Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementDenver, CORemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Everyday Care Advanced Practice Provider (NP or PA) - Responsive Care Devoted Health IncEveryday Care Advanced Practice Provider (NP or PA) - Responsive CareCORemoteCollaborate closely with a cross-functional care team - including PCPs, specialists, and other the company team members such as pharmacy, clinical nursing, and social work - as well as interfacing with family members and caregivers as needed to coordinate holistic care for the member, to ensure continuity of care and deliver a collaborative care plan. Leverage Digital (live portal chat) and AI-assisted clinical tools - including agent-supported prescribing and inbox triage workflows - to improve efficiency, consistency, and safety in medication renewal, results management, and patient communication, while providing clinician feedback to help refine these tools as they evolve.
Bilingual (Spanish/English) Everyday Care Advanced Practice Provider (NP or PA) - Responsive Care Devoted Health IncBilingual (Spanish/English) Everyday Care Advanced Practice Provider (NP or PA) - Responsive CareCORemoteCollaborate closely with a cross-functional care team - including PCPs, specialists, and other the company team members such as pharmacy, clinical nursing, and social work - as well as interfacing with family members and caregivers as needed to coordinate holistic care for the member, to ensure continuity of care and deliver a collaborative care plan. Leverage Digital (live portal chat) and AI-assisted clinical tools - including agent-supported prescribing and inbox triage workflows - to improve efficiency, consistency, and safety in medication renewal, results management, and patient communication, while providing clinician feedback to help refine these tools as they evolve.
Associate Clinical Editor RELX Group plcAssociate Clinical EditorCORemote$71,600–$119,400 / yearIf performed in Colorado, the base pay range is $71,600 - $119,400.If performed in Illinois, the base pay range is $75,200 - $125,500.If performed in Chicago, IL, the base pay range is $78,700 - $131,400.If performed in Maryland, the base pay range is $75,200 - $125,500.If performed in Ohio, the base pay range is $68,000 - $113,400. Responsibilities: Review, update, and revise assigned content based on scheduled and triggered review cycles, as well as customer needs and requests, and current events in health care such as guideline update under the guidance of a Clinical Editor.
Bilingual (Spanish/English) Transitions of Care Advanced Practice Provider Devoted Health IncBilingual (Spanish/English) Transitions of Care Advanced Practice ProviderCORemoteThat'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.
Nurse Care Manager - PAC RN/PT Evergreen Nephrology LLCNurse Care Manager - PAC RN/PTEvergreen, CORemote$90,000–$103,000 / yearSome responsibilities may vary based on specific patient programs, but this role''s primary duties include the following: Manage the overall care management of patient caseload by leveraging experience, expertise, and knowledge in both the nursing field and value-based care operations. One of the two following qualifications is required in the state of Illinois: A Bachelor's degree in nursing (BSN) with an active RN license (compact license preferred where applicable) and/or; A Bachelor's or Master's degree in Physical Therapy with an active PT license.
Nurse Practitioner Educator DaVita Inc.Nurse Practitioner EducatorDenver, CORemote$98,000–$155,000 / yearWe are in need of a detail-oriented, clinically trained Advanced Practice Provider (APP) that can provide expertise, education, coaching, and guidance on clinical practice and documentation to improve our clinical outcomes and increase the quality of provider documentation for diagnosis evaluation and quality metrics. Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using a concurrent query process following ACDIS/AHIMA Guidelines for Compliant Query Writing.
NewClinical Account Manager - Denver, CO (Field Based) Insulet CorpClinical Account Manager - Denver, CO (Field Based)Denver, CORemoteThe Clinical Account Manager (CAM) at Insulet is responsible for supporting healthcare providers, office staff, and patients while driving growth of the Omnipod insulin management system through account management, education, and training initiatives. Insulet'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.
Clinical 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)CORemote$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.
Case Manager - RN or Social Worker Per Diem UnitedHealth Group IncCase Manager - RN or Social Worker Per DiemBoulder, CORemote$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. Continuum of Care planning will emphasize education and collaboration with physicians, family members, clinical social workers, nursing staff, therapists and case managers from contracted payors when appropriate to determine discharge plan that will be of maximum benefit to the patient.
Case Manager - Per Diem UnitedHealth Group IncCase Manager - Per DiemBoulder, CORemote$29–$52 / 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. Continuum of Care planning will emphasize education and collaboration with physicians, family members, clinical social workers, nursing staff, therapists and case managers from contracted payors when appropriate to determine discharge plan that will be of maximum benefit to the patient.
