NewSr Commissioning Engineer (Data Centers) – Remote JobotSr Commissioning Engineer (Data Centers) – RemoteSecaucus, NJRemote$120,000–$165,000 / yearSuccessful candidates will have experience in Electrical Systems & Equipment with a focus in Data Centers and Mission Critical Facilities; experience and an understanding of Building MEP Systems Design, Construction, and Commissioning of Critical Systems ranging in size, rating, and complexity; Commissioning, Testing and Troubleshooting of Electrical Systems and related controls. Knowledgeable with common mechanical, and controls-related building equipment, including: Engine generators / Uninterruptible power supplies & battery systems / Medium and low-voltage electrical switchgear/ PLC controls and sequences of operations / Automatic transfer switches / Static transfer switches / Power distribution units / Busways.
NewConstruction Recruiter at Jobot - Work 100% Remote! JobotConstruction Recruiter at Jobot - Work 100% Remote!New York, NYRemote$75,000–$500,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We combine experienced recruiters with advanced technology, including our proprietary software Jax and AI assistant Jeni, to help connect good people with good jobs!
NewClaims Specialist / Contract - Remote to Office-Based Setting Greenlife Healthcare StaffingClaims Specialist / Contract - Remote to Office-Based SettingJericho, NYRemoteImpactful Work: Contribute to a non-profit organization dedicated to improving healthcare processes and ensuring accurate claims adjudication that supports providers, patients, and healthcare plans. Review and provide case documentation to assigned billers/coders, nurses, physicians and clinicians internal teams, and key stakeholders to facilitate clinical and coding reviews.
Neuroradiology | 100% Remote & Block Schedule Available | New York The Medicus FirmNeuroradiology | 100% Remote & Block Schedule Available | New YorkLong Island, NYRemoteAcademic Engagement: Join the regions leading academic and research institution, with opportunities to teach medical students and residents, while participating in research. True Flexibility: Enjoy a 100% remote schedule (must reside anywhere in the state of New York), with overnight coverage handled by dedicated nighthawk services.
Radiology Opportunities | Remote & Block Schedules The Medicus FirmRadiology Opportunities | Remote & Block SchedulesLong Island, NYRemoteJoin one of New Yorks top academic medical centers, offering a full-spectrum radiology practice with advanced technology, academic engagement, and true work-life balance through a fully remote option. Coastal Lifestyle: Enjoy beaches, parks, and a wide array of outdoor activities along Long Islands scenic North Shore.
NewRemote Call Post-Acute Nurse Practitioner TeamHealthRemote Call Post-Acute Nurse PractitionerNew York, NYRemoteFull timeOur comprehensive clinical and operational leadership team will support your transition into our medical practice with a comprehensive onboarding program along with support from industry leading clinical experts in post-acute medicine. Full-time and part-time opportunities are available, providing weekend clinical telephonic call coverage for skilled nursing facilities, with excellent support and training, and autonomy.
Remote Healthcare Recruiter (General Healthcare - Nationwide) Gotham Enterprises LtdRemote Healthcare Recruiter (General Healthcare - Nationwide)Hoboken, NJRemote$70,000–$80,000In this role, you will be a high-volume "talent hunter," identifying and placing a diverse range of medical professionals—from Mental Health Counselors, to Registered Nurses and Physicians to Allied Health and specialized clinical staff—into top-tier healthcare facilities coast-to-coast. High-Impact Outreach: Drive candidate engagement through massive "text blast" campaigns and high-volume daily call targets (50–100 calls) to build a robust talent pipeline.
Remote Healthcare Call Center Representative Conduent IncRemote Healthcare Call Center RepresentativeNYRemoteThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. Requirements for Remote Call Center Representative: Successfully complete customer service assessment & typing test on a computer (not compatible with mobile devices).
Director of Compensation - Healthcare (Remote) Noor Staffing GroupDirector of Compensation - Healthcare (Remote)New York, NYRemote$190,000–$200,000 / yearThis role will oversee compensation programs impacting a workforce of approximately 20,000 employees, driving the development of competitive pay practices, executive compensation governance, and scalable frameworks that support a rapidly growing organization. The Director will partner closely with HR, Finance, and business leaders to ensure compensation programs support workforce strategy, organizational growth, and long-term business objectives.
Director of Healthcare Economics (Remote) ProgenyHealth, Inc.Director of Healthcare Economics (Remote)NYRemote$140,000–$175,000 / yearRequired Skills & Experience: 8+ years of experience working with healthcare claims data to analyze cost, utilization, and financial performance within a payer or managed care environment. The actual compensation offered may vary based on factors including, but not limited to, relevant experience, education, skills, internal equity, geographic location, and applicable law.
