Pediatric Triage RN - Overnight 9pm - 9am ET Pomelo Care IncPediatric Triage RN - Overnight 9pm - 9am ETNYRemote$78,000–$83,000 / yearWith the increase of remote work and digital hiring, phishing and job scams are on the rise with malicious actors impersonating real employees and sending fake job offers in an effort to collect personal or financial information. Reporting to a Nurse Lead, your key responsibilities will include: Assessment of urgent pediatric concerns and proactively triaging patients to support appropriate utilization of Pomelo Care and/or emergency services.
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.
NewDirector of Compliance (Remote) Ennoble CareDirector of Compliance (Remote)Hackensack, NJRemoteEnnoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia.
Advanced Practice Nurse - Fully Remote MercorAdvanced Practice Nurse - Fully RemoteNew York, New YorkRemote$70–$110 / hour4+ years of experience as a Nurse Practitioner (NP), Advanced Practice Registered Nurse (APRN), Family Nurse Practitioner (FNP), Acute Care Nurse Practitioner (ACNP), Pediatric Nurse Practitioner (PNP), or another closely related advanced practice nursing role. Experts who complete their first task within the required timeline will then be qualified to be paid hourly for the remainder of the project.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorAvenel, NJRemote$75,000–$90,000 / yearThe 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 Validation Audit (CVA) Trainer ExlService Holdings IncClinical Validation Audit (CVA) TrainerNYRemote$85,000–$110,000 / yearThis role partners closely with Clinical Auditors, Quality Analysts, and Subject Matter Experts to ensure training content reflects current coding guidelines, clinical validation requirements, and audit expectations. The CVA Trainer plays a critical role in improving audit consistency, accuracy, and completeness by translating audit outcomes into effective learning experiences.
NewClinical Review Nurse - Prior Authorization Centene Corporation GroupClinical Review Nurse - Prior AuthorizationNYRemote$27.02–$48.55 / hourAssists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members. Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care.
Urgent Care Nurse Practitioner (Full Time, Weekend Only) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time, Weekend Only)New York City, 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.
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.
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.
NewAdministrator, Epic Operational Database Quest Diagnostics IncAdministrator, Epic Operational DatabaseSecaucus, NJRemote$110,000–$145,000 / yearActive, advanced Microsoft Azure certifications (e.g., Azure Database Administrator Associate, Azure Solutions Architect, or DevOps Engineer Expert).Technical Training or Professional Licensing:Active Epic Operational Database Administrator (ODBA) Certification: Must hold an active, non-expired Epic ODBA certification (Required)Epic New Version Training (NVT): Must be fully current on all Epic NVTs up to the organization''s target Epic release version to ensure they are qualified to manage and upgrade the environment immediately upon hire. Preferred QualificationsLarge Diagnostic/Lab Network Experience: 10+ years of senior-level Caché/IRIS DBA experience, with specific experience in a national reference laboratory, massive multi-tenant healthcare system, or highly integrated diagnostic network.
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.
NewEpisodic Care Manager Zp Group LlcEpisodic Care ManagerNYRemote$25–$35 / hourKeywords: utilization review, utilization management, medical necessity, prior authorization, episodic care management, managed care, health insurance, Medicare, Medicaid, behavioral health, adolescent behavioral health, eating disorders, clinical review, care coordination, authorization review, inpatient review, outpatient review, DME, peer-to-peer review, clinical documentation, compliance, nursing, registered nurse, RN, LPN, medical policy, healthcare operations, telephonic review, clinical assessment, case management, managed healthcare. The Episodic Care Manager will support utilization management operations by reviewing clinical service requests, evaluating medical necessities, and collaborating with providers and internal healthcare teams to ensure appropriate care decisions and regulatory compliance.
Remote Nurse Practitioner Contractor- Multi-State Perry Health IncRemote Nurse Practitioner Contractor- Multi-StateNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.
Psychiatric Nurse Practitioner (Full-Time W2) ReKlame HealthPsychiatric Nurse Practitioner (Full-Time W2)New York, New YorkRemoteWe are a clinician-led, tech-enabled provider group that exists to provide culturally competent behavioral health care addiction care, medication management, crisis intervention, and care coordination for people working towards taking back control of their lives, while expanding access to care. Psychiatric Evaluations and Medication Management : Deliver compassionate and high-quality psychiatric care, addiction care, and medication management through a convenient telehealth platform, ensuring members receive accessible and effective care.
Product Marketing Manager TEMPORARY Tebra Technologies IncProduct Marketing Manager TEMPORARYCARemote$127,000–$145,000 / yearIf you would like to report a fraudulent Tebra job posting, please contact us at talentacquisition@tebra.com and consider reporting your experience to the FBI''s Internet Crime Complaint Center or the Better Business Bureau to help keep others safe online, too. Designed to replace the clunky, fragmented tools built for corporate systems, Tebra connects EHR software, billing, automation, telehealth solution, and marketing - so providers can spend less time on admin and more time with patients.
Manager Mortgage Banking Secondary Marketing City National BankManager Mortgage Banking Secondary MarketingLos Angeles, CARemote$195,995–$364,003 / yearThe Capital Markets Manager will also partner internally with the finance, data, operations, legal, and risk teams to provide a markets/funding perspective on revenue forecasting, product strategy and operational requirements. Provide guidance and access to appropriate mortgage loan programs, keeping current with any changes in the market, whether it is a new loan program or enhancements to existing loan programs.
Power and Utility Sales Leader - Nationwide (Remote/Flexible) Multiple U.S. Locations Tetra Tech IncPower and Utility Sales Leader - Nationwide (Remote/Flexible) Multiple U.S. LocationsIrvine, CARemote$150,000–$300,000 / yearPay Range - There are multiple factors that are considered in determining final pay for a position, including, but not limited to, relevant work experience and demonstrated work experience in the above role; skills, certifications, and competencies that align to the specified role; geographic location; and education, as well as contract provisions regarding labor categories that are specific to the position. With 30,000 employees working together, Tetra Tech provides clear solutions to complex problems by Leading with Science to address the entire water cycle, protect and restore the environment, design sustainable and resilient infrastructure, and support the clean energy transition.
Manager, Sales Enablement - Learning Design Samsara Inc.Manager, Sales Enablement - Learning DesignCARemote$96,092.50–$129,200 / yearIn this role, you''ll set the strategy and quality bar for how Samsara designs, builds, and delivers learning experiences and sales content, while growing a talented team of instructional designers and content developers. This is a remote position open to candidates residing in the US except Alaska, Austin Metro, Boulder Metro, California, Chicago Metro, Connecticut, Dallas Metro, Denver Metro, Houston Metro, Maryland, Massachusetts, New Jersey, New York, Rhode Island, Seattle Metro, and Washington, D.C.
Manager, Engineering - Creative Systems FableticsManager, Engineering - Creative SystemsEl Segundo, CARemote$150,000–$175,000 / yearThe team owns three connected platform areas: our Digital Asset Management (DAM) and creative production tooling; our marketing and creative automation platforms (campaign setup, personalization, dynamic creative delivery); and our CMS / content platform. Experience leading platform, integration, or content/CMS teams; integration experience with DAM, CMS, marketing automation, or creative production tools (Adobe, Figma, Contentful/Contentstack, Bynder, Cloudinary, SFMC, Braze) is a plus.