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
Pre-Authorization Registered Nurse
$71K - $97K *
Advance patient care by reviewing prior authorization requests, utilizing clinical judgment to ensure appropriate services, and collaborating with stakeholders to enhance healthcare delivery and outco...
Today
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...
1 week ago
$160K - $200K *
Lead transformative patient care by collaborating with advocates and providers, enhancing access and outcomes for vulnerable populations through innovative advocacy and holistic health solutions...
1 week ago
Registered Nurse (RN) - Sign on Bonus
$72K - $93K *
Join a team that's dedicated to providing compassionate, patient-centered home care. As a caregiver, you'll deliver essential health services, advocate for patient wellness, and foster long-term relat...
Reposted today
$80K - $95K *
Join our Clinical Science team to enhance data integrity in CNS trials by conducting meticulous reviews of clinical interviews, ensuring protocol compliance, and guiding site interventions as a Clinic...
Reposted 4 days ago
LVN Care Coordinator | Active California LVN License Required | Remote
$70K - $106K *
Empower optimal health care by coordinating and managing member care plans, ensuring effective service delivery and compliance with regulatory standards through direct communication and collaboration...
5 days 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
Telehealth Physician - Remote, US
$180K - $220K *
Transform the future of care navigation by leading clinical evaluations and developing protocols in a telehealth setting, guiding team efforts to ensure high-quality, patient-centered care for complex...
1 week ago
Physician - Telehealth (Licence in Arkansas)
$180K - $220K *
Empower patients through telehealth by conducting virtual evaluations, analyzing health data, and creating tailored treatment plans. Collaborate with care teams to ensure safe, compliant, and evidence...
4 weeks ago
In-Home Traveler Physician Full Time - DC
$174K - $374K *
Engage with patients in their homes to conduct health evaluations, build relationships, and bridge care gaps. This role demands extensive travel and flexibility to provide personalized care and diagno...
5 days 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...
4 days ago
24/7 Clinical Support Behavioral Licensed Clinician - Evernorth - Remote
$67K - $111K *
Deliver compassionate, expert behavioral health care throughout members' journeys, ensuring clinical excellence in a fast-paced, 24/7 environment as a trusted clinical partner in diverse cases and sup...
Reposted 6 days ago
Remote National Medical Director
$236K - $449K *
Unlock potential by guiding medical management and quality initiatives. Lead utilization reviews, coordinate with care teams, and enhance service outcomes in a dynamic healthcare environment centered...
3 weeks ago
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
Senior Clinical Quality and Safety Specialist (RN)
$85K - $105K *
Join a dedicated team as a Senior Clinical Quality and Safety Specialist, championing proactive care culture. Collaborate across multisector teams to enhance clinical safety and quality, and ensure pa...
1 week ago
Supervisor, Quality Practice Advisor
$70K - $126K *
Transform healthcare delivery by leading clinical quality initiatives, supervising field staff, and driving value-based contracts to enhance member care and manage risks while ensuring program effecti...
3 weeks ago
Clinical Pharmacist (Formulary & Quality)
$107K - $199K *
Redefine pharmacy care by developing formularies and policies, enhancing quality programs, and driving initiatives that improve Medicaid services while collaborating with diverse teams and stakeholder...
5 days ago
Pharmacy Operations Specialist (PharmD)
$100K - $120K *
Empower health systems with your PharmD expertise, driving effective implementations and customer success in our AI-driven pharmacy platform. Shape workflows, maximize ROI, and enhance adoption throug...
Reposted 1 week ago
Case Manager - Healthcare Appeals & Patient Access Advocate
$83K - $112K *
Partner with us to navigate complex patient cases and ensure seamless access to care. Utilize critical thinking and communication skills to manage authorizations and appeals, collaborating with divers...
6 days ago
RN Case Manager - Fort Campbell
$88K - $92K *
Lead comprehensive case management services for military personnel and families, ensuring quality care delivery through assessments, individualized plans, and effective collaboration with healthcare t...
3 weeks ago
Assoc Dir, Neuro Thought Leader Liaison (West region)
$190K - $225K *
Empower commercial strategies by building relationships with key thought leaders in rare neurological diseases, capturing insights to inform brand development and launch planning, and ensuring impactf...
6 days ago
Clinical Documentation Review Specialist (RN)
$80K - $95K *
Transform patient care by ensuring accurate clinical documentation. Collaborate with medical staff to enhance record clarity, support reimbursement processes, and educate providers on documentation st...
Today
Behavioral Health Care Manager - CA or HI license
$80K - $95K *
Support patients with cancer by integrating behavioral health into care. Collaborate with medical teams, provide interventions, and track treatment efficacy to ensure compassionate, comprehensive supp...
3 weeks ago
$80K - $95K *
Empower patients by managing kidney health cases, coordinating care, and ensuring high-quality outcomes through collaboration with healthcare teams and community resources...
4 days ago