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...
6 days ago
$85K - $128K *
Deliver impactful training programs that enhance the skills of Care Management staff, ensuring compliance and competency through effective education and support methods. Drive quality and improve pati...
1 week ago
$75K - $95K *
Drive seamless healthcare coordination by serving as a vital resource among clients, providers, and community agencies. Leverage your expertise to assess, develop, and implement tailored care plans, e...
1 week ago
Care Management - Nurse, Senior (Population Health Management)
$90K - $110K *
Join our Care Management team to support patient health in outpatient settings. As a Senior Care Manager, you'll coordinate care, develop treatment plans, and collaborate with healthcare professionals...
3 days ago
$75K - $95K *
Join a team that's committed to delivering high-quality care management and patient support for ECM members. Collaborate with a multidisciplinary team to promote positive health outcomes through effec...
Today
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 1 week ago
$75K - $95K *
Transform patient outcomes by managing insurance interactions and care coordination. Collaborate with healthcare providers to ensure quality discharge planning and resource allocation, enabling seamle...
Yesterday
$75K - $95K *
Advance patient care excellence by leveraging clinical expertise in case management within a dynamic academic medical center. Collaborate to ensure seamless patient transitions and maintain high-quali...
Reposted 3 weeks ago
Nurse Case Manager l - California HMO
$73K - $120K *
Lead care management for members with complex health needs, ensuring optimal access to services and effective care plans. Collaborate with providers and assess individual needs to enhance health outco...
1 week ago
Nurse Case Manager l - California HMO
$73K - $120K *
Drive effective care management for members with complex needs by assessing and coordinating comprehensive care plans. Collaborate with providers and resources to optimize healthcare outcomes while wo...
1 week ago
$75K - $95K *
Shape the future of patient care by coordinating comprehensive cancer management, advocating for patient needs, and enhancing healthcare delivery through collaboration and clinical expertise...
2 weeks ago
Case Manager (RN) - Utilization Management
$90K - $120K *
Champion quality healthcare delivery by integrating resources and managing patient admissions to ensure cost-effective outcomes across the healthcare continuum and promote seamless care coordination...
6 days 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...
2 weeks ago
$128K - $180K *
Elevate patient care by managing cases effectively, coordinating with healthcare teams, and ensuring optimal discharge plans. This role requires skill in communication, utilization management, and a c...
Yesterday
$110K - $115K *
Join a dynamic team dedicated to improving patient outcomes in a new rehabilitation facility. Utilize your clinical expertise to coordinate data and ensure compliance, playing a crucial role in patien...
Reposted 1 week ago
Senior Informatics Manager, Risk Adjustment Analytics Remote
$67K - $199K *
Transform healthcare analytics by leading a team to derive actionable insights from complex data, driving strategic initiatives that enhance quality outcomes and compliance with healthcare regulations...
Today
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
Behavioral Health Case Manager I
$68K - $108K *
Transform lives by providing comprehensive case management for individuals facing behavioral health and substance use challenges. Collaborate with clients and healthcare providers to ensure access to...
3 weeks ago
RN Nurse Case Manager ll (California HMO)
$83K - $136K *
Lead care management efforts for members with complex health needs by assessing, coordinating, and monitoring care plans to optimize health outcomes. Collaborate with providers and resources to ensure...
2 weeks ago
RN Nurse Case Manager ll (California HMO)
$83K - $136K *
Seeking a dedicated Nurse Case Manager to optimize care for members with chronic needs. Work virtually to assess, develop, and implement comprehensive care plans. Collaborate with medical teams and co...
2 weeks 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...
4 weeks ago
$95K - $115K *
Join a team that provides exceptional support to managed care clients, focusing on reinsurance and provider stop-loss. Drive customer satisfaction through efficient service while managing complex repo...
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...
6 days ago
Program Manager, Healthcare Services (Behavioral Health)
$85K - $110K *
Optimize healthcare services by leading program management, ensuring compliance, and enhancing quality of member care through strategic analysis and interdepartmental collaboration. Drive impactful pr...
Reposted 2 weeks 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