Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseRIRemote$71,100–$97,800 / yearWork-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
RN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorProvidence, Rhode IslandRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
NewNurse Case Manager II - Pennsylvania Apidel TechnologiesNurse Case Manager II - PennsylvaniaPlease note: Actual location may vary., RIRemoteContractorThrough the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorProvidence, RIRemote$75,000–$90,000 / yearThe Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Urgent Care Nurse Practitioner Included Health IncUrgent Care Nurse PractitionerRhode Island, RIRemote$59.13–$65.04 / hourWe're seeking board certified Nurse Practitioners licensed in Rhode Island (multi licensed strongly preferred) with broad clinical expertise and a passion for improving healthcare access and quality. In this role, you'll deliver virtual comprehensive care to patients of all ages across a wide range of conditions, while working closely with our provider and support teams.
Nurse Case Manager II LancesoftNurse Case Manager IIPlease note: Actual location may vary., RIRemote$34.35Duties:Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Family Nurse Practitioner Apidel TechnologiesFamily Nurse PractitionerRemote, RIRemoteContractorYou will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients ranging in age 18 months and above. Complete necessary tasks for clinic operations, including but not limited to taking inventory, following up on lab results, receiving incoming phone calls, ordering supplies and maintaining clinic cleanliness.
Associate Clinical Editor RELX Group plcAssociate Clinical Editormassachusetts, MARemote$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) Diabetes Educator - Clinical Guide(Certified Diabetes Care and Education Specialist) Devoted Health ServicesBilingual (Spanish/English) Diabetes Educator - Clinical Guide(Certified Diabetes Care and Education Specialist)MassachusettsRemoteComplete detailed assessments and continue following up with members in the Diabetes Clinic to complete ongoing education on all pillars of diabetes management (disease process, medications, glucose monitoring, lifestyle counseling, contingency planning). The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Diabetes Educator - Clinical Guide(Certified Diabetes Care and Education Specialist) Devoted Health ServicesDiabetes Educator - Clinical Guide(Certified Diabetes Care and Education Specialist)MassachusettsRemoteComplete detailed assessments and continue following up with members in the Diabetes Clinic to complete ongoing education on all pillars of diabetes management (disease process, medications, glucose monitoring, lifestyle counseling, contingency planning). The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Bilingual (Spanish/English) Transitions of Care Advanced Practice Provider Devoted Health ServicesBilingual (Spanish/English) Transitions of Care Advanced Practice ProviderMassachusettsRemoteProficiency 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. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Licensed Marriage and Family Therapist BetterHelpLicensed Marriage and Family TherapistMassachusettsRemoteAlso, 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 BetterHelpLicensed Independent Clinical Social WorkerMassachusettsRemoteAlso, 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 BetterHelpLicensed Mental Health CounselorMassachusettsRemoteAlso, 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.
Mental Health Therapist BetterHelpMental Health TherapistMassachusettsRemoteAlso, 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 BetterHelpLicensed PsychologistMassachusettsRemoteAlso, 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.
Medical Science Liaison, Hematology - Northeast Jazz Pharmaceuticals PlcMedical Science Liaison, Hematology - NortheastProvidence, RIRemote$160,000–$240,000 / yearThe successful candidate may also be eligible for a discretionary annual cash bonus or incentive compensation (depending on the role), in accordance with the terms of the Company's Global Cash Bonus Plan or Incentive Compensation Plan, as well as discretionary equity grants in accordance with Jazz's Long Term Equity Incentive Plan. Consistently acts to enhance Jazz Pharmaceuticals' image as an advocate of medical advancement by using knowledge of product, disease state and pipeline products to engage healthcare providers in meaningful scientific exchange of information.
Clinical Retention Specialist (North-MA, NY, PA, NJ, ME, CT, RI, NH, VT ) Insulet CorpClinical Retention Specialist (North-MA, NY, PA, NJ, ME, CT, RI, NH, VT )Providence, RIRemote$79,300–$118,900 / 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.
Advanced Practice Provider: Complex Geriatric Care Devoted Health ServicesAdvanced Practice Provider: Complex Geriatric CareMassachusettsRemoteThe Gold Care Program is a highly collaborative, multidisciplinary team of physicians, advanced practice providers, nurse case managers, social work case managers, community health workers, and scheduling team, united by our mission to build a better care delivery system for Devoted’s most complex members. That’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.
Utilization Management Clinician Behavioral Health Night Shift - 4 Days CVS Health CorpUtilization Management Clinician Behavioral Health Night Shift - 4 DaysMARemote$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.