Senior Director, Complex Care Management and Utilization Management - 2947
$120K - $150K *
Elevate integrated care delivery by strategically leading Complex Care Management and Utilization Management programs, ensuring alignment with value-based care principles and driving health outcomes f...
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 6 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...
2 days ago
$80K - $100K *
Transform your career by overseeing department operations, ensuring optimal clinical and financial outcomes while collaborating with a diverse healthcare team. Shape care management strategies aligned...
3 weeks ago
Clinical Guide Part A: Utilization Management Nurse
$85K - $95K *
Join a team that's dedicated to evaluating medical necessity in inpatient and post-acute services. You'll collaborate with clinical staff to ensure compliance with CMS guidelines, while making impactf...
1 week 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...
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
Clinical Manager Nurse Practitioner
$90K - $120K *
Lead the charge in managing a dynamic clinical team, ensuring quality patient care, compliance with regulations, and strategic planning to enhance member outcomes in a community-based healthcare setti...
3 days ago
$70K - $90K *
Take ownership of impactful patient care as you partner with healthcare professionals and employers. Your expertise will foster recovery plans for injured individuals, ensuring efficient healthcare ma...
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...
3 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...
2 weeks ago
$120K - $216K *
Transform the patient care experience by leading case management and discharge planning initiatives. Work collaboratively with medical staff to ensure compliance and quality service delivery, enhancin...
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...
1 week 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 1 week 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...
4 days ago
$75K - $95K *
Accelerate progress at a physician practice by overseeing operations, ensuring compliance, and enhancing patient engagement while leading staff and driving improvements for better performance and serv...
Reposted 3 days ago
Care Manager, Telephonic Nurse
$71K - $97K *
Build relationships with patients during their transition into and out of care services, facilitating their post-acute needs and ensuring continuity of care through effective communication and resourc...
2 days 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...
4 days 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...
3 weeks ago
Complex Case Manager RN (Remote)
$72K - $116K *
Shape the future of healthcare by managing a diverse panel of members, assessing their clinical needs, and implementing tailored interventions to enhance health outcomes while collaborating with a mul...
Reposted 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
Utilization Management Director - Inpatient (Hybrid)
$135K - $250K *
Transform inpatient utilization management by leading a strategic team that enhances member engagement, optimizes quality care, and streamlines health resources in accordance with regulatory standards...
1 week ago
$75K - $95K *
Join a team that's dedicated to optimizing clinic operations and patient care. As a leader in clinical management, you'll ensure smooth workflow, enhance patient satisfaction, and support staff develo...
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