NewDirector Quality RN Providence Health and ServicesDirector Quality RNMedford, ORThe Director, Quality RN coordinates activities across multiple domains, including Accreditation, Patient Safety/Risk Management, Quality & Medical Staff Services, Utilization Management, and Clinical Documentation Improvement, and serves as a subject matter expert engaging leaders and staff to improve the quality, safety, reliability, and outcomes of care. The Director, Quality RN provides strategic leadership, operational oversight, and programmatic direction for Oregon Region Quality Management & Medical Staff Services (ORQMMSS) in alignment with the Providence St. Joseph Health Integrated Strategic and Financial Plan.
NewProgram Manager VI, Strategy Execution, Healthcare Tech Management - Laboratory Equipment Kaiser PermanenteProgram Manager VI, Strategy Execution, Healthcare Tech Management - Laboratory EquipmentPortland, ORThis position is also responsible for providing design plans and supporting the development and execution of change management strategies during key program or organizational changes and transitions; working in a variety of dynamic situations requiring expert level consulting, internal influence, conflict management, and resource/team management; proactively conducting external research to identify and implement market leading practices; embracing a can-do strategic approach with sound business acumen; and advising and partnering with senior leaders while operating within a fast-paced environment. Job Summary: In addition to the responsibilities listed below, this senior technical functional leader is also responsible for managing strategic, enterprise-wide, cross-regional, and/or multi-disciplinary programs to drive exceptional business value for KP; managing evolving strategic priorities and providing strategic planning within and across programs to drive and ensure alignment and performance across the organization.
Supply Chain Healthcare Logistics Management Consulting Manager Accenture PlcSupply Chain Healthcare Logistics Management Consulting ManagerBeaverton, ORWe Are: Accenture is a leading solutions and services company that helps the world's leading enterprises reinvent by building their digital core and unleashing the power of AI to create value at speed across the enterprise, bringing together the talent of our approximately 786,000 people, our proprietary assets and platforms, and deep ecosystem relationships. Your superpower is pairing functional command of supply chain processes with the consulting skills to lead change: you can sit with a Chief Supply Chain Officer to shape strategy in the morning and roll up your sleeves with an analyst on item master cleanup in the afternoon.
Adjunct Instructor/Gender, Sexuality & Women’s Studies, Native American Studies, Sociology & Anthropology, Human Service, and Healthcare Administration Southern Oregon UniversityAdjunct Instructor/Gender, Sexuality & Women’s Studies, Native American Studies, Sociology & Anthropology, Human Service, and Healthcare AdministrationAshland, OregonEfforts associated with teaching may include, but are not limited to: preparation; direct instruction; assessment; student contact outside of class (office hours, appointments, email); presenting complex concepts to a group of diverse learners; listening; understanding and responding to student questions in real-time/in a classroom environment; and applying critical judgment to student work, both written and verbal delivery of information. Efforts associated with lab/workshop may include: providing students with practical experience using instrumentation and equipment in a way that enables student learning and ensures safety; simultaneously monitoring and managing multiple students individually and in groups; demonstrating and executing complex procedures; and using complex instrumentation and hazardous materials.
Healthcare Customer Service Representative - Community Health Worker Advanced HealthHealthcare Customer Service Representative - Community Health WorkerCoos Bay, OregonDepartment: MEMBER SERVICES | Reports to: CUSTOMER SERVICE MANAGER | Supervision Exercised: NON-SUPERVISORY Job Purpose: Customer Service Representative Responsible for maintaining a customer-oriented approach while ensuring that designated health plan members receive information and direction for covered OHP benefits including medical, behavioral, dental, non-emergent transportation and substance use care and support necessary to meet their needs. Machines, equipment, tools, and supplies used: Constantly operates a computer or other office productivity machinery, such as postage machine, fax, copier, calculator, multi-line telephone system, scanner.
Territory Manager of Healthcare Partnerships - Washington/Oregon Mom's MealsTerritory Manager of Healthcare Partnerships - Washington/OregonPortland, ORFull timeEffectively present Mom’s Meals products and services to a variety of audiences including managed care organizations as well as case managers, social workers, physicians, nurses and dietitians. Consistently utilize company programs and systems to maximize and prioritize each of the qualified Tier account engagements and create efficient weekly sales routes to meet scheduled meetings, drop-ins, and client educational opportunities.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselORRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
NewSenior HCM and Compensation Consultant, Healthcare Workday IncSenior HCM and Compensation Consultant, HealthcareBeaverton, OR$117,000–$175,400 / yearStrong influencing skills, including persuasive communication and the ability to drive consensus and effectively collaborate with stakeholders, Exceptional relationship management skills are crucial, with a focus on building and maintaining strong relationships with clients, partners, and colleagues to foster collaboration, loyalty, and a positive work environment. The Workday Healthcare Consulting team is an industry focused team that ensures successful deployments by architecting, configuring, and testing the Workday solution to meet the specific needs of our customers.
