Remote Manager, Care Management (CA RN Unrestricted License)
$98K - $147K *
Lead a high-performing team in outpatient case management, ensuring quality care delivery and optimal resource utilization while promoting team development and regulatory compliance in a fully remote...
2 weeks ago
Clinical Care Manager - Massachusetts-10
$90K - $120K *
Join a team that's dedicated to enhancing healthcare for dually-eligible enrollees, focusing on integrated care management and community resources to deliver personalized support for improved health o...
4 days ago
$90K - $115K *
Grow your career with a pivotal role overseeing remote clinical operations, coaching your team to excellence while collaborating with care providers. Manage performance and ensure quality client care...
3 weeks 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...
Reposted 2 days ago
Community Based Care Coordinator - Duals Integrated Care
$62K - $100K *
Join the effort to enhance health outcomes for dual-eligible individuals by coordinating their care with community resources. Engage in holistic planning and support as part of a dedicated interdiscip...
2 weeks ago
ECM Clinical Manager (LCSW/LMFT)
$90K - $115K *
Lead the charge in remote clinical oversight, managing a team to enhance patient care through effective enrollment, individualized care plans, and collaborative support with the broader healthcare tea...
3 weeks ago
Community Based Care Manager RN
$62K - $100K *
Engage with members and interdisciplinary teams to deliver personalized, culturally competent care plans. Coordinate services and conduct assessments that improve health outcomes and access to communi...
2 weeks ago
Clinical Guide Part A: Utilization Management Nurse
$85K - $95K *
Lead the charge in Utilization Management by reviewing inpatient, behavioral health, and post-acute services to ensure compliance with CMS and Medicare Advantage standards while evaluating medical nec...
Yesterday
Supervisor, Behavioral Health Utilization Management
$75K - $135K *
Join a team that leads the behavioral health utilization review process, ensuring high-quality care for members while managing a skilled team. Play a crucial role in compliance, performance monitoring...
5 days ago
$85K - $90K *
Optimize patient care experience by coordinating seamless administrative support, ensuring physicians can focus on clinical excellence. Use your attention to detail and hospitality mindset to enhance...
Reposted 2 days ago
Telephonic RN Case Manager, SNP (Bilingual Preferred)
$77K - $116K *
Drive comprehensive care coordination for members with chronic needs, optimizing health outcomes through effective nursing assessments, collaboration, and education while maintaining a strong focus on...
2 weeks ago
$75K - $105K *
Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...
1 week ago
RN Clinical Care Manager - Danvers surrounding area
$90K - $120K *
Unlock potential by joining a dedicated team that integrates health and community resources, providing essential clinical care management for members with complex medical, behavioral, and social needs...
3 days ago
Medical Director II, Utilization Management
$280K - $345K *
Join a collaborative team and lead initiatives in Utilization Management, ensuring quality medical service delivery while mentoring staff and enhancing efficiency within a fast-growing health plan org...
3 weeks ago
$70K - $95K *
Join a team that's dedicated to driving client success through strong relationships, proactive account management, and exceptional service optimization. Utilize your technical acumen to ensure client...
2 days ago
Hybrid Registered Nurse (RN) Clinical Care Manager - Waltham
$90K - $120K *
Join a team that's committed to transforming healthcare through comprehensive care management, empowering individuals with complex needs while integrating services and community resources to enhance h...
3 days ago
$76K - $114K *
Lead the operational coding functions in healthcare settings, ensuring compliance and training staff. Drive strategic goals while supporting a culture of innovation and excellence in revenue cycle man...
Reposted 3 weeks ago
Client Success Manager - Value Based Care
$80K - $135K *
Contribute to client success by managing partnerships and leveraging healthcare analytics to drive strategic outcomes, optimize performance, and enhance member engagement in a dynamic and collaborativ...
Today
Client Delivery Manager - Revenue Cycle (REMOTE)
$80K - $110K *
Deliver exceptional client support as you manage operational alignment, performance insights, and issue resolution across assigned accounts, advocating for clients while collaborating with internal te...
3 weeks ago
Manager Professional Billing Coding Operations - Remote
$78K - $113K *
Empower our coding operations by leading a team to ensure accurate coding and compliance. Drive quality assurance, mentoring, and education while collaborating with healthcare professionals to optimiz...
1 week ago
Hybrid Registered Nurse (RN) Clinical Care Manager - North Holyoke
$90K - $120K *
Collaborate to enhance integrated care management for dual-eligible enrollees, focusing on diverse health needs in community settings. Lead interdisciplinary teams to improve health outcomes through c...
Yesterday
$99K - $166K *
Transform client outcomes by leveraging analytics and market intelligence to develop strategic insights. Collaborate with cross-functional teams to enhance program performance in managed care, ensurin...
5 days ago
Director, Utilization Management Operations
$182K - $248K *
Engage in transformative leadership in Utilization Management Operations, driving clinical excellence and scalable business processes. Oversee a dynamic team and vendor partnerships while leveraging t...
1 week ago
Manager, Compliance (Program Integrity)
$109K - $144K *
Lead the evolution of a comprehensive FWA Prevention Program, enhancing compliance, reducing risk, and empowering compliance culture within a dynamic healthcare organization while collaborating across...
2 weeks ago
Customer Success Manager, Customer Delivery & Success
$76K - $120K *
Serve as a trusted partner to customers, ensuring they maximize value from data solutions through exceptional relationship management and collaboration across teams, focusing on customer retention and...
2 days ago