Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEJacksonville, 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.
(Remote or Hybrid) Outpatient Psychiatrist (Adult) | Leadership Growth Opportunity Rivia Mind - Mental Healthcare(Remote or Hybrid) Outpatient Psychiatrist (Adult) | Leadership Growth OpportunityJacksonville, FLRemote$220,000–$260,000 / yearLocation Eligibility: At this time, we are only able to consider applicants whose primary residence is in one of the following states within the United States of America: Connecticut, Florida, Massachusetts, New Jersey, New York, North Carolina, Pennsylvania, South Carolina, Texas. Compensation Determination: The pay range listed reflects the minimum and maximum base salary for this role, determined through an internal compensation assessment that considers similar labor markets to our practice across the United States.
Remote Registered Nurse RN RylemRemote Registered Nurse RNJacksonville, 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.
Clinical Review Nurse - Remote ARC GroupClinical Review Nurse - RemoteJacksonville, FLORIDARemote90% of time will be spent on one or more of the following activities depending on assignments: Review and analyze pre and post pay complex health care claims from a medical perspective, inclusive of prior authorization: Perform clinical review work as assigned; may provide guidance to other team members and accurately interpret and apply broad CMS guidelines to specific and highly variable situations. The incumbent applies clinical knowledge to assess the medical necessity, level of services and appropriateness of care which may include cases requiring prior authorization, complex pre-payment medical review or post-payment medical review.
Maternal Child Clinical Nursing Instructor (Part-Time) Covista IncMaternal Child Clinical Nursing Instructor (Part-Time)Jacksonville, FLRemoteFrom 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.
Care Review Clinician (RN) - Remote in FL Molina Healthcare IncCare Review Clinician (RN) - Remote in FLFLRemoteResponsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Clinical Nurse Manager Travel Staffing Ascension Health AllianceClinical Nurse Manager Travel StaffingJacksonville, FLRemote$107,821–$145,875 / yearOur legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system. Education: Required professional licensure/certification AND 3 years of experience and 1 year of cumulative leadership experience required.
New Business Development – Nursing Home & Assisted Living - Remote Transformational Health Network, Inc.New Business Development – Nursing Home & Assisted Living - RemoteJacksonville, FLRemoteAt Transformational Health Network, Inc. (TrHN), we partner with respected healthcare organizations to place highly skilled registered nurses, advanced practice providers, and physicians in roles where they can make a meaningful impact on patient care. The ideal candidate has experience in healthcare sales, business development, account management, or senior care services and is passionate about helping healthcare organizations meet their staffing and patient care needs.