partnering with brokers and insurers.  Core Job Responsibilities Coordinates MVHS’s clinical risk management program to meet the system’s needs in a manner that fulfills our mission and strategic goals while complying with regulations, laws and accreditation standards.  Follows a comprehensive enterprise risk management approach in risk...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Designs, develops, and implements proactive patient safety and risk management activities to meet the requirements of the BIDMC Patient Care Assessment Program, MA Department of Public Health, the MA Board of Registration in Medicine, The Joint Commission,, CMS Conditions of Participation, and other organizational/regulatory requirements. Job Description: Essential Responsibilities: Maintains current knowledge of BRM, DPH, TJC and other regulatory standards and disseminates information to the appropriate individuals. Identifies risk events, situations posing risk, and near-miss incidents through review of data received through the BIDMC Incident Reporting System. Attends Morbidity and Mortality conferences for assigned clinical areas, as well as other meetings where patient safety issues are discussed, as appropriate. Provides communication with...

Position Title: RN Manager - Inpatient Women's Services - OB High Risk Antepartum/Postpartum Department: OB Special Care Unit Job Description: General Description:  An OU Health Manager of Nursing manages the day-to-day clinical operations of their department, maintaining nursing practice standards and upholding the nursing code of ethics to ensure the highest quality of safe, patient care delivery.   They model the OU Health Way, as evident in their work output and interactions with employees and patients, through living OU Health’s core values of putting Patients First, pursuing Relentless Excellence, showing Integrity, seeking Inclusion for all staff and patients, always Learning, and valuing Teamwork. Essential Responsibilities Accountable for clinical care and departmental performance and metrics. Supports strategic initiatives through establishing quality initiatives in patient care delivery that promote a culture of safety, civility and mitigates...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. **This position is remote. Candidates must be local to New England States for consideration** The Clinical Documentation Improvement (CDI) Specialist II assists with the appropriate identification of diagnoses, conditions, and/or procedures that are representative of the patient’s hospital stay and care provided including Severity of Illness (SOI), Risk of Mortality (ROM), during an inpatient hospitalization. CDI Specialist II initiates concurrent queries to providers as supported by medical record documentation to improve the accuracy, integrity, and quality of patient data, and drive improvement toward quality physician documentation within the body of the medical record. The CDI Specialist II works under the direction of the Manager of CDI and collaborates with coding, clinicians, medical staff, and physician advisors to improve documentation and the...

Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. UNC Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve a diverse patient base, spanning Nash, Edgecombe, Halifax, Wilson Counties, and beyond. With a steadfast commitment to elevating community health through exceptional care, we prioritize excellence, compassion, and innovation, ensuring every individual receives the highest standard of support. Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this transformative journey, where your contributions will make a lasting impact on our community's health and wellbeing....

Location: Main Hospital Bldg 8th Floor Schedule: 9:00AM - 7:00PM PRIMARY PURPOSE Responsible for assisting in the daily management of unit activities including staff supervision and development, planning, budget, quality and facility operations and coordinating patient services to ensure high quality patient care and optimal outcomes. MINIMUM SPECIFICATIONS Education Bachelor's degree in nursing, preferred. Experience Must have three (3) years of professional nursing experience. Equivalent Education and/or Experience Certification/Registration/Licensure Must have current RN license or valid temporary permit with the Texas Board of Nursing or valid Compact RN license Must have current healthcare provider BLS for Healthcare Providers certification from one of the following: American Heart Association American Red Cross Military Training Network Skills or Special Abilities Provides care to assigned patient population in accordance with the current State of Texas Nurse Practice Act,...