Development Manager - Healthcare Technology MaximusDevelopment Manager - Healthcare TechnologyEugene, ORFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Drive all aspects of engineering recruiting including but not limited to; attracting great talent and retaining a highly skilled, proficient engineering team.
SENIOR PROJECT MANAGER- Healthcare Lease Crutcher Lewis LLCSENIOR PROJECT MANAGER- HealthcarePortland, ORPart timePartnering closely with our Director of Corporate and Healthcare and using years of demonstrated experience running large healthcare construction projects, you will be looked at as a subject matter expert, developer of others, and a strategist in our Healthcare Market. Our Senior Project Manager in our Healthcare Market will play a key leadership role in developing others, building relationships in our community, and driving innovation and excellence.
Sr Total Rewards Strategist - Executive Compensation (Healthcare) Legacy HealthSr Total Rewards Strategist - Executive Compensation (Healthcare)PORTLAND, Oregon$57.75–$86.05 / hourFull timeThis professional works extensively with Legacy’s Chief People & Culture Officer (CPCO), as well as Legacy’s Chief Executive Officer (CEO), Vice President, People Services and Total Rewards, Director of Total Rewards, members of the Legacy Board of Directors, Management Compensation Committee, and Legacy’s external executive compensation consultants. They provide knowledge and counsel to other People & Culture leaders to position Legacy as an employer of choice for executives, and to develop strategies that integrate with talent management (recruitment, retention, succession planning) and diversity, equity and inclusion (DEI) priorities.
NewLead Director, Healthcare Medicaid Risk Adjustment Analytics CVS Health CorpLead Director, Healthcare Medicaid Risk Adjustment AnalyticsOR$100,000–$231,540 / yearThe Lead Director should also demonstrate leadership in innovation and adoption of modern technologies, data platforms, machine learning, process automation, AI, and data science for optimized insights, workflows, reporting, and process controls. This senior-level role will provide strategic and operational leadership for all Medicaid risk adjustment analytics, reporting, and informatics functions to ensure complete, accurate, and compliant revenue capture.
Traveling Healthcare Assistant TVG-Medulla LLCTraveling Healthcare AssistantTualatin, OROur Healthcare Assistants / Chiropractic Technicians work alongside our Chiropractic Doctors to educate and treat patients on preventative and non-invasive care to reach their health goals! Medulla is comprised of 830+ employees, with corporate headquarters in Oak Brook, IL and 150+ clinic locations in Illinois, Indiana, Wisconsin, Missouri, Kansas, Kentucky, Virginia, Texas, Oregon, Washington, and Alaska.
NewHealthcare Consultant I Apidel TechnologiesHealthcare Consultant IRemote, FLRemoteContractorCase Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
Healthcare Fraud Investigator at Integrity Advantage (Remote) HireAlignedHealthcare Fraud Investigator at Integrity Advantage (Remote)Remote, OREGONRemoteUtilize clients fraud detection solution to identify post-payment or pre-payment opportunities for investigation as well as other applications to perform data mining or track investigative results. Integrity Advantage is a small woman owned business serving health payers and other entities challenged with the detection, investigation and prevention of healthcare fraud, waste and abuse (FWA).
NewHealthcare Operations Manager Interim HealthCare IncHealthcare Operations ManagerEugene, ORInterim HealthCare of the Willamette Valley is seeking an experienced and motivated General Manager to oversee all aspects of branch operations. In this role, you will lead a team dedicated to delivering exceptional patient care and client services while ensuring operational excellence and financial success.
NewHealthcare Operations Manager Home Healthcare Agency & Medical StaffingHealthcare Operations ManagerEugene, OregonInterim HealthCare of the Willamette Valley is seeking an experienced and motivated General Manager to oversee all aspects of branch operations. In this role, you will lead a team dedicated to delivering exceptional patient care and client services while ensuring operational excellence and financial success.
SENIOR PROJECT MANAGER- Healthcare Lease Crutcher Lewis CareersSENIOR PROJECT MANAGER- HealthcarePortland, OregonPartnering closely with our Director of Corporate and Healthcare and using years of demonstrated experience running large healthcare construction projects, you will be looked at as a subject matter expert, developer of others, and a strategist in our Healthcare Market. Our Senior Project Manager in our Healthcare Market will play a key leadership role in developing others, building relationships in our community, and driving innovation and excellence.
