Remote Healthcare Recruiter (General Healthcare - Nationwide) Gotham Enterprises LtdRemote Healthcare Recruiter (General Healthcare - Nationwide)Phoenix, AZRemote$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.
Virtual Healthcare Manager (Remote) Imagine LearningVirtual Healthcare Manager (Remote)Tempe, AZRemotep>The Patient Care Manager will lead care coordination efforts, support patient engagement, and ensure the delivery of high-quality, patient-centered services across virtual care platforms. This role serves as a key liaison between patients, healthcare providers, and internal teams, ensuring seamless communication and effective care management.
Senior Account Manager - Life Sciences & Healthcare (Remote) Clarivate PlcSenior Account Manager - Life Sciences & Healthcare (Remote)Chandler, AZRemote$105,600–$132,000 / yearOur market-leading intelligence solutions and transformative data technology equip our customers with the insight and foresight needed across all their initiatives from early-stage drug discovery right through commercialization and beyond. As a Senior Account Manager, you will own end‑to‑end account strategy-developing and executing account plans, identifying whitespace, and leading opportunities from discovery through close.
Client Executive - Healthcare Payer (Phoenix, AZ) Remote NTT DATA Services, LLCClient Executive - Healthcare Payer (Phoenix, AZ) RemotePhoenix, AZRemote$179,000–$354,000 / yearAs the leader of their assigned accounts, the Client Executive is responsible for defining and executing growth strategy, revenue forecasting, achieving all financial targets, service excellence, and overall client satisfaction, with indirect team members overseeing the delivery of complex, multi-disciplinary solutions. Job Responsibilities Include: Build, manage, and measure a full cycle, virtual/geographically dispersed sales organization with annual TCV over ~$20M and promote an entrepreneurial environment focused on increasing market share and continued brand recognition and drive go-to-market sales approaches for various Healthcare-specific offerings.
Healthcare Informatics Consultant- Remote within the Western US - R-27342-7754 Siemens Healthcare Diagnostics Inc.Healthcare Informatics Consultant- Remote within the Western US - R-27342-7754Phoenix, AZRemote$18,810–$93,680 / yearRemote role supporting customers across the Western U.S. - High-visibility consulting role with direct impact on patient-care. - Co-create future-state workflows with Healthcare Consultants (HCs).
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEPhoenix, AZRemoteli>Registered 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.
Technical Training Lead Representative - Cigna Healthcare - Remote The Cigna GroupTechnical Training Lead Representative - Cigna Healthcare - RemoteArizona Work at Home, AZRemote$22–$33 / hourWhile training new claims examiners, fulfill all claims examiner functions as listed below: Ensures accurate and complete claims processing by verifying required documentation, collaborating with relevant parties to obtain necessary information, and confirming system adjudication aligns with plan provisions. 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.
Healthcare Cost Reporting/Reimbursement Manager - Remote Eligible Eide Bailly LLPHealthcare Cost Reporting/Reimbursement Manager - Remote EligiblePhoenix, AZRemote$95,000–$135,000 / yearLocation: Any state with an Eide Bailly office Work Arrangement: In-office, hybrid, or remote with the ability to come into an Eide Bailly office as needed Typical Day in the Life In this role, you will lead healthcare financial projects, including Medicare and Medicaid cost report services for a variety of healthcare facilities, while also supporting other reimbursement initiatives as needed. A typical day as a Healthcare Reimbursement Manager might include the following: Overseeing cost report preparation and reimbursement engagements to ensure objectives are met, including supporting staff development, addressing client needs, and maintaining engagement profitability.
