Clinical Learning Educator 2, Hybrid BETH & BOCA, Clinical Learning, FT, 08A-4:30P Baptist Health South Florida IncClinical Learning Educator 2, Hybrid BETH & BOCA, Clinical Learning, FT, 08A-4:30PBethesda, MDRemote$87,755.20–$116,714.42 / yearThe Clinical Learning Educator II utilizes skilled communication and true collaboration to partner with clinical leadership across Baptist Health to establish and sustain a cohesive network aimed at assessing individual entity and system needs, developing, planning, coordinating, implementing, and facilitating educational programs or initiatives, and evaluating the outcomes and implications. Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.
Outpatient Counselor (Graduate Level - LGPC required) Remote or Hybrid Ellie Mental Health - 016Outpatient Counselor (Graduate Level - LGPC required) Remote or HybridRockville, MDRemoteWe are looking for Therapists: The perfect candidate will share our passion for improving and expanding access to quality mental health care and will thrive in a culture that emphasizes: autonomy, flexibility, creativity, authenticity, humor, compassion, acceptance and determination. Ellie makes the clinician’s experience the best it can be; providing excellent schedules while also providing centralized administrative, technology, referral and inquiry support, scheduling, client/therapist matching, billing and collections, and even CEU programs.
Lead Healthcare Data Analyst (Pre-sale) HealthVerityLead Healthcare Data Analyst (Pre-sale)Washington, DCRemotep>As a Lead Healthcare Data Analyst, Real World Data Solutions (RWDS), you will apply your healthcare data analytics expertise to support pre-sales solutioning, helping clients and internal teams assess data feasibility, shape analytic approaches, and identify the right data assets to support prospective licensing opportunities. Efficiently query multiple data types (medical and pharmacy claims, EMR, lab, chargemaster) using SQL to identify populations of interest in HVM data, apply appropriate inclusion and exclusion criteria, and assess outputs using univariate analysis, distributions, trends, and data investigations.
Lead Healthcare Data Analyst (Post-sale) HealthVerityLead Healthcare Data Analyst (Post-sale)Washington, DCRemotep>As a Lead Analyst, Real World Data (RWD) Insights you will serve as a strategic partner to clients and internal teams, leveraging deep expertise in healthcare data analytics to drive complex, high-impact real-world data (RWD) solutions. Comprehensive and individualized onboarding: mentorship program, departmental talks, and a library of resources are available beginning day 1 for each new team member to minimize the stress of starting a new job.
NewSenior Healthcare Network Consultant Humana IncSenior Healthcare Network ConsultantMDRemote$78,400–$107,800 / yearWork at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
China Research Intern PT – Defense (Hybrid) BluePath LabsChina Research Intern PT – Defense (Hybrid)Washington, DCRemotePart timep>China Research Interns at BluePath contribute to our research and translation work at all stages, including by performing administrative tasks, gathering data, conducting open-source research and analysis, editing reports, proofreading translations, generating data visualizations, and testing software tools. We are actively seeking a China Research Intern to support open-source research and translation products relating to China's military, defense industrial base, technological development, and foreign policy.
Sr Manager AI/ML Engineering - Hybrid in MN or DC, remote elsewhere UnitedHealth Group IncSr Manager AI/ML Engineering - Hybrid in MN or DC, remote elsewhereWashington, DCRemote$112,700–$193,200 / 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. From reducing administrative burden for providers to anticipating patient needs and improving access to quality care, your work will help solve some of healthcare"s most complex challenges-and directly improve health outcomes for millions of people.
AE Healthcare UpMarket Zoom Communications IncAE Healthcare UpMarketVARemoteWe set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars. As part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways.
Principal Analytics Analyst - Healthcare Data SureScripts LLCPrincipal Analytics Analyst - Healthcare DataDCRemote$152,900–$186,900 / yearli>Evidence of leading complex, cross-functional analytics that drove material product, commercial, or strategic outcomes; preferred experience with medication adherence analytics, prior authorization and utilization management analytics, health economics and outcomes research (HEOR), and/or growth marketing analytics. Masters degree in Data Science, Statistics, Epidemiology, Health Economics, or related field required; 8+ years of experience in advanced analytics, with substantial healthcare analytics experience preferred.
