RN Care Manager – Cardiac SeamlessassistRN Care Manager – CardiacDallas, TexasRemote$45–$60 / hourThis is a full-time, remote, hourly contract position focused on delivering advanced clinical support through clinical triage, care plan development, and high-risk care management, including Transitional Care Management (TCM), Principal Care Management (PCM), Complex Care Management (CCM), Remote Patient Monitoring (RPM), and other applicable clinical programs. CCA is seeking experienced Registered Nurse (RN) Care Managers to support a high-acuity population of patients with complex cardiac conditions, including congestive heart failure (CHF) and other comorbidities.
Director, CERIS Audit CorVel CorpDirector, CERIS AuditFort Worth, TXRemote$99,250–$166,777 / yearPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. EDUCATION & EXPERIENCE: Bachelors degree in Healthcare, Business Administration, or a related field; or 7+ years of equivalent education and experience in operations management and third-party healthcare audit services.
RN Care Manager – Cardiac Seamless AssistRN Care Manager – CardiacDallas, TexasRemote$45–$60 / hourThis is a full-time, remote, hourly contract position focused on delivering advanced clinical support through clinical triage, care plan development, and high-risk care management, including Transitional Care Management (TCM), Principal Care Management (PCM), Complex Care Management (CCM), Remote Patient Monitoring (RPM), and other applicable clinical programs. CCA is seeking experienced Registered Nurse (RN) Care Managers to support a high-acuity population of patients with complex cardiac conditions, including congestive heart failure (CHF) and other comorbidities.
NewSenior Clinical Quality Nurse Oscar HealthSenior Clinical Quality NurseDallas, TXRemote$75,265–$98,785 / yearClinical Quality programs are designed to enhance clinical outcomes and concierge-level service to our members, through review of services provided to members from network healthcare providers, facilities and Oscar employees. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia.
Utilization Review Clinician - Behavioral Health Centene Corporation GroupUtilization Review Clinician - Behavioral HealthTXRemote$27.02–$48.55 / hourExperience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred. You'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective.
Itemization Review Nurse II CERIS HealthItemization Review Nurse IIFort Worth, TXRemote$61,053–$98,334 / yearPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
RN, Telephone Triage, Weekends (Remote) Cook Children's Health Care SystemRN, Telephone Triage, Weekends (Remote)Fort Worth, TXRemoteAbout Us: Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs. Collaborates with callers on the telephone and with colleagues in other health disciplines to meet the individual health and illness needs of the patient and family.
Personal Health Nurse - Remote Tenet Healthcare CorpPersonal Health Nurse - RemoteFrisco, TXRemote$64,168–$96,262 / yearExcellent verbal communication skills with the ability to communicate with members and communicate professionally with individuals who serve in a variety of functions, i.e. physicians, client managers, customer service staff, CCCS executive management, other CCCS Medical Management nurses, hospital utilization review nurses, etc. The PHN performs the Personal Health Management process: assess the member; work with the member, family and physician to identify problems; establish goals and develop plans of care; coordinate services; educate members; and empower members to independently self-manage and to make knowledgeable health care decisions.