Senior Sales Engineer - Healthcare (Remote East Coast) Zebra Technologies CorpSenior Sales Engineer - Healthcare (Remote East Coast)New York, NYRemote$105,680–$158,520 / yearWe are committed to providing our employees with a benefits program that is comprehensive and competitive - including healthcare, wellness, inclusion networks, and continued learning and development offerings. Job Posting Statement: To protect candidates from falling victim to online fraudulent activity involving fake job postings and employment offers, please be aware our recruiters will always connect with you via @zebra.com email accounts.
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.
NewHealthcare Specialist - Fully Remote MercorHealthcare Specialist - Fully RemoteNew York, New YorkRemote$130–$180 / hourDesign clinically realistic prompts and scenarios from your specialty, including diagnostic reasoning and treatment planning. Fellows: Must be board-certified/board-eligible in primary specialty and have current active, unrestricted medical license.
NewREMOTE SALES REPRESENTATIVE (Virtual Healthcare Services) CompassionMDREMOTE SALES REPRESENTATIVE (Virtual Healthcare Services)New York, NYRemote$700–$2,000Our model gives people 24/7 access to board-certified doctors, virtual urgent care, mental health consultations, medical guidance, and other valuable health services at predictable, transparent pricing. We are expanding across the United States and are seeking motivated Sales Representatives who can introduce our direct virtual care programs to consumers and to organizations of all sizes.
NewREMOTE -Principal Software Developer- Agentic AI, Healthcare AI Oracle CorpREMOTE -Principal Software Developer- Agentic AI, Healthcare AINYRemote$114,600–$234,600 / yearOracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business. Experience designing and operating production LLM serving platforms with responsibility for latency, throughput, reliability, scalability, observability, and cost efficiency.
AI Expert Principal Software Engineer - Healthcare Analytics- Remote Oracle CorpAI Expert Principal Software Engineer - Healthcare Analytics- RemoteNYRemote$99,600–$223,400 / yearWe're looking for highly skilled AI engineers to design and build high-scale, cloud-based data processing pipelines that ingest, transform, and analyze massive volumes of healthcare data with low latency, powering business insights and analytics across EHR and RCM systems. You will leverage LLMs, AI agents, and modern data platforms to solve problems like clinical decision support, revenue optimization, and workflow automation while using AI-assisted development tools to accelerate delivery.
NewFraud AI / Data Healthcare Senior Consultant (remote) Guidehouse IncFraud AI / Data Healthcare Senior Consultant (remote)New York, NYRemote$113,000–$188,000 / yearHands-on experience with financial crime compliance technology and data solutions, e.g., Oracle Mantas, Actimize, Fircosoft, LexisNexis Bridger, World-Check, Dow Jones, Chainalysis, Elliptic, TRM Labs, etc. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
NewGI Nurse Practitioner- Evening Hours Remote Oshi Health, IncGI Nurse Practitioner- Evening Hours RemoteNYRemoteRequired Location: We are only hiring from the following states: Arizona, Arkansas, Colorado, Connecticut, Florida, Louisiana, Maryland, Michigan, Missouri, New Jersey, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Dakota, Texas, Virginia, and Wisconsin. Oshi Health is revolutionizing GI care with a digital clinic model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a whole-person approach to diagnosing, managing, and treating digestive health conditions.
Senior Account Director Healthcare Guild Education IncSenior Account Director HealthcareNYRemoteWe are seeking a dynamic and strategic Senior Account Director (Healthcare) to drive new business acquisition for our organization by advocating for the strategic value of education benefits to enterprise healthcare organizations, including hospital systems, health insurers, and other Fortune 500 healthcare companies. Proven success managing and closing complex sales cycles within healthcare organizations or Fortune 500 accounts (bonus for experience selling to CHROs, HR, or C-level healthcare executives).
Remote 24-MAGRemoteNew York, New YorkRemote$65–$95 / hourThis role supports current and upcoming remote consulting opportunities focused on nursing-related clinical review, patient care workflow evaluation, documentation assessment, medication administration scenarios, clinical data review, and high-quality project execution. We are sharing a specialised part-time consulting opportunity for nursing professionals experienced in patient care, clinical monitoring, medication administration, clinical documentation, care coordination, and structured healthcare workflow review.
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 - RemoteNew York, NYRemoteAlso, 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.