Principal Software Engineer - Remote or Hybrid in MN and DC UnitedHealth Group IncPrincipal Software Engineer - Remote or Hybrid in MN and DCWashington, DCRemote$132,200–$226,600 / 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. Serving all of UnitedHealth Group"s digital technology needs, the CDO team is responsible for driving outcomes across nearly 30 million+ human lives with UnitedHealthcare insurance, a number which puts UHC at the top of the pack as the largest managed care provider in the United States.
AI Red Team Operator - Remote or Hybrid in MN or DC UnitedHealth Group IncAI Red Team Operator - Remote or Hybrid in MN or DCWashington, DCRemote$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. This role will design and deliver realistic adversarial cyberattacks that will not only test the effectiveness of the security stack but will improve the company"s ability to detect and respond to these types of attacks.
Principal Threat Surface Analyst - Remote or Hybrid in MN or DC UnitedHealth Group IncPrincipal Threat Surface Analyst - Remote or Hybrid in MN or DCWashington, DCRemote$112,700–$193,200 / 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. Experience implementing and supporting enterprise endpoint platforms such as: Microsoft Defender for Endpoint, Trend Micro, CrowdStrike, SentinelOne, Carbon Black.
Clinical Dietitian (Hybrid Remote/Onsite) Compass Group North AmericaClinical Dietitian (Hybrid Remote/Onsite)Rockville, MDRemote$75,000–$82,000 / yearSpecial perks include: Education Reimbursement - Financial support for advanced learning Career Advancement - Growth programs tailored to RDNs Board Certifications - Financial rewards for obtaining specialty certifications Relocation Assistance - Support when moving 50 miles based on location Professional Membership Dues CDR & Licensure Coverage - We cover your professional fees Free CEUs - Through our nutrition education webinar series. The company has earned significant recognition, including being named one of Modern Healthcares Top 100 Best Places to Work in Healthcare for five consecutive years and appearing on Training Magazines Top 125 Organizations list for six straight years.
China Research Intern PT - Defense (Hybrid) BluePath LabsChina Research Intern PT - Defense (Hybrid)DCRemotep>Work Description: China Research Interns at BluePath contribute to our research and translation work at all stages, including by performing administrative tasks, gathering data, conducting open-source research and analysis, editing reports, proofreading translations, generating data visualizations, and testing software tools. We are actively seeking a China Research Intern to support open-source research and translation products relating to China's military, defense industrial base, technological development, and foreign policy.
Solution Architect - Remote or Hybrid in MN and DC UnitedHealth Group IncSolution Architect - Remote or Hybrid in MN and DCWashington, DCRemote$112,700–$193,200 / 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. You will collaborate with cross-functional partners to architect robust integrations and data flows using key industry technologies, while leveraging enterprise-approved AI tools to design scalable, secure, and highly efficient healthcare platforms.
Sr AI or ML Engineer Remote Nationwide or Hybrid in NJ, MN, DC UnitedHealth Group IncSr AI or ML Engineer Remote Nationwide or Hybrid in NJ, MN, DCWashington, DCRemote$91,700–$163,700 / 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. We have received recent reports of fraudulent LinkedIn messages and emails alleging or claiming to be sent from UnitedHealth Group, UnitedHealthcare, or Optum Executives.
Principal Data Engineer- Remote or Hybrid in MN or DC UnitedHealth Group IncPrincipal Data Engineer- Remote or Hybrid in MN or DCWashington, DCRemote$112,700–$193,200 / 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. Design, build, test, and operate data-intensive systems, including streaming and batch pipelines using technologies such as Databricks, Kafka, Snowflake, and cloud-native storage solutions.
Director of AI/ML Engineering Remote Nationwide or Hybrid in MN/DC UnitedHealth Group IncDirector of AI/ML Engineering Remote Nationwide or Hybrid in MN/DCWashington, DCRemote$134,600–$230,800 / 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. In this role, you will lead the technical vision for AI-driven consumer solutions, leveraging innovative machine learning techniques to personalize health journeys and improve outcomes.
Sr Mgr, Workforce Lead - Remote or Hybrid in MN and DC UnitedHealth Group IncSr Mgr, Workforce Lead - Remote or Hybrid in MN and DCWashington, DCRemote$112,700–$193,200 / 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. This role partners with senior technology leaders and enterprise stakeholders-including Sourcing & Procurement, Finance, Human Resources, Talent Acquisition (TA), and Governance-to develop and execute a hiring and staffing strategy that aligns with financial targets, labor models, and geographic objectives.
