NewBilingual Customer Success (Mandarin/English) - Inbound Retention Specialist - Remote Yelp IncBilingual Customer Success (Mandarin/English) - Inbound Retention Specialist - RemotePhoenix, AZRemoteWhere required by law, a criminal background check will not be conducted until after a conditional offer of employment is made, and any evaluation of a candidate''s criminal background check will be subject to an individualized assessment that takes into account the candidate''s specific criminal records and the responsibilities and requirements of the particular role. 15 days PTO (accrual begins on date of hire and increases with 2+ years of tenure thereafter), 12 paid holidays, plus one floating holiday and 7 paid wellness days.
Senior Account Executive, SaaS Sales (Remote - US) Yelp IncSenior Account Executive, SaaS Sales (Remote - US)Phoenix, AZRemote$50,000–$65,000 / yearWhere required by law, a criminal background check will not be conducted until after a conditional offer of employment is made, and any evaluation of a candidate''s criminal background check will be subject to an individualized assessment that takes into account the candidate''s specific criminal records and the responsibilities and requirements of the particular role. Yelp Reservations and Yelp Waitlist are powerful tools that reach and engage diners with an unforgettable experience on the largest restaurant discovery platform in the world.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseAZRemote$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.
Advice RN, MIST - Work From Home Sutter HealthAdvice RN, MIST - Work From HomePhoenix, AZRemote$38.87–$54.42 / hourIn addition to telephone triage, MIST RNs manage electronic in-basket messages, coordinate care across ambulatory and acute care settings, facilitate prescription renewal workflows in collaboration with licensed providers, identify appropriate hospital and community resources, coordinate referrals and consultations, and perform nursing follow-up to support continuity of care and positive patient outcomes. As integral members of the primary care team, MIST RNs partner closely with physicians, advanced practice providers, clinic staff, and interdisciplinary teams to manage patient communications within the electronic medical record, optimize workflow efficiency, and ensure high-quality, patient-centered care.
PRN Pediatric & Adult Home Infusion / IVIG RN AIS HealthcarePRN Pediatric & Adult Home Infusion / IVIG RNPhoenix, ArizonaRemoteInfusion, Home Infusion, RN, Registered Nurse, IV Therapy, Home Health, Hospice, ER, Trauma, ICU, Pediatrics, PRN, Vascular Access, IV Team, Oncology, PICC, Central Line, Infusion clinic, Ambulatory infusion, Cath lab, Transplant, Case Manager. As a national leader in the home infusion / IVIG field, we seek those special RNs who not only possess strong clinical expertise with creative ideas but who also have the kind of deep compassion and sensitivity it takes to treat people in their homes.
Adult & Pediatric Home Infusion / IVIG RN AIS HealthcareAdult & Pediatric Home Infusion / IVIG RNPhoenix, ArizonaRemoteInfusion, Home Infusion, RN, Registered Nurse, IV Therapy, Home Health, Hospice, ER, Trauma, ICU, Pediatrics, PRN, Vascular Access, IV Team, Oncology, PICC, Central Line, Infusion clinic, Ambulatory infusion, Cath lab, Transplant, Case Manager. As a national leader in the home infusion / IVIG field, we seek those special RNs who not only possess strong clinical expertise with creative ideas but who also have the kind of deep compassion and sensitivity it takes to treat people in their homes.
NewRN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorPhoenix, ArizonaRemote$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.
Bilingual (Spanish/English) Digital Care Advanced Practice Provider (NP or PA) - Responsive Care Devoted Health IncBilingual (Spanish/English) Digital Care Advanced Practice Provider (NP or PA) - Responsive CareAZRemoteDigital Care APPs are not just providers; they are trusted partners, guiding patients through symptom management, chronic disease care, medication review, and coordination across their broader healthcare teams within and outside of Devoted - all within a digital-first experience. Responsibilities and Impact will include: Deliver exceptional, empathetic clinical care through real-time and asynchronous chat and other responsive care channels, supporting both the digital patient population and evolving queue-based needs across Responsive Care Department and the broader organization.
Digital Care Advanced Practice Provider (NP or PA) - Responsive Care Devoted Health IncDigital Care Advanced Practice Provider (NP or PA) - Responsive CareAZRemoteDigital Care APPs are not just providers; they are trusted partners, guiding patients through symptom management, chronic disease care, medication review, and coordination across their broader healthcare teams within and outside of Devoted - all within a digital-first experience. Responsibilities and Impact will include: Deliver exceptional, empathetic clinical care through real-time and asynchronous chat and other responsive care channels, supporting both the digital patient population and evolving queue-based needs across Responsive Care Department and the broader organization.