Registered Nurse - Medical Policy Development/Research Specialist - Remote - AZ Blue Cross and Blue Shield AssociationRegistered Nurse - Medical Policy Development/Research Specialist - Remote - AZPhoenix, AZRemoteWorking independently, initiate research from resource materials, e.g., clinical journals, periodicals, CMS (Medicare) guidelines and publications, BCBSA publications, other BCBS plans, and internet resources relating to technical, clinical and coverage guidelines, summarizing and reporting this information to management for further action. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
Case Manager Registered Nurse (Remote) CVS Health CorpCase Manager Registered Nurse (Remote)AZRemote$60,522–$129,615 / yearul>Assessing the member's health status and care coordination needs, inpatient review and discharge planning, developing and implementing the CM plan, monitoring and evaluating the plan and involving the Medical Director as indicated and closing the case as appropriate when the member has met discharge criteria. The Care Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Case Manager, Registered Nurse - Fully Remote CVS Health CorpCase Manager, Registered Nurse - Fully RemoteAZRemote$54,095–$155,538 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
NewPublic Healthcare Consultant State of ArizonaPublic Healthcare ConsultantPhoenix, AZRemotep>Major duties and responsibilities include but are not limited to: Prepares for and participates in audits to include the review of pre-audit documents and polices, on site audit, formal written documentation of findings and monitoring the corrective Action Plans as applicable. Job Summary: Under the general direction of the Medical Management (MM) Manager and Supervisor, this position will monitor and evaluate Medical Management programs for the AHCCCS Complete Care Contractors, Arizona Long Term Care System and RBHA Contractors.
RN Case Manager- Phoenix, AZ- Hybrid Remote DaVita IncRN Case Manager- Phoenix, AZ- Hybrid RemotePhoenix, AZRemote$68,400–$100,400 / yearOur more than 600 dedicated nurses, care coordinators, nurse practitioners (NPs) and business professionals integrate and manage care for more than 20,000 patients with late-stage chronic kidney disease (CKD) and end stage renal disease (ESRD) across the US each month. DaVita Integrated Kidney Care (DaVita IKC) is an the integrated care division of DaVita Inc. working on DaVita's vision to provide integrated care to all ESRD patients, who are some of the most medically complex and vulnerable patient populations in the US.
Remote- Grievance and Appeals Nurse Pride GlobalRemote- Grievance and Appeals NursePhoenix, AZRemote$40–$45 / hourli>Maintains a thorough understanding of Health Plan operations and business unit processes, workflows, and system requirements, including plan benefits outlined in EOC documents, authorizations, referrals, network and non-network provider claims, and regulatory compliance. Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.
REMOTE RN - Quality Review Teema GroupREMOTE RN - Quality ReviewPhoenix, AZRemote$42–$43.50This role focuses on reviewing clinical cases, identifying potential quality or safety concerns, and supporting quality improvement initiatives across a complex healthcare delivery network. This is an excellent opportunity for a licensed clinical professional with experience in clinical review, utilization management, or healthcare quality within health plans, hospital systems, or government-supported programs.
RN Med Policy Development/Research Specialist (UM experience) - REMOTE-AZ Blue Cross Blue Shield of ArizonaRN Med Policy Development/Research Specialist (UM experience) - REMOTE-AZPhoenix, ArizonaRemoteli>Working independently, initiate research from resource materials, e.g., clinical journals, periodicals, CMS (Medicare) guidelines and publications, BCBSA publications, other BCBS plans, and internet resources relating to technical, clinical and coverage guidelines, summarizing and reporting this information to management for further action. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
Remote RN | California License Required Pine Park HealthRemote RN | California License RequiredPhoenix, AZRemoteh3>Why You'll Love Us: We're a smart, heart-centered, low-ego group motivated to make waves in the lives of seniors and the healthcare industry. This job description in no way states or implies that these are the only duties to which will be required in this position, employees may be required to follow other job-related duties as requested by their supervisor/manager (within guidelines and compliance with Federal and State Laws).
