Clinical Guide: (UM) Utilization Management Nurse (Outpatient Prior Authorization)
$82K - $96K *
Pioneer clinical excellence as you conduct outpatient authorization reviews, ensuring members receive appropriate care by utilizing evidence-based criteria and navigating complex guidelines. Your insi...
Reposted 2 days ago
Principal Clinician - Revenue Cycle Management (RCM)
$120K - $150K *
Lead the charge in advancing clinical revenue cycle management initiatives, ensuring accurate documentation and coding while driving performance improvements across diverse stakeholders to enhance rev...
4 weeks ago
Senior Manager, Audit Operations (CCV Training)
$122K - $147K *
Pioneer innovative training programs for audit teams, driving excellence in quality and compliance through comprehensive learning interventions that enhance performance and utilize cutting-edge AI too...
Reposted yesterday
Compliance Specialist III - TPA/DPS
$71K - $94K *
Champion compliance excellence by preparing and reviewing complex filings, mentoring team members, and ensuring adherence to service standards while fostering a collaborative environment for continuou...
2 weeks ago
Strategic Clinical Quality Manager
$85K - $142K *
Drive clinical quality initiatives by developing and monitoring QAPI programs, enhancing patient care, compliance, and collaboration among interdisciplinary teams to ensure exceptional clinical outcom...
Today
$108K - $130K *
Join a team that's driving innovations in Veterans healthcare through expert clinical informatics. You'll enhance clinical decision support and workflow standardization, implementing solutions that im...
3 weeks ago
$92K - $145K *
Transform coding operations by leading data strategy and analytics, optimizing performance, and ensuring compliance. Collaborate with cross-functional teams to provide actionable insights and drive co...
Reposted 2 weeks ago
$90K - $110K *
Contribute to transformative change management initiatives by developing strategies, assessing readiness, and driving stakeholder engagement. Collaborate with teams to enhance veteran healthcare servi...
1 week ago
Medical Review Nurse, Clinical Appeals Auditor
$80K - $95K *
Unlock potential by conducting thorough Appeals reviews and audits. This role requires expertise in medical documentation and claim analysis, fostering continuous improvement in audit practices and en...
1 week ago
Clinical Social Worker, LCSW (Menino 4th Floor)
$72K - $89K *
Transform patient care as you assess, diagnose, and intervene in social and emotional challenges. Collaborate with healthcare teams to provide vital support and treatment while engaging with families...
2 weeks ago
Manager, Coding Quality & RADV Audits
$108K - $120K *
Join a team that provides strategic oversight for audit activities, optimizing operations within Medicare Advantage and Commercial sectors while ensuring compliance and driving continuous improvement...
2 weeks ago
CBHC Clinic Director, Leominster
$78K - $85K *
Provide leadership and strategic direction for outpatient CBHC programs, ensuring top-tier clinical and administrative operations while fostering collaboration to deliver effective mental health and a...
Reposted 3 weeks ago
$79K - $97K *
Transform lives as you assess and support caregivers with personalized care plans and home visits. Enjoy a rewarding role without night shifts or on-call duties, focusing on enhancing quality of life...
2 weeks ago
$79K - $97K *
Join our care management team as an RN Care Manager to deliver personalized care and support for caregivers and their loved ones. Enjoy a flexible schedule without night shifts or on-call duties while...
2 weeks ago
$79K - $97K *
Partner with us to transform lives by delivering personalized care as an RN Care Manager. Enjoy a flexible schedule while conducting home visits, assessing needs, and ensuring exceptional support for...
2 weeks ago
$79K - $97K *
Elevate care management by assessing needs, crafting individualized plans, and conducting home visits. Collaborate with caregivers to enhance support and foster well-being, promoting positive outcomes...
2 weeks ago
Credentialing & Payer Operations Manager
$80K - $90K *
Develop scalable credentialing processes for provider onboarding and payer relations. This hands-on role ensures compliance and optimizes operations, driving efficiency in a dynamic healthcare environ...
2 weeks ago
$90K - $120K *
Drive nursing excellence by supporting clinical operations and empowering teams to provide high-quality, compassionate care in a welcoming environment, ensuring optimal resident experiences and adhere...
3 weeks ago
$87K - $135K *
Transform patient care by collaborating with healthcare teams to ensure safe and efficient patient transitions within a multidisciplinary approach. Leverage your acute care case management expertise t...
Yesterday
Registered Nurse, Clinical Delivery
$70K - $100K *
Manage critical lab result communications with patients. Drive patient education initiatives, ensure compliance, and escalate complex inquiries. Collaborate with clinical teams for efficient patient c...
Reposted yesterday
SCO Assessment Nurse Case Manager - Lawrence
$95K - $100K *
Support members by conducting in-home assessments and collaborating with care teams to ensure timely, accurate regulatory evaluations for their health needs. Engage with new enrollees through HRAs and...
Yesterday
Diagnostic Specialist - New England
$110K - $130K *
Elevate diagnostic leadership by educating healthcare providers on genetic testing programs, collaborating cross-functionally, and delivering insights to enhance strategic awareness of diagnostics in...
3 weeks ago
Diagnostic Specialist - New England
$110K - $130K *
Partner with us to lead healthcare education on genetic testing initiatives. Leverage diagnostic expertise and collaborate across teams, ensuring high-quality gene analysis and stakeholder engagement...
3 weeks ago
$108K - $141K *
Join a team that's dedicated to providing exemplary patient care in a supportive outpatient environment. Utilize your nursing expertise to coordinate care for patients requiring dialysis treatment and...
2 weeks ago
$108K - $141K *
Take ownership of outpatient dialysis care by leading clinical staff, coordinating patient care plans, and ensuring high standards of safety and compassion for patients with end-stage renal disease in...
3 days ago