Manager, Sales - Healthcare UiPath IncManager, Sales - HealthcareFLRemoteThe ideal candidate will have a proven track record of building high-performing teams and closing complex deals in the healthcare industry. We are seeking an experienced and results-driven Manager, Sales - Healthcare, to lead our new logo acquisition team.
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEMiami, FLRemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseFLRemote$71,100–$97,800 / yearWork-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.
Remote Registered Nurse RN RylemRemote Registered Nurse RNMiami, FLRemote$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.
Registered Nurse - Case Manager (Remote) GuideWell Mutual Holding CorpRegistered Nurse - Case Manager (Remote)FLRemote$71,200–$115,700 / yearUtilizing a member-centric approach they assist members and their families understand and manage their disease process by: reinforcing the physicians' plan of treatment, promoting healthy behaviors and lifestyle changes, and providing education and tools to promote self-management to improve health outcomes and reduce overall costs. Promote healthy lifestyles, assist in strengthening the patient-physician relationship, encourage behavior and lifestyle changes to realize a better quality of life, for individuals with identified chronic conditions, costly and/or catastrophic illnesses.
Registered Nurse, Remote Telehealth, ER, Emergency Triage, Weekends ChenMed LLCRegistered Nurse, Remote Telehealth, ER, Emergency Triage, WeekendsMiami, FLRemote$64,583–$92,262 / yearThe Registered Nurse, Telehealth is responsible for providing telephonic triage directional patient care advice for general and specific illnesses, health related issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Aids in enhancing the quality and effectiveness of the organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness.
NewRemote Call Center Triage Registered Nurse CVS Health CorpRemote Call Center Triage Registered NurseFLRemote$26.01–$74.78 / hourThe progression path from Level I to Level II positions within the Triage RN team is a structured path that encourages nurses to widen their knowledge base, take on more responsibility, demonstrate expertise, and reward team members for their proven success and dedication. Role Description: The Clinical Call Center Triage Nurse effectively extends care during and outside of regular Oak Street Health clinic hours by addressing patients' medical, social, and psychological needs telephonically.
Care Manager (RN) Centene Corporation GroupCare Manager (RN)FLRemote$56,200–$101,000 / yearPosition Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families. Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate.
NewCare Manager RN Centene Corporation GroupCare Manager RNFLRemote$56,200–$101,000 / yearPosition Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families. Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs.
NewUtilization Review Clinician - ABA Centene Corporation GroupUtilization Review Clinician - ABAFLRemote$27.02–$48.55 / hourCandidates must hold an active BCBA certification and one of the following required licenses or certifications: LCSW (Licensed Clinical Social Worker), LMHC (Licensed Mental Health Counselor), LPC (Licensed Professional Counselor), LMFT (Licensed Marital and Family Therapist), LMHP (Licensed Mental Health Professional), RN (Registered Nurse) with state licensure and/or compact state licensure, or BCBA (Board Certified Behavior Analyst) for ABA. RN - Registered Nurse - State Licensure and/or Compact State Licensure RN - Registered Nurse- State Licensure and/or Compact State Licensure with BCBA required or.
Onsite Care Coordination Nurse Humana IncOnsite Care Coordination NurseFLRemote$71,100–$97,800 / 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. 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.
Oncology CTMS Analyst CAREERXCHANGE, Inc.Oncology CTMS AnalystMiami, FLRemote$28–$38 / hourThis fully remote opportunity is ideal for an experienced Clinical Trials Management System (CTMS) professional with a strong background supporting oncology research operations, system optimization, and clinical trial data management. If you have hands-on CTMS experience in a hospital or academic research environment and enjoy collaborating with research teams to improve clinical trial workflows, we'd like to hear from you.
Telehealth Nurse PatientsarchiveTelehealth NurseMiami, FLRemoteThe Telehealth Nurse Practitioner / Registered Nurse will interact with patients through secure telehealth platforms, conduct appropriate clinical assessments within their scope of practice, provide patient education, document encounters, and coordinate follow-up care when appropriate. This role is designed for a healthcare professional who is comfortable communicating with patients virtually, documenting clinical encounters accurately, and working within established clinical protocols.
Field Care Coordinator- Bilingual preferred Humana IncField Care Coordinator- Bilingual preferredCoral Springs, FLRemote$60,000–$65,000 / yearThe Care Coach 1 role involves meeting members in their location, spending quality time assessing their needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive health outcomes. The Care Coach evaluates member''s needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.
Senior Manager, Patient Access Advocate, Florida Revolution Medicines IncSenior Manager, Patient Access Advocate, FloridaFLRemote$187,200–$208,000 / yearBy acting as a single point of contact, the RNCM will proactively manage and work individual patient cases to ensure access and financial barriers are compliantly overcome -including benefit verifications, Prior Authorization (PA) delays, denials, appeals hurdles, specialty pharmacy (SP) and non-commercial pharmacy routing issues, affordability barriers, complex Center for Medicare and Medicaid cases (CMS), community resources and more. RNCMs will work directly with patients, healthcare providers, insurers, field reimbursement team, and other key stakeholders to help patients understand their coverage, access the company's patient support programs, and connect with external resources that help overcome access barriers.
BPO Clinical Review Specialist NTT DATA Group CorpBPO Clinical Review SpecialistFlorida, FLRemoteNTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed.com and @talent.nttdataservices.com email addresses. Communicate effectively with providers, healthcare facilities, Medical Directors, and internal departments regarding appeal requests and supporting clinical information.
NewDirector of Sales & Business Development Harris Computer SystemsDirector of Sales & Business DevelopmentFLRemote$80,000–$110,000 / yearYou'll work alongside experienced professionals, including a professional services team comprised of Registered Nurses and former perioperative staff, who bring deep clinical expertise and a customer-centric perspective to every challenge. About Picis: Join Picis, a global leader in perioperative and critical-care information systems, where you'll be part of a team that is genuinely pleased with their colleagues and thrives in a positive, comfortably fast-paced environment.
BPO Senior Manager NTT DATA Group CorpBPO Senior ManagerFlorida, FLRemoteThe manager serves as a clinical subject matter expert, provides training and coaching, manages team performance, and drives continuous process improvement initiatives to enhance operational efficiency and quality outcomes. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed.com and @talent.nttdataservices.com email addresses.
NewRemote Pediatric Case Manager RN Actalent IncRemote Pediatric Case Manager RNSunrise, FLRemote$40–$44 / hourThe Pediatric Case Manager - Population Health & Concierge Care Coordination (Care Coordinator, RN) plays a critical role in managing complex and chronic conditions across a pediatric population within a managed care environment. This position partners closely with providers, hospitals, and multidisciplinary teams to coordinate care, close gaps in services, and improve health outcomes while reducing avoidable utilization.
Senior Manager, Clinical and Coding Health Business SolutionsSenior Manager, Clinical and CodingCooper City, FloridaRemoteThe Senior Manager will provide leadership to multidisciplinary audit teams, support complex audit responses, analyze trends, and partner with internal and external stakeholders to mitigate risk and improve documentation, coding, and reimbursement practices. Health Business Solutions (HBiz) is seeking an experienced and strategic Senior Manager, Clinical & Coding to lead and oversee clinical and coding operations across government and commercial payers, including post-pay audit.