Remote Healthcare Recruiter (General Healthcare - Nationwide) Gotham Enterprises LtdRemote Healthcare Recruiter (General Healthcare - Nationwide)Hoboken, NJRemote$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.
Information Security Analyst Hybrid Remote, 2 Locations Relatient, LLCInformation Security Analyst Hybrid Remote, 2 LocationsNYRemote$75,000–$120,000 / yearTo be eligible, you must reside in one of the following states: Alabama, Arkansas, Florida, Georgia, Indiana, Kentucky, Missouri, New Jersey, North Carolina, Ohio, Oklahoma, South Carolina, Tennessee, and Texas. At Relatient, we help healthcare organizations optimize patient access through AI-powered workflows, real-time automation, and flexible access tools.
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.
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.
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).
NewSenior Healthcare Network Consultant Humana IncSenior Healthcare Network ConsultantNYRemote$78,400–$107,800 / yearWork at Home Requirements 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. To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
NewIT 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.
Product Owner III - Digital and Technology Partners - HSO Digital Experience - Remote/Hybrid Mount Sinai Health SystemProduct Owner III - Digital and Technology Partners - HSO Digital Experience - Remote/HybridNYRemote$103,000–$198,065 / 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.
Business Development Manager (Hybrid) RTM Business GroupBusiness Development Manager (Hybrid)New York, NYRemote$55,000–$75,000Our 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.
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.
Accounts Payable Specialist (Hybrid) RTM Business GroupAccounts Payable Specialist (Hybrid)New York, NYRemote$55,000–$60,000This 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.
NewPsychiatric 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.
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.
Lead/Staff Full Stack Engineer, AI Platform & Agents (US/Canada Hybrid/Remote) Wolters Kluwer N.V.Lead/Staff Full Stack Engineer, AI Platform & Agents (US/Canada Hybrid/Remote)NYRemoteStrong full‑stack development skills and cloud experience (AWS/Azure/GCP).Expert in at least one, and proficient across the others:AI Agent development and evaluationBackend developmentFrontend developmentCloud services (AWS/Azure/GCP)CI/CD and Infrastructure as CodeSite Reliability Engineering (SRE)Quality engineering / testing strategySecure SDLC and privacy by designProven track record delivering secure, reliable, cloud‑native systems to production. TypeScript, Node.js, React, Python, LangChain/LangGraph, MCP/A2A, RustAWS (primary), Azure, GCP; Docker, Terraform, GitHub ActionsDocumentDB, DynamoDB, OpenSearch, Azure AI SearchAzure OpenAI, AWS Anthropic, Google GeminiGitHub, Confluence, SlackWhat you'll doDesign and implement full‑stack applications, AI agents, and platform components that enable rapid GenAI agent development, validation, and deployment.
Paid Social Performance Manager (remote/hybrid) The EGC GroupPaid Social Performance Manager (remote/hybrid)Melville, New YorkRemoteAs a member of AMIN, a network of 60 agencies in 27 countries, EGC collaborates with partner agencies around the world to deliver measurable results through access to premium research and exclusive data tools. The dynamic team has a passion for ideas, an entrepreneurial spirit and a global client roster that includes Brother International, Canon and Mayo Clinic.
NewCase Manager (Bilingual English/Spanish)- Intermittent Hybrid/Remote Urban Health Plan, IncCase Manager (Bilingual English/Spanish)- Intermittent Hybrid/RemoteBronx, NYRemoteWork Environment Type, Location, and Schedule:The Health Home Case Manager is currently an intermittent hybrid role conducted primarily remotely (from home) with required onsite days each week for team meetings and home visiting. Collaborates with co-workers and other departments to allow for patient to overcome obstacles through impactful care coordination (health care providers, mental health providers, and behavioral health providers).
Senior Advisor, Data Science - Medical Cost Trend & Forecasting - Hybrid/Remote The Cigna GroupSenior Advisor, Data Science - Medical Cost Trend & Forecasting - Hybrid/RemoteNYRemote$131,200–$218,600 / yearThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Registered Nurse Clinical Reviewer / AIMS Greenlife Healthcare StaffingRegistered Nurse Clinical Reviewer / AIMSBronx, New YorkRemote$50About Greenlife Healthcare Staffing:We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming. We understand that every situation is different and our approach reflects that: we value personalized interaction with job seekers and employers, our searches are customized not cookie-cutter and our results speak for themselves: Happy job seekers and employers who found the right professional match through our services.
Case Manager Registered Nurse - Field in Essex County, NJ CVS Health CorpCase Manager Registered Nurse - Field in Essex County, NJEast Orange, NJRemote$66,575–$142,576 / 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. • Conduct in-home, face-to-face assessments for members enrolled in: • Managed Long-Term Services and Supports (MLTSS) • Dual Special Needs Programs (D-SNP/FIDE).
Registered Nurse Clinical Manager Humana IncRegistered Nurse Clinical ManagerWestbury, NYRemote$92,600–$127,400 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Registered Nurse I, Oncology - Expert Medical Opinion Transcarent Inc.Registered Nurse I, Oncology - Expert Medical OpinionNYRemote$85,000–$90,000 / yearMD expert medical opinions, and virtual primary care, works seamlessly with comprehensive Care Experiences - Cancer Care, Surgery Care, and Weight Health - to support people with all of their health needs, simple or serious. More than 1,700 employers and health plans rely on us to provide information, guidance, and care, empowering health consumers with more choice, an experience they love, access to higher-quality care, and lower costs for 21 million Members.
