53 Results for

Hybrid Healthcare Jobs in Culver City, CA

Jobs

RN Case Manager, Home Health AccentCare, Inc.

Culver City, CA

Remote

$108,058.78–$132,071.84

The position combines direct and indirect patient care activities and directs staff nurses, LPNs, and CHHAs in delivering the individual patient’s plan of care, as well as identifying interdisciplinary needs and coordinating allied health clinicians. What You Need to Know: This RN Case Manager is responsible for managing patients' care plans from admission through discharge and for ensuring the delivery of quality patient care.

7 days ago

Senior Healthcare Mechanical Engineer - Hybrid (In-Office/Remote) Staffing Management Group

Irvine, CA

Remote

$150,000–$183,000 / year

The ideal candidate will have over 10 years of experience in mechanical design and HVAC systems, handling projects from start to finish. Benefits include medical, dental, and vision plans; paid holidays; and a hybrid work schedule of three days in-office and two days remote.

4 days ago

Registered Nurse Healthcare Advocate (Remote 1099) - RN Find Solace Inc

Remote

Solace cuts through the red tape of healthcare by pairing patients with expert advocates and giving them the tools to make better decisions-and get better outcomes. If youre looking to stretch yourself, sharpen your edge, and do the best work of your life alongside a team that cares deeply, youre in the right place.

26 days ago

Utilization Management Clinical Trainer (Hybrid Remote) Alignment Healthcare Inc

Remote

$77,905–$116,858 / year

This position builds and maintains strong collaborative partnerships with key partners in the Clinical Services organization including Care Management, Performance Improvement, Medical Management and Policy including Quality and Medical Review and Appeals, Pharmacy, and Provider Integration to identify, develop, implement, and monitor performance metrics related to UM Operations. Job Requirements: Experience: Minimum of 5 years nursing experience in managed care, utilization review, case management, quality improvement, or acute care nursing-particularly roles involving interdisciplinary coordination, clinical documentation review, or patient discharge planning.

30+ days ago

[Remote] Principal Software Developer- Agent Toolkits & Cloud Infrastructure, Healthcare AI Oracle Corp

Remote

$114,600–$234,600 / year

Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business. This team will focus on product development and product strategy for Oracle Health, while building out a complete platform supporting modernized, automated healthcare.

30+ days ago

Client Implementation Analyst - Healthcare Billing and Claims (Remote) Experian Information Solutions Inc

Remote

Experian''s people first, inclusive and purpose driven culture is multi award-winning; World''s Best Workplaces 2025 (Fortune Global Top 25), Great Place To Work in 26 countries to name a few. Monitor accuracy and completeness of all assigned jobs· Provide technical support including testing, debugging, troubleshooting and implementing necessary program updates.

30+ days ago

Summit Search Solutions- Founding Program Director, Master of Science and Doctorate in Healthcare Administration - Southern California University of Health Sciences (Whittier, CA) Summit Retail Solutions

Whittier, CA

Remote

$120,000–$135,000 / year

The Program Director collaborates with university leadership, faculty, healthcare organizations, industry partners, and community stakeholders to ensure the program prepares graduates to lead healthcare organizations and improve healthcare delivery systems through evidence-based management practices and whole-person health principles. Under the direction of the Dean of the College of Medical Sciences, this role is responsible for designing a high-quality curriculum, successfully launching the program, and positioning Southern California University of Health Sciences as a recognized leader in healthcare administration education.

10 days ago

Specialist Account Executive - ZT Branch - SLED/Healthcare Zscaler Inc

Remote

$133,000–$190,000 / year

Reporting to the VP - GTM, ZeroTrust Networking, you will: Become the ''go to'' person for customers, partners and internal sales teams to drive revenue within the Zero Trust Networking suite of products (Cloud/Branch Connector, AirGap, OT). The Zscaler Sales and Go-to-Market team is a global group of professionals who are passionate about delighting our customers, nurturing trusted partnerships, and sharing their expertise to lead a secure, cloud-enabled digital future and further cement our position as the world leader in cloud security.

