NORC at the University of ChicagoPrincipal Research Scientist – Value Based Payment Expert - Hybrid Office or Remote NORC at the University of ChicagoPrincipal Research Scientist – Value Based Payment Expert - Hybrid Office or RemoteWashington, D.C.Remote$171,000–$220,000 / yearGuide clients in their development and implementation of value-based payment methods or alternative payment models, including such elements as patient attribution, risk adjustment, cost calculations, and tracking how payment flows among stakeholders and how payment supports improvements in access and quality. Our expert team includes social scientists that acquire, collect, and analyze data from health care organizations and patients; evaluators; health services researchers; health-policy analysts; and professionals with first-hand experience running and supporting health care programs.
Ellie Mental Health - 016Outpatient 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.
BluePath LabsChina Research Intern PT – Defense (Hybrid) BluePath LabsChina Research Intern PT – Defense (Hybrid)Washington, DCRemoteChina 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.
UnitedHealth Group IncPrincipal Software Engineer - Remote or Hybrid in MN and DC UnitedHealth Group IncPrincipal Software Engineer - Remote or Hybrid in MN and 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. Optum"s Public Cloud engineering team is responsible for developing software, managing security and financial controls, and creating reusable application patterns that enable the enterprise to operate efficiently within the public cloud space.
Zoom Communications IncAE 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.
Capitol Hill Consortium for Counseling & ConsultationNow Hiring: Licensed Psychologist (PT | Remote/Hybrid | Family & Child Focus) Capitol Hill Consortium for Counseling & ConsultationNow Hiring: Licensed Psychologist (PT | Remote/Hybrid | Family & Child Focus)DCRemoteJoin CapitolHill Consortium for Counseling & Consultation LLC (CCCC), a growing multidisciplinary practice seeking licensed clinicians to expand our team. Join a thriving, mission-driven private group practice dedicated to accessible, high-quality, and culturally responsive care across the DMV region.
Capitol Hill Consortium for Counseling & ConsultationWe're Hiring an Independently Licensed Psychotherapist for a Flexible Remote/Hybrid Role Capitol Hill Consortium for Counseling & ConsultationWe're Hiring an Independently Licensed Psychotherapist for a Flexible Remote/Hybrid RoleDCRemoteWe 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.
Blue Cross and Blue Shield AssociationNavigator, Community Health I (Hybrid) Blue Cross and Blue Shield AssociationNavigator, Community Health I (Hybrid)MDRemote$39,024–$71,544 / yearWhile this position is remote, the incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities, in addition to traveling throughout the community they serve to support our members. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate''s work experience, education/training, internal peer equity, and market and business consideration.
Blackbird HealthNewSummer Therapist - Contract/1099 Remote/Hybrid Optional Blackbird HealthSummer Therapist - Contract/1099 Remote/Hybrid OptionalVienna, VARemote$70–$100 / hourAs 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. In recruiting for our team, we welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran status, color, religion, disability, sexual orientation and beliefs.
Wellness Health ServicesField 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.
CVS Health CorpCase 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.
RylemRemote 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.
AmeriHealth CaritasClinical 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.
TriWest Healthcare AllianceProgram 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.
Baseline MedicalVirtual 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.
Johns Hopkins Medical Management CorporationClinical 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.
Lumen Solutions Group IncClinical Advisor (RN) Lumen Solutions Group IncClinical Advisor (RN)Washington, DCRemoteFull timeRole: Clinical Advisor (RN) Location: Canton Crossing, Baltimore, MD - 100% Remote Type: Contract Position Summary This role is for a Registered Nurse with strong analytical skills who can review and interpret clinical and population health data. The nurse will analyze high-cost claims, healthcare utilization patterns, and clinical information to help the organization identify trends, improve health outcomes, and control healthcare costs.
StatPoint Medical and Chesapeake Vascular AccessVirtual Nurse StatPoint Medical and Chesapeake Vascular AccessVirtual NurseBaltimore, MarylandRemoteThis is a full-time, fully remote position designed for RNs who enjoy connecting with patients, ensuring quality care, and leveraging technology to improve outcomes. If you’re a dedicated RN who loves connecting with patients and wants to make a difference from home, we’d love to hear from you!
Impact Recruiting SolutionsRN 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. 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.
TriWest Healthcare AllianceDirector, Medical Document Optimization TriWest Healthcare AllianceDirector, Medical Document OptimizationBaltimore, MDRemoteFull timeLeadership: Ability to set strategic direction and translate organizational goals into operational plans; successfully leads and develops staff across varying styles and levels; provides clear expectations, effective coaching, and timely feedback; leads through a subordinate manager and drives accountability at all levels of the department. Problem Solving / Analysis: Ability to solve complex operational and systems-related problems through systematic analysis of data, workflows, and processes; exercises sound judgment in ambiguous or high-stakes situations; identifies root causes and implements durable solutions with a realistic understanding of organizational constraints.
