NewCase Manager Registered Nurse - Field (Monmouth/Ocean) County, NJ CVS HealthCase Manager Registered Nurse - Field (Monmouth/Ocean) County, NJMontclair, NJRemote$66,575–$142,576With 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.
NewBusiness Development Representative- Hybrid (B2B SaaS) PromptBusiness Development Representative- Hybrid (B2B SaaS)Hoboken, NJRemoteBusiness Development RepresentativeCompany OverviewPrompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, the teams within, and the patients they serve. Your ImpactProspecting Mastery: Utilize your PT or sales expertise to identify and engage potential clients, conveying the unparalleled value of our EMR solutions in enhancing patient care, increasing revenue, and decreasing operational expenses.
REMOTE -Principal Software Developer- Agentic AI, Healthcare AI Oracle CorpREMOTE -Principal Software Developer- Agentic AI, Healthcare AINYRemote$114,600–$234,600 / yearOracle 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. Experience designing and operating production LLM serving platforms with responsibility for latency, throughput, reliability, scalability, observability, and cost efficiency.
Part -Time Clinical Registered Dietitian (Hybrid â 75% Remote) RD Nutrition ConsultantsPart -Time Clinical Registered Dietitian (Hybrid â 75% Remote)Bronx, BronxRemoteRD Nutrition Consultants LLC is seeking a Part-Time Clinical Registered Dietitian to provide nutrition services to nine group home programs in New York. RD Nutrition Consultants LLC is a Registered Dietitian Nutritionist consulting firm providing nutrition professionals to healthcare facilities nationwide.
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.
Regional Dietitian Hybrid/Remote (Full Time) NutraCoRegional Dietitian Hybrid/Remote (Full Time)Mt Vernon, New YorkRemoteWork closely with members of facility corporate teams including administrators, DON, ADON, etc., to ensure clinical accuracy of all dietitians at the facility and client satisfaction. Represent NutraCo's focus on providing compassionate care, with respect and dignity to patients who count on us to manage their nutrition treatment and maintenance plans.
NewBusiness Development Representative- Hybrid (B2B SaaS) Prompt HealthBusiness Development Representative- Hybrid (B2B SaaS)Hoboken, NJRemoteJob Title: Business Development RepresentativePrompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, the teams within, and the patients they serve. Your ImpactProspecting Mastery: Utilize your PT or sales expertise to identify and engage potential clients, conveying the unparalleled value of our EMR solutions in enhancing patient care, increasing revenue, and decreasing operational expenses.
Principal Sales Engineer - Healthcare Zscaler IncPrincipal Sales Engineer - HealthcareNYRemote$195,000–$243,750 / yearThis role acts as a critical intersection and bridge between our customers, partners, sales teams, sales engineers, and product management - providing the deep technical expertise and strategic influence required to secure a cloud-enabled digital future. Serve as the definitive technical objection resolution authority and challenge both the internal Sales Engineering teams and the customer's teams on perceived "status quo" with creative, transformative architectures and innovative approaches to solving business challenges.
Enterprise Account Executive, Healthcare Sentilink CorpEnterprise Account Executive, HealthcareNYRemote$250,000–$280,000 / yearRole: As an Enterprise Account Executive, Healthcare, you will lead SentiLink's expansion across healthcare and healthcare-adjacent organizations, including providers, payers, digital health companies, healthcare marketplaces, and healthcare technology platforms. Because of your deep knowledge of the healthcare industry, we expect you to contribute beyond traditional sales responsibilities, helping to shape our healthcare go-to-market strategy, build playbooks for the vertical, and uncover new opportunities across the healthcare ecosystem.
NewBusiness Development Representative- Hybrid (B2B SaaS) Launch TNBusiness Development Representative- Hybrid (B2B SaaS)Hoboken, NJRemoteJob Title: Business Development RepresentativeCompany OverviewPrompt is revolutionizing healthcare by delivering highly automated and modern software to rehab therapy businesses, the teams within, and the patients they serve. Your ImpactProspecting Mastery: Utilize your PT or sales expertise to identify and engage potential clients, conveying the unparalleled value of our EMR solutions in enhancing patient care, increasing revenue, and decreasing operational expenses.