Licensed Clinical Social Worker- Remote BetterHelpLicensed Clinical Social Worker- RemotePhoenix, AZRemoteAlso, 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).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Psychologist- Remote BetterHelpLicensed Psychologist- RemotePhoenix, AZRemoteAlso, 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).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Marriage and Family Therapist - Remote BetterHelpLicensed Marriage and Family Therapist - RemotePhoenix, AZRemoteAlso, 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).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemotePhoenix, AZRemoteAlso, 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).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Integrated Care Manager - Remote Blue Cross and Blue Shield AssociationIntegrated Care Manager - RemotePhoenix, AZRemoteul>Within 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). 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).Government Contracts Manager - Healthcare Staffing Gotham Enterprises LtdGovernment Contracts Manager - Healthcare StaffingPhoenix, AZRemote$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.Healthcare Scheduler PART TIME Banner HealthHealthcare Scheduler PART TIMEAZRemote$19.06–$28.60 / hourli>Effectively communicates and builds impactful relationships through written, digital and verbal channels with patients, facilities, providers and other clinical colleagues to ensure an easy, empathetic, solution-orientated patient experience, included but not limited to phone, chat, email, electronic medical record messaging and other digital channels. Demonstrated ability to provide essential customer service and knowledge in a high paced inbound contact center environment Ability to use technology tools to research and obtain accurate information to respond to customer inquiries via incoming calls, emails and/or instant messaging/chat avenues while maintaining a professional solutions and service-oriented demeanor at all times.Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselAZRemote$135,000–$185,000 / yearp>Physical 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.Clinical Risk Educator, Remote Aledade IncClinical Risk Educator, RemotePhoenix, AZRemote$69,000–$91,000 / yearli>Current medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CST IntellaTriage, Inc.Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CSTPhoenix, AZRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Clinical Quality Coordinator QOC RN - Remote Blue Cross and Blue Shield AssociationClinical Quality Coordinator QOC RN - RemotePhoenix, AZRemoteStrong verbal and written communication skills and the ability to compose a variety of business correspondence and interact professionally with a diverse groups, executives, managers, and subject matter experts. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.ViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains Region GSK plcViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains RegionPhoenix, AZRemote$182,250–$303,750 / yearKey Relationships to Drive Success (Internal & External) Marketing Senior Sales Leaders and current sales team Field Strategy and Operations Market Access Medical Science Liaison (MSL) Field Reimbursement Managers (FRM) Community Medical Liaisons/Contract Nurses HCPs - private practice, community clinics, and integrated systems Physician Support Staff Broader HIV community (Aids Service Orgs) Local business, regulatory and legal stakeholders Specialty Pharmacies Alternate Sites of Administration This role will provide YOU the opportunity to lead key activities to progress YOUR career, these responsibilities include some of the following: Managing the Business and Driving Performance Align and execute on business strategy marketing, market access pull-through, launches, multi-channel customer engagement, and employee development, to deliver exceptional results. 9+ years pharmaceutical sales experience including 6 plus years of specialty management experience leading teams Experience recruiting, developing and leading specialty teams to work cross functionally within an integrated account team model that includes multiple field-based team members.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriage, Inc.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license neededPhoenix, AZRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds) IntellaTriage, Inc.Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds)Phoenix, AZRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Health Manager - RN Required - REMOTE - AZ Blue Cross Blue Shield of ArizonaHealth Manager - RN Required - REMOTE - AZPhoenix, ArizonaRemotep>Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. Active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.Remote- Med Policy Developer/Research Specialist II Pride GlobalRemote- Med Policy Developer/Research Specialist IIPhoenix, AZRemote$35–$39 / hourThis applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793. Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CST IntellaTriageRemote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CSTPhoenix, AZRemoteem>Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Remote Registered Nurse RN RylemRemote Registered Nurse RNPhoenix, AZRemote$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.Senior Consultant, Healthcare Consulting - Epidemiology Clarivate PlcSenior Consultant, Healthcare Consulting - EpidemiologyChandler, AZRemote$115,200–$144,000 / yearli>Execute complex analytical tasks and research efforts by applying advanced healthcare analytics methods, synthesizing large clinical datasets, and interpreting findings to generate actionable insights for clients. Our highly experienced team of expert consultants utilize integrated research, data, and analytics to enable clients to make better, more informed decisions in a rapidly changing landscape.RN - Oncology Nurse Case Manager - Remote The Cigna GroupRN - Oncology Nurse Case Manager - RemoteAZRemote$77,500–$129,100 / yearThese 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. