$75K - $95K *
Elevate healthcare outcomes by utilizing your expertise as a DRG Downgrade Appeals Clinician, performing clinical reviews and crafting compelling appeal documentation to support medical necessity and...
1 week ago
Clinical Quality and Safety Specialist (RN / PA)
$73K - $92K *
Transform healthcare by driving quality initiatives and patient advocacy, utilizing your clinical expertise to enhance safety, manage complaints, and foster a proactive care culture in a dynamic, pati...
2 days ago
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...
4 weeks ago
$71K - $97K *
Drive impactful care coordination for members in the Wisconsin Family Care Program. Enjoy a flexible role that focuses on assessing health needs, developing care plans, and educating members, all whil...
6 days ago
Clinical Pharmacist - Utilization Management Archimedes
$100K - $130K *
Champion clinical excellence by managing specialty medication strategies, conducting peer consultations, and developing impactful clinical policies that enhance cost management across pharmacy and med...
Reposted 3 weeks ago
Complex Case Manager RN (Remote)
$72K - $116K *
Join a dedicated team focused on improving health outcomes for diverse populations. Utilize your clinical expertise to assess needs, implement strategic interventions, and maintain member engagement...
2 weeks ago
Complex Case Manager RN (Remote)
$72K - $116K *
Join a team that's dedicated to improving health outcomes through proactive case management. Leverage clinical judgment and data analytics to develop care plans tailored to diverse member needs while...
4 weeks ago
Case Manager - Registered Nurse
$54K - $116K *
Join a team that's dedicated to improving health outcomes by coordinating care for members with chronic conditions and social challenges. Execute comprehensive assessments and develop personalized car...
4 days ago
Psychiatrist (Remote & Night Shift)
$180K - $220K *
Shape the future of mental health services as a psychiatrist providing exemplary care via virtual platforms. Deliver advanced psychiatric treatment and consultation while fostering collaboration withi...
3 days ago
$85K - $97K *
Unlock potential by delivering comprehensive physical therapy services, creating tailored treatment plans, and enhancing patient mobility and function through expert assessment and evidence-based inte...
2 weeks ago
$90K - $120K *
Transform patient care by leading and developing psychiatric clinicians while enhancing clinical operations. Collaborate with leadership to ensure compliance, improve practices, and foster professiona...
1 week ago
Physician Medical Reviewer M.D. or D.O. (Remote U.S.)
$184K - $204K *
Elevate your career by conducting independent medical reviews and offering expert testimony. Collaborate with healthcare teams to ensure compliance with protocols and improve service quality for diver...
2 weeks ago
Physician Principal - Justice Involved Services
$200K - $250K *
Join a team that's dedicated to enhancing healthcare performance through expert consulting, client relationships, and project management. Contribute to strategic initiatives while mentoring junior sta...
1 week ago
RN-Quality Clinical Management Advisor
$89K - $148K *
Grow your career with a leadership role in clinical quality measurement, driving HEDIS execution, and digital transformation. You will oversee performance improvement, regulatory compliance, data mode...
2 weeks ago
$68K - $113K *
Shape the future of disability assessments through comprehensive medical reviews and collaboration with case managers and healthcare providers, ensuring optimal treatment outcomes for claimants while...
2 weeks ago
Clinical Document Specialist (RN)
$87K - $157K *
Engage with clinical teams to enhance accuracy in patient record documentation while ensuring quality care standards are met. Contribute your expertise in evaluating documentation to reflect patient c...
Reposted 3 weeks ago
Medical Director – Pediatric Nephrology – Evicore - Remote
$207K - $346K *
Champion high-quality patient care by conducting specialized medical case reviews and peer consultations. Leverage your clinical expertise while working 100% remote within a supportive environment, en...
2 weeks ago
$85K - $100K *
Shape the future of healthcare by designing and implementing staff education programs that enhance professional excellence. Engage with nursing and support staff to develop resources and instructional...
Reposted 5 days ago
Remote National Medical Director
$236K - $449K *
Pioneer medical leadership and quality improvement initiatives, driving utilization management and coordination of care for diverse populations. Collaborate across teams to enhance patient outcomes an...
2 weeks ago
Physician, Concurrent Inpatient Review (FT/30/Weekends/Remote) (Hospital Advocacy)
$200K - $250K *
Pioneer the future of healthcare evaluation by leveraging your clinical expertise in concurrent review. Engage with hospitals nationwide to ensure optimal admission statuses while maintaining a fulfil...
2 weeks ago
Case Manager - Registered Nurse - South Region
$60K - $129K *
Empower health outcomes by coordinating comprehensive care for individuals, addressing the needs of chronic conditions through advocacy, communication, and resource management, ensuring efficient reco...
Reposted yesterday
Case Manager - Registered Nurse - South Region
$60K - $129K *
Launch comprehensive care strategies that support families' health needs by coordinating case management services for chronically ill clients. Collaborate with multidisciplinary teams to enhance welln...
6 days ago
Remote Psychiatrist (MD/DO) - Missouri
$325K - $375K *
Transform remote mental health care by delivering personalized outpatient psychiatry. Enjoy flexible scheduling, clinical autonomy, and robust support while treating varied patient populations across...
Reposted yesterday
Credentialing and Enrollment Supervisor
$78K - $90K *
Shape the future of our Credentialing team by enhancing operational efficiency, leading cross-functional collaboration, and leveraging data insights to improve provider interactions and streamline pro...
4 weeks ago
Remote Psychiatrist (MD/DO) - Missouri
$325K - $375K *
Unlock potential by providing remote outpatient psychiatric care with flexible scheduling, clinical autonomy, and minimal administrative burden. Focus on lower to moderate acuity patients while enjoyi...
Reposted yesterday