Sr AI / ML Engineer Remote Nationwide or Hybrid in MN, DC, NJ UnitedHealth Group IncSr AI / ML Engineer Remote Nationwide or Hybrid in MN, DC, NJWashington, DCRemote$120,100–$214,500 / 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. We develop AI/ML solutions for the highest impact opportunities across UnitedHealth Group businesses including UnitedHealthcare, Optum Financial, Optum Health, Optum Insight, and Optum Rx.
Sr AI or ML Engineer Remote Nationwide or Hybrid in MN, DC, NJ UnitedHealth Group IncSr AI or ML Engineer Remote Nationwide or Hybrid in MN, DC, NJWashington, DCRemote$120,100–$214,500 / 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. We develop AI/ML solutions for the highest impact opportunities across UnitedHealth Group businesses including UnitedHealthcare, Optum Financial, Optum Health, Optum Insight, and Optum Rx.
Principal Information Security Engineering - Remote or Hybrid in MN or DC UnitedHealth Group IncPrincipal Information Security Engineering - Remote or Hybrid in MN or DCDCRemote$112,700–$193,200 / yearp>The 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. Own the end-to-end security architecture and operational strategy for enterprise edge security platforms, including Cloudflare and Akamai (covering WAF, DDoS, bot management, TLS, DNS, and edge traffic management).
Lead Software Engineer - Remote or Hybrid in MN and DC UnitedHealth Group IncLead Software Engineer - Remote or Hybrid in MN and DCDCRemote$112,700–$193,200 / 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. We have received recent reports of fraudulent LinkedIn messages and emails alleging or claiming to be sent from UnitedHealth Group, UnitedHealthcare, or Optum Executives.
Sr AI/ML Engineer Remote Nationwide or Hybrid in MN/DC/NJ UnitedHealth Group IncSr AI/ML Engineer Remote Nationwide or Hybrid in MN/DC/NJWashington, DCRemote$44.09–$78.70 / hourThe 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. The Provider Digital Technology team is focused on delivering a unified, intuitive digital entry point for UnitedHealthcare providers and partners to access tools, services, and information.
Sr Software Engineering Manager - Remote or Hybrid in MN or DC UnitedHealth Group IncSr Software Engineering Manager - Remote or Hybrid in MN or DCDCRemote$112,700–$193,200 / yearli>Experience with modern technology stacks, including: Cloud platforms (Azure preferred), Java and Spring Framework, GitHub Actions and DevOps pipelines, MongoDB and modern frontend frameworks (e.g., React), Data engineering tools (ADF, Databricks), Experience working with vendor-managed delivery - Understand implementations at a technical level, validate and verify technical deliverables and milestones. The 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.
NewSr Manager, Software Engineering - Remote or Hybrid in MN or DC UnitedHealth Group IncSr Manager, Software Engineering - Remote or Hybrid in MN or DCWashington, DCRemote$112,700–$193,200 / 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. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
NewAdvanced Practice Provider (Hybrid) TapestryHealthAdvanced Practice Provider (Hybrid)Rockville, MarylandRemoteThey ensure proactive patient care through the review and discussion of Chronic Care Management (CCM), Remote Patient Monitoring (RPM), Behavioral Health Integration (BHI) & daily risk reports with facility healthcare professionals, including physicians, nurse practitioners, and social workers. Job Description: Tapestry Management Providers (TMPs) play a crucial role in delivering comprehensive, in-person clinical support to healthcare facilities.
NewSenior Design Engineer – Wastewater & Hydraulic Modeling (Remote/Hybrid) Talent Consulting ExpertsSenior Design Engineer – Wastewater & Hydraulic Modeling (Remote/Hybrid)Arlington, VirginiaRemoteHydraulic Modeling & Analysis: Develop and calibrate hydraulic models for wastewater systems using tools like EPANET, WaterCAD, and GIS.Example: Manage hydraulic modeling for a sanitary sewer system to ensure optimal wastewater flow and stormwater management. #WastewaterEngineer #WaterInfrastructure #EnvironmentalEngineering #HydraulicModeling #StormwaterManagement #EPACompliance #Sustainability #CivilEngineering #RemoteWork #HiringNow #EngineeringCareers.