NewHealthcare Consultant I - FLA - Hialeah Apidel TechnologiesHealthcare Consultant I - FLA - HialeahRemote, FLRemoteContractorCase Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of case management tools and resources.
Healthcare Consultant I -Mid Miami Apidel TechnologiesHealthcare Consultant I -Mid MiamiRemoteRemoteContractorCase Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
NewHealthcare Consultant I - Mid Miami Apidel TechnologiesHealthcare Consultant I - Mid MiamiRemote, FLRemoteContractorCase Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
Healthcare Area Sales Manager (B2B) New System Laundry LLCHealthcare Area Sales Manager (B2B)Portland, ORConsultative Selling: Sell value over price by utilizing exceptional listening and questioning skills to advise practice managers and facility directors on the best solutions for their stringent regulatory and patient-care requirements. You will take pride in your work as you win trust, create tailored programs, and develop long-term partnerships with medical clinics, dental practices, outpatient centers, and other healthcare facilities.
Healthcare Area Sales Manager (B2B) New SystemHealthcare Area Sales Manager (B2B)Portland, ORConsultative Selling: Sell value over price by utilizing exceptional listening and questioning skills to advise practice managers and facility directors on the best solutions for their stringent regulatory and patient-care requirements. You will take pride in your work as you win trust, create tailored programs, and develop long-term partnerships with medical clinics, dental practices, outpatient centers, and other healthcare facilities.
Healthcare Programs Specialist Rogue Community CollegeHealthcare Programs SpecialistORGroup / Grade6ClassificationClassifiedWork LocationTRCOvertime EligibleNon-ExemptDivisionStudent Learning & SuccessDifferentialsBilingualDepartmentHealth & Public ServiceReports ToDirector of Dental ProgramsSupervision Received Works under the general supervision of the Director. Experience - Minimum of three years of experience supporting administrative operations, healthcare education programs, admissions processes, student services, clinical program support, or related program coordination functions involving multiple stakeholders, timelines, confidential information, and operational processes.
Supervisor, Healthcare Services Claims Moda Partners IncSupervisor, Healthcare Services ClaimsPortland, OR$59,922.05–$74,902.56 / yearControls workflow and quality by checking date and amount of work in processors queues, assigns work to ensure time service goals, tracks processors production and quality. Facilitates problem solving for employees and Manager by answering claims related questions dealing with contract interpretation of benefits, procedures and claims systems.
Senior Analytics Analyst - Healthcare Data SureScripts LLCSenior Analytics Analyst - Healthcare DataBeaverton, ORThe Senior Analytics Analyst - Healthcare Data independently leads analytics workstreams that produce actionable insights, enable product decisions, and strengthen commercial narratives across Surescripts solutions. • Own end-to-end analytics deliverables: scope the problem, define success metrics, develop analytic plans, execute analyses/models, and present results with confidence.
Associate General Counsel – Healthcare Law Legacy HealthAssociate General Counsel – Healthcare LawPORTLAND, Oregon$108.91–$162.27 / hourFull timeResponsibilities: As an expert in a broad range of legal issues affecting health care providers with significant transactional and/or litigation experience, the Associate General Counsel provides legal advice, counsel, and representation of Legacy Health to ensure conformity with applicable laws and regulations. The Associate General Counsel exercises a high degree of independent judgment, sets his or her own objectives with guidance from the Senior Vice President, Chief Legal Officer, and decides how to proceed to resolve difficult problems while following Legacy and Legal Services policies.
Accounting Professional Healthcare Finance Veracity Software IncAccounting Professional Healthcare FinanceCoos Bay, ORTentative Start Date: Motivation / Reason for interest in this position: Reason for job change: Contact Number: Email ID: LinkedIn Profile URL: Full Address (City, State): Notice Period / Availability: Current Work Authorization Status: Expected Salary: Are you ready to relocate at your own expense and work onsite in Coos Bay, Oregon? The Accounting Professional is responsible for managing financial records, preparing reports, and supporting accounting operations within a healthcare setting.
Healthcare Construction and Renovation Technician Kr WolfeHealthcare Construction and Renovation TechnicianPortland, OregonGuided by our commitment to quality, value, and customer service, we operate by our SPIRIT and QUEST core values—delivering exceptional service with integrity, teamwork, and care. The Healthcare Renovation Technician is responsible for the demolition and renovation of all types of healthcare spaces, as well as the installation of new equipment.
