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- 15 days ago
Specialist, Health Plan Quality Program Mgmt & Performance (Remote in WI)
Molina Healthcare · Remote · United States
JOB DESCRIPTION Job SummaryProvides support for quality management and quality performance improvement activities.
- 18 days ago
Behavioral Health Clinician – Crisis Assessment & Care Navigation (Bilingual Spa
Lyra Health · Remote · United States
About Lyra HealthLyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally in partnership with employers and more than 100 million through health plan and partner relationships.
- 6 days ago
RN Care Navigator (100% Remote for candidates located in the PST & MST time zone
Healthmap Solutions · Remote · United States
Position Summary The Registered Nurse, Care Navigator will be responsible for case management specific to kidney health management.
- 8 days ago
Payment Integrity Clinical Readmission Manager
Devoted Health · Remote · United States
Job Description A bit about this role: The Clinical Readmission Manager is responsible for conducting prepayment and post-payment clinical reviews of inpatient hospital admissions and subsequent admissions to the same or a related hospital within 30 days of the prior discharge date.
- Aug 25
Navigation Solution Consultant
Rightway · Remote · United States
Navigation Solution ConsultantABOUT THE ROLEThe Navigation Solution Consultant at Rightway is a subject matter expert (SME) who serves as the cornerstone of technical, clinical and strategic expertise during client engagements.
- 19 days ago
Behavioral Health Clinician – Crisis Assessment & Care Navigation
Lyra Health · Remote · United States
About Lyra HealthLyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally in partnership with employers and more than 100 million through health plan and partner relationships.
- 17 days ago
DRG Clinical and Coding Educator- Remote (Any city, TX, US, 99999)
Gainwell Technologies · Remote · United States
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges.
- 24 days ago
Clinical Service Lead
Guideway Care · Remote · United States
About Guideway Care*Guideway Care is The Patient Activation Company™.
- 11 days ago
Clinical Documentation Manager
Ensemble Health Partners · Remote · United States
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
- 12 days ago
Behavioral Health Navigation Team Manager
Alight Solutions · Remote · United States
Our StoryAt Alight, we believe a company’s success starts with its people.
- 12 days ago
RN Care Navigator
Healthmap Solutions · Remote · United States
Position Summary The Care Navigator will be responsible for case management specific to kidney health management.
- 27 days ago
RN Care Manager
Babyscripts · Remote · United States
RN Care Manager PART TIME – BabyscriptsAbout Babyscripts Babyscripts is a leading innovator in digital health, dedicated to transforming maternal care through remote patient monitoring (RPM) and patient engagement.
- Sep 19
Manager, Payment Integrity Auditing
Premera Blue Cross · Remote · United States
Workforce Classification:TelecommuterJoin Our Team: Do Meaningful Work and Improve People’s Lives Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary.
- 4 days ago
Care Management Clinician Team Lead
PacificSource Health Plans · Remote · United States
Looking for a way to make an impact and help people?
- 19 days ago
RN Utilization Management Reviewer
Sagility · Remote · United States
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members.
- 17 days ago
Utilization Management RN
Your IT Recruiter · Remote · United States
This is a remote position. The Utilization Management (UM) Nurse is responsible for conducting clinical reviews and assessing the medical necessity, appropriateness, and efficiency of healthcare services requested by providers and members.
- 10 days ago
Remote RN, Clinical Record Review
Managed Medical Review Organization · Remote · United States
Applicants must reside in: Michigan, Florida, Idaho, Texas, Minnesota or Illinois.
- 18 days ago
Prescriber for Children’s ADHD
Paloma Health · Remote · Australia, Canada, France +
Time commitment: Between 0. 6-1 FTE(our preference is for this to be an employed position) Location: Remote Reporting to: NeurodevelopmentalTeam Manager About PalomaIn 2024, our founders, Mark and Darshak, were shocked to find that children needing an NHS autism or ADHD assessment were waiting 4-10 years for these assessments.
- 12 days ago
RN Intake
Americare · Remote · United States
Job Description: The Intake Coordinator is a Registered Professional Nurse who takes referrals and processes appropriate home care services.
- Today
MSN Acute Care NP (Adjunct)
Covista · Remote · United States
Job DescriptionWHAT TO EXPECT AS A WALDEN FACULTY MEMBER Faculty members educate Walden University students by effectively and proficiently using online technology and resources so that knowledge, information, feedback, and critique are imparted to and shared with students in thoughtful, carefully formulated, well written, and timely communications.
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