Weekend Everyday Care Advanced Practice Provider (NP or PA) - Responsive Care Devoted Health IncWeekend Everyday Care Advanced Practice Provider (NP or PA) - Responsive CareCORemoteCollaborate closely with a cross-functional care team - including PCPs, specialists, and other the company team members such as pharmacy, clinical nursing, and social work - as well as interfacing with family members and caregivers as needed to coordinate holistic care for the member, to ensure continuity of care and deliver a collaborative care plan. Leverage Digital (live portal chat) and AI-assisted clinical tools - including agent-supported prescribing and inbox triage workflows - to improve efficiency, consistency, and safety in medication renewal, results management, and patient communication, while providing clinician feedback to help refine these tools as they evolve.
Nurse Case Manager, Colorado Argenx SENurse Case Manager, ColoradoDenver, CORemoteargenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by VYVGART, our first-in-class neonatal Fc receptor blocker approved for the treatment of gMG, and with the potential to treat patients across dozens of severe autoimmune diseases. Skills and Competencies: Demonstrated effective presentation skills; ability to motivate others; excellent interpersonal (written and verbal) skills - with demonstrated effectiveness to work cross-functional and independently.
Utilization Management Clinician Behavioral Health Night Shift - 4 Days CVS Health CorpUtilization Management Clinician Behavioral Health Night Shift - 4 DaysCORemote$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.
Director Of Clinical Practice (Hospice) BrightSpring Health ServicesDirector Of Clinical Practice (Hospice)Denver, CORemotePromotes leadership development of RN Preceptors and Agency Leaders in collaboration with Director, Hospice Clinical Education and VP, Operations related to clinical oversight, performance improvement, operational processes and clinical outcomes improvement through orientation and training, routine meetings and individual development plans. Provides oversight and direction in performance improvement, provision of clinical services, survey management, documentation management, incident management, EMR/EHR application, training and education of clinical leadership and staff.
Northeast Regional Sales Manager Lincoln Electric Holdings IncNortheast Regional Sales ManagerPennsylvania, PARemote$80,000–$130,000 / yearLincoln Electric is the world leader in the engineering, design, and manufacturing of advanced arc welding solutions, automated joining, assembly and cutting systems, plasma and oxyfuel cutting equipment, and has a leading global position in brazing and soldering alloys. Initiate and cultivate business relationships with multiple levels of customer decision-makers and influencers such as owners, management, engineers, purchasers, sales & marketing, maintenance, parts managers and other individuals at assigned accounts.
High Performing Insurance Agency Sales Professional Allstate Insurance Agency - Daniel BinHigh Performing Insurance Agency Sales ProfessionalYardley, PARemoteFull timeAs part of our team, you’ll gain hands-on mentorship from proven leaders, access world-class training, and follow a proven playbook for success. The agency staff opportunity is not an employment opportunity directly with Allstate Insurance Co. but rather employment as a staff member with Allstate Exclusive Agents, who are independent contractors.
Sales Manager A.O. SmithSales Managerwithin territoryRemoteSmith Water Treatment’s resources and value-added programs to drive success and loyalty within their assigned market and gather voice of customer feedback to assist in the creation of new programs and solutions to tackle future water or business challenges. The company is one of the world’s leading manufacturers of residential and commercial water heating equipment and boilers, as well as a manufacturer of water treatment products for residential and light commercial applications.
Account Manager Virtual Sales Essity ABAccount Manager Virtual SalesPhiladelphia, PARemoteVirtual Customer Meetings/Training - Perform effective online education including training and coaching on the use of digital platforms and TORK's self-service applications (Easy Order, TORK Connect, etc.) and product demonstrations. The Account Manager Virtual Sales, will execute the retention and profitable growth of our current distributor and customer relationships with small to moderate size distributors and end customers; and/or as determined by the RMT.
Interventional Sr. Sales Representative, OnControl- Philly Teleflex IncInterventional Sr. Sales Representative, OnControl- PhillyPhiladelphia, PARemoteThis role proactively identifies and develops high-value business opportunities, delivers advanced product demonstrations and clinical education, and ensures a superior customer experience that supports long-term adoption and partnership. Develop and maintain an in-depth profile of each account to include customer preferences, competitive products and field intelligence, market activity, important contact/decision makers, customer feedback, and attendees in-serviced.