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Remote Nurse Risk Management Jobs in New Mexico (NOW HIRING)

... nurses--to provide supplemental life insurance benefits that help protect their families. As we ... Be sure to highlight any leadership or management experience.

... nurses--to provide supplemental life insurance benefits that help protect their families. As we ... Be sure to highlight any leadership or management experience.

$73K - $122K/yr

Experience in suitability review, compliance, risk management, or a related financial services ... Referenced Salary Location USA, Massachusetts - Full Time Remote Working Arrangement Remote Salary ...

... remote video monitoring, helping organizations reduce risk, prevent loss, and maintain 24/7 peace ... Maintain accurate pipeline management and forecasting in Salesforce and related tools, ensuring ...

... remote video monitoring, helping organizations reduce risk, prevent loss, and maintain 24/7 peace ... Maintain accurate pipeline management and forecasting in Salesforce and related tools, ensuring ...

$118K - $160K/yr

Manage high volume of e-mails and daily meetings/calls * Must be able to issue-spot, evaluate risk ... Proficiency with MS Word, PowerPoint and Excel #LI-LP #LI-Remote Anticipated salary range: $123,400 ...

... remote video monitoring, helping organizations reduce risk, prevent loss, and maintain 24/7 peace ... Maintain accurate pipeline management and forecasting in Salesforce and related tools, ensuring ...

... remote video monitoring, helping organizations reduce risk, prevent loss, and maintain 24/7 peace ... Maintain accurate pipeline management and forecasting in Salesforce and related tools, ensuring ...

... remote video monitoring, helping organizations reduce risk, prevent loss, and maintain 24/7 peace ... Maintain accurate pipeline management and forecasting in Salesforce and related tools, ensuring ...

Provide resource management, quality control, and budget accountability to maximize efficiency ... remote work as needed. * Support the development of new technical tools, products, and offerings.

Provide resource management, quality control, and budget accountability to maximize efficiency ... remote work as needed. * Support the development of new technical tools, products, and offerings.

Showing results 21-40

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 is a remote nurse risk management?

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?

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 risk management professional 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 New Mexico? For Remote Nurse Risk Management jobs in New Mexico, the most frequently searched job titles are:
What job categories do people searching Remote Nurse Risk Management jobs in New Mexico look for? The top searched job categories for Remote Nurse Risk Management jobs in New Mexico are:

Infusion Referral Nurse Sr - REMOTE

Prime Therapeutics LLC

Albuquerque, NM • On-site, Remote

$74K - $118K/yr

Full-time

Posted 13 days ago


Prime Therapeutics rating

7.9

Company rating: 7.9 out of 10

Based on 48 frontline employees who took The Breakroom Quiz

17th of 112 rated pharmacies


Job description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting Title
Infusion Referral Nurse Sr - REMOTEJob Description
The Infusion Referral Nurse Sr is responsible for performing referral services to support independent physician offices with maintaining member drug infusions in office or to help offices locate a lower cost alternative treatment site (e.g., home infusion) for drug infusion services versus the hospital outpatient facility. This role discusses financial and clinical considerations with members who are considering care at a higher cost treatment site, researches available financial programs to decrease members' out-of-pocket expense for drug services in office and coordinates lower cost site of service for drug administration if provider is referring due to convenience factors (e.g., distance, non-typical infusing provider, etc.).
Responsibilities
  • Provide site-of-service solutions for patients receiving care at non-preferred treatment locations, coordinating transitions to lower-cost alternatives (e.g., Hospital inpatient or outpatient facilities, non-pat cancer treatment centers, etc.)
  • Educate members and providers on the financial impact of specialty drugs, facilitating agreement on cost-effective treatment sites
  • Document and enter data following each case in web-based application and spreadsheets
  • Coordinate drug infusions and related services at alternate treatment sites to reduce overall healthcare costs
  • Support members with copay assistance programs and financial resources to minimize out-of-pocket expenses
  • Apply clinical knowledge and critical thinking to connect members with resources that optimize treatment outcomes
  • Maintain an active caseload, ensuring accurate documentation in web-based systems and spreadsheets in compliance with company policies and laws
  • Validate prior authorizations and site-of-service cases, synthesizing clinical data to support product initiatives and workflows
  • Other duties as assigned

Minimum Qualifications
  • Bachelors degree in Nursing or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma from an accredited school or equivalent GED required
  • 5 years of work experience in a clinical infusion setting
  • Current Registered Nurse (RN) license to practice in the applicable state(s)

Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
  • Ability to apply knowledge in relation to clinical findings from evidence-based guidelines
  • Ability to function independently and as a team member
  • Good organizational, time management and communication skills
  • Possess the ability to achieve organizational goals through development of effective teams
  • Comprehensive clinical knowledge of medical specialty drugs and the management of those drugs
  • Understanding of the clinical aspect of the infusion of those drugs within various sites of service

Preferred Qualifications
  • Experience in managed care, specialty drugs, care management and utilization review

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job
Potential pay for this position ranges from $74,000.00 - $118,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.

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About Prime Therapeutics

Sourced by ZipRecruiter

Prime Therapeutics, located in Eagan, MN, is a pharmacy benefits management company that has been serving the healthcare industry since its foundation. They are an integral participant in the medical sector, specifically in the realm of health insurance. They focus on providing innovative pharmacy benefits and services to more than 30 million members nationwide. Besides their main pharmacy benefit management, they offer mail service pharmacy, specialty pharmacy, benefits management, and consultative engagement services to ensure individuals have continuous access to affordable prescription drugs. Prime Therapeutics, founded around three decades ago, has grown to stand out as a leader in its industry, thanks to its commitment to improving the health of its clients.

Industry

Insurance services

Company size

1,001 - 5,000 Employees

Headquarters location

Eagan, MN, US

Year founded

1987

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