NewTrusts & Estates Attorney – Hackensack, New Jersey – Hybrid Remote PinnacleConnectTrusts & Estates Attorney – Hackensack, New Jersey – Hybrid RemoteHackensack, New JerseyRemote$140,000–$215,000 / yearTrusts & Estates Attorney – Hackensack, New Jersey – Hybrid Remote Founded over 50 years ago, we are a full-service law firm that clients trust to deliver top-tier, cost-effective legal services. · Trusts & Estates · Wills, estate planning · Wealth preservation, probate administration · POA, healthcare directives · T&E administration · Taxation · Elder Law .
Senior Training and Organizational Development Specialist-HR Talent Development & Learning-Mount Sinai Health System-Hybrid-Full Time-Days Mount Sinai Health SystemSenior Training and Organizational Development Specialist-HR Talent Development & Learning-Mount Sinai Health System-Hybrid-Full Time-DaysNew York, NYRemote$106,108–$159,161 / 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.
Senior Instructional Designer (Visual & Frontline Training In OFFICE or Hybrid NOT REMOTE) Diamond BracesSenior Instructional Designer (Visual & Frontline Training In OFFICE or Hybrid NOT REMOTE)Englewood, New JerseyRemoteWith multiple locations and continued expansion, we are building scalable systems that support operational excellence, employee development, and consistent execution across every office. Advanced proficiency with instructional design and content development tools such as Articulate 360, Rise, Vyond, Adobe Creative Suite, Camtasia, or equivalent platforms.
Nurse Practitioner - Southern CT/Yonkers, NY- Hybrid-Remote DaVita IncNurse Practitioner - Southern CT/Yonkers, NY- Hybrid-RemoteYonkers, NYRemote$118,000–$135,000 / yearPerforms enhanced annual wellness visits or Comprehensive Health Evaluations (CHEs) to identify and evaluate patients' co-morbid conditions and identify and assist with patients' needs, including but not limited to medical, social, emotional, and financial concerns through medical record review, consultation with patient, family, and healthcare team members. Manages the care of CKD/ESKD patients, focusing on delaying disease progression (CKD), medical cost/utilization and preventing/reducing hospitalizations, through proactive post-discharge planning and follow-up with patients most at risk.
Senior Instructional Designer (Visual & Frontline Training In OFFICE or Hybrid NOT REMOTE) Orthodontic Staffing and Support LLCSenior Instructional Designer (Visual & Frontline Training In OFFICE or Hybrid NOT REMOTE)Englewood, NJRemote$90,000–$120,000 / yearPart timeWith multiple locations and continued expansion, we are building scalable systems that support operational excellence, employee development, and consistent execution across every office. Advanced proficiency with instructional design and content development tools such as Articulate 360, Rise, Vyond, Adobe Creative Suite, Camtasia, or equivalent platforms.
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEYonkers, NYRemoteRegistered 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.
Manager of Accounts Payable- HYBRID REMOTE Garnet Health Medical CenterManager of Accounts Payable- HYBRID REMOTEMiddletown, NYRemote$62,631–$77,951 / yearIf you're interested in a health system that's both growing and award-winning, serving a diverse community that provides the best of both city and rural life, we invite to make your career home with us as a Manager of Accounts Payable on our Finance team at/in Garnet Health Medical Center. When determining a team member's compensation and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Junior Event Producer (Hybrid) RTM Business GroupJunior Event Producer (Hybrid)New York, NYRemote$50,000–$55,000 / yearThe ideal candidate will have experience running at least 1 program in the B2B conferences/events space and has an excellent understanding of what is required to run a successful event. Create detailed programs with multiple sessions, key-note speakers and curated content.
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.
Psychiatric Nurse Practitioner (Hybrid/Remote - Hospital/Clinic) Nyack, NY Cordial HealthPsychiatric Nurse Practitioner (Hybrid/Remote - Hospital/Clinic) Nyack, NYNyack, New YorkRemoteYou will gain valuable experience managing patients across both outpatient clinic environments and hospital-based settings , while also developing expertise in virtual care delivery—an increasingly critical component of modern psychiatric practice. You will be exposed to a broad range of cases, including patients with co-occurring medical and psychiatric conditions, while working within a system designed to support efficiency, reduce administrative burden, and promote high-quality outcomes.
