Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN/LSATP for Substance Abuse - Remote in VA and NC Sentara Healthcare IncBehavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN/LSATP for Substance Abuse - Remote in VA and NCVARemoteManaged Care, MCO, Health Plan, Healthcare, Masters, Social Work, Counseling Field, BSN, Nursing, Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Registered Nurse License (RN), Clinical, behavioral health, care coordination, discharge planning, continuity of care, transitions of care, Remote, Virginia, Weekends, Days, North Carolina, Licensed Substance Abuse Treatment Practitioner, LSATP, Certified Substance Abuse Counselor, CSAC, Licensed Chemical Dependency Counselors, LCDC, American Society of Addiction Medicine (ASAM). Registered Nurse (RN) Single State - Nursing License - Virginia Department of Health Professionals (VADHP) OR Registered Nurse (RN) Single State - Nursing License - North Carolina Board of Nursing (NCBON) OR Registered Nurse (RN) Multi State - Nursing License - Virginia Department of Health Professionals (VADHP) OR Registered Nurse (RN) Multi State - Nursing License - North Carolina Board of Nursing (NCBON) OR.
Registered Nurse (RN) - Day Triage Runner (Not Remote) Capital CaringRegistered Nurse (RN) - Day Triage Runner (Not Remote)Washington, District of ColumbiaRemoteTriage RN's who experience technical issues not caused by the company equipment or network (i.e. offsite power outage, personal internet outage) are required to report the situation to leadership immediately, and have 30 minutes to resolve the technical issue. Clients include current and prospective patients, friends, or family members, Powers of Attorney, care providers, physicians, nursing staff, nursing homes and Assisted Living Facilities (ALFs), hospital staff, and others, as appropriate.
Manager, Integrated Care Management- Nursing Facility/ HCBS / LTSS Waiver - Remote! Sentara Healthcare IncManager, Integrated Care Management- Nursing Facility/ HCBS / LTSS Waiver - Remote!VARemote$48.79–$81.31 / hourCare Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, Nursing, Managed Care, MCO, Health Plan, Virginia, Remote, Licensed Clinical Social Worker (LCSW) - State license - Virginia Department of Health Professionals (VADHP), Licensed Professional Counselor (LPC) - State license - Virginia Department of Health Professionals (VADHP), Registered Nurse (RN) License (Compact or Virginia), Long-Term Services and Supports, LTSS, Home and Community-Based Services (HCBS), Nursing Facility. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
Healthcare Ins Contact Admin RadNet IncHealthcare Ins Contact AdminMaryland, MDRemote$30–$35 / hourWorks collaboratively with the Regional Directors of Contracting, Operations and Credentialing departments to maintain/update the RadNet East Coast Facility List, (sometimes referred to as the "Source of Truth" draft/distribute the corresponding payor notifications, document correspondent received from the payer and performs follow up to ensure the updates have been completed in the payor systems. Job Summary: Under minimal supervision, assists the Contracting and Payor Relations team, the Reimbursement Operations team and the authorization team in a support role handling departmental projects as assigned, facilitating communications to and from insurance companies, and internal/external contacts regarding updates on physician staff and facility information.
Integrated Care Manager/ Registered Nurse (RN) LTSS Waiver Members/Medicaid - Remote in NOVA (Fairfax, Springfield and Alexandria, VA) Sentara HospitalsIntegrated Care Manager/ Registered Nurse (RN) LTSS Waiver Members/Medicaid - Remote in NOVA (Fairfax, Springfield and Alexandria, VA)Fairfax, VirginiaRemoteKeywords: Medicaid, Managed Care, Health Plan, Health Insurance, MCO, Integrated Case Manager, Registered Nurse, RN, Nursing, Fairfax, Springfield, and Alexandria, VA, Northern Virginia, NOVA, Long-Term Services and Supports (LTSS), Waiver, Home Health. The position requires in person/face-to-face assessments with remote/home office for the Long-Term Services and Supports (LTSS) Waiver Members/Medicaid in Northern Virginia (Fairfax, Springfield, and Alexandria, VA), and the surrounding areas!