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.NewRemote FT Nursing Course Manager - Peds Specialty Unitek Learning IncRemote FT Nursing Course Manager - Peds SpecialtyTempe, AZRemotep>The Full Time Remote Course Manager provides academic leadership and oversight for online pre-licensure nursing courses, ensuring consistent, high-quality course delivery aligned with program outcomes. Monitor student performance trends and learning analytics, implementing strategies to improve outcomes and supporting at-risk students in collaboration with NCLEX Success teams.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriageRemote Hospice Triage RN PT 3:30p-11p Compact & CA license neededPhoenix, AZRemoteem>Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds) IntellaTriageRemote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds)Phoenix, AZRemoteem>Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Business Intelligence Developer-Medicaid - Level I (Remote AZ) Blue Cross Blue Shield of ArizonaBusiness Intelligence Developer-Medicaid - Level I (Remote AZ)Phoenix, ArizonaRemotep>This position partners with business leaders across the organization to provide high quality reporting and analysis that is accurate, thoroughly researched, assists in identifying risks & opportunities, and provides untapped insights and knowledge to enable data driven and data literate decision making for departments and teams throughout the entire Medicaid segment. The Business Intelligence Developer - Medicaid role is responsible for the design, creation, and maintenance of sustainable reporting solutions and analytical insights that improve efficiency, drive innovation, and inform data driven decision making in support of broader business and corporate strategies across the organization.Health Manager - Remote in Arizona Blue Cross Blue Shield of ArizonaHealth Manager - Remote in ArizonaPhoenix, ArizonaRemotep>Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. Active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.Health Manager - RN or RD required - REMOTE - AZ Blue Cross and Blue Shield AssociationHealth Manager - RN or RD required - REMOTE - AZPhoenix, AZRemotep>Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. Active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.Adjunct - Pathophysiology - Online (Remote) - College of Nursing and Health Care Professions Grand Canyon University Dining ServicesAdjunct - Pathophysiology - Online (Remote) - College of Nursing and Health Care ProfessionsAZRemotep>This course is designed to build upon existing knowledge of the pathophysiological processes of disease as they affect patients across the life span, recognizing the nurse's multidimensional role in health promotion and disease management and prevention, which include biological, environmental, social, psychological, and spiritual dimensions. The College of Nursing and Health Care Professions at GCU is seeking knowledgeable, mission-driven Adjunct Faculty to teach Pathophysiology online.Adjunct - Complex Disease Management - Online (Remote) - College of Nursing and Health Care Professions Grand Canyon University Dining ServicesAdjunct - Complex Disease Management - Online (Remote) - College of Nursing and Health Care ProfessionsAZRemotep>This course integrates knowledge from pathophysiology, pharmacology, nursing theory, and current evidence-based practice to inform clinical judgment and to ensure safe, effective, and holistic care. The College of Nursing and Health Care Professions at GCU is seeking knowledgeable, mission-driven Adjunct Faculty to teach Complex Disease Management online.Remote-Manager, Case Management SNP (California RN License Required) Alignment Healthcare IncRemote-Manager, Case Management SNP (California RN License Required)AZRemote$113,332–$169,999 / yearIn this fully remote leadership role, you will oversee a high-performing care management team dedicated to improving outcomes for members with complex and chronic healthcare needs. Monitors activities to support the timeliness of Health Risk Assessment (Initial and Reassessment) completion, Individualized Care Plan (ICP) development and Interdisciplinary Care Team (ICT) delivery for SNP members.Initial Clinical Reviewer - Remote - AZ Blue Cross Blue Shield of ArizonaInitial Clinical Reviewer - Remote - AZPhoenix, ArizonaRemoteli>When indicated to assist with team/project functions:Collaborate with team to distribute workload/work tasks; Monitor and report team tasks; Communicate team issues and opportunities for improvement to supervisor/manager; Support/mentor team members. D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to practice in the State of Arizona as an LPN.