IT Project Manager I - Digital and Technology Partners - Hybrid/Remote Mount Sinai Health SystemIT Project Manager I - Digital and Technology Partners - Hybrid/RemoteNew York, NYRemote$109,000–$163,695 / yearMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
Care Manager (RN) Centene Corporation GroupCare Manager (RN)NJRemote$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.
Case Manager Registered Nurse - Field (Middlesex County, New Jersey) CVS HealthCase Manager Registered Nurse - Field (Middlesex County, New Jersey)Middletown, New JerseyRemoteWith compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences.
Registered Nurse Patient Care Manager American Oncology Network IncRegistered Nurse Patient Care ManagerNYRemote$52,395.20–$92,164.80 / yearProvides disease specific management, a working knowledge of oncology principles, the ability to manage chemotherapy and the side effects, and can monitor and address symptoms. Ensure patient has all information to make informed decisions regarding treatment, understands the role of Care Management, and how to access services appropriately.
Senior Manager, Patient Access Advocate, West Revolution Medicines IncSenior Manager, Patient Access Advocate, WestNYRemote$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.
Senior Manager, Patient Access Advocate, East Revolution Medicines IncSenior Manager, Patient Access Advocate, EastNYRemote$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.
Business Development Manager (Hybrid) RTM Business GroupBusiness Development Manager (Hybrid)New York, NYRemote$55,000–$60,000 / yearOur team travels together which is a truly unique experience, different from “traditional” work travel, which in turn cultivates interdepartmental relationships and friendships that drive our collaborative culture. This role begins as a Business Development Manager (BDM) with a structured ramp-up period and growth path that will lead to full Account Executive responsibilities.
Remote Care Manager, LTSS (RN) NEW YORK Molina Healthcare IncRemote Care Manager, LTSS (RN) NEW YORKLong Island, NYRemoteAt least 2 years of experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience. Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
Integrated Marketing Manager - Hybrid/Remote SharecareIntegrated Marketing Manager - Hybrid/RemoteNew York, New YorkRemoteThrough its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. The Integrated Marketing manager is responsible for assisting in the creation of strategic client proposals and leading the creation of RFP responses for media deals with Agency and Brand partners in the Health and Life Science space.
NewDental Network Content Manager Government Employees Health AssociationDental Network Content ManagerSummit, New JerseyRemoteCollaborate with the dental network team and cross-functional GEHA teams to produce all CDN marketing and administrative collateral required for provider acquisition and ongoing provider administration. While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states: Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine.
Clinical Case Manager Blue Cross and Blue Shield AssociationClinical Case ManagerNYRemote$75,000–$85,000 / yearSupport members at all stages of their health care journey and across multiple settings and specialty areas, connecting with multiple providers and community-based organizations; guide members in accessing services to support their health and wellness goals in accordance with their benefits, partnering effectively with the Plan's customer service, providers relations, and/or utilization management teams. Clinical Case Manager Qualifications: Graduate of an approved program in professional nursing: RN, VT licensure and ability to apply for Compact License or active multi-state licensure required, BSN desired; OR Licensed Clinical Social Worker (LICSW) in the State of Vermont or comparable degree and licensure in an allied mental health profession.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseNJRemote$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.
Telemedicine Registered Nurse RN Carrot Fertility IncTelemedicine Registered Nurse RNNYRemote$40–$50 / hourCarrot is regularly featured in media reporting on issues related to the future of work, women in leadership, and healthcare innovation, including MSNBC, The Economist, Bloomberg, The Wall Street Journal, CNBC, National Public Radio, Harvard Business Review, and more. Carrot''s comprehensive clinical program delivers industry-leading cost savings for plan sponsors and award-winning experiences and improved outcomes for millions of people worldwide.
NewRegistered Nurse Supervisor, Clinical Trauma Registry, 40 Hours (Days) Boston Medical CenterRegistered Nurse Supervisor, Clinical Trauma Registry, 40 Hours (Days)NYRemote$89,500–$130,000 / yearKey responsibilities include maintaining data integrity through concurrent abstraction, validation, and audit readiness; managing the trauma registry software in partnership with the vendor and BMC ITS; and implementing required updates from ACS, TQIP, NTDB, and MA DPH. This role supervises five trauma registrars, prioritizes daily workflow, and ensures full compliance with all state and national reporting requirements, including submissions to NTDB/TQIP and the Massachusetts Department of Public Health Trauma Registry.
Registered Nurse (RN) – Principal Care Management (PCM) Elaya HealthRegistered Nurse (RN) – Principal Care Management (PCM)Great Neck, NYRemoteReview patient charts, medications, labs, and care plans• Coordinate care with providers, nursing staff, pharmacies, and families when needed• Document patient interactions accurately and thoroughly• Identify changes in condition and escalate concerns appropriately• Assist with chronic disease management and patient education• Ensure PCM services are completed in compliance with CMS guidelines. • Active RN license required• Nursing home or long term care experience preferred• Experience with chronic care management or PCM is a plus• Strong communication and organizational skills• Comfortable working independently in a remote environment• EMR experience preferred.
Utilization Management, Registered Nurse RN Clover Health Investments CorpUtilization Management, Registered Nurse RNNYRemote$90,000–$106,000 / yearAs a Utilization Management, Registered Nurse (RN), you will: Perform medical necessity reviews for prior authorization and concurrent review across acute inpatient, post-acute (SNF, IRF, LTACH) and outpatient services Apply CMS Medicare guidelines, NCD/LCD policies, and MCG criteria to support determinations Manage cases end-to-end from prior authorization through concurrent review and discharge Collaborate with providers and facilities to obtain clinical information and support care coordination Ensure compliance with CMS turnaround times and regulatory requirements Participate in Quality Assurance (QA) activities, including case audits and peer reviews to ensure accuracy and consistency in decision-making Have strong personal accountability, responsibility and independent decision-making abilities. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents * And much more!
NewRegistered Nurse TuringRegistered NurseNew York, New YorkRemote$100–$150Turing supports customers in two ways: first, by accelerating frontier research with high-quality data, advanced training pipelines, plus top AI researchers who specialize in coding, reasoning, STEM, multilinguality, multimodality, and agents; and second, by applying that expertise to help enterprises transform AI from proof of concept into proprietary intelligence with systems that perform reliably, deliver measurable impact, and drive lasting results on the P&L. Turing is looking for candidates who have solid experience in nursing care, patient assessment, and clinical documentation, particularly at the level expected for licensed registered nurses working in hospital or outpatient care settings.
Registered Nurse #26-15220 US Tech Solutions, Inc.Registered Nurse #26-1522037 BROADWAY, NYRemote$38–$50 / hourThe RN will administer state-approved immunizations, including pediatric vaccinations, while ensuring safe patient care and accurate documentation. US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
Remote Registered Nurse RN RylemRemote Registered Nurse RNNew York, NYRemote$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.
Bilingual Pediatric Registered Nurse Imagine Pediatrics LLCBilingual Pediatric Registered NurseNYRemote$40–$47 / hourAs a Pediatric Registered Nurse at Imagine Pediatrics, you are the primary point of contact for our families as you work to deeply know our patients through frequent virtual touchpoints and are the first line of defense when our patients are having a clinical problem. You leverage an integrated technology platform and are complimented by an entire interdisciplinary team including MDs, APPs, social workers, navigators, pharmacists, and dietitians.