Seeking an Independently Licensed Psychotherapist for a Flexible Remote/Hybrid Position Capitol Hill Consortium for Counseling & ConsultationSeeking an Independently Licensed Psychotherapist for a Flexible Remote/Hybrid PositionDCRemoteWe provide a wide range of services, including individual, couples, family, and group therapy, as well as psychological testing for clients across the lifespan. Join CapitolHill Consortium for Counseling & Consultation LLC (CCCC), a growing multidisciplinary practice seeking licensed clinicians to expand our team.
Principal Research Scientist - Value Based Payment Expert - Hybrid Office or Remote NORCPrincipal Research Scientist - Value Based Payment Expert - Hybrid Office or RemoteWashington, DCRemotePosition Location Closes Principal Research Scientist - Value Based Payment Expert - Hybrid Office or Remote Washington, DC, Remote Open until filled The Principal Research Scientist will lead policy projects working with both the federal and state governments, focusing on health care financing and payment reform. This role may also be responsible for managing tasks or projects related to Medicaid financing and oversight, demonstrating subject matter expertise, and identifying new business opportunities and drafting and developing proposal responses describing payment model design and implementation.
Summer Therapist - Contract/1099 Remote/Hybrid Optional Blackbird HealthSummer Therapist - Contract/1099 Remote/Hybrid OptionalSterling, VARemote$70–$100 / hourdiv class="content-pay-transparency">Salary Range$70—$100 USDJoin us!. As a Summer Therapist, you will provide evidence-based telehealth therapy services to children, adolescents, and young adults while working collaboratively within an interdisciplinary pediatric behavioral health team.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseMDRemote$71,100–$97,800 / yearp>Work-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Supervisor, Integrated Care Management/ Registered RN (RN) for Partners in Pregnancy & Member Engagement Teams for Commercial Health Plan - Remote in Virginia Sentara Healthcare IncSupervisor, Integrated Care Management/ Registered RN (RN) for Partners in Pregnancy & Member Engagement Teams for Commercial Health Plan - Remote in VirginiaVARemoteKeywords: Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Managed Care, MCO, Health Plan, high-risk pregnant members, Maternal Health, Perinatal, OB-GYN, Labor and Delivery, Mother-Baby, Postpartum, Maternity, L&D, Winchester, Shenandoah, Frederick, Rockingham, VA, Virginia, Member Engagement, Discharge Planning. Experience working with low and high risk pregnant population (Maternal Health / Perinatal / OB-GYN /Labor and Delivery / Mother-Baby / Postpartum) experience highly preferred.
Population Care Nurse / Registered Nurse (RN)- Remote in Virginia Sentara Healthcare IncPopulation Care Nurse / Registered Nurse (RN)- Remote in VirginiaVARemotep>Population, Care Nurse, Registered Nurse, BSN, ADN, Nursing, Managed Care, MCO, Health Plan, Health Insurance, Virginia, RN, VA, Medicaid, chronic conditions, immunization, chronic disease preventative care, cancer screening, medication follow up, wellness visits, health education, case management, coordination of services, health disparities. Additionally, the nurse is involved in preventative care, health education, case management, and coordination of services to ensure individuals within the population receive comprehensive care, with a focus on reducing hospital readmissions, managing chronic illnesses and addressing health disparities.
Integrated Case Manager- Registered Nurse Sentara Healthcare IncIntegrated Case Manager- Registered NurseVARemoteThe Integrated Case Manager is responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the members care plan to meet the members needs, with the goal of optimizing member health care across the care continuum. Demonstrates the minimum knowledge, skills and abilities to care for the individualized needs of the patient to include physical, psychological, socio-cultural, spiritual and cognitive needs as well as functional abilities including the need for diversified use of such practices.
Integrated Case Manager- Registered Nurse Sentara HospitalsIntegrated Case Manager- Registered NurseWoodbridge, VirginiaRemoteThe Integrated Case Manager is responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Demonstrates the minimum knowledge, skills and abilities to care for the individualized needs of the patient to include physical, psychological, socio-cultural, spiritual and cognitive needs as well as functional abilities including the need for diversified use of such practices.
