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Remote Nurse Risk Management Jobs in Florida (NOW HIRING)

Maxar

Senior Program Manager

Tampa, FL · Remote

$109K - $110K/yr

Risk Management Plan * Quality Management Plan * Communications Plan * Resource Management Plan ... Remote Sensing & GEOINT Program Oversight * Provide leadership and strategic direction for ...

Jobot

Senior Audit Manager (Remote)

Tampa, FL · On-site +1

$150K - $200K/yr

Senior Audit Manager (Remote) / $$$ / Rapidly Growing firm and Audit Practice / GAAP and GAAS This ... risk management. 5. Exceptional client service skills, with the ability to build and maintain ...

JLL

Vendor Manager

Orlando, FL · Remote

Compliance & Risk Management Ensure adherence to JLL and client sourcing policies, contracting ... Remote -Atlanta, GA, Charlotte, NC, Orlando, FL If this resonates with you, we encourage you to ...

Deloitte

Senior Consultant - ServiceNow

Lake Mary, FL · Remote

... Risk Management, and ServiceNow AI Control Tower use cases * Supporting functional design and ... This compensation range is specific to a Remote role and takes into account the wide range of ...

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Remote Nurse Risk Management information

What is the difference between Remote Nurse Risk Management vs Remote Nurse Compliance Coordinator?

AspectRemote Nurse Risk ManagementRemote Nurse Compliance Coordinator
CertificationsRN license, risk management certifications (e.g., CPHRM)RN license, compliance certifications (e.g., CHC, CCEP)
Work EnvironmentHealthcare facilities, insurance companies, legal teamsHealthcare organizations, regulatory agencies, legal departments
Employer UsageFocus on patient safety, legal risk reductionFocus on regulatory adherence, policy implementation

Remote Nurse Risk Management and Remote Nurse Compliance Coordinator roles share similar credentials and work environments but differ in focus. Risk managers primarily handle patient safety and legal risk, while compliance coordinators ensure adherence to healthcare regulations and policies. Both roles are vital in healthcare settings and often overlap in responsibilities, but their core objectives distinguish them clearly.

What are remote nurse risk managers?

Remote nurse risk managers are registered nurses who work offsite, using digital tools and telecommunication to assess, monitor, and mitigate risks in healthcare settings. They review patient care processes, analyze incident reports, and collaborate with healthcare teams to ensure patient safety and regulatory compliance. By working remotely, they help identify potential risks and implement strategies to reduce errors, improve quality of care, and prevent legal or financial liabilities for healthcare organizations.

What are the key skills and qualifications needed to thrive as a Remote Nurse Risk Management professional, and why are they important?

To thrive as a Remote Nurse Risk Management professional, you need a strong background in clinical nursing, risk assessment, and healthcare compliance, usually supported by an active RN license and experience in risk management. Familiarity with incident reporting systems, risk analysis software, and electronic health records (EHRs) is often required, along with certifications such as CPHRM (Certified Professional in Healthcare Risk Management). Strong analytical thinking, attention to detail, and effective communication are essential soft skills for evaluating risks and collaborating with cross-functional teams. These skills are crucial to proactively identify and mitigate patient safety risks, ensure regulatory compliance, and promote quality care in a remote setting.

How does a remote nurse in risk management typically collaborate with other healthcare professionals while working offsite?

Remote nurse risk managers regularly collaborate with physicians, case managers, and administrative staff through secure digital platforms such as video conferencing, electronic health records, and messaging systems. They often participate in virtual meetings to discuss patient safety concerns, review incident reports, and help develop protocols to mitigate risk. Effective communication and organization are essential, as remote collaboration requires proactive follow-up and clear documentation to ensure all stakeholders are aligned on risk management strategies.
What are popular job titles related to Remote Nurse Risk Management jobs in Florida? For Remote Nurse Risk Management jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Nurse Risk Management jobs in Florida look for? The top searched job categories for Remote Nurse Risk Management jobs in Florida are:
What cities in Florida are hiring for Remote Nurse Risk Management jobs? Cities in Florida with the most Remote Nurse Risk Management job openings:
Remote Nurse Risk Management jobs near you
Risk & Quality Performance Manager (Remote)

Risk & Quality Performance Manager (Remote)

Molina Healthcare

Saint Petersburg, FL • Remote

$66K - $129K/yr

Full-time

Re-posted 4 days ago

Molina Healthcare rating

8.1

Company rating: 8.1 out of 10

Based on 193 frontline employees who took The Breakroom Quiz

133rd of 281 rated insurance

Job description

Job Description


Job Summary

The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various departments and stakeholders within Molina to plan, coordinate, and manage resources and execute performance improvement initiatives in alignment with RQS's strategic objectives.

Job Duties

• Collaborate with Health Plan Risk and Quality leaders to improve outcomes by managing Risk/Quality data collection strategy, analytics, and reporting, including but not limited to: Risk/Quality rate trending and forecasting; provider Risk/Quality measure performance, CAHPS and survey analytics, health equity and SDOH, and engaging external vendors. 
• Monitor projects from inception through successful delivery.
• Oversee Risk/Quality data ingestion activities and strategies to optimize completeness and accuracy of EHR/HIE and supplemental data.
• Meet customer expectations and requirements, establish, and maintain effective relationships and gain their trust and respect.
• Draw actionable conclusions, and make decisions as needed while collaborating with other teams.
• Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables and timelines and implementing solutions to maximize national HEDIS audit success.
• Partner with other teams to ensure data quality through sequential transformations and identify opportunities to close quality and risk care gaps.
• Proactively communicate risks and issues to stakeholders and leadership.
• Create, review, and approve program documentation, including plans, reports, and records.
• Ensure documentation is updated and accessible to relevant parties.
• Proactively communicate regular status reports to stakeholders, highlighting progress, risks, and issues.

Job Qualifications

REQUIRED EDUCATION:

Bachelor's degree or equivalent combination of education and experience

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

• 2+ years of program and/or project management experience in risk adjustment and/or quality
• 2+ years of experience supporting HEDIS engine activity, risk adjustment targeting and reporting systems
• 2+ years of data analysis experience utilizing technical skillsets and resources to answer nuanced Risk and Quality questions posed from internal and external partners
• Familiarity with running queries in Microsoft Azure or SQL server
• Healthcare experience and functional risk adjustment and/or quality knowledge
• Mastery of Microsoft Office Suite including Excel and Project
• Experience partnering with various levels of leadership across complex organizations
• Strong quantitative aptitude and problem solving skills
• Intellectual agility and ability to simplify and clearly communicate complex concepts
• Excellent verbal, written and presentation capabilities
• Energetic and collaborative

PREFERRED EDUCATION:

Graduate degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

• Knowledge of, and familiarity with, NCQA, CMS, and State regulatory submission requirements
• Experience working in a cross-functional, highly matrixed organization
• SQL proficiency
• Knowledge of healthcare claim elements: CPT, CPTII, LOINC, SNOMED, HCPS, NDC, CVX, NPIs, TINs, etc.
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification, and/or comparable coursework desired

#PJCorp

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $66,456 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

Social media

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