3 days ago

Software Sales Specialist - Red Hat Hybrid Cloud Platforms Red Hat Inc

Remote

$265,540–$438,180 / year

You will cultivate strategic relationships with C-level executives and business leaders, positioning Red Hat's cutting-edge solutions-including OpenShift, Virtualization, AI, and modern application services-as key enablers of business innovation and technological evolution. Red Hat is the world's leading provider of enterprise open source software solutions, using a community-powered approach to deliver high-performing Linux, cloud, container, and Kubernetes technologies.

13 days ago

Senior Service Engineer IS - Hybrid Providence Health & Services

Anaheim, CA

Remote

Requsition ID: 433029 Company: Providence Jobs Job Category: Development/Engineering Job Function: Information Technology Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 4011 SS IS ESI ENDPOINT ENG Address: OR Portland 5050 NE Hoyt St Work Location: Providence Professional Plaza Portland-Portland Workplace Type: Hybrid 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.

30+ days ago

Senior Service Engineer - End User Compute, Hybrid Providence Health & Services

Los Angeles, CA

Remote

Requsition ID: 438183 Company: Providence Jobs Job Category: Development/Engineering Job Function: Information Technology Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 4011 SS IS ESI ENDPOINT ENG Address: OR Portland 5050 NE Hoyt St Work Location: Providence Professional Plaza Portland-Portland Workplace Type: Hybrid 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. Service Engineers ensure caregivers have a fast, reliable, and frustration‑free digital experience by owning and operating our endpoint management platforms, including Microsoft Configuration Manager/SCCM, Microsoft Intune, and Jamf.

30+ days ago

Hybrid Trusts & Estates Attorney (DC/Remote) TryApplyNow

Los Angeles, CA

Remote

$180,000–$250,000 / year

Salary: $180,000 - $250,000 per yearFounded over 100 years ago, with offices across California's major commercial centers, DC and Charlottesville, VA are a 90+ attorney firm known for comprehensive legal services spanning 16 practice areas - from Litigation and Corporate & Securities to Healthcare, Environmental, and Trusts & Estates. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal.

3 days ago

Commercial Account Executive - Healthcare Zoom Communications Inc

Remote

We 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.

4 days ago

Account Executive, Healthcare, SmartSense (Remote - US) Digi International Inc

Remote

$160,000–$250,000 / year

We are seeking a highly motivated outside sales executive with an ability to break down barriers, develop winning strategies and drive exponential sales growth with new and existing accounts and represent the organization in a highly professional manner. Founded out of MIT in 2005, Smart Sense is trusted by more than 2,000 organizations, including Walmart, SpaceX, Apple, CVS Health, Coca-Cola, and the US State Department to help them make sensor-driven decisions.

30+ days ago

Sr. Manager, Field Reimbursement (Hybrid Role in Valencia, CA) Setpoint Medical Corp

Valencia, CA

Remote

$125,000–$175,000 / year

At least 4 years' experience working in medical device reimbursement, market access, healthcare consulting, accounts receivable or claims follow-up in a medical device company, healthcare provider, or third-party billing service provider. Understanding of hospital billing workflows, ancillary systems (OR systems, materials master files, charge routers, etc.) and ability to learn and use IT systems such as EPIC, Cerner, etc.

30+ days ago

Senior Service Engineer - End User Computer, Hybrid Providence St. Joseph Health

Remote

In this role, you'll partner with endpoint engineering, service desk, and application teams to design, scale, and run Nexthink as a core enterprise service-turning endpoint telemetry into actionable insights, automation, and measurable outcomes. When issues arise, you're the calm technical leader who uses real‑time endpoint data to quickly identify root cause, restore service, and ensure the fix sticks through durable automation and improved monitoring.

30+ days ago

Senior Service Engineer IS - Hybrid Providence St. Joseph Health

Remote

In this role, youll partner with endpoint engineering, service desk, and application teams to design, scale, and run Nexthink as a core enterprise serviceturning endpoint telemetry into actionable insights, automation, and measurable outcomes. When issues arise, youre the calm technical leader who uses real-time endpoint data to quickly identify root cause, restore service, and ensure the fix sticks through durable automation and improved monitoring.

