Psychiatric Quality Specialist (Remote) Path CCM, IncPsychiatric Quality Specialist (Remote)CARemoteAs part of our team, full-time employees receive: 100% remote work environment: Working hours to support a healthy work-life balance, ensuring you can meet both professional and personal commitments (must be based in United States, currently not hiring in Hawaii). The ideal candidate brings exceptional organizational skills, clear communication, sound clinical judgment, and an enthusiastic approach to peer outreach.
Sr. AI/ML Engineer - Remote or Hybrid in Eden Prairie, MN or Irvine, CA UnitedHealth Group IncSr. AI/ML Engineer - Remote or Hybrid in Eden Prairie, MN or Irvine, CAIrvine, CARemote$120,100–$214,500 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Primary Responsibilities: Design, develop, and deploy AI-powered solutions, LLM workflows, prompt chains, agents, RAG patterns, model integrations, classification models, and decision-support tools to address complex business challenges.
Member Engagement Specialist (100% Remote for Pacific or Mountain time zones) Healthmap Solutions IncMember Engagement Specialist (100% Remote for Pacific or Mountain time zones)CARemoteHealthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Present a positive, professional, and engaging approach to all prospective members and internal stakeholders, regardless of whether they enroll in the program and drive Healthmap culture through all communications channels.
Pathologists (Freelance - Remote) - San Jose, US Prolific Academic LtdPathologists (Freelance - Remote) - San Jose, USSan Jose, CARemoteWe've built a unique platform that connects researchers and companies with a global pool of participants, enabling the collection of high-quality, ethically sourced human behavioural data and feedback. Over 35,000 AI developers, researchers, and organizations use Prolific to gather data from paid study participants with a wide variety of experiences, knowledge, and skills.
Pathologists (Freelance - Remote) - Sacramento, US Prolific Academic LtdPathologists (Freelance - Remote) - Sacramento, USSacramento, CARemoteWe've built a unique platform that connects researchers and companies with a global pool of participants, enabling the collection of high-quality, ethically sourced human behavioural data and feedback. Over 35,000 AI developers, researchers, and organizations use Prolific to gather data from paid study participants with a wide variety of experiences, knowledge, and skills.
Registered Nurse Madrona Hospice Care Inc.Registered NurseSan Rafael, CARemote$140–$150If you are passionate about making a positive impact in patients' lives and working in a supportive and family-oriented atmosphere, we encourage you to join us in providing exceptional home hospice care. As a Registered Nurse with Madrona Hospice Care, you will play a meaningful role in helping patients heal, stay safe, and thrive in the comfort of their own environment.
Bilingual Spanish RN, Care Management (Los Angeles) SCAN Health PlanBilingual Spanish RN, Care Management (Los Angeles)Los Angeles, CaliforniaRemote$44.42–$61.20 / hourPerform nursing related California Integrated Care Management (CICM) activities related to specific Populations of Focus (POF): Individuals Experiencing Homelessness, Individuals At Risk For Avoidable Hospital Or ED Utilization, Adults Living In The Community At Risk Of LTC Institutionalization, Adult Nursing Facility Residents Transitioning Back To The Community, Documented Dementia, Serious Mental Illness (SMI) & Substance Use Disorder (SUD). The Registered Nurse (RN) – Care Management is a clinically accountable role responsible for delivering high-touch, person-centered care management to members with complex medical needs who cannot be effectively supported through telephonic care management alone.
Bilingual Spanish RN, Care Management (Riverside) SCAN Health PlanBilingual Spanish RN, Care Management (Riverside)Riverside, CaliforniaRemote$44.42–$61.20 / hourPerform nursing related California Integrated Care Management (CICM) activities related to specific Populations of Focus (POF): Individuals Experiencing Homelessness, Individuals At Risk For Avoidable Hospital Or ED Utilization, Adults Living In The Community At Risk Of LTC Institutionalization, Adult Nursing Facility Residents Transitioning Back To The Community, Documented Dementia, Serious Mental Illness (SMI) & Substance Use Disorder (SUD). The Registered Nurse (RN) – Care Management is a clinically accountable role responsible for delivering high-touch, person-centered care management to members with complex medical needs who cannot be effectively supported through telephonic care management alone.
Care Review Clinician (RN) - reside in PST or MST Molina Healthcare IncCare Review Clinician (RN) - reside in PST or MSTCARemoteResponsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Nurse Practitioner or Physician Assistant (San Diego) SHPCA SCAN Health PlanNurse Practitioner or Physician Assistant (San Diego)San Diego, CaliforniaRemote$125,400–$215,975 / 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. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models.
Nurse Practitioner or Physician Assistant (San Diego) SCAN Health PlanNurse Practitioner or Physician Assistant (San Diego)San Diego, CaliforniaRemoteHowever, 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. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorNevada City, CARemote$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.
NewSenior Clinical Specialist, Deep Brain Stimulation (DBS) - Los Angeles, CA Medtronic PlcSenior Clinical Specialist, Deep Brain Stimulation (DBS) - Los Angeles, CALos Angeles, CARemoteThe following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). If you are applying to perform work for Medtronic, Inc. ("Medtronic") in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.
Manager, Care Management SCAN Health PlanManager, Care ManagementLong Beach, CaliforniaRemoteManages the daily operations and continuous quality improvement of care management programs at SCAN to ensure the delivery of high quality, evidence-based care with a focus on addressing the medical, behavioral health, and social needs of members. However, 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.
Care Manager - RN COPE HEALTH SOLUTIONSCare Manager - RNCARemote$80,000–$110,000 / yearOur comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. Position Description: The Care Manager (CM) RN will lead a multidisciplinary healthcare team in a primary care / telephonic setting, focusing on coaching and coordination of care for patients needing navigation, addressing nursing care needs and follow up after clinical events.
Bilingual Korean Nurse Care Planner - RN SHPCA SCAN Health PlanBilingual Korean Nurse Care Planner - RNLos Angeles, CaliforniaRemote$38.61–$61.78 / hourIncrease knowledge by keeping current on Medicare and Medi-Cal policies, Federal and State legislation affecting health and social services, maintaining updated community resource information, attending trainings as scheduled, actively participating in supervision, and striving to improve professionally. However, 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.
Bilingual Korean Nurse Care Planner - RN SCAN Health PlanBilingual Korean Nurse Care Planner - RNLos Angeles, CaliforniaRemoteIncrease knowledge by keeping current on Medicare and Medi-Cal policies, Federal and State legislation affecting health and social services, maintaining updated community resource information, attending trainings as scheduled, actively participating in supervision, and striving to improve professionally. However, 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.
Nurse Practitioner or Physician Assistant (Riverside) SHPCA SCAN Health PlanNurse Practitioner or Physician Assistant (Riverside)Riverside, CaliforniaRemote$125,400–$215,975 / 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. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models.
Nurse Practitioner or Physician Assistant (Riverside) SCAN Health PlanNurse Practitioner or Physician Assistant (Riverside)Riverside, CaliforniaRemoteHowever, 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. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models.
NewAssociate Clinical Specialist, Pain Interventions - Santa Barbara / Santa Maria / San Luis Obispo , CA MedtronicAssociate Clinical Specialist, Pain Interventions - Santa Barbara / Santa Maria / San Luis Obispo , CASanta Barbara, CaliforniaRemoteThe following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). If you are applying to perform work for Medtronic, Inc. (“Medtronic”) in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.