Remote Healthcare Recruiter (General Healthcare - Nationwide) Gotham Enterprises LtdRemote Healthcare Recruiter (General Healthcare - Nationwide)Las Vegas, NVRemote$70,000–$80,000In this role, you will be a high-volume "talent hunter," identifying and placing a diverse range of medical professionals—from Mental Health Counselors, to Registered Nurses and Physicians to Allied Health and specialized clinical staff—into top-tier healthcare facilities coast-to-coast. High-Impact Outreach: Drive candidate engagement through massive "text blast" campaigns and high-volume daily call targets (50–100 calls) to build a robust talent pipeline.
Body Radiologist | Hybrid Remote Swing + Onsite Flexibility | Partnership Track | Las Vegas Radiology PartnersBody Radiologist | Hybrid Remote Swing + Onsite Flexibility | Partnership Track | Las VegasLas Vegas, NVRemote$450,000–$750,000 / yearAdditionally, we will not send checks for deposit into your bank account at any stage of recruitment.?All communication during the interview and hiring process should come from an email address ending in @radpartners.com.?If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team?at recruiting@radpartners.com. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
Remote Registered Nurse RN RylemRemote Registered Nurse RNLas Vegas, NVRemote$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.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Las Vegas, NVRemoteFull 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.
RN Concurrent Review P3 Health Partners LLCRN Concurrent ReviewHenderson, NVRemote$90,000–$100,000 / yearThe UM Nurse will integrate the functions of utilization review, discharge planning and resource management into a singular effort to ensure, based on patient assessment and best practice, that care is provided in the appropriate setting utilizing medically indicated, contracted resources. Overall Purpose: The UM Nurse is responsible for compliance with the Medical Management Program Description of P3 Health Partners regarding Utilization Review, inclusive of prior authorization, concurrent and retrospective review, discharge planning and transitions of care to the appropriate level.
Director, Medical Document Optimization TriWest Healthcare AllianceDirector, Medical Document OptimizationLas Vegas, NVRemoteFull 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.
Clinical Operations Director Alopex Powered by ShiFoxClinical Operations DirectorLas Vegas, NVRemoteFull timeThis role serves as the operational leader for day-to-day Clinical Operations and Enrollment execution and partners closely with executive leadership, QA, Product, BI, Technology, and Operations Enablement teams to support organizational growth and operational excellence. The Clinical Operations Director is responsible for leading frontline operational execution across Alopex’s Care Coordination and Enrollment teams while driving workforce performance, operational accountability, clinical quality, and scalable operational delivery.
Chief of Staff to the Chief Operating Officer TriWest Healthcare AllianceChief of Staff to the Chief Operating OfficerLas Vegas, NVRemoteFull 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.
Clinical Quality Reviewer TriWest Healthcare AllianceClinical Quality ReviewerLas Vegas, NVRemoteFull 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.