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Executive Remote Rn Jobs in Ohio (NOW HIRING)

Humana

Quality Assurance Professional

Toledo, OH · Remote

Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare/Medicaid, MDHHS, CMS, and NCQA experience. Additional Information * Workstyle: This is a remote ...

Humana

Quality Assurance Professional

Toledo, OH · Remote

Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare/Medicaid, MDHHS, CMS, and NCQA experience. Additional Information * Workstyle: This is a remote ...

ProLocums

Radiology Locum job in Youngstown, OH

Youngstown, OH · Remote

$2.4K - $3.1K/wk

We are seeking a Diagnostic Radiologist for an ongoing, remote overnight assignment. This position offers a premium "work-from-home" schedule with an incredible 1:2 rotation, allowing for significant ...

BetterHelp

Licensed Clinical Social Worker

Wyoming, OH · Remote

$43 - $59/hr

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

Sedgwick

Field Case Manager - Vocational

Toledo, OH · On-site +1

... remote work environment that allows face to face interaction with injured workers and medical ... AND LICENSING RN licensure preferred; or Bachelor's degree in health or human services field ...

York Risk Services

VOC Field Case Manager

Akron, OH · Remote

$73K - $75K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... AND LICENSING RN licensure preferred; or Bachelor's degree in health or human services field ...

Sedgwick

VOC Field Case Manager

Akron, OH · Remote

$73K - $75K/yr

... remote work environment that allows face to face interaction with injured workers and medical ... AND LICENSING RN licensure preferred; or Bachelor's degree in health or human services field ...

Ceritypartners

Tax Principal

Cincinnati, OH · On-site +1

Role can be remote to the right person, but preferred in Louisville, KY office. What Makes This ... As one of the largest and fastest-growing Registered Investment Advisers (RIAs) in the country, we ...

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All JobsRn JobsExecutive Remote Rn JobsExecutive Remote Rn Jobs in Ohio

Executive Remote Rn information

What is the difference between Executive Remote Rn vs Registered Nurse?

AspectExecutive Remote RnRegistered Nurse
CredentialsRN license, possibly additional certificationsRN license, state-specific requirements
Work EnvironmentRemote, administrative or oversight rolesHospitals, clinics, healthcare facilities
Employer & IndustryHealthcare organizations, telehealth companiesHospitals, clinics, long-term care
Search & Comparison IntentRoles with leadership, management, or telehealth focusDirect patient care roles

Executive Remote Rns typically focus on administrative, leadership, or telehealth roles requiring RN credentials, working remotely. Registered Nurses are primarily involved in direct patient care within healthcare facilities. The main difference lies in the work environment and responsibilities, with Executive Remote Rns handling oversight and strategy remotely, while RNs provide hands-on care in clinical settings.

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For Executive Remote Rn jobs in Ohio, the most frequently searched job titles are:

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Cities in Ohio with the most Executive Remote Rn job openings:

Executive Remote Rn jobs near you

Quality Assurance Professional

Toledo, OH • Remote

Humana
Health Care and Social Assistance • 10K+ employees
Learn more about Humanaexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 267 frontline employees who took The Breakroom Quiz

Job description

Become a part of our caring community
The Quality Assurance Professional 2 reviews Long-Term Services and Support (LTSS) contractor documentation and performance to ensure compliance with contract scope of work, and state and federal regulations. You will ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse to ensure appropriate course of action. You will understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Your work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
  • Comply, conduct, and summarize compliance audits/reports to include deficiencies and risks.
  • Collect, review records, summarize issues and analyze data daily, weekly, monthly, or as needed to assess outcome and operational metrics for the team and individuals.
  • Conduct inter-rater reliability audits for multiple vendor activities such as Home- and Community-Based Services (HCBS) service calculators and nursing facility level of care determination assessments to ensure accurate and consistent application of state and Humana guidelines.
  • Ensure Michigan Department of Health and Human Services (MDHHS), National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), and Humana Gold-Plus Integrated Policy and Procedures are followed.
  • Ensure auditing is completed timely and communicated with leadership.
  • Make decisions regarding own work methods, occasionally in ambiguous situations, and require minimal direction and receives guidance where needed.
  • Other duties as assigned by the LTSS leadership team.

Use your skills to make an impact

Required Qualifications

  • Must reside in Michigan or within a 40-mile radius of the Michigan border in Ohio or Indiana.
  • Bachelor's degree.
  • Two (2) or more years of experience in care management, utilization management, quality assurance and/or population health supporting the Long-Term Services and Supports (LTSS) population.
  • Previous experience working with Managed Care Organization.
  • Proficiency in analyzing, tracking, and interpreting data trends to identify improvement opportunities and ensure adherence to operational guidelines, policies, and procedures.
  • Proficient with Microsoft Office products including Word Excel, Power Point, and Outlook.

Preferred Qualifications

  • Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW.
  • Previous Medicare/Medicaid, MDHHS, CMS, and NCQA experience.

Additional Information

  • Workstyle: This is a remote position.
  • Travel: Up to 10% travel, including occasional travel for audits, accreditation-related activities, and team engagement meetings at Humana's Detroit, Michigan location.
  • Typical Work Schedule: Monday through Friday; 8:00 AM to 5:00 PM Eastern Time (ET).
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$65,000 - $88,600 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

What Humana employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Humana logo

About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

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