Graduate School of Nursing and Health Professions Ambassador (Part-Time) Antioch UniversityGraduate School of Nursing and Health Professions Ambassador (Part-Time)Los Angeles, CARemoteStaff Los Angeles or Santa Barbara Posted 9 hours ago Antioch University Title: Graduate School of Nursing and Health Professions Ambassador Department: Graduate School of Nursing and Health Professions Classification: Part-Time, Staff, Non-Exempt, Hourly Reports to: Dean, Graduate School of Nursing and Health Professions Location: Remote position - Residing in either Los Angeles or Santa Barbara, California; Some travel may be required. Three years minimum of APRN clinical experience Excellent communication skills with approachability, high-energy, empathetic, and a champion for healthcare professions Ability to engage diverse populations with empathy, professionalism, and cultural humility Preferred Qualifications: Demonstrated commitment to social justice, equity, and inclusive healthcare.
RN Nurse Health Specialist (Remote | California RN License Required | Rotating Pacific Time Schedule) Alignment Healthcare IncRN Nurse Health Specialist (Remote | California RN License Required | Rotating Pacific Time Schedule)CARemote$77,905–$116,858 / yearThis position is ideal for nurses with experience in Emergency Department (ED), Urgent Care, ICU, CCU, Critical Care, Triage Nursing, or Telehealth environments who thrive in a fast-paced virtual setting and can independently manage multiple priorities while providing exceptional patient care and customer service. As a Nurse Health Specialist, you will serve as a frontline triage nurse, utilizing your clinical judgment to assess patient concerns, provide telephonic and video-based clinical support, determine appropriate next steps in care, and escalate patient calls to an Advanced Practice Clinician (APC) when appropriate.
Care Review Clinician (RN) Remote Molina Healthcare IncCare Review Clinician (RN) RemoteCARemoteResponsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Anesthesia Director of Operations Sound Inpatient Physicians Holdings, LLCAnesthesia Director of OperationsCARemote$125,000–$160,000 / yearCategorySelectAccountable Care OrgAccounting & PayrollAdvisory ServicesAnesthesiologyBusiness DevelopmentClinical LeadershipClinical SupportCritical CareData & AnalyticsEmergency MedicineFinanceHospital MedicineInformation TechnologyMedical DirectorNursingOperationsPeople TeamPost Acute / Transitional CareRevenue CycleSite AdministrationTelemedicine. Key responsibilities will include managing the drivers of P+L performance, providing financial, operational and performance insight to clinical leadership, client service and communication, advancing performance management initiatives with the goal of building client acknowledged value, contract negotiations, and managing support from central service departments.
Bilingual Korean Nurse Care Planner - RN SCAN Health PlanBilingual Korean Nurse Care Planner - RNLos Angeles, CaliforniaRemoteIncrease knowledge by keeping current on Medicare and Medi-Cal policies, Federal and State legislation affecting health and social services, maintaining updated community resource information, attending trainings as scheduled, actively participating in supervision, and striving to improve professionally. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
Bilingual Korean Nurse Care Planner - RN SHPCA SCAN Health PlanBilingual Korean Nurse Care Planner - RNLos Angeles, CaliforniaRemote$38.61–$61.78 / hourIncrease knowledge by keeping current on Medicare and Medi-Cal policies, Federal and State legislation affecting health and social services, maintaining updated community resource information, attending trainings as scheduled, actively participating in supervision, and striving to improve professionally. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
Remote Nurse Care Manager - NY, NV, MI, MN, ID, IL, HI, DC, CA, AK PharmD Live CorpRemote Nurse Care Manager - NY, NV, MI, MN, ID, IL, HI, DC, CA, AKCARemoteDeliver personalized care management and coordination services Conduct patient assessments and develop individualized care plans Support chronic disease management (e.g., diabetes, hypertension, CHF, COPD) Provide education on disease states, medications, and self-management strategies Utilize motivational interviewing techniques to enhance adherence and engagement Collaborate with providers and care teams to align treatment plans Identify care gaps, risks, and barriers to optimal outcomes Maintain accurate, compliant, and timely documentation Support care transitions and follow-up coordination. Strong clinical judgment and attention to detail Excellent communication and interpersonal skills Ability to build rapport and trust in a remote setting Patient-centered, outcomes-driven mindset Self-motivated and able to work independently High level of professionalism and accountability.
Senior Medical Science Liaison - West Region SpringWorks Therapeutics IncSenior Medical Science Liaison - West RegionCARemote$167,500–$220,000 / yearMSL being able to develop and maintain an advanced scientific, medical, and product knowledge base, ability to communicate key insights learned, and disseminate critical scientific data to external stakeholders; including but not limited to academic/scientific/clinical experts, payers, and patient organizations. Essential Duties and Responsibilities: Identify Key Opinion Leaders (KOLs) and establish and maintain strong and deep scientific relationships with KOLs across multi-specialty disciplines, connecting to KOLs in academic centers and community practices at the local, regional, and national level.
Field Case Manager Remote Los Angeles, San Diego, Temecula, CA Charles TaylorField Case Manager Remote Los Angeles, San Diego, Temecula, CALos Angeles, CaliforniaRemoteMaintains a working a knowledge of up-to-date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient’s rehabilitation in order to promote appropriate and timely return to work.
RN - Clinical Documentation Improvement Specialist - Remote UnitedHealth Group IncRN - Clinical Documentation Improvement Specialist - RemoteLos Alamitos, CARemote$72,800–$130,000 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Actively engages with Care Coordination and the Quality Management teams to continually evaluate and spearhead clinical documentation improvement opportunities.
Revenue Cycle Auditor RN -Remote Providence Health & ServicesRevenue Cycle Auditor RN -RemoteCalifornia, CARemoteRequsition ID: 428089 Company: Providence Jobs Job Category: Revenue Cycle Operations Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4001 SS RC REV INTEGRITY Address: CA Irvine 15480 Laguna Canyon Rd Work Location: Providence System Offices Discovery Park-Irvine Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Telephonic RN Case Manager, SNP (Bilingual Preferred) Alignment Healthcare IncTelephonic RN Case Manager, SNP (Bilingual Preferred)CARemote$77,905–$116,858 / yearExtensive knowledge of the management of chronic conditions Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
Field Nursing Operations Manager West Coast Science 37 IncField Nursing Operations Manager West CoastCARemoteWith interest/expertise in Science 37's decentralized model of care delivery, the Field Nursing Operations Manager is responsible for the operational oversight, implementation and daily management of all nursing activities for clinical research studies within their region at Science 37. Through our solutions; Direct-to- Patient Site and Patient Recruitment, we accelerate enrollment by expanding the reach of clinical trials to patients beyond the traditional site and rigorously qualifying patients prior to referring them to a traditional site.