(Remote) Manager of Software Services & Support Harris Computer Systems(Remote) Manager of Software Services & SupportAZRemote$90,000–$100,000 / yearp>What we are looking for: Candidates must possess demonstrable experience in Hospital Revenue Cycle Management OR Hospital Patient Accounting, as this specialized healthcare knowledge is essential for understanding client needs and delivering effective solutions. About Harris Novum: Harris Novum is a healthcare technology company focused on helping hospitals, health systems, and physician organizations strengthen financial performance and improve patient care through intelligent software solutions.Medical Appeals and Grievance (MAG) Specialist II - Remote Blue Cross and Blue Shield AssociationMedical Appeals and Grievance (MAG) Specialist II - RemotePhoenix, AZRemoteli>Demonstrate ability to acquire specialized knowledge to complete all types of level one appeals, grievances and corrected claims for local lines of business using appropriate benefit plan booklet, administrative guidelines and policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research and precertification research. Ability to demonstrate specialized knowledge to administer Federal Employee Program (FEP)inquiries, appeals, grievances and sub-reconsiderations using appropriate service benefit plan provisions, and internal policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research, and precertification research.Clinical Operations Director (Premium) - Evernorth Health Services -Remote The Cigna GroupClinical Operations Director (Premium) - Evernorth Health Services -RemotePhoenix, AZRemote$144,200–$240,400 / yearp>Working closely with the Managing Director of Case Management Operations and senior cross-functional partners, this role connects strategy with execution to support the design, implementation, and ongoing improvement of differentiated service models that drive client retention, growth, and operational scalability. 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.12345Resume ResourcesFree Resume TemplatesFree Resume Builder
Licensed Psychologist- Remote BetterHelpLicensed Psychologist- RemotePhoenix, AZRemoteAlso, 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).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Marriage and Family Therapist - Remote BetterHelpLicensed Marriage and Family Therapist - RemotePhoenix, AZRemoteAlso, 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).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemotePhoenix, AZRemoteAlso, 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).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Integrated Care Manager - Remote Blue Cross and Blue Shield AssociationIntegrated Care Manager - RemotePhoenix, AZRemoteul>Within 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). 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).Government Contracts Manager - Healthcare Staffing Gotham Enterprises LtdGovernment Contracts Manager - Healthcare StaffingPhoenix, AZRemote$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.Healthcare Scheduler PART TIME Banner HealthHealthcare Scheduler PART TIMEAZRemote$19.06–$28.60 / hourli>Effectively communicates and builds impactful relationships through written, digital and verbal channels with patients, facilities, providers and other clinical colleagues to ensure an easy, empathetic, solution-orientated patient experience, included but not limited to phone, chat, email, electronic medical record messaging and other digital channels. Demonstrated ability to provide essential customer service and knowledge in a high paced inbound contact center environment Ability to use technology tools to research and obtain accurate information to respond to customer inquiries via incoming calls, emails and/or instant messaging/chat avenues while maintaining a professional solutions and service-oriented demeanor at all times.Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselAZRemote$135,000–$185,000 / yearp>Physical 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.Clinical Risk Educator, Remote Aledade IncClinical Risk Educator, RemotePhoenix, AZRemote$69,000–$91,000 / yearli>Current medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CST IntellaTriage, Inc.Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CSTPhoenix, AZRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Clinical Quality Coordinator QOC RN - Remote Blue Cross and Blue Shield AssociationClinical Quality Coordinator QOC RN - RemotePhoenix, AZRemoteStrong verbal and written communication skills and the ability to compose a variety of business correspondence and interact professionally with a diverse groups, executives, managers, and subject matter experts. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.ViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains Region GSK plcViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains RegionPhoenix, AZRemote$182,250–$303,750 / yearKey Relationships to Drive Success (Internal & External) Marketing Senior Sales Leaders and current sales team Field Strategy and Operations Market Access Medical Science Liaison (MSL) Field Reimbursement Managers (FRM) Community Medical Liaisons/Contract Nurses HCPs - private practice, community clinics, and integrated systems Physician Support Staff Broader HIV community (Aids Service Orgs) Local business, regulatory and legal stakeholders Specialty Pharmacies Alternate Sites of Administration This role will provide YOU the opportunity to lead key activities to progress YOUR career, these responsibilities include some of the following: Managing the Business and Driving Performance Align and execute on business strategy marketing, market access pull-through, launches, multi-channel customer engagement, and employee development, to deliver exceptional results. 9+ years pharmaceutical sales experience including 6 plus years of specialty management experience leading teams Experience recruiting, developing and leading specialty teams to work cross functionally within an integrated account team model that includes multiple field-based team members.