Blue Cross and Blue Shield AssociationCare Manager - RN (Remote) Blue Cross and Blue Shield AssociationCare Manager - RN (Remote)Baltimore, MDRemote$72,216–$143,429 / yearThe Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. Federal Disclosure Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
Blue Cross and Blue Shield AssociationNewUtilization Management Specialist - RN (Remote) Blue Cross and Blue Shield AssociationUtilization Management Specialist - RN (Remote)DCRemote$72,360–$143,715 / yearNote: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. QUALIFICATIONS: Education Level: Bachelor''s Degree in Nursing OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
The Stepping Stones Group LLCSpeech Language Pathologist (SLP) - Teletherapy The Stepping Stones Group LLCSpeech Language Pathologist (SLP) - TeletherapyMDRemoteNew Jersey Asbury Park Atlantic City Barnegat Basking Ridge Bayonne BELLMAWR Bergenfield Berkeley Heights Blackwood Brick Bridgeton Bridgewater Butler Camden Cape May Court House Central Region Cherry HILL Chester Clementon Clifton Cranford Cresskill Deptford Dumont Dunellen East Brunswick East Orange Edgewater Park Edison Egg Harbor Township Elizabeth Englishtown Ewing Fair Lawn Flemington Franklin Lakes Freehold Garfield Gibbstown Gillette Hackensack Haddon Field Hainesport Hamilton Hammonton Hasbrouck Heights Haworth Hillsborough Holmdel Jamesburg Jersey City Lakewood Leonardo Lindenwold Little Egg Harbor Livingston Lodi Manalapan Manville Marlton Matawan Millington Millville Monmouth Monmouth Junction Monroe Township Montague Montclair Montville Morganville Mount Holly New Brunswick New Providence North Bergen Northfield Nutley Ocean Gate Oradell Parlin Parsippany Passaic Penns Grove Pennsauken Pequannock Perth Amboy Piscataway Pleasantville Point Pleasant Beach Pompton Plains Red Bank Ridgewood Rosenhayn Scotch Plains Skillman South Bound Brook South Orange Tenafly Tenefly Tinton Falls Toms River Tuckerton Union Vernon Verona Waldwick Wanamassa Watchung Wayne West Long Branch West New York Westampton Williamstown Willingboro Woodstown Wrightstown. Minnesota Aitkin Albert Lea Anoka Bemidji Bloomington Brooklyn Center Brooklyn Park Buffalo Burnsville Cedar Champlin Chaska Circle Pines Cloquet Cold Spring Columbia Heights Coon Rapids Cottage Grove Crosby East Grand Forks Eden Prairie Eden Valley Edina Elk River Faribault Forest Lake Hopkins Houston Hutchinson Inver Grove Heights Lakeville Mahtomedi Mankato Maple Grove Marine On Saint Croix Marshall Minneapolis Minnetrista Naytahwausch New Prague North Branch North St. Paul Oak Grove Onamia Osseo Princeton Prior Lake Red Wing Richfield Rochester Rollingstone Rosemount Roseville Rush City Saint Paul Sartell Sauk Centre Shakopee Shoreview South St. Paul Spring Lake Park St. Cloud St. Francis St. Louis Park St. Paul Stillwater Tofte Tower Wayzata West St. Paul White Bear Lake Willmar.
Greenlife Healthcare StaffingRN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorBaltimore, MDRemote$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. 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.
HealthVerityNewDirector, Real World Data Insights HealthVerityDirector, Real World Data InsightsBaltimore, MDRemoteYour clients and colleagues will rely on you for your real world data and evidence subject matter expertise, your deep understanding of the questions life science companies are asking, your strategic and consultative decisiveness in evaluating and confidently recommending appropriate data for research needs, and your seasoned approach to helping clients get the best use out of data. At least 3 years experience in a consultative, client-facing role with participation as a core team member participating in RFI/RFP response, and prospective client meetings, with preference for customers in the government and life sciences industries .
Johns Hopkins HospitalNewUtilization Review Nurse - Managed Care Johns Hopkins HospitalUtilization Review Nurse - Managed CareHanover, MDRemoteAs a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization review, and verbal/written communication skills to make a difference in our members' lives. Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine, one of the premier health delivery, academic, and research institutions in the United States.
TriWest Healthcare AllianceChief of Staff to the Chief Operating Officer TriWest Healthcare AllianceChief of Staff to the Chief Operating OfficerBaltimore, MDRemoteFull timeTechnical Skills: Proficient in current trends in health care management with emphasis in customer service, network management, utilization and financial trends; collaboration skills to work with TriWest management team across multiple locations; networking skills with all levels, including subcontractors. • Works on multiple high level projects including logistical coordination, data analysis, contract management and written communications in support of various business initiatives of high visibility, applying project management tools and methodologies and leadership skills to meet or exceed deadlines.
TriWest Healthcare AllianceClinical Quality Reviewer TriWest Healthcare AllianceClinical Quality ReviewerBaltimore, MDRemoteFull timeo Bachelor's in Nursing or Certified Professional in Healthcare Quality (CPHQ) o 1 or more years team lead or supervisory experience o 1 year experience in Quality Management o 1 year experience with data analysis and reporting o Experience with InterQual or similar criteria sets o General knowledge of Medicare, Veterans Administration, or other government health care programs. Technical Skills: General knowledge of Medicare, Veterans Administration, or other government health care programs; knowledge in the application of clinical criteria: InterQual, Milliman, PAS-LOS, ICD-9-CM, DSM, CPT-4, and HCPCs; Proficient with Microsoft Word and Excel.
CambiaNewRemote Care Management Nurse CambiaRemote Care Management NurseWashington, DCRemote$36.80–$49.80 / hourAs a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Collaborates with physician advisors, internal and external customers, and other departments to resolve claims, quality of care, member or provider issues, and identifies problems or needed changes, recommending resolutions and participating in quality improvement efforts.
TriWest Healthcare AllianceClinical Quality Study Analyst TriWest Healthcare AllianceClinical Quality Study AnalystBaltimore, MDRemoteFull timeTechnical Skills: General knowledge of Medicare, Veteran's Administration, TRICARE, or other government health care programs; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.