Manager, Clinical Quality Operations
$90K - $100K *
Champion excellence in clinical operations by managing field practitioners, ensuring compliance and quality care, and driving operational success in a dynamic healthcare environment. Lead innovative t...
2 days ago
Clinical Program Manager, Care Navigation, US Remote
$90K - $120K *
Transform the delivery of care by designing, leading, and operationalizing a new care navigation program. You will build a clinical team and innovate workflows while directly impacting patient outcome...
2 weeks ago
Clinical Program Manager, Care Navigation, US Remote
$90K - $120K *
Manage a pioneering care navigation program, shaping clinical standards while building a multidisciplinary team. Lead operations and quality assurance to deliver impactful patient care in a high-growt...
Yesterday
Transitions of Care RN Care Manager
$58K - $142K *
Shape the future of patient care by managing transitions for Medicare and Medicaid patients, ensuring seamless episodes of care post-discharge through follow-ups and collaboration with healthcare team...
Reposted 4 days ago
Supervisor of Case Management (RN)
$75K - $95K *
Lead and inspire a dedicated team of Case Managers to deliver exceptional care, ensuring quality compliance and driving better health outcomes for members through innovative management and community e...
1 month ago
$62K - $100K *
Champion member care by collaborating with diverse teams to improve health outcomes through culturally competent care coordination, assessments, and personalized plan development, empowering individua...
2 days ago
Community Based Care Manager - Social Worker
$62K - $100K *
Grow your skills by coordinating care for diverse populations, enhancing health outcomes through collaboration, and leveraging community resources while engaging with members and their support network...
1 week ago
$75K - $90K *
Lead cross-functional projects to redesign workflows and ensure operational clarity. Drive governance, manage incident responses, and implement change management strategies to enhance organizational p...
1 week ago
Utilization Management Nurse, Lead (Inpatient | Remote | Must have California LVN / RN License)
$85K - $128K *
Innovate within the healthcare industry by leading a team of Utilization Management Nurses. Ensure the timely review of inpatient requests and enhance quality outcomes through effective collaboration...
2 weeks ago
RN Clinical Care Manager Roxbury/Dorchester, MA
$90K - $120K *
Join a dedicated team to empower individuals by providing comprehensive clinical care management for those with complex needs. Focus on enhancing health outcomes and quality of life through collaborat...
2 weeks ago
Case Manager - Registered Nurse
$60K - $129K *
Transform the care experience by coordinating comprehensive health services, advocating for client needs, and facilitating optimal recovery outcomes for chronic and acute cases across diverse care set...
4 days ago
$74K - $102K *
Lead and oversee end-to-end claims processing while driving operational improvements, ensuring compliance, and managing enterprise risk across multi-functional teams for effective client servicing and...
3 weeks ago
Director, Enhanced Care Management
$100K - $130K *
Help us lead our Enhanced Care Management program, ensuring optimal performance and collaboration while driving quality patient care and cost efficiency through innovative management and strategic ove...
2 days ago
Case Manager, Registered Nurse
$54K - $155K *
Lead the charge in providing telephonic case management, collaborating with care teams to enhance patient outcomes while ensuring compliance with regulatory standards and utilizing comprehensive asses...
Reposted 1 week ago
Utilization Management (UM) - Pre-Service (Remote | California RN / LVN | Pacific Time Schedule)
$77K - $116K *
Transform care delivery by reviewing prior authorization requests for medical necessity and ensuring quality outcomes in a dynamic, remote Utilization Management team focused on patient-centric soluti...
2 weeks ago
$70K - $95K *
Partner with us to enhance operational efficiency and service excellence by leading process improvements and managing cross-functional projects. Support team success through streamlined workflows and...
Reposted 1 week ago
Case Manager, Registered Nurse
$60K - $129K *
Champion comprehensive care coordination for members with chronic conditions. Collaborate with interdisciplinary teams to deliver tailored health plans, address social determinants of health, and ensu...
1 week ago
Case Manager, Registered Nurse
$54K - $116K *
Join a team that's dedicated to transforming health care by coordinating specialized care for members with complex needs. Your expertise will empower individuals to navigate their health journeys and...
1 week ago
Complex Case Manager RN - Oncology (Remote)
$72K - $116K *
Join a team that's dedicated to enhancing member health outcomes by managing a diverse panel with varying clinical needs. Utilize your clinical judgment and analytics to implement effective interventi...
4 weeks ago
Manager, Caregiver Engagement Operations
$75K - $110K *
Empower caregiver engagement by designing and enhancing their experience across operations. Lead initiatives to improve caregiver satisfaction and operational consistency while integrating feedback in...
2 weeks ago
CMS and NCQA Utilization Management, RN - Florida Remote
$77K - $126K *
Champion compliance and quality in healthcare by applying expertise in utilization management. Collaborate across departments to enhance service delivery, mitigate risks, and optimize program performa...
Reposted 4 days ago
$86K - $141K *
Join a team that drives client satisfaction through relationship management, ensuring account retention and revenue growth, while supporting service delivery for diverse client accounts in a remote en...
3 weeks ago
Manager, Clinical Services Consultant
$90K - $120K *
Drive strategic customer success initiatives by managing mid-market client relationships, ensuring product adoption, fostering upselling opportunities, and collaborating cross-functionally to achieve...
Reposted 6 days ago
$70K - $95K *
Champion the successful onboarding of healthcare clients into GPOs by coordinating contracts, supply chain integration, and stakeholder engagement, ensuring measurable savings and operational efficien...
1 week ago
Clinical Financial Case Manager - RN - Escalation Lead
$75K - $95K *
Champion advanced clinical appeal services by reviewing and escalating complex patient account denials. Lead the clinical appeals team to improve workflows, monitor trends, and promote best practices...
3 days ago