Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEAkron, OHRemoteRegistered 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.
Case Manager Registered Nurse - Remote CVS Health CorpCase Manager Registered Nurse - RemoteOHRemote$60,522–$129,615 / yearAssesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.
NewCase Manager Registered Nurse (Remote - New York License) CVS Health CorpCase Manager Registered Nurse (Remote - New York License)OHRemote$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.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselOHRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
NewManager, Healthcare Sales Illumina IncManager, Healthcare SalesOHRemote$129,400–$194,000 / yearTo ensure a high level of liaison with other departments (e.g., Marketing, Customer Solutions) and local sales team & staff to ensure coordination of activities and understanding of common goals. Additionally, all employees are eligible for one of our variable cash programs (bonus or commission) and eligible roles may receive equity as part of the compensation package.
Licensed Marital and Family Therapist-Remote BetterHelpLicensed Marital and Family Therapist-RemoteCleveland, OHRemoteAlso, 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- RemoteCleveland, OHRemoteAlso, 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 Social Worker- Remote BetterHelpLicensed Independent Social Worker- RemoteCleveland, OHRemoteAlso, 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 Marriage and Family Therapist- Remote BetterHelpLicensed Independent Marriage and Family Therapist- RemoteCleveland, OHRemoteAlso, 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 Professional Clinical Counselor- Remote BetterHelpLicensed Professional Clinical Counselor- RemoteCleveland, OHRemoteAlso, 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.
Employee Experience (EX) Advisor - Healthcare Press Ganey Associates LLCEmployee Experience (EX) Advisor - HealthcareOHRemote$81,000–$115,000 / yearHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Press Ganey is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understand and meet the needs of their key stakeholders.
Care Management Lead, (RN OR LSW) - Akron - Remote CareforthCare Management Lead, (RN OR LSW) - Akron - RemoteAkron, OhioRemote$68,700–$84,200 / yearFull timeWhat You Will Bring: Bachelor’s degree or equivalent, preferably in a health care or social services discipline is required along with a minimum of 4-6 years of experience in case management and care planning for older adults with complex medical conditions and/or individuals with disabilities, preferably in a health care, long-term care, social service or community setting. The CML will collaborate with the Manager, Care Management and consult with additional clinical and compliance resources to ensure the effective onboarding and ongoing clinical support of care management teams to ensure delivery of high-quality services to consumers and caregivers.
NewSenior Product Manager (Remote) DripsSenior Product Manager (Remote)Cleveland, OHRemoteWorking hands-on with AI and automation tooling to shape, validate, and accelerate product decisions, including defining requirements for LLM-based features and continually evolving your own workflows and tools to fit the problem in front of you. An AI-first way of working, you use AI tooling to accelerate your own output without sacrificing quality or judgment, and you actively evolve your workflows and tools as your needs change.
Licensed Clinical Social Worker, Remote SalvoHealthLicensed Clinical Social Worker, RemoteCleveland, OHRemoteSalvo represents a major step forward to go beyond episodic appointments to continuous care, and deliver interdisciplinary wraparound care in partnership with the patient’s existing specialist. This role will work directly with patients virtually, offering personalized psychosocial support and counseling to patients to reduce symptoms and improve quality of life.
Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio) Molina Healthcare IncSr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)Cleveland, OHRemoteConducts data collection, monitors intervention activity including key performance measurement activities, reports intervention outcomes, and supports continuous improvement of intervention processes and outcomes. Implements evidence-based and data-informed key member intervention strategies including initiating and managing member and/or community interventions (e.g., removing barriers to care) and other federal and state quality initiatives.
Remote Administrative Assistant ADF Medical Services Inc.Remote Administrative AssistantWestlake, OHRemoteFull timeProvide day-to-day administrative support to management and internal teams. High School Diploma or GED required — Associate's or Bachelor's degree preferred.
Remote Customer Service Associate-ADF ADF Medical Services Inc.Remote Customer Service Associate-ADFWestlake, OHRemoteFull timeWe're looking for a friendly, reliable Remote Customer Service Associate to support our patients and clients from the comfort of your home. Handle inbound calls, emails, and/or chat inquiries from patients and clients.
Telemedicine Physician - Women's Hormone Expert - Remote (MD/DO only) Hone Health Medical RolesTelemedicine Physician - Women's Hormone Expert - Remote (MD/DO only)Cleveland, OhioRemoteFrom initially only treating men who want to manage their testosterone levels, we have grown our services to support weight loss, thyroid treatments, and now women’s health. Our services also include men’s hormone, weight loss and thyroid treatment and we would prefer to bring on physicians who have experience prescribing for patients in some or all of those categories as well.
Pharmacy Technician Associate Representative, Inbound Call - Accredo Specialty Pharmacy - Remote, OH, FL & IN CarePathRx Holding Company LLCPharmacy Technician Associate Representative, Inbound Call - Accredo Specialty Pharmacy - Remote, OH, FL & INOHRemote$17.75–$25 / hourWhat you'll do: Answer and triage inbound calls from patients, providers, pharmacies, contact center representatives, and internal teams by verifying caller details, assessing needs, and determining the appropriate resolution, transfer, or escalation path. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Remote Data Entry Specialist-ADF ADF Medical Services Inc.Remote Data Entry Specialist-ADFWestlake, OHRemotePart timeWe're hiring a detail-oriented Remote Data Entry Specialist to help keep our medical records and patient data accurate and up to date. Accurately enter and update patient and medical data into our systems.