Accounts Payable Specialist (Hybrid) RTM Business GroupAccounts Payable Specialist (Hybrid)New York, NYRemoteThis role reports into the Controller and plays a critical part in keeping our accounting operations running smoothly by ensuring timely and accurate payment processing, vendor management, and support on commissions. Our 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.
Senior EDI Specialist - Hybrid LabCorpSenior EDI Specialist - HybridWayne, NJRemote$80,000–$100,000 / yearLabcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improve outcomes. As we shape the future of healthcare, we are leveraging advanced technologies, intelligent digital solutions and data-driven innovation across our operations to enhance how work gets done and deliver greater value to customers and patients.
Senior EDI Specialist - Hybrid Labcorp Holdings IncSenior EDI Specialist - HybridWayne, NJRemote$80,000–$100,000 / yearLabcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improve outcomes. As we shape the future of healthcare, we are leveraging advanced technologies, intelligent digital solutions and data-driven innovation across our operations to enhance how work gets done and deliver greater value to customers and patients.
Clinical Strategy Sr. Advisor - Evernorth - Hybrid/Remote (New Sales) CarePathRx Holding Company LLCClinical Strategy Sr. Advisor - Evernorth - Hybrid/Remote (New Sales)NYRemote$123,400–$205,600 / yearAdvisor serves as a trusted clinical thought partner to prospect engagements, early‑stage solution exploration, and product concept development-helping translate condition dynamics, comorbidities, drug considerations, and pharmacy trends, into clear, actionable guidance that supports finalist opportunities, RFP responses, and product development. This role partners closely with Clinical Strategy, Product Strategy, Strategic Insights, and New Sales Teams to ensure solutions are clinically credible, market-differentiated, and aligned to client and prospect needs.
Director, Business Development & Strategy - Global Content Sales (Hybrid + Remote Options Available) A&E Television Networks, LLCDirector, Business Development & Strategy - Global Content Sales (Hybrid + Remote Options Available)Stamford, CTRemote$159,643–$186,783 / yearThis 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.
(Remote or Hybrid) Outpatient Psychiatrist (Adult) | Leadership Growth Opportunity Rivia Mind - Mental Healthcare(Remote or Hybrid) Outpatient Psychiatrist (Adult) | Leadership Growth OpportunityFranklin Lakes, NJRemote$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.
Associate, Data Analytics NYC - Hybrid Oscar Health IncAssociate, Data Analytics NYC - HybridNYRemote$101,844–$133,670 / yearCollaborate across the organization, including owning stakeholder relationships with managers & senior managers, to identify actions to achieve improvements and monitor initiative impact. You will independently drives the scoping & execution of analytical requests, including working with stakeholders to define key questions, scope methodologies and results.
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.
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!
Complex Oncology Nurse Navigator (11:30AM - 8:00PM EST) Thyme Care IncComplex Oncology Nurse Navigator (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our higher-acuity members as they move through the oncology care continuum.
Oncology Transitions of Care Nurse (11:30AM - 8:00PM EST) Thyme Care IncOncology Transitions of Care Nurse (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our members as they move through the oncology care continuum.
Registered Nurse Telehealth/SUD Boulder Care IncRegistered Nurse Telehealth/SUDNYRemote$80,000–$95,000 / yearThe Registered Nurse works directly with patients to deliver medication-assisted recovery for substance use disorder (SUD) and empowers patients in their recovery journeys in coordination with the Care Team (primarily Nurse Practitioners, Medical Assistants and Peer Recovery Specialists). Coordinate with multidisciplinary care teams via telehealth to guide treatment planning and delivery including the following functions; Collaborate with pharmacies to facilitate medication refills and support patients with medication-related concerns.
Registered Nurse (RN) – Principal Care Management (PCM) Elaya HealthRegistered Nurse (RN) – Principal Care Management (PCM)passaic, NJRemoteWe are looking for a compassionate, organized, and detail oriented Registered Nurse (RN) to join our growing team and assist with Principal Care Management (PCM) services remotely. We partner closely with long term care facilities to improve outcomes for patients with chronic conditions, primarily diabetes and thyroid disease.
Case Manager Registered Nurse - Field (Cumberland/Atlantic ) County, NJ CVS Health CorpCase Manager Registered Nurse - Field (Cumberland/Atlantic ) County, NJMontclair, NJRemote$66,575–$142,576 / yearWith 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.
