RN Case Manager Jobs in Coral Gables, FL

Champion quality care by conducting thorough medical record reviews and applying clinical judgment to detect fraud, waste, and abuse. Serve as a key player in ensuring compliance and supporting invest...

Execute site management and monitoring for clinical trials, ensuring compliance with GCP and sponsor standards while enhancing site relationships and safeguarding patient safety. Drive quality initiat...

Engage with clinical services to ensure quality and consistency in Coding Validation processes. Collaborate with clients and internal teams, applying coding expertise to address inquiries, deliver tra...

Transform patient access by collaborating with healthcare providers to navigate reimbursement challenges, ensuring efficient patient access to treatment and optimizing the overall patient experience a...

Champion data integrity in Medicaid programs by analyzing and identifying fraud patterns, facilitating product development, and educating stakeholders to safeguard public funds and ensure regulatory c...

Unlock your potential in a dynamic role reviewing medical claims and tackling fraud investigations. Apply clinical expertise to ensure compliance and support corrective actions, while collaborating wi...

Elevate patient care by managing complex acutely ill patients, collaborating with physicians, and using technology to optimize outcomes through face-to-face and telehealth communication...

Join a team that designs and implements triage protocols while enhancing patient care workflows. Collaborate with clinical leaders and engineers to optimize clinical decision-making and ensure quality...

Engage with a dynamic team to facilitate regulatory operations for novel therapeutics. Drive submissions to FDA/CVM while collaborating across multidisciplinary teams to set new regulatory standards i...

Join a team that's committed to enhancing patient care through effective management of a diverse clinical team. Lead initiatives, collaborate with care providers, and ensure quality service delivery w...

Elevate provider experiences by managing onboarding and training for a growing therapy network, ensuring operational efficiency and high-quality support while fostering cross-functional collaboration...

Elevate regional healthcare by leveraging advanced informatics knowledge and clinical expertise to drive efficiency, reduce barriers, and enhance provider support across multidisciplinary teams for im...

Engage in transformative patient care through collaborative case management. You will assess health needs, coordinate services, and advocate for members, all aimed at enhancing wellness outcomes in a...

Deliver compassionate hospice care as a Travel RN, supporting local teams across various Midwest locations. Make a meaningful impact by bridging clinical needs, ensuring quality outcomes, and fosterin...

Advance critical care by delivering expert medical assistance during air and ground transport. Your role as a Flight Clinician will be pivotal in ensuring swift, safe, and effective care to critically...

Oversee patient-centered care in a high-acuity L&D environment, collaborating with multidisciplinary teams to ensure exceptional outcomes for diverse patient populations, while guiding nursing staff a...

Partner with us to enhance business analysis within healthcare technology. Drive stakeholder engagement, manage enhancements, and ensure seamless translation of user needs into technical solutions in...

Execute robust compliance audits and monitoring across healthcare operations. Leverage strong analytical skills and collaborate effectively to ensure adherence to regulations, enhance coding accuracy...

Join a team that's redefining medical support in rare kidney diseases. Provide expert insights, maintain key relationships with KOLs, and enhance scientific education to drive better outcomes for pati...

Lead the accounting and financial reporting functions within a growing healthcare organization. Drive integrity across multiple entities, ensure compliance, and strategize cash management while suppor...

Empower individuals by delivering evidence-based psychiatric care and ensuring access to mental health services. Collaborate with a multidisciplinary team to enhance patient outcomes while maintaining...

Lead the cybersecurity validation and risk management processes to ensure IT systems comply with requirements, fostering a secure environment while guiding junior team members in their operational tas...

Lead the charge in clinical research monitoring, ensuring compliance and data integrity across multiple sites. Collaborate with study teams to uphold patient safety and protocol adherence while managi...

Drive advanced neuroradiology practices in a 100% remote role, collaborating with top specialists while maintaining work-life balance. Enjoy a supportive physician-led environment focused on clinical...

Develop scalable credentialing processes for provider onboarding and payer relations. This hands-on role ensures compliance and optimizes operations, driving efficiency in a dynamic healthcare environ...