30+ days ago

Remote Senior Software Engineer (Hybrid) Alignment Healthcare Inc

Orange, CA

Remote

$130,332–$195,498 / year

Alignment Healthcare is a data and technology-driven healthcare product company focused partnering with health systems, health plans, and provider groups to provide care delivery that is preventive, convenient, coordinated, and that results in improved clinical outcomes for seniors. 3+ years of experience with Web Services lifecycle (design, build, test, deploy), API versioning and design approaches, tools, interoperability, and SOA concepts.

30+ days ago

IT Procurement Partner (Hybrid) Experian Information Solutions Inc

Costa Mesa, CA

Remote

Experian''s people first, inclusive and purpose driven culture is multi award-winning; World''s Best Workplaces 2025 (Fortune Global Top 25), Great Place To Work in 26 countries to name a few. Reporting to the Lead IT Procurement Director and operating in a hybrid capacity from our Costa Mesa, CA office typically requiring onsite presence up to two days per week.

25 days ago

Director, Business Development & Strategy - Global Content Sales (Hybrid + Remote Options Available) A&E Television Networks, LLC

Los Angeles, CA

Remote

$159,643–$186,783 / year

This role partners closely with Global Content Sales leadership and cross-functional stakeholders to develop business strategies, evaluate new market opportunities, structure commercial partnerships, and deliver executive-level insights that inform key strategic decisions. WHAT YOU'LL DO: Lead and execute business development initiatives across international FAST channel platforms, strategic distribution partnerships, and emerging digital media platforms to drive revenue, growth and expand market presence.

4 days ago

Senior Director of Regional Operations – PACE (Remote/Hybrid) Talent Connect Now

Reseda, California

Remote

Talent Connect Executive Search is partnering with a growing healthcare organization seeking an experienced Senior Director of Regional Operations to provide strategic operational leadership across multiple PACE (Program of All-Inclusive Care for the Elderly) locations throughout Southern California. This executive leadership role is ideal for an experienced healthcare operations leader who thrives in multi-site environments, enjoys building high-performing teams, and is passionate about improving care for older adults.

20 days ago

Registered Nurse Navigator (Fixed-Term) Prenuvo Inc

Remote

$43–$46 / hour

Help reshape the world through proactive healthcare while working with cutting-edge technology and high performing teams with deep expertise - join us to make a difference in people's lives! We're transforming how patients engage with proactive healthcare-bringing clarity, compassion, and connection to every step of their journey through radiology and preventative medicine.

6 days ago

Utilization Management Policy Initiatives Registered Nurse Macpower Digital Assets Edge Private Limited

Los Angeles, CA

Remote

$102,183–$132,838 / year

This role ensures that the day to day functions of Utilization Management initiatives comply with regulatory and accreditation requirements such as those stated in contracts, CalAIM Population Health Management (PHM) Policy Guide, National Committee on Quality Assurance (NCQA) Department of Health Care Services (DHCS) All Plan Letters (APLs), and Centers for Medicare and Medicaid Services (CMS) Model of Care (MOC) through sound clinical policy maintenance. Non-negotiable requirements of this position: Direct past experience with Health Care / Medical Policy work specifically within a Managed Care Plans environment; experience with the ongoing development of the Medical Policy review process including clinical and utilization data analysis; Assisted in developing training documents and presentations for new and/or revised Medical Policies to internal stakeholders.