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriage, Inc.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license neededPhoenix, AZRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds) IntellaTriage, Inc.Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds)Phoenix, AZRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Health Manager - RN Required - REMOTE - AZ Blue Cross Blue Shield of ArizonaHealth Manager - RN Required - REMOTE - AZPhoenix, ArizonaRemotep>Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. Active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.Remote- Med Policy Developer/Research Specialist II Pride GlobalRemote- Med Policy Developer/Research Specialist IIPhoenix, AZRemote$35–$39 / hourThis applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793. Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CST IntellaTriageRemote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CSTPhoenix, AZRemoteem>Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Remote Registered Nurse RN RylemRemote Registered Nurse RNPhoenix, AZRemote$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.Senior Consultant, Healthcare Consulting - Epidemiology Clarivate PlcSenior Consultant, Healthcare Consulting - EpidemiologyChandler, AZRemote$115,200–$144,000 / yearli>Execute complex analytical tasks and research efforts by applying advanced healthcare analytics methods, synthesizing large clinical datasets, and interpreting findings to generate actionable insights for clients. Our highly experienced team of expert consultants utilize integrated research, data, and analytics to enable clients to make better, more informed decisions in a rapidly changing landscape.RN - Oncology Nurse Case Manager - Remote The Cigna GroupRN - Oncology Nurse Case Manager - RemoteAZRemote$77,500–$129,100 / yearThese 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. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.NewRemote FT Nursing Course Manager - Peds Specialty Unitek Learning IncRemote FT Nursing Course Manager - Peds SpecialtyTempe, AZRemotep>The Full Time Remote Course Manager provides academic leadership and oversight for online pre-licensure nursing courses, ensuring consistent, high-quality course delivery aligned with program outcomes. Monitor student performance trends and learning analytics, implementing strategies to improve outcomes and supporting at-risk students in collaboration with NCLEX Success teams.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriageRemote Hospice Triage RN PT 3:30p-11p Compact & CA license neededPhoenix, AZRemoteem>Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds) IntellaTriageRemote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds)Phoenix, AZRemoteem>Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Business Intelligence Developer-Medicaid - Level I (Remote AZ) Blue Cross Blue Shield of ArizonaBusiness Intelligence Developer-Medicaid - Level I (Remote AZ)Phoenix, ArizonaRemotep>This position partners with business leaders across the organization to provide high quality reporting and analysis that is accurate, thoroughly researched, assists in identifying risks & opportunities, and provides untapped insights and knowledge to enable data driven and data literate decision making for departments and teams throughout the entire Medicaid segment. The Business Intelligence Developer - Medicaid role is responsible for the design, creation, and maintenance of sustainable reporting solutions and analytical insights that improve efficiency, drive innovation, and inform data driven decision making in support of broader business and corporate strategies across the organization.Health Manager - Remote in Arizona Blue Cross Blue Shield of ArizonaHealth Manager - Remote in ArizonaPhoenix, ArizonaRemotep>Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. Active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.Health Manager - RN or RD required - REMOTE - AZ Blue Cross and Blue Shield AssociationHealth Manager - RN or RD required - REMOTE - AZPhoenix, AZRemotep>Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. Active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.Adjunct - Pathophysiology - Online (Remote) - College of Nursing and Health Care Professions Grand Canyon University Dining ServicesAdjunct - Pathophysiology - Online (Remote) - College of Nursing and Health Care ProfessionsAZRemotep>This course is designed to build upon existing knowledge of the pathophysiological processes of disease as they affect patients across the life span, recognizing the nurse's multidimensional role in health promotion and disease management and prevention, which include biological, environmental, social, psychological, and spiritual dimensions. The College of Nursing and Health Care Professions at GCU is seeking knowledgeable, mission-driven Adjunct Faculty to teach Pathophysiology online.Adjunct - Complex Disease Management - Online (Remote) - College of Nursing and Health Care Professions Grand Canyon University Dining ServicesAdjunct - Complex Disease Management - Online (Remote) - College of Nursing and Health Care ProfessionsAZRemotep>This course integrates knowledge from pathophysiology, pharmacology, nursing theory, and current evidence-based practice to inform clinical judgment and to ensure safe, effective, and holistic care. The College of Nursing and Health Care Professions at GCU is seeking knowledgeable, mission-driven Adjunct Faculty to teach