Weekend Digital Care Advanced Practice Provider (NP or PA) - Responsive Care Devoted Health IncWeekend Digital Care Advanced Practice Provider (NP or PA) - Responsive CareAZRemoteDigital Care APPs are not just providers; they are trusted partners, guiding patients through symptom management, chronic disease care, medication review, and coordination across their broader healthcare teams within and outside of Devoted - all within a digital-first experience. Responsibilities and Impact will include: Deliver exceptional, empathetic clinical care through real-time and asynchronous chat and other responsive care channels, supporting both the digital patient population and evolving queue-based needs across Responsive Care Department and the broader organization.
Oncology Nurse Navigator Onco360Oncology Nurse NavigatorScottsdale, ArizonaRemoteOnco360 is a unique Oncology Pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Oncology Nurse Navigator Position Responsibilities: Communicate with patients helping them understand the disease, treatment plan and possible side effects.
Integrated Care Manager - Medicare Advantage (prior CM experience working in a health plan) Blue Cross Blue Shield of ArizonaIntegrated Care Manager - Medicare Advantage (prior CM experience working in a health plan)Phoenix, ArizonaRemoteWithin 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications; Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC). Preferred Certifications Active and current certification in case management from the following certifications; Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC).
Care Manager (RN) Centene Corporation GroupCare Manager (RN)AZRemote$56,200–$101,000 / yearPosition Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families. Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorGlendale, AZRemote$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.
NewRN Clinical Documentation HonorHealthRN Clinical DocumentationPhoenix, ArizonaRemoteCertified Clinical Documentation Specialist - Certification issued by the Association of Clinical Documentation Improvement Specialists (ACDIS) or Certified Documentation Improvement Practitioner (CDIP) issued by The American Health Information Management Association (AHIMA). Interacts primarily with, but not limited to, physicians, nursing staff, other patient caregivers and health information coding staff to capture appropriate reimbursement and clinical severity for the level of service rendered to all patients, with a focus on DRG-based payers.
CCM Case Management RN Oscar HealthCCM Case Management RNTempe, AZRemote$32.60–$42.79 / hourTelephonic case management role in which you will educate members on improving health outcomes, assist with transitions from care settings, participate in process improvement and other pilot programs as they arise, and work with the Clinical Concierge Specialist and other Oscar teams to ensure exceptional care for our members. Work with non-clinical teammates in assisting members to navigate the healthcare system, including coaching non-clinicians on how they can add value to all member interactions.
Region Director Care Coordination-Central Region CommonSpirit HealthRegion Director Care Coordination-Central RegionPhoenix, AZRemoteCollaborative Partnerships and Stakeholder Engagement: Builds and sustains strategic partnerships with system, regional, market, and hospital leaders; Serves as the primary Care Management liaison for the Region Chief Nursing Officer, promoting coordination of care across acute and post-acute settings; Develops strong working relationships with key stakeholders including regional Chief Medical Officers, Chief Financial Officers, Chief Operating Officers, and Post-Acute leadership; Collaborates with the System and Region Director(s) of Utilization Management to ensure cohesive workflows between care management and utilization review; Applies strategies within daily operations to identify trends and address gaps to facilitate authorizations and reduce preventable denials; Facilitates cross-functional collaboration with departments such as Physician Advisory, Revenue Cycle, Payer Strategy, Compliance, Community Health, Behavioral Health, Ethics, Legal, and Quality; Serves as a proactive advisor and subject matter expert, using data analytics and evidence-based practices to inform decision-making and optimize outcomes; Develops relationships with local/state agencies and associations to optimize resources available to patients; Collaborates with post-acute and community partners to ensure seamless patient transitions and strengthen network integrity; Engages in Clinical Joint Operating Committees (JOCs) with payers to address utilization trends, resolve systemic issues, and drive collaboration on medical necessity and post-acute authorization practices; Partners with Payer Strategy and Revenue Cycle to ensure compliance with payer requirements and maximize reimbursement opportunities under federal, state, and commercial programs; Represents the region on system-level councils and committees where needed, aligning local initiatives with national goals. Partners with Human Resources and facility leadership to ensure appropriate staffing models, skill mix, and role optimization to meet patient care needs; Identifies and mentors emerging leaders, developing strong succession pipelines and fostering career growth opportunities; Promotes a culture of accountability, engagement, and recognition, ensuring staff are empowered to deliver compassionate, high-quality care management services.
NewClinical Concurrent Review Nurse Actalent IncClinical Concurrent Review NursePhoenix, AZRemote$36–$40 / hourThe nurse collaborates closely with physicians, case managers, social workers, and other healthcare providers to ensure high-quality, efficient, and appropriate care for members while maintaining accurate documentation in utilization management systems. This role performs concurrent reviews of inpatient acute and post-acute cases to determine medical necessity, evaluate the appropriateness of the level of care, and support safe and timely discharge planning in accordance with established clinical criteria, regulatory requirements, and organizational policies.
Urgent Care Nurse Practitioner Included Health IncUrgent Care Nurse PractitionerArizona, AZRemoteWe're seeking board certified Nurse Practitioners licensed in Arizona (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.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementPhoenix, AZRemoteFull 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.