Advanced Practice Registered Nurse (AGNP or FNP) (Remote) Sunday HealthAdvanced Practice Registered Nurse (AGNP or FNP) (Remote)District of Columbia, DCRemoteThis includes 1) individuals who are interested in understanding their current brain health and how they can promote their brain health as they age; 2) those who are experiencing symptoms of cognitive decline and seeking a diagnostic evaluation and early intervention to delay disease progression; and, 3) those with an established diagnosis of mild cognitive impairment or mild dementia who are seeking early intervention to delay disease progression and tailored care plans. Performing new and follow-up patient visits, including acquiring a cognition-focused history, completing cognitive, psychological, behavioral, functional, and caregiver assessments, ordering and interpreting labs and imaging, and developing care plans.
Care Manager (Remote) Blue Cross and Blue Shield AssociationCare Manager (Remote)DCRemote$72,360–$143,715 / yearThe Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
Remote Care Management Nurse Cambia Health Solutions IncRemote Care Management NurseWashington, DCRemote$36.80–$49.80 / hourAs a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Collaborates with physician advisors, internal and external customers, and other departments to resolve claims, quality of care, member or provider issues, and identifies problems or needed changes, recommending resolutions and participating in quality improvement efforts.
Licensed Clinical Social Worker - Remote BetterHelpLicensed Clinical Social Worker - RemoteColumbia, MDRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Independent Clinical Social Worker - Remote BetterHelpLicensed Independent Clinical Social Worker - RemoteWashington, DCRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Mental Health Counselor - Remote BetterHelpLicensed Mental Health Counselor - RemoteColumbia, MDRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Mental Health Therapist - Remote BetterHelpLicensed Mental Health Therapist - RemoteWashington, DCRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemoteWashington, DCRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Psychologist - Remote BetterHelpLicensed Psychologist - RemoteWashington, DCRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Marriage and Family Therapist - Remote BetterHelpLicensed Marriage and Family Therapist - RemoteWashington, DCRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Practical Nurse (LPN) Runner - Not Remote Capital CaringLicensed Practical Nurse (LPN) Runner - Not RemoteWashington, District of ColumbiaRemotePerforms Central Venous Line (CVL) site observation/inspection; venous access device dressing, cap change and flushing venous access device; IV medication and fluid administration, IV pushes (per procedure) and venipuncture. Job Responsibilities: Under the direction of an RN, provides nursing tasks to patients and families such as continuous care, dressing changes, catheter changes as identified in the plan of care developed by the Interdisciplinary Group (IDG).
Healthcare Programmer, Medicaid and Pharmacy American Institutes for ResearchHealthcare Programmer, Medicaid and PharmacyArlington, VARemote$130,000–$160,000 / yearOur team of experts-economists, data scientists, statisticians, public health experts, sociologists, nurses, physicians, and psychologists - advance evidence and save lives by leading rigorous research and evaluation; program implementation and monitoring; results-driven technical assistance and training; and leading-edge data science and technology tools. About AIR: Founded in 1946 and headquartered in Arlington, Virginia, the American Institutes for Research (AIR) is a nonpartisan, not-for-profit organization that conducts behavioral and social science research and delivers technical assistance to address some of the most pressing challenges in the United States and globally.
Healthcare Planner Royal Oak MI AHU Technologies IncHealthcare Planner Royal Oak MIWashington, DCRemoteFull timeThis role acts as a key liaison between healthcare clients, clinical staff, and design teams to ensure efficient, patient-centered, and code-compliant facility planning. This role offers high visibility and direct involvement in healthcare strategy, facility planning, and clinical operations alignment across complex healthcare projects.
Senior Test Lead - Healthcare Payer Claims & GenAI Cognizant Technology Solutions CorpSenior Test Lead - Healthcare Payer Claims & GenAIRockville, MDRemote$71,100–$112,500 / yearOur deep industry, process and engineering expertise enables us to build an organization's unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. 10+ years of strong Healthcare Payer domain expertise, including Claims Adjudication, Payment Integrity, Reimbursement & Pricing Validation, Provider Network Validation, Eligibility Determination, and Claims Lifecycle Processing.
Enterprise Account Executive / Healthcare Zoom Communications IncEnterprise Account Executive / HealthcareVARemoteWe set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars. As part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways.