Appeals and Grievances Clinical Specialist
$83K - $120K *
Unlock potential by managing clinical case development and resolutions for member grievances and appeals, ensuring compliance with regulations while collaborating across divisions to resolve issues ef...
Reposted 6 days ago
High Earning Potential | PMHNP | Remote and/or Onsite Opportunities - Tennessee
$100K - $120K *
Champion patient-centered care by conducting comprehensive psychiatric evaluations, managing medications, and collaborating with multidisciplinary teams to enhance mental health outcomes in outpatient...
6 days ago
Assistant Nurse Manager- UT Medical Center Orthopedic Institute - Hospital Site
$80K - $95K *
Join a team that's dedicated to advancing patient care by providing leadership and support in the Orthopaedic Surgery program. Drive operational excellence while ensuring efficient case flow and promo...
1 week ago
Registered Nurse - Care Management (Remote) (Evening & Overnight Schedule)
$83K *
Join a team that's committed to patient-centered care by managing complex patient cases, developing care plans, and ensuring compliance through comprehensive assessments and telehealth coordination in...
1 week ago
Virtual Oncology Nurse Navigator
$85K - $100K *
Support the oncology care journey by delivering high-quality virtual patient care, coordinating services, and providing clinical support while building strong relationships with patients and clinical...
1 week ago
Virtual Oncology Nurse Navigator
$85K - $100K *
Transform patient care by providing comprehensive oncology navigation and support. Collaborate with a multidisciplinary team to enhance patient experiences and outcomes through effective communication...
5 days ago
$80K - $95K *
Analyze inpatient DRG payer denials and drive impactful appeals by conducting detailed medical record reviews, crafting persuasive appeal letters, and collaborating to ensure compliance with coding gu...
2 weeks ago
$210K - $250K *
Champion high-risk pregnancy care by collaborating with specialists, supervising clinical activities, and ensuring compliance to deliver top-tier services for women and families...
1 week ago
$60K - $129K *
Join a team that's dedicated to enhancing member wellness through comprehensive case management. As an RN Case Manager, you'll assess, plan, and coordinate care remotely, ensuring optimal health outco...
Today
$60K - $129K *
Transform member care by assessing, planning, and coordinating case management activities. Leverage clinical expertise to enhance wellness outcomes and facilitate smooth transitions to programs, all w...
Today
Clinical Reviewer, Inpatient RN
$94K - $141K *
Lead utilization management efforts in a dynamic inpatient setting, ensuring appropriate care and resource allocation for complex member cases while collaborating closely with providers and interdisci...
1 week ago
RN Director of Care Management
$90K - $110K *
Unlock potential by leading the Care Management team to enhance patient outcomes, ensuring compliance with regulations and optimizing discharge planning through effective collaboration and strategic o...
Today
Delegation Oversight Auditor Utilization/Case Management (LVN/RN Required) Remote
$77K - $116K *
Drive compliance and quality in Utilization Management and Case Management audits. Collaborate with stakeholders to identify performance gaps, support remediation efforts, and enhance organizational o...
2 weeks ago
$90K - $110K *
Analyze clinical documentation and risk adjustment for healthcare providers, ensuring accurate representation of patient acuity. Collaborate with physicians to identify documentation opportunities and...
6 days ago
Virtual Family Practice Nurse Practitioner - Temporary (CA Licensed) | Up to $5,000 Bonus
$100K - $120K *
Lead the charge in transforming patient care delivery through virtual wellness visits, leveraging your expertise to enhance health outcomes while providing compassionate, personalized service to patie...
2 weeks ago
$90K - $110K *
Join a dedicated team as you provide comprehensive care, conduct exams, and develop patient plans. Collaborate with healthcare professionals to ensure optimal health outcomes while enjoying a balanced...
4 days ago
Managing Consultant - Clinical Documentation Integrity (CDI) - Healthcare
$120K - $165K *
Drive the successful transfer of CDI best practices by mentoring client teams, conducting record reviews, and delivering education. Collaborate with healthcare professionals to enhance documentation a...
5 days ago
Implementation Specialist, Nursing Health Education
$78K - $131K *
Explore complex, cross-functional projects that enhance nursing education through innovative solutions and effective communication, ensuring successful outcomes and stakeholder satisfaction in a dynam...
2 weeks ago
Clinical Trial Liaison (Oncology)
$100K - $120K *
Engage with clinical sites by enhancing patient recruitment and retention strategies. Coordinate tailored approaches and support project teams to ensure successful enrollment and documentation of onco...
3 weeks ago
Nurse Practitioner / Physician Assistant - Gastroenterology - Blount
$92K - $110K *
Champion comprehensive health care delivery by diagnosing and treating patients, ensuring adherence to protocols, and enhancing operational efficiency through quality assurance and education initiativ...
Yesterday
Bilingual RN Case Manager, SNP - Must have California RN License (Non-Compact) Remote
$77K - $116K *
Elevate patient care by managing and coordinating complex cases. Work closely with interdisciplinary teams to deliver effective health management and support members in achieving their health goals th...
2 weeks ago
Utilization Management Clinical Coordinator
$85K - $100K *
Empower healthcare outcomes by managing utilization review cases, ensuring timely authorizations and compliance. Collaborate with providers and internal teams to enhance processes and deliver quality...
3 days ago
Application Clinical Analyst III
$82K - $114K *
Transform clinical applications by assessing needs, troubleshooting solutions, and implementing upgrades. Collaborate with teams to enhance workflows and provide expert support, ensuring optimal funct...
4 days ago
Director of Clinical Operations
$85K - $100K *
Transform clinical operations by leading patient care delivery, optimizing workflows, and ensuring regulatory compliance. Drive educational excellence and support financial sustainability within a dyn...
1 week ago
$60K - $103K *
Build relationships and manage candidate pipelines to source, screen, and hire qualified clinical talent in anesthesia. Drive recruitment initiatives while ensuring compliance and fostering effective...
2 weeks ago