Case Manager - Registered Nurse
$54K - $116K *
Pioneer integrated care solutions as a Care Manager RN, coordinating services for patients with chronic conditions and social health needs while collaborating with an interdisciplinary team to ensure...
Reposted 1 week ago
Senior Specialist, National Quality Improvement (RN) - Remote
$80K - $95K *
Join a team that's committed to enhancing quality programs and initiatives. You will provide senior clinical support, guiding quality improvement efforts, ensuring compliance, and collaborating across...
3 days ago
$76K - $100K *
Manage comprehensive occupational therapy services, oversee staff, conduct assessments, and ensure compliance with clinical standards while promoting effective rehabilitation and positive member outco...
Today
RN Case Manager- Georgia - Remote
$81K - $99K *
Transform patient care as you coordinate and facilitate quality, cost-effective healthcare for ESRD and CKD patients, collaborating with interdisciplinary teams and enhancing service delivery to impro...
4 days ago
Clinical Research Associate II
$70K - $95K *
Engage in critical monitoring tasks for diverse clinical studies, ensuring compliance and quality while communicating effectively with project teams and site staff to meet recruitment targets and main...
1 week ago
RN Health Coach- Evernorth- East Coast (EST)
$77K - $129K *
Support customers' health journeys by collaborating on personalized plans and driving engagement through coaching, education, and wellness initiatives, while empowering individuals to achieve sustaina...
3 days ago
Denial Prevention Nurse Consultant
$80K - $95K *
Drive exceptional outcomes by leveraging your clinical expertise to analyze medical records, validate billing accuracy, and optimize revenue cycle processes. Collaborate with clients and payors to nav...
1 week ago
Clinical Pharmacist Advisor- Remote
$115K - $150K *
Empower effective medication management by collaborating with healthcare teams, conducting clinical evaluations, and enhancing pharmacy operations to ensure compliance with state regulations and optim...
Reposted today
Denials Management Appeals Nurse (Anesthesia)
$80K - $121K *
Drive clinical denial management by leveraging expertise to review, analyze, and appeal cases, ensuring compliance with payor requirements and advocating for appropriate patient care documentation and...
1 week ago
$145K - $156K *
Pioneer in telehealth by delivering patient-centered care, managing medication, and collaborating with physicians to enhance health outcomes in chronic conditions through innovative technology and emp...
3 weeks ago
Senior Billing Compliance Analyst
$75K - $95K *
Elevate our billing compliance efforts by leading complex audits and data analytics. Collaborate with stakeholders to enhance compliant practices and ensure adherence to healthcare regulations while p...
2 weeks 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...
3 weeks ago
Field Senior Clinical Research Associate
$68K - $133K *
Advance your career by ensuring compliance in clinical studies, managing site interactions, and driving quality throughout the research process. Collaborate with teams to support study start-up and mo...
1 week ago
$70K - $115K *
Join a team that's dedicated to transforming disability claims through expert clinical assessments. Collaborate with healthcare providers and utilize your clinical expertise to improve patient outcome...
Reposted 1 week ago
Sr. Utilization Management Specialist (RN)
$74K - $94K *
Elevate care delivery by leading Utilization Management processes, ensuring compliance, enhancing quality, and facilitating discharge planning to achieve timely and effective patient outcomes in a col...
Today
Medical Review Nurse - Clinical Validation
$75K - $95K *
Optimize healthcare outcomes by performing detailed audits of medical claims and supporting clinical documentation. Join a dynamic, multi-location team to enhance audit efficiency while minimizing app...
3 weeks ago
$75K - $95K *
Join a team that's redefining membership engagement through data-driven strategies. Lead initiatives that shape the member journey, enhance retention, and foster collaboration across departments to en...
4 weeks ago
Clinical Specialist (Residential & Outpatient Care)
$90K - $110K *
Engage deeply with customers to enhance clinical operations in residential and outpatient care, bridging product capabilities with real-world workflows and feedback to drive improvements in customer e...
2 weeks ago
$66K - $106K *
Drive impactful medical reviews to ensure compliance and integrity in claim payments. Collaborate with agencies to investigate fraud, utilizing a blend of clinical expertise and analytical skills to p...
Yesterday
Nurse Case Management Lead Analyst-Accredo - Work at Home
$77K - $129K *
Optimize patient care delivery by leading case management initiatives, analyzing data trends, and mentoring nursing staff to improve outcomes and reduce readmissions across healthcare settings...
Today
Consultant - Clinical Documentation Integrity (CDI) - Healthcare
$90K - $135K *
Join a team that's dedicated to enhancing healthcare documentation and quality. As a consultant, you will mentor teams, facilitate education, and analyze clinical data to improve patient care and oper...
Reposted 3 days ago
Nurse Practitioner / Physician Assistant - Texas
$140K - $150K *
Join a team that excels in delivering comprehensive telehealth care for patients facing substance use disorders. Collaborate with a physician to provide treatment, support, and education within a remo...
3 weeks ago
Senior Director, Clinical Development
$230K - $270K *
Lead the charge in clinical development strategy, driving veterinary clinical programs from concept to execution. Collaborate across functions to ensure scientific rigor and regulatory compliance, del...
3 weeks ago
$74K - $124K *
Drive clinical appeals processes by conducting necessity reviews, submitting appeals, and collaborating across departments to ensure compliance and improve outcomes while enhancing patient care qualit...
Reposted 6 days ago
$80K - $95K *
Unlock potential by revolutionizing patient care through innovative virtual nursing, enhancing patient outcomes across diverse diagnoses. Join a multidisciplinary team committed to excellence in the e...
1 week ago