Healthcare Financial Advisory Manager - Decision Support & Cost Accounting Huron Consulting Group IncHealthcare Financial Advisory Manager - Decision Support & Cost AccountingNYRemote$165,000–$215,000 / yearDemonstrated experience building and delivering service line margin analyses, service line P&Ls, or DRG-level cost models using step-down allocation methodologies; Time-Driven Costing (TDABC) experience strongly preferred. Hurons industry-leading Healthcare Financial Advisory Services team works with healthcare leaders to prevent financial management missteps and prioritize business decisions that reset the financial trajectory of their organizations.
Remote Triage RN - Future Opportunity HEITECH SERVICES INCRemote Triage RN - Future OpportunityNYRemoteHeiTech Services is seeking experienced Registered Nurses (RNs) interested in supporting upcoming federal healthcare programs that provide 24/7 telehealth triage services for military members, veterans, and their families. Remote Triage RN to support patients by assessing symptoms, providing clinical guidance, and helping determine appropriate next steps using established evidence-based protocols.
Government Contracts Manager - Healthcare Staffing Gotham Enterprises LtdGovernment Contracts Manager - Healthcare StaffingHoboken, NJRemote$120,000–$150,000This fully remote role is ideal for a professional who not only understands the government procurement lifecycle, but also brings an established network of agency contacts and a proven ability to identify, pursue, and secure new contract opportunities. Gotham Enterprises Ltd is seeking a highly connected and results-driven Government Contracts Manager to both generate and manage government contracts within our healthcare staffing division.
RN Chronology (Remote U.S.) Acentra HealthRN Chronology (Remote U.S.)NYRemote$64,960–$90,000 / yearIn fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselNJRemote$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.
NewGroup Account Supervisor - Healthcare Marketing Precision Medicine Group LLCGroup Account Supervisor - Healthcare MarketingNYRemote$92,000–$128,000 / yearThis compensation range takes into account the wide range of factors that are considered in making compensation decisions including but not limited to: skill sets, experience and training, licensure and certifications, and other business and organizational needs. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact Precision Medicine Group at myHR@precisionmedicinegrp.com.
Remote Nurse Practitioner Contractor- Multi-State Perry Health IncRemote Nurse Practitioner Contractor- Multi-StateNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.
NewHealthcare Corporate Finance Analyst / Associate Career Launch AIHealthcare Corporate Finance Analyst / AssociateNew York, NYRemote$95,000–$170,000We are seeking Healthcare Investment Banking Analysts and Associates to support M&A, capital raises, and strategic advisory transactions within healthcare services, life sciences, and health tech. To access roles like this and work with us directly, go to: https://www.careerlaunch.ai/ and apply on the site.
Healthcare Planning and Design Manager, Infection Control (Northeast) Getinge ABHealthcare Planning and Design Manager, Infection Control (Northeast)NYRemote$195,000–$204,300 / yearThe Surgical Workflows Healthcare Planning and Design Manager (HPDM) reports to the Manager, Healthcare Planning and Design, with alignment to a specific geographical region and focuses on the development and the successful outcome of project-based opportunities for hospitals, ASCs or other key accounts (non-Health System targeted IDNs, supporting construction companies, architects, equipment planners, and other hospital project leaders) to gain opportunities for Infection Control. A minimum of 5 years of medical device capital equipment products sales experience which includes direct selling experience to architects, equipment planners, physicians, and hospitals); or minimum 4 years applicable clinical experience with sales aptitude.
Skilled Nursing Facility (SNF) / Resource Utilization Group (RUG) Auditor III, Healthcare ExlService Holdings IncSkilled Nursing Facility (SNF) / Resource Utilization Group (RUG) Auditor III, HealthcareNYRemote$70,000–$80,000 / yearIn this fully remote position as a Skilled Nursing Facility auditor, you will apply your expert clinical knowledge to validate the accuracy of billed charges to ensure the integrity of the paid claim, including coding validation, payment accuracy, contractual requirements, and compliance with regulations. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
ViiV Healthcare (GSK) Associate Director, Field Reimbursement Corporate Account, NYC North GSK plcViiV Healthcare (GSK) Associate Director, Field Reimbursement Corporate Account, NYC NorthNJRemote$150,750–$251,250 / yearThe Associate Director, Field Reimbursement Corporate Account will play a pivotal role in building a stronger implementation presence in key accounts and will be directly responsible for developing and orchestrating a top-down integrated implementation approach aligned to the account's implementation needs. The Associate Director, Field Reimbursement Corporate Account, NYC North will operate as the subject-matter expert on reimbursement, access, and coverage issues affecting ViiVs long acting injectables to facilitate appropriate patient access.
