Care Manager RN - UM (Full-Time) Weekends (Remote)
$68K - $105K *
Advance healthcare quality by implementing utilization management strategies. Analyze data for provider enhancement and member satisfaction, while promoting efficient care delivery through collaborati...
Reposted 5 days ago
Telephonic Nurse Case Manager I
$67K - $115K *
Join a team that's dedicated to providing telephonic care management for members with complex health needs. Leverage your clinical expertise to assess, coordinate, and implement tailored care plans ac...
Reposted 3 days ago
Telephonic Nurse Case Manager II
$79K - $119K *
Transform healthcare delivery by managing complex care needs through telephonic assessments, care plan development, and resource coordination, ensuring optimal member health outcomes across multiple s...
1 week ago
Integrated Care Clinical Manager - BH - Pittsfield, MA
$80K - $120K *
Reimagine care management by leading integrated health services for dually eligible enrollees. Collaborate with interdisciplinary teams to enhance health outcomes and quality of life through community...
2 weeks ago
Care Coordination Resource Supervisor
$80K - $95K *
Lead patient placement decisions by assessing clinical needs and coordinating care across facilities. Collaborate with teams to ensure efficient patient flow and high-quality care, while mentoring sta...
2 weeks ago
Registered Nurse (RN) Unit Manager
$75K - $90K *
Oversee unit operations by mentoring staff, ensuring care standards, and implementing policies. Collaborate with management to enhance resident care and address concerns, fostering a supportive enviro...
2 weeks ago
$72K - $97K *
Manage member-centered care transitions by assessing needs, coordinating services, and connecting resources. Ensure safe discharges and follow-ups to reduce healthcare costs and improve outcomes for d...
3 days ago
Care Management Representative - SHMG
$73K - $118K *
Advance patient care by coordinating services for complex cases, ensuring effective communication among healthcare teams, and advocating for families throughout the care continuum. Collaborate to achi...
3 days ago
Telephonic Nurse Case Manager II
$75K - $119K *
Unlock potential by managing complex care needs for members through telephonic assessments, care plan development, and resource coordination, ensuring optimal health outcomes and access to necessary s...
5 days ago
Payment Integrity Clinical Readmission Manager
$73K - $125K *
Transform clinical review processes by conducting thorough prepayment and post-payment assessments of inpatient admissions. Leverage your expertise to ensure compliance, support appeals, and enhance q...
2 weeks ago
Manager, Quality Assurance (LTSS)
$104K - $143K *
Join a dynamic team to lead Quality Assurance efforts in Long-Term Services and Supports. Oversee compliance, collaborate with external partners, and drive operational excellence while ensuring adhere...
4 days ago
Case Manager - Healthcare Appeals & Patient Access Advocate
$83K - $112K *
Partner with us to navigate complex patient cases and ensure seamless access to care. Utilize critical thinking and communication skills to manage authorizations and appeals, collaborating with divers...
Reposted today
$125K - $138K *
Engineer operational excellence by leading the Problem Management team, driving post-incident processes, and fostering continuous improvement initiatives to enhance platform stability and customer exp...
1 week ago
$80K - $95K *
Drive your career with a dynamic role focused on enhancing client success through strategic account management, operational assessments, and tailored solutions, while collaborating with cross-function...
1 week ago
$82K - $111K *
Serve as the primary client liaison, driving satisfaction and retention while fostering partnerships and implementing effective client strategies for healthcare products. Collaborate cross-functionall...
3 weeks ago
$77K - $116K *
Join a dedicated team as a Telephonic RN Case Manager, providing vital support to seniors and complex care patients. Utilize your nursing expertise to navigate care journeys, create personalized plans...
3 weeks ago
Behavioral Health Utilization Manager (Outpatient and Non-24 Hour Diversionary Services) CBHI
$69K - $100K *
Empower quality care by managing and evaluating behavioral health service requests, utilizing critical judgment in decision-making. Collaborate with multidisciplinary teams to enhance service delivery...
3 weeks ago
Manager, Clinical Data Acquisition
$73K - $130K *
Drive the acquisition and usability of clinical data to enhance healthcare outcomes. Collaborate with diverse teams to analyze data gaps, implement integrations, and optimize processes, ensuring timel...
3 weeks ago
Manager Professional Billing Coding Operations - Remote
$78K - $113K *
Join us to lead the Professional Coding Operations team, ensuring accurate coding practices and compliance. Collaborate with stakeholders, mentor staff, and drive improvements in coding efficiency and...
5 days ago
$85K - $120K *
Elevate client relationships by managing healthcare accounts, leveraging product knowledge, and driving adoption of solutions to enhance outcomes and satisfaction. Collaborate with teams to address cl...
4 days ago
Manager of Client Management, CORE East Segment - Cigna Global Health Benefits (GHB) - Remote
$110K - $130K *
Transform client relationships by leading a dynamic team to achieve financial growth and enhance client experiences across a diverse portfolio. Drive strategic initiatives and foster collaboration to...
Yesterday
$100K - $140K *
Reimagine client success by managing relationships and ensuring seamless communication across teams. Drive operational excellence and enhance client satisfaction through proactive updates, coordinatio...
1 week ago
Director, Claims Process Optimization ( Facets Required)
$113K - $197K *
Drive automation and AI initiatives in claims operations, enhancing efficiency and accuracy. Lead a team to optimize workflows, manage vendor performance, and ensure compliance while delivering measur...
1 week ago
Clinical Documentation Integrity Supervisor
$110K - $159K *
Inspire excellence in clinical documentation by leading a team of specialists, ensuring quality assurance, and fostering professional development. Collaborate with stakeholders to enhance operational...
1 week ago
Clinical Documentation Integrity Supervisor
$110K - $159K *
Lead the charge in enhancing clinical documentation integrity by supervising staff, conducting quality reviews, and fostering professional development. Collaborate with teams to implement effective st...
1 week ago