Healthcare Business Development Professional 100% Remote | Commission-Only | Uncapped Earnings Transformational Health Network, Inc.Healthcare Business Development Professional 100% Remote | Commission-Only | Uncapped EarningsFort Lauderdale, FLRemoteAt Transformational Health Network, Inc. (TrHN), we partner with respected healthcare organizations to place highly skilled registered nurses, advanced practice providers, and physicians in roles where they can make a meaningful impact on patient care. Transformational Health Network (TrHN) is expanding nationwide, and we're seeking experienced Healthcare Business Development Professionals who excel at opening doors, building client relationships, and generating new business.
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEMiami, FLRemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
Lead, Healthcare Services (Remote in Florida) Molina Healthcare IncLead, Healthcare Services (Remote in Florida)FLRemoteProvides lead level clinical support to healthcare services team supporting one or more of the following functions: care management, utilization management, care transitions, long-term services and supports (LTSS), behavioral health, and other clinical programs, and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master Social Worker (LMSW).
Registered Nurse, Remote Telehealth, ER, Emergency Triage, Weekends ChenMed LLCRegistered Nurse, Remote Telehealth, ER, Emergency Triage, WeekendsMiami, FLRemote$64,583–$92,262 / yearThe Registered Nurse, Telehealth is responsible for providing telephonic triage directional patient care advice for general and specific illnesses, health related issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Aids in enhancing the quality and effectiveness of the organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness.
NewRemote Triage Nurse-15 Florida Cancer Specialists and Research InstituteRemote Triage Nurse-15FLRemoteSUMMARY: A Triage Nurse is a professional registered nurse with oncology-specific clinical knowledge that offers individualized care and clinical guidance to patients, families, and caregivers to assist with ongoing healthcare needs. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida.
Registered Nurse - Case Manager (Remote) GuideWell Mutual Holding CorpRegistered Nurse - Case Manager (Remote)FLRemote$71,200–$115,700 / yearUtilizing a member-centric approach they assist members and their families understand and manage their disease process by: reinforcing the physicians' plan of treatment, promoting healthy behaviors and lifestyle changes, and providing education and tools to promote self-management to improve health outcomes and reduce overall costs. Promote healthy lifestyles, assist in strengthening the patient-physician relationship, encourage behavior and lifestyle changes to realize a better quality of life, for individuals with identified chronic conditions, costly and/or catastrophic illnesses.
Remote Registered Nurse RN RylemRemote Registered Nurse RNMiami, FLRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.
NewCase Manager Registered Nurse (Remote - New York License) CVS Health CorpCase Manager Registered Nurse (Remote - New York License)FLRemote$66,575–$142,576 / yearJob Summary: The Care Manager-Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH) needs. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress, advocates for necessary services, and collaborates with the interdisciplinary care team to ensure optimal health outcomes.
New Business Development – Nursing Home & Assisted Living - Remote Transformational Health Network, Inc.New Business Development – Nursing Home & Assisted Living - RemoteMiami, FLRemoteAt Transformational Health Network, Inc. (TrHN), we partner with respected healthcare organizations to place highly skilled registered nurses, advanced practice providers, and physicians in roles where they can make a meaningful impact on patient care. The ideal candidate has experience in healthcare sales, business development, account management, or senior care services and is passionate about helping healthcare organizations meet their staffing and patient care needs.
Pool Resuscitation Educator, Remote, Resuscitation Education, Palm Beach County, Per Diem, VARIES Baptist Health South Florida IncPool Resuscitation Educator, Remote, Resuscitation Education, Palm Beach County, Per Diem, VARIESMiami, FLRemoteOur approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including: Career growth and development opportunities, with clear pathways and ongoing support. Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.
Pool Resuscitation Educator, Remote, Resuscitation Education, Palm Beach County, Per Diem, Varies Baptist Health South FloridaPool Resuscitation Educator, Remote, Resuscitation Education, Palm Beach County, Per Diem, VariesMiami, FLRemoteResuscitation educators are involved in the design, delivery, evaluation, and coordination of best practice resuscitation activities for the education of BHSF staff requiring resuscitation certifications (BLS, ACLS, PALS, NRP) as part of their job description requirements. The Pool Resuscitation Educator structures the learning environment for positive student outcomes throughout the different resuscitation education courses and activities.