6 days ago

Sr. Business Development Account Executive - Marine Corps Program Kratos Defense & Security Solutions Inc

Remote

$160,000–$199,000 / year

Business Development Account Executive - Marine Corps Program","customFields":[{"abbrFname":"Trav","fvalue":"Domestic & International","custid":2105,"fname":"Travel Requirement"},{"abbrFname":"Comp","fvalue":"$160,000 - $199,000","custid":2116,"fname":"Compensation"},{"abbrFname":"CAP","fvalue":"Unmanned Systems","custid":2182,"fname":"Capabilities"}],"BusinessUnitName":"Kratos Unmanned Aerial Systems, Inc.","jobcurrency":"USD","jobtype":"Full-Time/Regular","city":"Remote","joblevel":4,"companyname":"Kratos Defense","salarytype":"Y","jobdescription":". ","customFieldsAll":[{"abbrFname":"Trav","fvalue":"Domestic & International","custid":2105,"fname":"Travel Requirement"},{"abbrFname":"Comp","fvalue":"$160,000 - $199,000","custid":2116,"fname":"Compensation"},{"abbrFname":"CAP","fvalue":"Unmanned Systems","custid":2182,"fname":"Capabilities"}],"bugroupname":"","reqexp":"","travel":50,"jid":369031,"jobduration":"","zipcode":"Remote","job_title":"Sr.

29 days ago

RN Clinic Manager University of Southern California

Los Angeles, CA

Remote

$119,616–$129,366 / year

When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.

22 days ago

Utilization Management - RN Impresiv Health

Long Beach, CA

Remote

In this role, you will perform concurrent reviews, prior authorizations, medical necessity reviews, discharge planning, and transitions of care while collaborating with physicians, hospitals, and interdisciplinary teams to ensure members receive appropriate, cost-effective, and evidence-based care. Impresiv Health is a healthcare consulting partner specializing in clinical and operations management, enterprise project management, professional services, and software consulting services.

2 days ago

Nurse Auditor Humana Inc

Remote

$78,400–$107,800 / year

Work 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 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.

3 days ago

Registered Nurse RN, Home Health Utilization Management Clover Health Investments Corp

Remote

$92,300–$120,000 / year

As a Registered Nurse (RN), Home Health Utilization Management, you will: Review Home Health prior authorization requests for medical necessity using CMS regulations, the Medicare Benefit Policy Manual, National and Local Coverage Determinations (NCD/LCD), and Clover clinical guidelines. Working closely with providers and care partners, the UM team ensures that care transitions are smooth, efficient, and always focused on improving member outcomes while maintaining compliance with CMS guidelines.

4 days ago

RN Case Manager – Managed Care REMOTE TEEMA Group

Los Angeles, CA

Remote

$39–$41

Care Coordination : Work closely with interdisciplinary teams, including physicians, case managers, social workers, and other healthcare professionals, to develop and implement individualized care plans for patients. This role involves assessing, monitoring, educating, and supporting patients in managing their diseases to improve overall health and quality of life while reducing unnecessary hospitalizations and emergency care.

13 days ago

Remote Registered Nurse RN Rylem

Los Angeles, CA

Remote

$25–$28 / hour
Full time
Part time

We’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.

30+ days ago

Project Manager, Nurse Practitioner Northcentral University

Remote

$63,720–$86,020 / year

Under the general supervision of the Senior Director of Community Affairs in Health, the Project Manager Nurse Practitioner (PMNP) is responsible for supporting the day-to-day operations for the Gloria J. McNeal Nurse Managed Clinic (GJMNMC) grant-funded initiatives designed to enhance the quality of care, improving access to behavioral and primary care services. This position also includes scholarly and community engagement responsibilities, including co-authoring publications and reports related to clinic outcomes, collecting data for the federal Uniform Data System (UDS), and building relationships with community leaders, social service agencies, and CBOs to expand clinic services to new community site locations.

18 days ago

Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriage, Inc.

Remote

Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.

25 days ago

RN Supervisor Cohere Health Technologies LLC

Remote

$85,000–$95,000 / year

Backed by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.

23 days ago

Clinical Program Manager RN - Full time - REMOTE Providence Health & Services

Torrance, CA

Remote

Requsition ID: 439222 Company: Providence Jobs Job Category: Clinical Administration Job Function: Clinical Support Job Schedule: Full time Job Shift: Evening Career Track: Nursing Department: 7014 LCMT CASE MGMT Address: CA Torrance 4101 Torrance Blvd Work Location: Providence Little Co of Mary Medical Ctr-Torrance Workplace Type: Remote Pay Range: $68.94 - $108.84 Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.

