Bilingual Referral Coordinator Remote PST, Spanish Speaking Arc Care IncBilingual Referral Coordinator Remote PST, Spanish SpeakingCARemote$22–$23 / hourOur work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients. The Referral Coordinator serves as the scheduling backbone of Pair Team's care coordination model, working behind the scenes to ensure patients receive timely, coordinated care through effective management of all referral and scheduling processes.
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Remote) (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Remote) (Exempt) (Non-Union)Los Angeles, CARemote$99,507–$130,000 / yearThe Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
QNXT Program Manager (Remote) HJ StaffingQNXT Program Manager (Remote)LONG BEACH, CARemoteTransformation Leadership: Proven experience leading large, cross-functional system implementations or platform migrations involving data conversion, system testing, defect triage, mock conversions, cutover planning, and go-live stabilization. You will collaborate closely with product managers and leaders supporting Provider Data, Configuration (provider contracts, benefits, utilization management, business rules), and Capitation to ensure a seamless migration, precise claims adjudication, and operational readiness for go-live.
Clinical Document Improvement Specialist (Remote) ATD Technology LLCClinical Document Improvement Specialist (Remote)Orange, CARemote$60–$65ATD Technology, LLC is a certified minority woman owned business that creates opportunities to match qualified individuals with client programs while meeting all parties' financial and technical goals. Proactively solicits clarification from physicians and other healthcare providers when further specificity is needed to ensure accurate quality data and appropriate reimbursement.
Remote Clinical Director Dental Medical CareersRemote Clinical DirectorNewport Beach, CaliforniaRemoteWe are seeking an experienced and highly motivated Remote Clinical Director to oversee and support the clinical excellence and operational compliance of both in-office and field-based mobile dental services. Advanced implant training and certification from a recognized institution; fellowship or diplomate status with AAID, ICOI, or equivalent is strongly preferred.
Account Manager Urology/Oncology - (Remote In Territory) Tolmar CareersAccount Manager Urology/Oncology - (Remote In Territory)Los Angeles, CaliforniaRemote$120,000–$140,000.50 / yearAbide by Administrative Expectations as defined by AMR SOPs: Submit expense reports regularly as outlined, enter sales calls in CRM system daily or as indicated by Regional Sales Director, enter company car mileage weekly, maintain company car as required by Fleet Maintenance. ·Strategically identify and develop relationships with non-prescribing health care providers that influence decision making in accounts such as CEOs, CFOs, Nurse Navigators, injecting nurses, Medical Assistants, office managers and personnel, etc.
Remote Medical Director, Appeals Centene Corporation GroupRemote Medical Director, AppealsCARemote$236,500–$449,300 / yearLicense/Certifications: Active Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services. Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.
NewRemote Medical Director, Inpatient Medicare Centene Corporation GroupRemote Medical Director, Inpatient MedicareCARemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
Senior Security Engineer IS- Identity and Access Management - Remote Providence Health & ServicesSenior Security Engineer IS- Identity and Access Management - RemoteCalifornia, CARemoteRequsition ID: 447631 Company: Providence Jobs Job Category: Information Security Job Function: Information Technology Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 4011 SS IS ESI IDENTITY ENG Address: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Experience collaborating on security solution designs for the TCP/IP protocol suite, LAN/WAN technologies, switching, routing, VoIP and Telephony technologies, firewalls and VPN, intrusion prevention systems (IPS), vulnerability assessment and patch management tools.
Remote Business Development Manager Behavior FrontiersRemote Business Development ManagerEl Segundo, CARemote$70,000–$90,000 / yearAs we continue expanding into new markets across the country, we're seeking an Inside Business Development rep to help connect families and healthcare providers with the services they need. You'll play a key role in generating qualified referrals, supporting regional growth strategies, and collaborating with clinical leadership to increase access to care for children and families.
Remote Evening General Radiologist - Radiology Partners Southern California Radiology Partners IncRemote Evening General Radiologist - Radiology Partners Southern CaliforniaCARemoteUsing a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. Desert Care Network has received the Joint Commission's Gold Seal of Approval, its highest level of certification, for its Advanced Primary Stroke Center and Advanced Congestive Heart Failure Program.