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.
Staff Nurse Practitioner, Primary Care Telemedicine Teladoc Health IncStaff Nurse Practitioner, Primary Care TelemedicinePURCHASE, NYRemoteThis role is responsible for delivering exceptional patient care through compassion and dedication to high quality Essential Duties and Responsibilities * Conduct virtual patient assessments, including collecting medical history, performing physical examinations, and diagnosing and treating common illnesses and injuries. Collaborate with interdisciplinary healthcare teams, including physicians, specialists, and other healthcare professionals, to ensure coordinated and comprehensive care.
NewGI Nurse Practitioner- Evening Hours Remote Oshi Health, IncGI Nurse Practitioner- Evening Hours RemoteNYRemoteRequired Location: We are only hiring from the following states: Arizona, Arkansas, Colorado, Connecticut, Florida, Louisiana, Maryland, Michigan, Missouri, New Jersey, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Dakota, Texas, Virginia, and Wisconsin. Oshi Health is revolutionizing GI care with a digital clinic model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a whole-person approach to diagnosing, managing, and treating digestive health conditions.
Registered Nurse (RN) – Principal Care Management (PCM) Elaya HealthRegistered Nurse (RN) – Principal Care Management (PCM)Great Neck, NYRemoteWe 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.
Diabetes Registered Nurse with CDCES (Remote) EmblemHealth IncDiabetes Registered Nurse with CDCES (Remote)NYRemote$68,040–$118,800 / yearAssess and evaluate the needs of our most complex members, acting as the clinical coordinator collaborating with members, caregivers, providers, multi-disciplinary team, and health care and community resources through a variety of assessments to identify areas of (medical, financial, environmental, health insurance benefit, psycho-social, caregiving) concerns and potential gaps in care utilizing the most appropriate resources to support members' needs. Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face assessments of members' health care needs, identifying gaps in care and needed support, administering/coordinating implementation of interventions.
Resource Pediatric Registered Nurse Imagine Pediatrics LLCResource Pediatric Registered NurseNYRemote$36–$42 / hourAs a Resource Pediatric Registered Nurse at Imagine Pediatrics, you serve as a key clinical partner within the Patient Engagement (Outreach & Enrollment) team, supporting the re-engagement of previously enrolled patients and families. Key responsibilities include: Provide real-time clinical support and triage for newly re-engaged patients, ensuring immediate response to clinical needs following outreach and enrollment interactions.
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 SurveyorStamford, ConnecticutRemote$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. CMS’s Long-Term Care Basic Training and SMQT certification are requiredImpact Recruiting Solutions is currently seeking an 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.
Concurrent Review - RN MVP Health CareConcurrent Review - RNNYRemote$69,383–$92,279 / yearIdeal for experienced RNs looking to expand into utilization management, this position provides exposure to complex clinical decision-making, healthcare policy interpretation, and care coordination strategies. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care.
RN Complex Case Manager - Remote UnitedHealth Group IncRN Complex Case Manager - RemoteFishkill, NYRemote$28.94–$51.63 / hourThe 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. The Case Manager plays a critical role in bridging the gap between healthcare providers, members, and health plans, ensuring that high-risk members receive comprehensive, coordinated, and high-quality care.
NewRemote Registered Nurse (RN) Case Manager ValerisRemote Registered Nurse (RN) Case ManagerDanbury, ConnecticutRemoteBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. calling and working with the patient’s insurance payer to determine coverage benefits, anticipated out-of-pocket costs associated with their therapy and resources for financial assistance, where applicable based upon needs communicated by the patient.
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.
Utilization Management Nurse Consultant (Weekend) CVS Health CorpUtilization Management Nurse Consultant (Weekend)Work At Home, NYRemote$29.10–$62.32 / hourEducation: Diploma RN acceptable; Associate degree/BSN preferred, 3+ years of experience as a Registered Nurse, 1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience. Position Summary: Utilize your clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members.
Remote Triage RN - Future Opportunity HEITECH SERVICES INCRemote Triage RN - Future OpportunityNYRemoteHeiTech Services is seeking experienced Registered Nurses (RNs) interested in supporting upcoming federal healthcare programs that provide 24/7 telehealth triage services for military members, veterans, and their families. Remote Triage RN to support patients by assessing symptoms, providing clinical guidance, and helping determine appropriate next steps using established evidence-based protocols.
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, NYRemote$100,000–$105,000Greenlife 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.
RN Care Manager DSNP Belong Health IncRN Care Manager DSNPNYRemote$80,000–$95,000 / yearThis role applies care management principles to assess member needs, develop and implement individualized care plans, coordinate services across the continuum of care, and maintain collaborative relationships with provider practices, community-based organizations, caregivers, and the Belong Health team. With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health insurance for seniors and other Medicare-eligible individuals who have been disregarded and deprioritized for far too long.
Medical Claims Consultant - Part-Time Enlyte Group LLCMedical Claims Consultant - Part-TimeNYRemote$65,000–$80,000 / yearWhether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway.
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.
Clinical Review Nurse-Concurrent Review Centene Corporation GroupClinical Review Nurse-Concurrent ReviewNYRemote$27.02–$48.55 / hourPosition Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines.
RN Clinical Consultant The Guardian Life Insurance Company of AmericaRN Clinical ConsultantNYRemote$68,970–$113,310 / 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.