This Jobot Job is hosted by: Christian Aviles Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $100,000 - $120,000 per year A bit about us: We’re a global manufacturer and distributor of advanced comfort products, specializing in innovative foam technologies. Why join us? We believe great products start with great people. Here, you’ll join a team that’s passionate about delivering comfort, improving lives, and raising the bar for quality and safety across the industry. You’ll have the freedom to innovate, collaborate with diverse teams, and see the real-world impact of your work every day. Job Details Position Summary The Product Compliance Manager serves as the subject matter expert for all aspects of product compliance. In this role, “compliance” covers the entire commercialization process — from raw material sourcing and supplier management to product delivery and customer satisfaction. The position ensures that all...

We are seeking a highly skilled Nurse Practitioner with experience in clinical care, health assessments, and knowledge of the electronic health record system. This role involves clinical operations, providing exceptional care, and ensuring medical standards are met for military applicants seeking to serve in the Armed Forces, while also utilizing the MHS Genesis system for efficient medical documentation and patient care coordination. Prior experience in a MEPS (Military Entrance Processing Station) facility or military healthcare environment is highly preferred.   This position requires on-site duties at one of the United State's MEPCOM locations.    Compensation & Benefits:  Estimated Starting Salary Range for Nurse Practitioner: $120k- $126k   Part time benefits include 401K 6% match.   Celebrate 11 Federal Holidays.     Benefits are subject to change with or without notice.   Nurse Practitioner Responsibilities Include:  Conduct medical histories and physical...

Hourly Wage Estimate: $36.50 - $55.25 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. As a Registered Nurse Labor and Delivery, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing. Job Summary and Qualifications Joining a high-risk labor and delivery nursing unit offers the opportunity to make a profound impact on both mothers and babies, providing expert care in...

Location: Avera Health Plans Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $31.00 - $46.25 Position Highlights You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Specialized nurse that identifies members who would benefit from complex/chronic condition case management and/or service coordination. The RN Case Manager develops and facilitates the member's plan of care. In collaboration with physicians, population health staff, employers, community organizations, hospital-based case managers/utilization review staff, clinic-based care coordinators/preauthorization staff, and Insurance Division staff, the RN Case Manager encourages the best possible outcome in the most cost...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Reporting to the Director of Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in investigating patient safety incidents, risk management, reviewing publicly reported quality data by reviewing charts in the EMR, reviewing outliers, compiling reports and serving as the liaison with clinical stakeholder and clinical committees in sharing the outcomes of safety incidents and data. In addition to the goal of optimizing performance on the key performance indicators and quality measures, the RN specialist also aims to foster a culture of safety by specifically focusing on high reliability processes to reduce serious safety events and improve patient outcomes. The nurse works with clinical staff to review clinical charts, interpret data, and implement quality improvement initiatives to deliver excellence in clinical care....

Job Summary: The Patient Care Coordinator is responsible for overseeing the management and coordination of care for the acute inpatient population. The PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utlization review and other members of the healthcare team to assure continuum of patient care progression for clinical and cost-effective outcomes. The PCC facilitates and coordinates with community providers and ambulatory case managers to assist with the appropriate level and transition of care for a safe discharge and preventing a re-admission. Essential Responsibilities: Completes an initial face-to-face assessment for every admitted member to identify discharge needs within 24hrs of admission. Document in KPHC and communicate the assessment outcomes to determine the appropriate transition plan with MAPMG physician healthcare team and patient/family. Active participant in daily Care Without Delay (CWD) rounds...

Job Summary: The Patient Care Coordinator is responsible for overseeing the management and coordination of care for the acute inpatient population. The PCC collaborates with rounding MAPMG Hospital Based Service Physicians, patient/family, nursing, utlization review and other members of the healthcare team to assure continuum of patient care progression for clinical and cost-effective outcomes. The PCC facilitates and coordinates with community providers and ambulatory case managers to assist with the appropriate level and transition of care for a safe discharge and preventing a re-admission. Essential Responsibilities: Completes an initial face-to-face assessment for every admitted member to identify discharge needs within 24hrs of admission. Document in KPHC and communicate the assessment outcomes to determine the appropriate transition plan with MAPMG physician healthcare team and patient/family. Active participant in daily Care Without Delay (CWD) rounds...

