Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTETacoma, WARemoteRegistered 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.
RN Case Manager – Managed Care REMOTE TEEMA GroupRN Case Manager – Managed Care REMOTELakewood, WARemote$39–$41Care Coordination : Work closely with interdisciplinary teams, including physicians, case managers, social workers, and other healthcare professionals, to develop and implement individualized care plans for patients. This role involves assessing, monitoring, educating, and supporting patients in managing their diseases to improve overall health and quality of life while reducing unnecessary hospitalizations and emergency care.
VP Sales, Healthcare NEW Zones, LLCVP Sales, Healthcare NEWAuburn, WARemote$200,000–$225,000 / yearOperating in more than 120 countries, leveraging a robust portfolio, and utilizing the highest certification levels from key partners, including Microsoft, Apple, Cisco, Lenovo, Adobe, and more, Zones has mastered the science of building digital infrastructures that change the way business does business ensuring whatever they need, they can Consider IT Done. This executive will build and manage a high-performing sales team, cultivate strategic relationships with key healthcare stakeholders, and develop tailored solutions to meet the needs of payers, providers, and health systems.
VPSales,Healthcare Zones IncVPSales,HealthcareAuburn, WARemote$200,000–$225,000 / yearOperating in more than 120 countries, leveraging a robust portfolio, and utilizing the highest certification levels from key partners, including Microsoft, Apple, Cisco, Lenovo, Adobe, and more, Zones has mastered the science of building digital infrastructures that change the way business does business ensuring whatever they need, they can Consider IT Done. This executive will build and manage a high-performing sales team, cultivate strategic relationships with key healthcare stakeholders, and develop tailored solutions to meet the needs of payers, providers, and health systems.
VP Sales, Healthcare Zones, Inc.VP Sales, HealthcareAuburn, WARemote$200,000–$225,000 / yearOperating in more than 120 countries, leveraging a robust portfolio, and utilizing the highest certification levels from key partners, including Microsoft, Apple, Cisco, Lenovo, Adobe, and more, Zones has mastered the science of building digital infrastructures that change the way business does business ensuring whatever they need, they can Consider IT Done. This executive will build and manage a high-performing sales team, cultivate strategic relationships with key healthcare stakeholders, and develop tailored solutions to meet the needs of payers, providers, and health systems.
Remote Call Center Triage Registered Nurse CVS Health CorpRemote Call Center Triage Registered NurseWARemote$26.01–$74.78 / hourThe progression path from Level I to Level II positions within the Triage RN team is a structured path that encourages nurses to widen their knowledge base, take on more responsibility, demonstrate expertise, and reward team members for their proven success and dedication. Role Description: The Clinical Call Center Triage Nurse effectively extends care during and outside of regular Oak Street Health clinic hours by addressing patients' medical, social, and psychological needs telephonically.
Remote Care Management Nurse Cambia HealthRemote Care Management NurseRenton, WARemote$35.21–$47.63 / hourAs a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Collaborates with physician advisors, internal and external customers, and other departments to resolve claims, quality of care, member or provider issues, and identifies problems or needed changes, recommending resolutions and participating in quality improvement efforts.
Remote Care Management Nurse Cambia Health Solutions IncRemote Care Management NurseTacoma, WARemote$36.80–$49.80 / hourAs a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Collaborates with physician advisors, internal and external customers, and other departments to resolve claims, quality of care, member or provider issues, and identifies problems or needed changes, recommending resolutions and participating in quality improvement efforts.
Revenue Cycle Auditor RN -Remote Providence Health & ServicesRevenue Cycle Auditor RN -RemoteWashington, WARemoteRequsition 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.
Medical Coder (Remote) Cardiac Study CenterMedical Coder (Remote)Tacoma, WARemote$25.81–$38.40 / yearThis role involves collecting and reviewing charges from physicians and ARNPs, assigning appropriate CPT and ICD codes, and ensuring timely submissions into the Epic system. Responsibilities include processing charges, registering new patients, updating patient accounts, and maintaining consistent cash flow through daily charge entries.
Population Health IT Specialty Analyst - Remote Sentara Healthcare IncPopulation Health IT Specialty Analyst - RemoteWARemote$89,294.40–$131,851.20 / yearThe ideal candidate brings a strong clinical experience with case management, inpatient nursing, and population health (OR), OR a baseline Epic Inpatient ClinDoc, Inpatient or Healthy Planet exposure and desire to deepen knowledge within the application or learn additional applications in support of improving patient outcomes, quality of care and clinician efficiency. Overview: Overview: The Epic Population Health IT Associate Analyst is responsible for the day-to-day support, optimization, testing, and maintenance of Epic Population Health applications, including Inpatient Case Management, Healthy Planet and EpicCare Link in support of organizational Population Health strategy.