Strategic Account Executive - Healthcare UKGStrategic Account Executive - HealthcareSalem, OR$90,000–$95,000 / yearThis Account Executive will be in a role of focusing on both acute and non-acute care accounts between 1-500 employees; the role requires a hunter focus on existing accounts seeking to add on Payroll, HR, Talent, Benefits, and additional HCM products, as well as expanding their labor management solution with additional products such as absence management, scheduling, and the analytics solutions. This person will be tasked with creating and maintaining key stakeholder relationships, in the accounts, and maximize opportunities to attain and exceed annual sales goals for the territory and the UKG Healthcare sales team.
Scrum Master / ServiceNow Project Manager - Healthcare Platform (Remote) Greenberg-Larraby, Inc. (GLI)Scrum Master / ServiceNow Project Manager - Healthcare Platform (Remote)Remote, ORRemoteThe Scrum Master / ServiceNow Project Manager for the Healthcare Platform will be responsible for managing the implementation and enhancement of ServiceNow solutions within the healthcare sector. • Collaborate with cross-functional teams to ensure successful implementation of ServiceNow solutions tailored for healthcare environments.
Healthcare Operations Manager DaVita IncHealthcare Operations ManagerGresham, ORMinimum of one year experience required in management (healthcare, business, or military) or equivalent renal experience (nurse, dietitian, social worker, LPN, etc.) at discretion of DVP and/or ROD. Develop, mentor and inspire a cross-functional clinical team (census dependent on state laws) to deliver the best for our patients, teammates and community.
Supervisor, Healthcare Services Claims - Internal Applicants Only Moda HealthSupervisor, Healthcare Services Claims - Internal Applicants OnlyPortland, OR$59,922.05–$74,902.56 / yearControls workflow and quality by checking date and amount of work in processors queues, assigns work to ensure time service goals, tracks processors production and quality. Facilitates problem solving for employees and Manager by answering claims related questions dealing with contract interpretation of benefits, procedures and claims systems.
Solutions Architect I or II, DOE - Healthcare Services Cambia Health Solutions IncSolutions Architect I or II, DOE - Healthcare ServicesOR$114,000–$143,000 / yearWhat You Bring to Cambia: Qualifications: The Solutions Architect I would have a Bachelor's degree in computer science, engineering, or a related/relevant field, plus seven years of IT experience, including a minimum of two years of technical leadership and architecture experience and at least three years of experience evaluating business requirements and designing end‑to‑end solutions in complex environments. The Solutions Architect II would have a Bachelor's degree in computer science, engineering, or a related/relevant field, with an advanced degree preferred, plus seven years of IT experience, including a minimum of two years of technical leadership and architecture experience and at least five years of experience evaluating business requirements and designing complex, enterprise‑scale solutions.
Associate General Counsel - Healthcare Law Legacy Health SystemAssociate General Counsel - Healthcare LawPortland, OR$108.91–$162.27 / hourAs an expert in a broad range of legal issues affecting health care providers with significant transactional and/or litigation experience, the Associate General Counsel provides legal advice, counsel, and representation of Legacy Health to ensure conformity with applicable laws and regulations. The Associate General Counsel exercises a high degree of independent judgment, sets his or her own objectives with guidance from the Senior Vice President, Chief Legal Officer, and decides how to proceed to resolve difficult problems while following Legacy and Legal Services policies.
Corporate Paralegal - Alumus Healthcare AlumusCorporate Paralegal - Alumus HealthcarePortland, Oregon$50,000–$70,000 / yearThis role is ideal for a detail-oriented professional who is comfortable collaborating with cross-functional stakeholders to serve clinical, operational, business, corporate and executive teams, in fast-paced and heavily regulated healthcare sectors. Join a company that sees a better way for healthcare by being patient advocates, following evidenced-based clinical practices, caring for people holistically, improving continuity of care and providing nurturing surroundings that encourage and inspire.
SUPERINTENDENT- HEALTHCARE Lease Crutcher Lewis LLCSUPERINTENDENT- HEALTHCAREPortland, ORPart timeAbility to organize necessary resources, people, processes, time and tools to meet tight schedules, client expectations and conflicting priorities to achieve desired results. Manage field projects of the field and internal teams to ensure that projects are delivered safely, on time, on budget, and with high-quality results.
Data Governance Platform Engineer / SDE III (Healthcare) Cambia Health Solutions IncData Governance Platform Engineer / SDE III (Healthcare)OR$104,000–$135,000 / yearPreferred Key Experience: Technically proficient data engineer with a strong background in Snowflake platform capabilities, excellent SQL skills, and hands-on experience with data governance frameworks, access and provisioning design, and modern data management practices. Our environment is built on Snowflake, and this role will be central to enabling capabilities such as automated tagging and classification, role-level access controls, data metric functions, Horizon catalog, and data lineage - all in service of making our members' health journeys easier.