Job Summary: The nurse care manager is responsible for coordination of appropriate, cost-effective services that enhance a members quality of life, focus on a members optimal level of independence, and reduces inappropriate utilization of medical services. The nurse care manager collaborates with members and the health care team to achieve evidence based clinical objectives and goals specific to preventative health measures and improved disease self-management. Essential Responsibilities: In close collaboration with the member/members family, and members of the health care team, assesses the members health status, functional limitations, psychological status, social support systems, resources, environmental factors, and response to treatment. Uses motivational interviewing techniques to identify members readiness for change, creates appropriate care plan based on assessments, assists member with health system navigation and connection to community resources....

Job Summary: The nurse care manager is responsible for coordination of appropriate, cost-effective services that enhance a members quality of life, focus on a members optimal level of independence, and reduces inappropriate utilization of medical services. The nurse care manager collaborates with members and the health care team to achieve evidence based clinical objectives and goals specific to preventative health measures and improved disease self-management. Essential Responsibilities: In close collaboration with the member/members family, and members of the health care team, assesses the members health status, functional limitations, psychological status, social support systems, resources, environmental factors, and response to treatment. Uses motivational interviewing techniques to identify members readiness for change, creates appropriate care plan based on assessments, assists member with health system navigation and connection to community resources....

About this Job: In-patient Utilization Review RN experience highly preferred. Candidate must live in the DC/Baltimore region    General Summary of Position Supervises the daily activities of the Utilization Review Team. Manages daily assignment ensuring all UM tasks are completed each day. Collaborates with the physician nurse case manager social worker and other members of the health care team to meet individualized patient outcomes. Assists the Director in managing the daily departmental operations with the goal of maintaining adequate staffing levels and efficient workflow. Acts as a resource and mentor to the Utilization Review staff. Primary Duties and Responsibilities   Supervises daily activities of UM team. Monitors and arranges for adequate staffing to ensure appropriate Utilization Review coverage for units. Monitors daily workflow issues and addresses issues related to workflow in collaboration with the director as necessary. Acts as a resource and mentor...

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center.  Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations.  You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application.  You can only apply one time to a job requisition.  Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the...

Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center.  Please review the following instructions prior to submitting your job application: Provide all of your employment history, education, and licenses/certifications/registrations.  You will be unable to modify your application after you have submitted it. You must meet all of the job requirements at the time of submitting the application.  You can only apply one time to a job requisition.  Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process. Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted. After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the...

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Manages the Utilization Management (UM) team, maintaining effective and efficient processes for determining appropriate patient admission status based on regulatory and reimbursement requirements of various commercial and government payers. Manages UM department in the context of other Revenue Cycle functions such as Denials & Appeals, Patient Access, Authorization Management & review, HIM, Coding & Billing. Close collaboration with the Physician Advisors, Collaborates and helps facilitate the Utilization Review Committee. Continuously monitors processes for opportunities for improvement within an interdisciplinary team and integrated Revenue Cycle effort. Job Description: Essential Duties & Responsibilities including but not limited to: Ensures that Utilization Review nurses are consistently recommending the appropriate admission...

Description Summary: The Clinical Supervisor, in collaboration with and under the direction of the Nursing Department Director/Manager, is accountable for ongoing shift leadership and operations of a clinical department and for nursing care safety and quality. The Clinical Supervisor uses sound human resource and budget principles to guide the daily provision of nursing services to patients and families. The Clinical Supervisor supports comprehensive patient and family services through effective participation with the interdisciplinary team. The Clinical Supervisor is responsible for supervising nursing department associates and providing patient care when needed. Coaches and guides employees under his/her supervision. Demonstrates Professionalism and Excellence by performing as role model for clinical and service excellence. Responsibilities: Demonstrates current, comprehensive, professional knowledge and skills in conformance with recognized nursing standards including the Patient...