Outpatient Registered Nurse (RN) - After Hours Triage PRN Inova Health SystemOutpatient Registered Nurse (RN) - After Hours Triage PRNVARemoteIncorporates differences into the provision of care while integrating knowledge, skills and experiences to meet the needs of patients and families to include patient and family education. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
Case Manager, Registered Nurse - Fully Remote CVS Health CorpCase Manager, Registered Nurse - Fully RemoteDCRemote$54,095–$155,538 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Prior Authorization RN Humana IncPrior Authorization RNMDRemote$71,100–$97,800 / yearThe self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Medical Review Manager - Federal Health (CMS) DOMA TechnologiesMedical Review Manager - Federal Health (CMS)DCRemoteThis individual owns the quality assurance process for all medical record reviews, manages inter-reviewer reliability to ensure consistent and defensible clinical decisions across the review team, and serves as the primary point of contact with CMS on medical review operations. Maintain current working knowledge of Medicare coverage rules, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), Medicare payment policy, and applicable CMS program integrity guidance.
Field Registered Nurse (RN) Wellness Health ServicesField Registered Nurse (RN)Washington, DCRemoteIn this dynamic role, you will provide high-quality, compassionate care while working closely with a dedicated team of healthcare professionals. Our commitment to quality care and patient satisfaction has earned us a loyal clientele and a supportive work environment where employees thrive and grow.
Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder Ankura Consulting GroupHealth Care | Life Sciences, Senior Associate - Registered Nurse / Certified CoderWashington DC, District of ColumbiaRemoteOur clients include academic medical centers, health systems, physician practice groups, post- and sub-acute providers, health plans, pharmacies, and pharmacy benefit management companies, as well as pharmaceutical and medical device manufacturers. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations.
Remote Registered Nurse RN RylemRemote Registered Nurse RNBaltimore, MDRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.
NewClinical Quality Performance Specialist Senior AmeriHealth CaritasClinical Quality Performance Specialist SeniorWashington, DCRemote$92,200–$125,600 / yearManages activities related to plan accreditation, preventive health improvement, business analysis, and clinical and service quality improvement, including state withholds, Healthcare Effectiveness Data and Information Set (HEDIS), and Consumer Assessment of Healthcare Providers and Systems (CAHPS). The Senior Clinical Quality Performance Specialist is responsible for overseeing, designing, and implementing quality initiatives, identifying root causes, establishing and executing work plans to implement effective interventions.
Pediatric Clinical Nursing Faculty Covista IncPediatric Clinical Nursing FacultyBaltimore, MDRemoteFrom individual professor support and student-led study groups to diverse clinical and career networking opportunities, the institution"s community shares a common goal: to give each other the care we need to succeed and make a difference by transforming healthcare. With more than 135 years of history in healthcare education and as the largest nursing school in the country, Chamberlain University is committed to delivering a high-value education that prepares students to thrive as healthcare professionals.
Virtual Nurse Practitioner VA DC MD Baseline MedicalVirtual Nurse Practitioner VA DC MDFairfax, VARemoteThis role is well suited for an experienced Nurse Practitioner who is comfortable practicing autonomously within a collaborative, hybrid virtual–in-home care model and values flexible, part-time virtual work with predictable base pay. The NP reviews RN-collected clinical data, performs virtual medical assessments, develops treatment plans, and provides medical decision-making and prescriptions in real time.
Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN - Community Based - Flexible Weekend Dayshift - Remote in VA and NC Sentara Healthcare IncBehavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN - Community Based - Flexible Weekend Dayshift - Remote in VA and NCVARemoteManaged Care, MCO, Health Plan, Healthcare, Masters, Social Work, Counseling Field, BSN, Nursing, Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Registered Nurse License (RN), Clinical, behavioral health, care coordination, discharge planning, continuity of care, transitions of care, Remote, Virginia, Weekends, Days, North Carolina, Utilization Management, UM, Community Based, CSB, Mental Health. Registered Nurse (RN) Single State - Nursing License - Virginia Department of Health Professionals (VADHP) OR Registered Nurse (RN) Single State - Nursing License - North Carolina Board of Nursing (NCBON) OR Registered Nurse (RN) Multi State - Nursing License - Virginia Department of Health Professionals (VADHP) OR Registered Nurse (RN) Multi State - Nursing License - North Carolina Board of Nursing (NCBON).
Clinical Documentation Specialist RN Johns Hopkins Medical Management CorporationClinical Documentation Specialist RNBaltimore, MarylandRemoteOverview: Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Operating at competent level with, but not limited to: Microsoft Office Suite, web-browsers,email, electronic health records, online collaboration software, virtual meeting applications.
RN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorBaltimore, MarylandRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Baltimore, MDRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.