NewAssociate Director of Clinical Operations (Remote from FL) Florida Cancer Specialists and Research InstituteAssociate Director of Clinical Operations (Remote from FL)FLRemoteAbility to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseFLRemote$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.
Appeals Registered Nurse Wisconsin Physicians Service Insurance CorpAppeals Registered NurseMiami, FLRemoteWe are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare regulations and policies.
NewMulti-State Telehealth Nurse Practitioner Bastion HealthMulti-State Telehealth Nurse PractitionerMiami, FLRemoteBastion Health is a comprehensive digital men’s health clinic providing accessible, personalized care across urology, primary and preventive health, sexual and reproductive health, behavioral wellness, and overall well-being. Bastion Health is seeking an experienced Nurse Practitioner with active licensure in at least six states to join our nationwide telehealth provider network.
Perinatal Nurse Navigator HCA Healthcare IncPerinatal Nurse NavigatorMiami, FLRemoteEnsures the patient is empowered to manage his/her healthcare needs Provides healthcare system guidance and promotes adherence to recommended treatment throughout the care pathway Supports providers by assisting patients and/or families in understanding their diagnosis, treatment options, and the resources available, including education, clinical research studies (as applicable), and technological advances Provides education/connection to community and external resources, such as access to supportive care, financial support, and return to work Streamlines process for patients by assisting with appointment scheduling in a compliant manner Ensures the organization of appointments and explains the sequence of treatments Ensures smooth transitions between care modalities, facilities, and providers Facilitates patient movement through the appropriate clinical pathway and collaborates with physicians to ensure patient compliance Reinforces patient-specific teaching as defined by the patient's provider Conducts follow-up conversations with patients and communicates any concerns, changes, or social needs to the appropriate physician or other care provider Attends and participates in Multidisciplinary Meetings (MDM) and/or other care planning conferences, as required by the navigation program Ensures appropriate patient data is available, including assessment and documentation Educates the patient and family regarding planned procedures, medications, and treatments What you will need in this role: 1-3 years of experience in Nursing - Required 3+ years of experience as a Nurse Navigator and/or patient educator in service line - Preferred Education Associate's Degree in Nursing required Bachelor's Degree in Nursing preferred Licenses and Certifications Basic Cardiac Life Support (preferred if remote position) - Required Registered Nurse - Currently licensed as a registered professional nurse in the state in which he or she practices, in accordance with law and regulation. Referral services for child, elder and pet care, home and auto repair, event planning and moreConsumer discounts through Abenity and Consumer DiscountsRetirement readiness, rollover assistance services and preferred banking partnershipsEducation assistance (tuition, student loan, certification support, dependent scholarships)Colleague recognition programTime Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Senior Manager, Clinical and Coding Health Business Solutions LLCSenior Manager, Clinical and CodingCooper City, FLRemoteThe Senior Manager will provide leadership to multidisciplinary audit teams, support complex audit responses, analyze trends, and partner with internal and external stakeholders to mitigate risk and improve documentation, coding, and reimbursement practices. Health Business Solutions (HBiz) is seeking an experienced and strategic Senior Manager, Clinical & Coding to lead and oversee clinical and coding operations across government and commercial payers, including post-pay audit.
Field Care Coordinator- Bilingual preferred Humana IncField Care Coordinator- Bilingual preferredCoral Springs, FLRemote$60,000–$65,000 / yearThe Care Coach 1 role involves meeting members in their location, spending quality time assessing their needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive health outcomes. The Care Coach evaluates member''s needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.
Urgent Care Nurse Practitioner Included Health IncUrgent Care Nurse PractitionerFlorida, FLRemote$59.13–$65.04 / hourWe're seeking board certified Nurse Practitioners licensed in Florida (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.