Care Manager Registered Nurse - Field (Bergen County, New Jersey) CVS Health CorpCare Manager Registered Nurse - Field (Bergen County, New Jersey)Passaic, NJRemote$66,575–$142,576 / yearWith 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, Clinical Delivery Care Access Research LLCRegistered Nurse, Clinical DeliveryNYRemote$34–$48 / hourWith programs like Future of Medicine, which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers, which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Furthermore, they serve as a point of escalation for the Member Services team, addressing complex inquiries related to lab results and assisting in the resolution of patient concerns by providing clinical insights and ensuring patients receive accurate information and appropriate follow-up.
Telehealth Triage Registered Nurse New York + Compact State RN License Required Ophelia Health IncTelehealth Triage Registered Nurse New York + Compact State RN License RequiredNYRemoteTriage RNs have experience working with patients with substance use and are comfortable conducting ongoing medication management, performing check-in calls and urine drug screens, assessing bridge prescription requests, and identifying escalation events requiring clinical oversight. Support medication management by communicating with patients regarding medication dosing, interactions, and taking meds as prescribed; discussing comfort medications during the induction phase, and educating patients on proper dosing method of buprenorphine.
(RN) Registered Nurse Coding Auditor - HCS-D, COS-C - Full Time Northwell Health Inc(RN) Registered Nurse Coding Auditor - HCS-D, COS-C - Full TimeGarden City, NYRemoteWhen determining a team members base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.
Clinical Review & Correspondence RN Cohere Health Technologies LLCClinical Review & Correspondence RNNYRemote$31–$35 / hourBy 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. Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications.
RN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorMillburn, New JerseyRemote$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.
Clinical Clearance Specialist RN Charlie Health IncClinical Clearance Specialist RNNYRemote$48–$52 / hourThis RN serves as the dedicated clinical reviewer for escalated admissions cases involving eating disorder (ED) and substance use disorder (SUD) presentations - cases that require nursing-level clinical expertise beyond the independent decision-making scope of the CAT team, but that do not require physician review. You will own the clearance review queue, interpret labs, vitals, and EKGs, issue timely admission determinations, and serve as the primary clinical bridge between the admissions team and medical leadership.
Urgent Care Nurse Practitioner (Full Time) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time)NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.
RN Clinical Reviewer / IDR Greenlife Healthcare StaffingRN Clinical Reviewer / IDRJericho, NYRemoteGreenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a Non-profit organization located in New York. Soft Skills: Excellent written/verbal communication; ability to work independently; flexible and innovative; meets deadlines in sensitive environments; strong collaborative and problem-solving skills.
Vice President, Government and Commercial Programs Allied UniversalVice President, Government and Commercial ProgramsNYRemote$130,000–$160,000 / yearThe Vice President, Government and Commercial Programs is responsible for all government and commercial healthcare operations in addition to managing interactions with government entities while concurrently developing and executing strategies to drive commercial growth and Profit & Loss (P&L) responsibility across both public and private sectors. Responsible for the day-to-day oversight of the operational efficiency and effectiveness of the clinical auditing, compliance and special investigations unit organization, to include special programs such as Physician, Managed Care, Pharmacy, PACE, and Special Needs.
NewClinical Reviewer-PRN (RN) Acentra HealthClinical Reviewer-PRN (RN)NYRemote$28.37–$39.19 / hourIn fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education.
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.
CDI Specialist- Remote Med-Metrix, LLCCDI Specialist- RemoteNJRemoteThe Clinical Documentation Integrity Specialist performs concurrent chart reviews to validate that the clinical documentation in the medical record appropriately describes the patient's severity of illness, complexity of care, and risk of mortality to facilitate appropriate coding. Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
RN Clinical Consultant The Guardian Life Insurance Company of AmericaRN Clinical ConsultantNYRemote$70,340–$115,565 / yearPossess excellent verbal and written communication skills to gather and report information accurately, ask appropriate questions to facilitate partnership with treating providers, claimants, and internal partners to encourage participation of claimant in appropriate treatment goals. The Clinical Consultant collaborates with treating providers to assist individuals to obtain appropriate care and ensure optimal treatment outcomes and acts with urgency and ownership to resolve customer issues and prioritize the customer experience.