Healthcare Platform Integration Architect Computer Task Group, IncHealthcare Platform Integration ArchitectNYRemote$75–$85 / hourThe ideal candidate will bring deep healthcare integration expertise, strong AWS cloud architecture experience, and a proven track record delivering scalable microservices and event-driven solutions. This role will drive modernization initiatives, architect cloud-native solutions, and develop scalable API and event-driven architectures within a complex healthcare ecosystem.
Principal Sales Engineer - Healthcare Zscaler IncPrincipal Sales Engineer - HealthcareNYRemote$195,000–$243,750 / yearThis role acts as a critical intersection and bridge between our customers, partners, sales teams, sales engineers, and product management - providing the deep technical expertise and strategic influence required to secure a cloud-enabled digital future. Serve as the definitive technical objection resolution authority and challenge both the internal Sales Engineering teams and the customer's teams on perceived "status quo" with creative, transformative architectures and innovative approaches to solving business challenges.
Enterprise Account Executive, Healthcare Sentilink CorpEnterprise Account Executive, HealthcareNYRemote$250,000–$280,000 / yearRole: As an Enterprise Account Executive, Healthcare, you will lead SentiLink's expansion across healthcare and healthcare-adjacent organizations, including providers, payers, digital health companies, healthcare marketplaces, and healthcare technology platforms. Because of your deep knowledge of the healthcare industry, we expect you to contribute beyond traditional sales responsibilities, helping to shape our healthcare go-to-market strategy, build playbooks for the vertical, and uncover new opportunities across the healthcare ecosystem.
Remote Registered Nurse RN RylemRemote Registered Nurse RNNew York, NYRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.
NewSenior Healthcare Network Consultant Humana IncSenior Healthcare Network ConsultantNJRemote$78,400–$107,800 / yearWork at Home Requirements 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. To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Senior Healthcare Informatics Analyst Cohere Health Technologies LLCSenior Healthcare Informatics AnalystNYRemote$110,000–$120,000 / yearBacked by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. Joining this mission means being part of a forward-thinking organization that values curiosity, collaboration, and impact-where your work directly contributes to a more efficient healthcare system and helps ensure patients receive the right care at the right time and providers receive the right payment.
Senior Account Executive - Healthcare Marketing Agency Precision Medicine Group LLCSenior Account Executive - Healthcare Marketing AgencyNYRemote$67,000–$93,000 / yearIn this role you'll be an internal team leader responsible for ensuring all members of the brand and project team work together effectively while developing successful marketing communication programs and helping create strategies that payers will remember. Support client services' efforts by managing projects, collaborating with the Project Management team to develop timelines, communicate milestones and identify possible red flags in projects.
VP of Sales and Strategic Partnerships Healthcare B2B2C RVO Health LLCVP of Sales and Strategic Partnerships Healthcare B2B2CNYRemote$163,050–$225,000 / yearThis leader will establish and grow a robust sales pipeline and execute growth plans by leveraging partnerships, marketing initiatives, industry events, and thought leadership to deliver innovative, direct-to-patient digital health solutions to pharmaceutical clients. Industry Relationships: Extensive network of senior-level contacts within the commercial space of major pharmaceutical companies, health plans, digital health, and/or large B2B pharmacy / digital care clients with demonstrated success in leveraging these relationships for business growth.
Telephonic Nurse Case Manager (1099 | Remote – NJ RN License Required) The IMA GroupTelephonic Nurse Case Manager (1099 | Remote – NJ RN License Required)Jersey City, New JerseyRemoteOur Payer Services Division meets the evaluation and screening needs of Carriers, TPAs, Public Entities and Employers and includes behavioral health and physical medicine specialty services, working with a wide range of organizations within the workers' compensation, disability, liability, and auto markets. Telephonic Nurse Case Manager (1099 | Remote – NJ RN License Required)We are currently seeking an experienced Telephonic Nurse Case Manager (RN) to support workers’ compensation cases through remote care coordination and telephonic case management services.
Multi-State Remote RD, CDCES - Contracted Position Perry Health IncMulti-State Remote RD, CDCES - Contracted PositionNYRemoteWe provide expert diabetes education and clinical management for Medicare patients, delivered by a comprehensive team of specialized Registered Nurses, Registered Dietitians, and Accountability Coaches. Skills: Motivated learner, willing to acquire proficiency with the necessary technology (computers, software applications, phone systems); experience or training in Motivational Interviewing to support sustainable behavior change is a plus.