Remote Medical Director, Appeals Centene Corporation GroupRemote Medical Director, AppealsWARemote$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.
Remote Medical Director, Pharmacy Centene Corporation GroupRemote Medical Director, PharmacyWARemote$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.
Clinical Research Budgeting Analyst - Remote Providence Health & ServicesClinical Research Budgeting Analyst - RemoteWashington, WARemote$37.84–$58.75 / hourIt is comprised of eight hospital campuses (Ballard, Edmonds, Everett, Centralia, Cherry Hill (Seattle), First Hill (Seattle), Issaquah and Olympia); emergency rooms and specialty centers in Redmond (East King County) and the Mill Creek area in Everett; and Providence Swedish Medical Group, a network of 190+ primary care and specialty care locations throughout the Puget Sound. Main responsibilities include, but are not limited to, the review of New Study routing forms and essential study start-up documents, the itemized cost analysis and interpretation of clinical protocols into budget milestones, provide accurate patient cost descriptions for the ICF to be submitted to the IRB, and update budget, milestones, and ICF information as necessary per contract/protocol amendments.
NewManager Analytics Business Intelligence - Full time, Day, Remote Providence St. Joseph HealthManager Analytics Business Intelligence - Full time, Day, RemoteRenton, WARemoteRequired Qualifications: Bachelor''s Degree in Data Science, Analytics, Finance, Engineering, Mathematics, Computer Science, Business Administration, Health Administration, Public Health, Public Administration, or related discipline or 4+ Years of relevant healthcare data analytics experience. Preferred Qualifications: Master''s Degree in Data Science, Analytics, Finance, Engineering, Mathematics, Computer Science, Business Administration, Health Administration, Public Health, Public Administration, or related discipline or 4+ Years of relevant healthcare data analytics experience.
NewContact Center Specialist II (Remote) - Must Live In WA Kaiser PermanenteContact Center Specialist II (Remote) - Must Live In WARenton, WARemote$26.44–$34.16 / hourSupports contact center services by: supporting customers (e.g., internal stakeholders, members, patients, providers, doctors) with information and resources or directing them to the appropriate party, with minimal guidance; and tracking, escalating, and resolving routine and non-routine issues reported by a wide variety of customers (e.g., internal stakeholders, members, patients, providers, doctors), with some guidance. Job Summary: Provides customer service representation by supporting customers with information and resources or directing them to the appropriate party while following minimal guidance and tracking, escalating, and resolving routine and non-routine issues reported by internal customers, members, patients, providers, and doctors.
Remote Registered Dietitian or CNS - Flexible Hours, Work from Anywhere Berry StreetRemote Registered Dietitian or CNS - Flexible Hours, Work from AnywhereOlympia, WARemoteBerry Street empowers independent dietitians to accept insurance and grow thriving private practices by providing comprehensive credentialing, scheduling, referral, and technical support, as well as access to a vibrant, collaborative clinician community. Dietitians working with Berry Street are committed to these pillars of high-quality care: Evidence-based: We provide quality care based on the latest clinical research.
Director, Finance Business Partner (Go-To-Market) - Full Time - Remote Experity IncDirector, Finance Business Partner (Go-To-Market) - Full Time - RemoteWARemote$121,400–$161,500 / yearExperity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused. The Director, Finance Business Partner, will serve as the primary strategic finance lead supporting the Go-To-Market (GTM) organization, including Sales, Marketing, RevOps, and Customer-facing teams.
NewDirector, Finance Business Partner (RCM) - Full Time - Remote Experity IncDirector, Finance Business Partner (RCM) - Full Time - RemoteWARemote$121,000–$161,500 / yearPartner closely with People Business Partners and RCM leaders on workforce planning, headcount forecasting, organizational changes, capacity planning, and other people-related decisions with significant financial impact. Experity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused.
Remote Registered Dietitian or CNS - Flexible Hours, Work from Anywhere Berry Street Health IncRemote Registered Dietitian or CNS - Flexible Hours, Work from AnywhereOlympia, WARemoteBerry Street empowers independent dietitians to accept insurance and grow thriving private practices by providing comprehensive credentialing, scheduling, referral, and technical support, as well as access to a vibrant, collaborative clinician community. We're looking for entrepreneurial, empathetic Registered Dietitians (RDs) and Certified Nutrition Specialists (CNSs) licensed in any state to help us bring medical nutrition therapy (MNT) to all.