Complex Disease Management online.Remote-Manager, Case Management SNP (California RN License Required) Alignment Healthcare IncRemote-Manager, Case Management SNP (California RN License Required)AZRemote$113,332–$169,999 / yearIn this fully remote leadership role, you will oversee a high-performing care management team dedicated to improving outcomes for members with complex and chronic healthcare needs. Monitors activities to support the timeliness of Health Risk Assessment (Initial and Reassessment) completion, Individualized Care Plan (ICP) development and Interdisciplinary Care Team (ICT) delivery for SNP members.Initial Clinical Reviewer - Remote - AZ Blue Cross Blue Shield of ArizonaInitial Clinical Reviewer - Remote - AZPhoenix, ArizonaRemoteli>When indicated to assist with team/project functions:Collaborate with team to distribute workload/work tasks; Monitor and report team tasks; Communicate team issues and opportunities for improvement to supervisor/manager; Support/mentor team members. D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to practice in the State of Arizona as an LPN.(Remote) Manager of Software Services & Support Harris Computer Systems(Remote) Manager of Software Services & SupportAZRemote$90,000–$100,000 / yearp>What we are looking for: Candidates must possess demonstrable experience in Hospital Revenue Cycle Management OR Hospital Patient Accounting, as this specialized healthcare knowledge is essential for understanding client needs and delivering effective solutions. About Harris Novum: Harris Novum is a healthcare technology company focused on helping hospitals, health systems, and physician organizations strengthen financial performance and improve patient care through intelligent software solutions.Medical Appeals and Grievance (MAG) Specialist II - Remote Blue Cross and Blue Shield AssociationMedical Appeals and Grievance (MAG) Specialist II - RemotePhoenix, AZRemoteli>Demonstrate ability to acquire specialized knowledge to complete all types of level one appeals, grievances and corrected claims for local lines of business using appropriate benefit plan booklet, administrative guidelines and policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research and precertification research. Ability to demonstrate specialized knowledge to administer Federal Employee Program (FEP)inquiries, appeals, grievances and sub-reconsiderations using appropriate service benefit plan provisions, and internal policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research, and precertification research.Clinical Operations Director (Premium) - Evernorth Health Services -Remote The Cigna GroupClinical Operations Director (Premium) - Evernorth Health Services -RemotePhoenix, AZRemote$144,200–$240,400 / yearp>Working closely with the Managing Director of Case Management Operations and senior cross-functional partners, this role connects strategy with execution to support the design, implementation, and ongoing improvement of differentiated service models that drive client retention, growth, and operational scalability. 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.12345Resume ResourcesFree Resume TemplatesFree Resume Builder
Licensed Marriage and Family Therapist - Remote BetterHelpLicensed Marriage and Family Therapist - RemotePhoenix, AZRemoteAlso, 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).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemotePhoenix, AZRemoteAlso, 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).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Integrated Care Manager - Remote Blue Cross and Blue Shield AssociationIntegrated Care Manager - RemotePhoenix, AZRemoteul>Within 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). 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).Government Contracts Manager - Healthcare Staffing Gotham Enterprises LtdGovernment Contracts Manager - Healthcare StaffingPhoenix, AZRemote$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.Healthcare Scheduler PART TIME Banner HealthHealthcare Scheduler PART TIMEAZRemote$19.06–$28.60 / hourli>Effectively communicates and builds impactful relationships through written, digital and verbal channels with patients, facilities, providers and other clinical colleagues to ensure an easy, empathetic, solution-orientated patient experience, included but not limited to phone, chat, email, electronic medical record messaging and other digital channels. Demonstrated ability to provide essential customer service and knowledge in a high paced inbound contact center environment Ability to use technology tools to research and obtain accurate information to respond to customer inquiries via incoming calls, emails and/or instant messaging/chat avenues while maintaining a professional solutions and service-oriented demeanor at all times.Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselAZRemote$135,000–$185,000 / yearp>Physical 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.Clinical Risk Educator, Remote Aledade IncClinical Risk Educator, RemotePhoenix, AZRemote$69,000–$91,000 / yearli>Current medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CST IntellaTriage, Inc.Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CSTPhoenix, AZRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Clinical Quality Coordinator QOC RN - Remote Blue Cross and Blue Shield AssociationClinical Quality Coordinator QOC RN - RemotePhoenix, AZRemoteStrong verbal and written communication skills and the ability to compose a variety of business correspondence and interact professionally with a diverse groups, executives, managers, and subject matter experts. