NewManager, Care Management SCAN Health PlanManager, Care ManagementLong Beach, CaliforniaRemoteManages the daily operations and continuous quality improvement of care management programs at SCAN to ensure the delivery of high quality, evidence-based care with a focus on addressing the medical, behavioral health, and social needs of members. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
NewMarket Manager Monogram Health IncMarket ManagerCalifornia, CARemote$102,000–$169,000 / yearReporting to the Market Physician Executive and matrixed to the General Manager, the Market Manager will be charged with achieving company Organizational Key Results, Key Performance Indicators, and Financial Health of the Market. The Market Manager will work closely with Regional/Market and Centralized clinical and operations Leaders to deliver quality patient care and overall patient and staff experience.
Telephonic RN Case Manager, SNP (Bilingual Preferred) Alignment Healthcare IncTelephonic RN Case Manager, SNP (Bilingual Preferred)CARemote$77,905–$116,858 / yearExtensive knowledge of the management of chronic conditions Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
Bilingual Korean Nurse Care Planner - RN SHPCA SCAN Health PlanBilingual Korean Nurse Care Planner - RNLos Angeles, CaliforniaRemote$38.61–$61.78 / hourIncrease knowledge by keeping current on Medicare and Medi-Cal policies, Federal and State legislation affecting health and social services, maintaining updated community resource information, attending trainings as scheduled, actively participating in supervision, and striving to improve professionally. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
Bilingual Korean Nurse Care Planner - RN SCAN Health PlanBilingual Korean Nurse Care Planner - RNLos Angeles, CaliforniaRemoteIncrease knowledge by keeping current on Medicare and Medi-Cal policies, Federal and State legislation affecting health and social services, maintaining updated community resource information, attending trainings as scheduled, actively participating in supervision, and striving to improve professionally. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.
Care Transformation RN CommonSpirit HealthCare Transformation RNLos Angeles, CARemoteAs one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs.
Virtual Primary Care Physician Firefly HealthVirtual Primary Care PhysicianLos Angeles, CARemoteHave experience delivering care within value-based care models, including commercial risk arrangements or other risk-bearing care models, and understand the role of accurate clinical documentation, quality measurement, and population health initiatives in improving patient outcomes. You will practice as part of Firefly's multidisciplinary Care Team, collaborating closely with Nurse Practitioners (NPs), Registered Nurses (RNs), Health Guides, Behavioral Health Specialists, and other clinical partners to deliver coordinated, patient-centered care.
Bilingual (Spanish/English) Transitions of Care Advanced Practice Provider Devoted Health IncBilingual (Spanish/English) Transitions of Care Advanced Practice ProviderCARemoteThat's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Proficiency with complex medication reconciliation and guideline-directed medical therapy, especially for heart failure, COPD, diabetes, atrial fibrillation/anticoagulation, and hypertension - including recognizing duplicate, inappropriate, or contraindicated medications and adjusting regimens safely.
Transitions of Care Advanced Practice Provider Devoted Health IncTransitions of Care Advanced Practice ProviderCARemoteThat's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Proficiency with complex medication reconciliation and guideline-directed medical therapy, especially for heart failure, COPD, diabetes, atrial fibrillation/anticoagulation, and hypertension - including recognizing duplicate, inappropriate, or contraindicated medications and adjusting regimens safely.
Virtual Primary Care Nurse Practitioner - Western Region CVS Health CorpVirtual Primary Care Nurse Practitioner - Western RegionCARemote$87,035–$224,952 / yearThe Virtual Primary Care Nurse Practitioner works in collaboration with a dedicated care team to provide evidence-based, primary care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for patients 18 years of age and older. Virtual Care Team members must meet minimum requirements for remote care delivery, including broadband connectivity, a quiet setting with a neutral background to conduct visits from, and the ability to uphold patient privacy per CVSH guidelines.
RN Clinical Consultant Titanium Healthcare IncRN Clinical ConsultantCARemoteAssociate's degree in nursing Minimum 1+ years of experience as an RN working in a healthcare setting, such as a medical clinic or acute care hospital A current and unrestricted CA state RN license Experience using an EHR Distraction-free home workspace with a secure internet connection. POSITION SUMMARY The RN Clinical Consultant is a key member of Titanium Healthcare's Enhanced Care Management (ECM) program, providing clinical oversight and guidance to support high-quality, coordinated care for complex member populations.