Clinic Healthcare Janitor - Nightime ServiceMaster Bldg. Maint.Clinic Healthcare Janitor - NightimeLake Oswego, OregonDuties include, but are not limited to, cleaning and sanitizing restrooms, mopping and sweeping floors, dusting surfaces, vacuuming carpets, removing trash and recycling, restocking paper supplies and liners, and maintaining overall cleanliness and sanitation of healthcare facilities. ServiceMaster Building Services is a minority-owned business that proudly serves the Greater Phoenix area.
Healthcare Data Analyst II PacificSource Health PlansHealthcare Data Analyst IIPortland, OR$65,296.83–$111,004.62 / yearIn addition to managing targeted data streams as applicable, the Analyst II will analyze Enterprise-wide data sets, identify trends, and develop access trend analysis dashboards and reports for internal review and regulatory reporting purposes. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork.
Healthcare Benefits Navigator Guardian Pharmacy LLCHealthcare Benefits NavigatorEugene, ORUsing pharmacy's point of sale system in conjunction with an online vendor, explain customer's current insurance coverage and provide personalized plan comparison ensuring customer understands available plan options and can make informed plan selection. • Make quality cold calls to potential customers explaining LTC pharmacy services provided and how it assists the facility in proper medication management.
Local Driver - TForce Freight - Free Employee Healthcare! $31.00 - $34.65 TForce Freight IncLocal Driver - TForce Freight - Free Employee Healthcare! $31.00 - $34.65Portland, ORWith 178 plus service centers, services include regional, interregional, and long-haul transportation, as well as cross-border services and advanced tracking technology. As a global leader in logistics, TForce Freight is committed to making your less-than-truckload (LTL) shipments easier and improving your efficiency-delivering more solutions and more results at every turn.
Road Driver - TForce Freight - Free Employee Healthcare! Mileage Rate: $0.7071-$0.8057 - No Touch Freight, Home Daily, Non-Contributory Pension TForce Freight IncRoad Driver - TForce Freight - Free Employee Healthcare! Mileage Rate: $0.7071-$0.8057 - No Touch Freight, Home Daily, Non-Contributory PensionPortland, OR$0.71–$0.81 / hourWith 178 plus service centers, services include regional, interregional, and long-haul transportation, as well as cross-border services and advanced tracking technology. The successful candidate will be responsible for transporting freight across regional & non regional routes while ensuring timely deliveries and maintaining a high level of customer satisfaction.
Healthcare Consultant I - Tampa, FL Apidel TechnologiesHealthcare Consultant I - Tampa, FLRemote, FLRemoteContractorCase Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
Healthcare Consultant I - FLA - (Homestead) Apidel TechnologiesHealthcare Consultant I - FLA - (Homestead)RemoteRemoteContractorConducts comprehensive evaluation of Members using care management tools and information/data review Coordinates and implements assigned care plan activities and monitors care plan progress Conducts multidisciplinary review to achieve optimal outcomes Identifies and escalates quality of care issues through established channels Utilizes negotiation skills to secure appropriate options and services necessary to meet the member\'s benefits and/or healthcare needs Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices Helps member actively and knowledgeably participate with their provider in healthcare decision-making Monitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Case Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports.
Healthcare Consultant I - FLA - (Cutler Bay) Apidel TechnologiesHealthcare Consultant I - FLA - (Cutler Bay)Remote, FLRemoteContractorCase Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
Healthcare Consultant III Apidel TechnologiesHealthcare Consultant IIIRemoteRemoteContractorThrough the use of care management tools and information/data review, conducts comprehensive evaluation of referred members needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members benefit plan and available internal and external programs/services. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
Healthcare Consultant I - CMA - Ohio Apidel TechnologiesHealthcare Consultant I - CMA - OhioRemoteRemoteContractorThis individual will work on a variety of administrative tasks to assist the Care Coordination department that may include but are not limited to, the inbound care management queue line, responding to questions and inquiries from both members/guardians or parties assisting with services. Successful candidates will demonstrate strong time management skills, initiative, attention to detail, critical thinking and the ability to work independently while maintaining consistent communication and collaboration with team members and leadership.
Healthcare Consultant I - FLA - (West Hialeah) Apidel TechnologiesHealthcare Consultant I - FLA - (West Hialeah)RemoteRemoteContractorCase Management Coordinators will determine appropriate services and supports due to members health needs; including but not limited to: Prior Authorizations, Coordination with PCP and skilled providers, Condition management information, Medication review, Community resources and supports. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.