Senior Compensation Consultant - Remote Providence St. Joseph HealthSenior Compensation Consultant - RemoteIrvine, CARemoteThe Senior Compensation Consultant is instrumental in the development and ongoing administration, design, analysis and implementation of various Providence St. Joseph Health compensation programs, including pay for performance, salary structure design and modeling, complex costing scenarios and incentive plans. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Senior Compensation Consultant - Remote Providence Health & ServicesSenior Compensation Consultant - RemoteCalifornia, CARemoteRequsition ID: 449763 Company: Providence Jobs Job Category: Compensation Job Function: Human Resources Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 4002 SS HR COMP ADMIN Address: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. The Senior Compensation Consultant is instrumental in the development and ongoing administration, design, analysis and implementation of various Providence St. Joseph Health compensation programs, including pay for performance, salary structure design and modeling, complex costing scenarios and incentive plans.
Senior Data Engineer IS - Remote Providence Health & ServicesSenior Data Engineer IS - RemoteCalifornia, CARemoteRequsition ID: 429173 Company: Providence Jobs Job Category: Development/Engineering Job Function: Information Technology Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4011 SS IS HI DP 3 Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
RN Utilization Review - Per Diem - REMOTE Providence St. Joseph HealthRN Utilization Review - Per Diem - REMOTEIrvine, CARemoteThe Utilization Management RN must effectively and efficiently manage a diverse workload in a fast-paced, rapidly changing regulatory environment, demonstrating excellent negotiation, communication, problem-solving, and decision-making skills. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
RN Utilization Review - Per Diem - REMOTE Providence Health & ServicesRN Utilization Review - Per Diem - REMOTEIrvine, CARemote$57.28–$88.92 / hourRequsition ID: 434193 Company: Providence Jobs Job Category: Health Information Management Job Function: Revenue Cycle Job Schedule: Part time Job Shift: Multiple shifts available Career Track: Nursing Department: 7000 UTILIZATION MGMT OCHD Address: CA Irvine 15480 Laguna Canyon Rd Work Location: Providence System Offices Discovery Park-Irvine Workplace Type: On-site Pay Range: $57.28 - $88.92 Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
Revenue Cycle Auditor RN -Remote Providence Health & ServicesRevenue Cycle Auditor RN -RemoteCalifornia, CARemoteRequsition ID: 428089 Company: Providence Jobs Job Category: Revenue Cycle Operations Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4001 SS RC REV INTEGRITY Address: CA Irvine 15480 Laguna Canyon Rd Work Location: Providence System Offices Discovery Park-Irvine Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Charge Description Master Specialist - Full time, Day, Remote Providence Health & ServicesCharge Description Master Specialist - Full time, Day, RemoteCalifornia, CARemoteRequsition ID: 431486 Company: Providence Jobs Job Category: Patient Financial Services Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4001 SS RC CHARGE DECR MSTR Address: CA Apple Valley 18300 Hwy 18 Work Location: St Mary Medical Center-Apple Valley Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. As a member of the PSJH System Revenue Integrity Chargemaster (RICDM) team, the CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding and billing regulations and accurately represents services provided.
Accounts Receivable Representative - Remote Providence Health & ServicesAccounts Receivable Representative - RemoteCalifornia, CARemoteRequsition ID: 433968 Company: Providence Jobs Job Category: Billing/Collections Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Admin Support Department: 4001 SS IS HCC ADMIN Address: WA Tukwila 2811 S 102nd St Work Location: Riverfront Technical Park-Tukwila Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. This position is responsible for the timely and accurate billing and collections of payments from insurance carriers, agencies and others for services provided by Providence Home and Community Care Services which could include the following service lines with a focus on skilled nursing and assisted living billing and follow up with the potential to float between self-pay, subacute, and ancillary services.
NewHuman Resources Consultant - Employee Relations - Full time, Day, Remote Providence Health & ServicesHuman Resources Consultant - Employee Relations - Full time, Day, RemoteTorrance, CARemoteRequsition ID: 450531 Company: Providence Jobs Job Category: HR Generalist Job Function: Human Resources Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4002 SS HR EMPL RELATIONS 1 Address: CA Torrance 4101 Torrance Blvd Work Location: Providence Little Co of Mary Medical Ctr-Torrance Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.