Manager, Clinician Appeals (Active RN License REQ'D)
$90K - $120K *
Lead the development and management of clinical appeals teams, driving operational excellence, quality assurance, and strategic initiatives to improve service delivery and client engagement in a fast...
5 days ago
Denials Management Appeals Nurse (Anesthesia)
$75K - $95K *
Manage medical denials efficiently by analyzing clinical records, filing compliant appeals, and collaborating with healthcare staff to maintain billing accuracy and compliance with third-party payor c...
2 weeks ago
Clinical Psychologist - Licensed in Missouri (Geriatric, Virtual)
$80K - $100K *
Accelerate progress at providing evidence-based telehealth therapy to older adults. Collaborate with a dedicated team to enhance client treatment plans and maintain documentation while enjoying the fl...
Today
$97K - $170K *
Join a team that's committed to advancing clinical success, as you lead training, enhance data integrity, and shape study strategies, ensuring high-quality trial outcomes through scientific oversight...
6 days ago
Clinical Competency & Quality Nurse
$78K - $107K *
Join a team that's dedicated to enhancing clinical quality and competency through audits, talent management, and effective onboarding. You'll drive clinical excellence while supporting nursing staff d...
Reposted 2 weeks ago
$73K - $87K *
Empower students through personalized mentoring in their BSN journey, fostering engagement, confidence, and success while ensuring academic and NCLEX readiness through tailored support strategies...
Yesterday
RN, Care Manager (Home Health) Full Time
$75K - $95K *
Empower patients by delivering comprehensive home care services through assessment, coordination, and patient education, while effectively managing a caseload with a focus on quality care and collabor...
Reposted today
RN, Care Manager (Home Health) Full Time
$75K - $95K *
Join a dedicated team to plan and deliver effective home care services, managing patient caseloads and collaborating with care teams to achieve optimal health outcomes through skilled, compassionate n...
Reposted today
$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...
Yesterday
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
Supervisor, Utilization Management (RN)
$75K - $135K *
Contribute to a high-performing clinical review team by supervising utilization management operations, resolving complex care issues, ensuring compliance with standards, and driving quality improvemen...
3 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 2 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...
3 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...
2 days ago
RN - Registered Nurse - Systems Coordinator Quality Measurement and Reporting
$75K - $95K *
Engage in critical quality measurement and reporting initiatives, leading project completion through analysis, documentation, and problem-solving to enhance clinical strategies and outcomes within a h...
Yesterday
$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...
6 days 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