NewClinical Retention Specialist (West Region - AZ, CO, HI, ID, KS, MT, NE, NV, OR, UT, WA) Insulet CorpClinical Retention Specialist (West Region - AZ, CO, HI, ID, KS, MT, NE, NV, OR, UT, WA)CARemote$87,200–$130,850 / yearInsulet's flagship innovation, the Omnipod 5 Automated Insulin Delivery System, integrates with a continuous glucose monitor to manage blood sugar with no multiple daily injections, zero fingersticks, and can be controlled by a compatible personal smartphone in the U.S. or by the Omnipod 5 Controller. Identify early indicators of disengagement or churn through data assessment and analytics in partnership with the data science teams and collaborate with Customer Success teams to deploy targeted, regionally informed save strategies.
Clinical Athletic Trainer Children's Hospital Los AngelesClinical Athletic TrainerLos Angeles, CaliforniaRemotePer diemPurpose Statement/Position Summary: The primary role of the Clinical Athletic Trainer (ATC) is to assist in the examination and treatment of patients under the direction of the physician and/or Sports Medicine Program manager by performing the essential functions of the job. The position will collaborate with multi-disciplinary team and provide direct assistance to other medical providers such as physicians, advanced practice providers, physical therapists, medical assistants, and registered nurses in providing care for our patients at CHLA.
Bilingual Spanish Community Health Worker (Orange County) SHPCA SCAN Health PlanBilingual Spanish Community Health Worker (Orange County)Santa Ana, CaliforniaRemote$21.78–$31.52 / hourPerform Enhanced Care Management (ECM) activities related to specific Populations of Focus (POF): Individuals Experiencing Homelessness, Individuals At Risk for Avoidable Hospital Or ED Utilization, Adults Living In the Community At Risk of LTC Institutionalization, Adult Nursing Facility Residents Transitioning Back to the Community. Perform assessments for Medi-Cal/Medicare dual-eligible members referred to Complex Care Management for Long-Term Services and Supports (LTSS) and assist the Registered Nurse in determining Nursing Facility Level of Care.
Bilingual Spanish Community Health Worker (Orange County) SCAN Health PlanBilingual Spanish Community Health Worker (Orange County)Santa Ana, CaliforniaRemotePerform Enhanced Care Management (ECM) activities related to specific Populations of Focus (POF): Individuals Experiencing Homelessness, Individuals At Risk for Avoidable Hospital Or ED Utilization, Adults Living In the Community At Risk of LTC Institutionalization, Adult Nursing Facility Residents Transitioning Back to the Community. Perform assessments for Medi-Cal/Medicare dual-eligible members referred to Complex Care Management for Long-Term Services and Supports (LTSS) and assist the Registered Nurse in determining Nursing Facility Level of Care.
CA Medical Case Manager II CorVel CorpCA Medical Case Manager IILos Angeles, CARemote$32.18–$48.68 / hourIn addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay 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.
Utilization Management Clinician Behavioral Health Night Shift - 4 Days CVS Health CorpUtilization Management Clinician Behavioral Health Night Shift - 4 DaysCARemote$54,095–$142,576 / yearAbility to manage crisis calls, apply clinical judgment to assess risk, determine support needs, and coordinate appropriate interventions, including escalation for suicide risk, self-harm concerns, and welfare checks when necessary. Join our Utilization Management team and help ensure members receive timely, appropriate behavioral health services while making a meaningful impact on outcomes.
Medical Science Liaison CORE - West Azurity Pharmaceuticals IncMedical Science Liaison CORE - WestCARemoteMedical Affairs at Azurity Pharmaceuticals, a privately held company delivering innovative medicines for overlooked patients across 50+ countries, drives scientific and clinical initiatives with a portfolio of 40+ brands spanning 10 dosage forms and 9 therapeutic areas. As an industry leader in providing unique, accessible, and high-quality medications, Azurity leverages its integrated capabilities and vast partner network to continually expand its broad commercial product portfolio and robust late-stage pipeline.
Medical Science Liaison Anti-Infectives - West Azurity Pharmaceuticals IncMedical Science Liaison Anti-Infectives - WestCARemoteMedical Affairs at Azurity Pharmaceuticals, a privately held company delivering innovative medicines for overlooked patients across 50+ countries, drives scientific and clinical initiatives with a portfolio of 40+ brands spanning 10 dosage forms and 9 therapeutic areas. MSLs are the field scientific experts in anti-infectives and treatment options within this therapeutic area and will support strategic Medical Affairs initiatives, evidence-generation activities, and field readiness efforts associated with the continued growth of the anti-infectives portfolio.
Director, Market Access Strategy iRhythm Holdings IncDirector, Market Access StrategyCARemote$170,000–$221,000 / yearCollaborate with Payer Marketing, HEOR, Clinical, and Legal/Compliance partners to translate clinical and real‑world evidence into compelling, compliant payer value propositions and scientific communications. Independently design, negotiate, and execute innovative payer contracts, including value‑based care, outcomes‑based agreements, shared savings, subscription models, and episodic/bundled arrangements.