Senior Product Manager-Healthcare Consensus Cloud Solutions IncSenior Product Manager-HealthcareNYRemote$125,000–$145,000 / yearStrategic KPI Alignment: Define, track, and manage product KPIs (Key Performance Indicators) and ensure all product priorities, roadmaps, and requirements are directly aligned with measurable business outcomes and performance targets that align with organizational goals. Product Discovery & Ideation: Initiate and lead rigorous product discovery efforts, including market research, clinical interviews, and data analysis to identify and validate new product ideation and opportunities, especially those leveraging AI/ML solutions.
RCM Specialist - Healthcare Revenue Cycle ATI Physical Therapy IncRCM Specialist - Healthcare Revenue CycleNYRemote$22.40–$26.98 / hourThe RCM Specialist will need understanding of all revenue cycle processes but will be assigned to one of the following focused areas: Financial Clearance, Central Business Office, Commercial/Gov't/SP AR Follow-up, or WC/API AR Follow-up. Performs timely reviews of patient accounts, vendor work products, and remittances for denials to determine root cause of issue and appropriateness of actions taken, and assists in corrective action plan development.
Sales VP, Healthcare Cotiviti Holdings Inc. (Inactive)Sales VP, HealthcareNYRemote$166,000–$185,000 / yearExperience working in a leading Health Plan software and service vendor in the Payment Integrity space is required with specific experience selling Coordination of Benefits and/or Data Mining solutions being highly desired. Strong interpersonal skills with ability to effectively communicate with a diverse group of stakeholders (prospects, clients, hospital executives, nurses, implementation staff, etc.).
Case Manager RN, Compact License (Remote EST & CST) CVS Health CorpCase Manager RN, Compact License (Remote EST & CST)Work At Home-New Jersey, NJRemote$66,575–$142,576 / 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.
Account Manager, Healthcare ID.me IncAccount Manager, HealthcareNYRemote$233,125–$300,000 / yearYou will work closely with internal stakeholders-including Product, Onboarding, Value Management Office, Partnerships, Legal, and Solutions Consulting-to ensure customers realize the full value of their partnership with ID.me. ID.me is seeking a high-performing Account Manager to own and deepen relationships with our current and active Healthcare customers, including a wide variety of health systems, hospitals, payers, and public healthcare agencies.
Clinical Reviewer (SCA-Remote) Acentra HealthClinical Reviewer (SCA-Remote)NYRemote$28.37–$35 / hourJob Responsibilities: Assures accuracy and timeliness of all applicable review type cases within contract requirements Assesses, evaluates, and addresses daily workload and call queues; adjusts work schedules daily to meet the workload demands of the department In collaboration with Supervisor, responsible for the quality monitoring activities including identifying areas of improvement and plan implementation of improvement areas Maintains current knowledge base related to review processes and clinical practices related to the review processes, functions as the initial resource to nurse reviewers regarding all review process questions and/or concerns Functions as providers' liaison and contact/resource person for provider customer service issues and problem resolution Performs all applicable review types as workload indicates Fosters positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the review process Attends training and scheduled meetings and for maintenance and use of current/updated information for review Cross trains and perform duties of other contracts to provide a flexible workforce to meet client/customer needs Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Care Manager - Hybrid Remote Dart Healthcare StaffingCare Manager - Hybrid RemoteNew York, New YorkRemote$50,000–$60,000 / yearRequired Education, Experience, and Licenses:a) A Bachelor’s degree with two years of relevant experience, ORb) A License as a Registered Nurse with two years or relevant experience, which can include any employment experience andis not limited to case management/service coordination duties, ORc) A Master’s degree with one year of relevant experienced) MSC Service Coordinators prior to July 1, 2018 are “grandfathered” to facilitate continuity of careRequirements-Comprehensive Care Management Complete a Comprehensive Assessment for each individual that identifies medical, mental health, chemical dependency, developmental disability, and social service need Develop a Life Plan with the individual; include family, collaterals, and service providers in fulfillment of the Life Plan; parties should agree with the goals, interventions, and timeframes Caseload size up to a weight of 20, generally 35-40 members, but may vary Conduct face-to-face visits as required (Monthly, Quarterly, or Bi-Annually dependent on regulatory requirement and individual needs of each individual) #2. Individual and Family Support Communicate and share information with individuals and their family/representative, ensure that the Life Plan reflects the individual’s and their family/representative’s preferences Utilize peer supports, support groups to increase family/representative’s awareness Provide monthly contact and engagement with all members/families Follow up to strive for complete member satisfaction with TCC and external services #5.