$72K - $97K *
Deliver compassionate, member-focused care through effective case management. Leverage clinical expertise to coordinate services and support members with high healthcare needs, ensuring safe transitio...
4 days ago
$64K - $102K *
Lead the charge in optimizing mental health and substance abuse service delivery. Collaborate with a clinical team to manage utilization, enhance care coordination, and drive quality improvement initi...
3 days ago
$72K - $97K *
Join our team to provide member-centered, evidence-based care, supporting individuals through transitions in healthcare. Leverage your expertise to coordinate services, assess goals, and connect membe...
Yesterday
$71K - $107K *
Take ownership of patient care as a Registered Nurse Case Manager, guiding hospice patients through their care journey while collaborating with healthcare teams to deliver quality support and ensure h...
Reposted 1 week ago
Remote Bilingual Spanish Nurse Case Manager - Care Transitions (RN, CA License)
$85K - $128K *
Contribute to seamless healthcare transitions by guiding patients from hospital stays to home. As a Remote Case Manager, you'll coordinate care, educate families, and ensure effective communication ac...
Reposted 4 days ago
Manager, Care Management Operations
$75K - $95K *
Lead the charge in optimizing care management operations, ensuring exceptional patient services while enhancing team performance and operational efficiencies across clinical and support staff...
Today
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...
1 week 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 1 week 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
Group Product Manager (eSource Clinical Data Management)
$113K - $179K *
Drive strategic product management and governance for advanced eSource platforms, ensuring compliance and enhancing decentralized and hybrid trials. Collaborate cross-functionally to shape product vis...
4 days ago
Technical Implementation Manager II
$90K - $120K *
Optimize client implementations in telehealth by leading cross-functional teams, managing project scopes, and developing successful delivery strategies. Engage stakeholders, monitor budgets, and enhan...
Reposted 4 days 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...
1 week ago
$77K - $116K *
Unlock potential by joining a remote team dedicated to enhancing the health of seniors and complex care patients through telephonic case management, care coordination, and health education, making a m...
Yesterday
$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 4 weeks ago
$82K - $111K *
Manage client relationships and operational activities to drive success, retention, and growth of healthcare products. Collaborate across teams, optimize performance, and ensure client needs are met w...
2 days ago
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...
2 weeks ago
$90K - $125K *
Engage client relationships as a primary contact, ensuring high-quality pharmacy benefits delivery and satisfaction through operational excellence and effective communication in a dynamic team environ...
5 days ago
$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...
1 week 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...
2 weeks ago
Medical Director, Utilization Management- Remote
$198K - $297K *
Reimagine healthcare delivery by collaborating with medical teams to enhance patient care, optimize resource use, and ensure compliance with clinical standards while leading quality improvement initia...
Reposted 4 days ago
Medical Director Utilization Management, Clinical Specialty
$200K - $250K *
Transform healthcare navigation through analytical insights and hands-on clinical support. Drive optimal member outcomes by collaborating with cross-functional teams while enhancing best practices in...
5 days ago
Case Manager - Registered Nurse
$60K - $129K *
Lead the comprehensive care coordination process for clients, ensuring optimal outcomes through assessment, advocacy, and collaboration with healthcare providers, insurance companies, and family membe...
Today
Case Manager - Registered Nurse
$60K - $129K *
Champion comprehensive health management by coordinating care for individuals and families through advocacy, assessment, and resource utilization, ensuring optimal wellness and timely outcomes across...
Today