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$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...

US-AnywhereRemote

5 days ago

  •   8 - 10 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

Today

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

6 days ago

  •   Less than 5 years exp.  •   Pharmaceuticals & Biotech

$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...

US-AnywhereRemote

Reposted 2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

Yesterday

  •   5 - 7 years exp.  •   Education, Government & Non-Profit

$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...

US-AnywhereIn-Person

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereIn-Person

Reposted today

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

1 week ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

4 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

Reposted 2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

4 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

3 days ago

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 days ago

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

Yesterday

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

6 days ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereRemote

1 week ago

  •   11 - 15 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 weeks ago

  •   5 - 7 years exp.  •   Healthcare

$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...

US-AnywhereIn-Person

Reposted 3 weeks ago

  •   Less than 5 years exp.  •   Healthcare

$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...

US-AnywhereRemote

2 weeks ago

  •   Less than 5 years exp.  •   Hospitals & Medical Centers