Healthcare Business Development Professional 100% Remote | Commission-Only | Uncapped Earnings Transformational Health Network, Inc.Healthcare Business Development Professional 100% Remote | Commission-Only | Uncapped EarningsJersey City, NJRemoteAt 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 - REMOTEYonkers, NYRemoteRegistered 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.
NewClinical Trainer Government Employees Health AssociationClinical TrainerSummit, New JerseyRemoteThis role will collaborate with clinical leaders to identify training needs outside the core curriculum to maximize the effectiveness of our employees to deliver on G.E.H.A’s vision to inspire our members to live their best lives in pursuit of their overall health and well-being. Develops a trusted advisor relationship with clinical operations by collaborating with leaders and key stakeholders to assess clinical learning and development needs, develop curriculum and other offerings to align with business needs and strategic goals.
NewPart-Time, Remote Clinical Liaison On-Board CompaniesPart-Time, Remote Clinical LiaisonFlorham Park, NJRemote$100 / hourToday, On-Board is a thriving privately held family of companies with services including: Consulting, Professional Engineering, Industrial Maintenance and Facility Management, Contracted Manufacturing and Production Services, as well as Temporary Staffing and Recruiting throughout North America. This role will provide advanced Faculty Advancement Program training to healthcare providers and support program coordination, documentation, compliance, and follow-up activities.
NewCase Manager Registered Nurse (Remote - New York License) CVS Health CorpCase Manager Registered Nurse (Remote - New York License)NYRemote$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.
Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemoteJersey City, NJRemoteAlso, 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- Remote BetterHelpMental Health Therapist- RemoteNewark, NJRemoteAlso, 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 Clinical Professional Counselor - Remote BetterHelpLicensed Clinical Professional Counselor - RemoteJersey City, NJRemoteAlso, 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 Clinical Social Worker- Remote BetterHelpLicensed Clinical Social Worker- RemoteNewark, NJRemoteAlso, 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 Marriage and Family Therapist - Remote BetterHelpLicensed Marriage and Family Therapist - RemoteJersey City, NJRemoteAlso, 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 - Remote BetterHelpLicensed Psychologist - RemoteJersey City, NJRemoteAlso, 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.
Remote Registered Nurse (RN) Case Manager ValerisRemote Registered Nurse (RN) Case ManagerDanbury, ConnecticutRemoteBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. calling and working with the patient’s insurance payer to determine coverage benefits, anticipated out-of-pocket costs associated with their therapy and resources for financial assistance, where applicable based upon needs communicated by the patient.
Quality Regulatory Coordinator- HYBRID REMOTE Garnet HealthQuality Regulatory Coordinator- HYBRID REMOTEMiddletown, New YorkRemote$68,796–$85,995 / yearFull timeIf you’re interested in a health system that’s both growing and award-winning, serving a diverse community that provides the best of both city and rural life, we invite to make your career home with us as a Quality Regulatory Coordinator on our Quality Resources team at/in Garnet Health Medical Center. Proficient excel or equivalent program skills including ability to work with large disparate data sets with ease to manipulate data points to inform the organization of progress to goals preferred.
NewRemote Clinical Liaison ( Women's Health) The Fountain Group LLCRemote Clinical Liaison ( Women's Health)Florham Park, NJRemoteServe as a liaison between healthcare providers and internal stakeholders, ensuring effective communication while adhering to company policies and applicable FDA and local health authority requirements. Job Description: The Clinical Liaison acts as a liaison for healthcare providers, supporting the clinical use of implantable contraception for trained clinicians with Nexplanon.
CDI Specialist- Remote Med-Metrix, LLCCDI Specialist- RemoteParsippany-Troy Hills, NJRemoteThe Clinical Documentation Integrity Specialist performs concurrent chart reviews to validate that the clinical documentation in the medical record appropriately describes the patient's severity of illness, complexity of care, and risk of mortality to facilitate appropriate coding. Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
NewQuality Regulatory Coordinator- HYBRID REMOTE Garnet Health Medical CenterQuality Regulatory Coordinator- HYBRID REMOTEMiddletown, NYRemote$68,796–$85,995 / yearIf you're interested in a health system that's both growing and award-winning, serving a diverse community that provides the best of both city and rural life, we invite to make your career home with us as a Quality Regulatory Coordinator on our Quality Resources team at/in Garnet Health Medical Center. Proficient excel or equivalent program skills including ability to work with large disparate data sets with ease to manipulate data points to inform the organization of progress to goals preferred.
Utilization Management, Registered Nurse RN Clover Health Investments CorpUtilization Management, Registered Nurse RNNYRemote$90,000–$106,000 / yearAs a Utilization Management, Registered Nurse (RN), you will: Perform medical necessity reviews for prior authorization and concurrent review across acute inpatient, post-acute (SNF, IRF, LTACH) and outpatient services Apply CMS Medicare guidelines, NCD/LCD policies, and MCG criteria to support determinations Manage cases end-to-end from prior authorization through concurrent review and discharge Collaborate with providers and facilities to obtain clinical information and support care coordination Ensure compliance with CMS turnaround times and regulatory requirements Participate in Quality Assurance (QA) activities, including case audits and peer reviews to ensure accuracy and consistency in decision-making Have strong personal accountability, responsibility and independent decision-making abilities. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents * And much more!
Bilingual Pediatric Registered Nurse Imagine Pediatrics LLCBilingual Pediatric Registered NurseNYRemote$40–$47 / hourAs a Pediatric Registered Nurse at Imagine Pediatrics, you are the primary point of contact for our families as you work to deeply know our patients through frequent virtual touchpoints and are the first line of defense when our patients are having a clinical problem. You leverage an integrated technology platform and are complimented by an entire interdisciplinary team including MDs, APPs, social workers, navigators, pharmacists, and dietitians.
Registered Nurse Case Manager - Field in Essex and surrounding counties New Jersey CVS HealthRegistered Nurse Case Manager - Field in Essex and surrounding counties New JerseyEast Orange, New JerseyRemoteComfort conducting field‑based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances. You’ll leverage your clinical expertise to develop individualized care plans, coordinate physical, behavioral, and psychosocial services, and ensure members receive the support they need to thrive.
Case Manager Registered Nurse - Field in Essex County, NJ CVS Health CorpCase Manager Registered Nurse - Field in Essex County, NJEast Orange, NJRemote$66,575–$142,576 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Comfort conducting field-based home visits across all socioeconomic levels and community settings, including any neighborhood or environment, and with members in a wide range of living conditions or circumstances.