30+ days ago

Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union) University of Southern California

Alhambra, California

Remote

The Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.

17 days ago

Revenue Cycle Auditor RN - Full time, Day, Remote Providence Health & Services

Remote

Requsition ID: 437237 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: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: On-site 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.

30+ days ago

RN Health Care Facility Surveyor Impact Recruiting Solutions

Los Angeles, California

Remote

$75,000–$90,000

The 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. Impact 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.

5 days ago

Graduate School of Nursing and Health Professions Ambassador (Part-Time) Antioch University

Los Angeles, CA

Remote

Staff 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.

30 days ago

RN Clinical Consultant Titanium Healthcare Inc

Remote

Associate's degree in nursing Minimum 1+ years of experience as an RN working in a healthcare setting, such as a medical clinic or acute care hospital A current and unrestricted CA state RN license Experience using an EHR Distraction-free home workspace with a secure internet connection. POSITION SUMMARY The RN Clinical Consultant is a key member of Titanium Healthcare's Enhanced Care Management (ECM) program, providing clinical oversight and guidance to support high-quality, coordinated care for complex member populations.

4 days ago

Bilingual Spanish Telephonic RN Nurse Case Manager -Special Needs Plan (California RN Required) Alignment Healthcare Inc

Remote

$77,905–$116,858 / year

This is a fully remote, phone-based position where you''ll play a vital role in helping members navigate their care journeys, close gaps in care, and overcome barriers to better health. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

30+ days ago

RN Case Manager - Remote California UnitedHealth Group Inc

Anaheim, CA

Remote

$29–$52 / hour

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. Requisition number: 2376452 Job category: Nursing Primary location: Anaheim, California Additional locations: Bakersfield, California | Everett, Washington | Baldwin Hills, California | Banning, California Date posted: 07/13/2026 Overtime status: Non-exempt Travel: No.

5 days ago

RN Patient Navigator, REMOTE City of Hope

Remote

City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas. With an independent, National Cancer Institute-designated comprehensive cancer center that is ranked top 5 in the nation for cancer care by U.S. News & World Report at its core, City of Hope's uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work.

9 days ago

Utilization Review Clinician - Behavioral Health Centene Corporation Group

Remote

$27.02–$48.55 / hour

Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.

5 days ago

Call Center Remote RN - F/T PMs Medcor Inc

Remote

To preserve our pioneering, entrepreneurial spirit, we impart our values through the ongoing Better@Medcor campaign: encouraging our advocates to make a conscious choice to practice our values, to celebrate and recognize each other via our peer recognition program, and to support one another during tough times. By joining our nursing team, you will be helping thousands of employers better manage their workplace injuries and improve the quality of healthcare for their employees.

16 days ago

Senior Medical Science Liaison - West Region SpringWorks Therapeutics Inc

Remote

$167,500–$220,000 / year

MSL 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.

30+ days ago

Remote Nurse Care Manager - NY, NV, MI, MN, ID, IL, HI, DC, CA, AK PharmD Live Corp

Remote

Deliver 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.

23 days ago

Field Nursing Operations Manager West Coast Science 37 Inc

Remote

With 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.

25 days ago

Telephonic RN Case Manager, SNP (Bilingual Preferred) Alignment Healthcare Inc

Remote

$77,905–$116,858 / year

Extensive 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.

23 days ago

Care Manager - RN COPE HEALTH SOLUTIONS

Remote

$80,000–$110,000 / year

Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. Position Description: The Care Manager (CM) RN will lead a multidisciplinary healthcare team in a primary care / telephonic setting, focusing on coaching and coordination of care for patients needing navigation, addressing nursing care needs and follow up after clinical events.

30 days ago

Field Case Manager Remote Los Angeles, San Diego, Temecula, CA Charles Taylor

Los Angeles, California

Remote

Maintains 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.

18 days ago

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