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.ViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains Region GSK plcViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains RegionPhoenix, AZRemote$182,250–$303,750 / yearKey Relationships to Drive Success (Internal & External) Marketing Senior Sales Leaders and current sales team Field Strategy and Operations Market Access Medical Science Liaison (MSL) Field Reimbursement Managers (FRM) Community Medical Liaisons/Contract Nurses HCPs - private practice, community clinics, and integrated systems Physician Support Staff Broader HIV community (Aids Service Orgs) Local business, regulatory and legal stakeholders Specialty Pharmacies Alternate Sites of Administration This role will provide YOU the opportunity to lead key activities to progress YOUR career, these responsibilities include some of the following: Managing the Business and Driving Performance Align and execute on business strategy marketing, market access pull-through, launches, multi-channel customer engagement, and employee development, to deliver exceptional results. 9+ years pharmaceutical sales experience including 6 plus years of specialty management experience leading teams Experience recruiting, developing and leading specialty teams to work cross functionally within an integrated account team model that includes multiple field-based team members.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriage, Inc.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license neededPhoenix, AZRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds) IntellaTriage, Inc.Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds)Phoenix, AZRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Health Manager - RN Required - REMOTE - AZ Blue Cross Blue Shield of ArizonaHealth Manager - RN Required - REMOTE - AZPhoenix, ArizonaRemotep>Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. Active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.Remote- Med Policy Developer/Research Specialist II Pride GlobalRemote- Med Policy Developer/Research Specialist IIPhoenix, AZRemote$35–$39 / hourThis applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793. Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CST IntellaTriageRemote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CSTPhoenix, AZRemoteem>Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Remote Registered Nurse RN RylemRemote Registered Nurse RNPhoenix, AZRemote$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.Senior Consultant, Healthcare Consulting - Epidemiology Clarivate PlcSenior Consultant, Healthcare Consulting - EpidemiologyChandler, AZRemote$115,200–$144,000 / yearli>Execute complex analytical tasks and research efforts by applying advanced healthcare analytics methods, synthesizing large clinical datasets, and interpreting findings to generate actionable insights for clients. Our highly experienced team of expert consultants utilize integrated research, data, and analytics to enable clients to make better, more informed decisions in a rapidly changing landscape.RN - Oncology Nurse Case Manager - Remote The Cigna GroupRN - Oncology Nurse Case Manager - RemoteAZRemote$77,500–$129,100 / yearThese 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. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.NewRemote FT Nursing Course Manager - Peds Specialty Unitek Learning IncRemote FT Nursing Course Manager - Peds SpecialtyTempe, AZRemotep>The Full Time Remote Course Manager provides academic leadership and oversight for online pre-licensure nursing courses, ensuring consistent, high-quality course delivery aligned with program outcomes. Monitor student performance trends and learning analytics, implementing strategies to improve outcomes and supporting at-risk students in collaboration with NCLEX Success teams.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriageRemote Hospice Triage RN PT 3:30p-11p Compact & CA license neededPhoenix, AZRemoteem>Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds) IntellaTriageRemote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds)Phoenix, AZRemoteem>Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Business Intelligence Developer-Medicaid - Level I (Remote AZ) Blue Cross Blue Shield of ArizonaBusiness Intelligence Developer-Medicaid - Level I (Remote AZ)Phoenix, ArizonaRemotep>This position partners with business leaders across the organization to provide high quality reporting and analysis that is accurate, thoroughly researched, assists in identifying risks & opportunities, and provides untapped insights and knowledge to enable data driven and data literate decision making for departments and teams throughout the entire Medicaid segment. The Business Intelligence Developer - Medicaid role is responsible for the design, creation, and maintenance of sustainable reporting solutions and analytical insights that improve efficiency, drive innovation, and inform data driven decision making in support of broader business and corporate strategies across the organization.Health Manager - Remote in Arizona Blue Cross Blue Shield of ArizonaHealth Manager - Remote in ArizonaPhoenix, ArizonaRemotep>Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. Active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.Health Manager - RN or RD required - REMOTE - AZ Blue Cross and Blue Shield AssociationHealth Manager - RN or RD required - REMOTE - AZPhoenix, AZRemotep>Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. Active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.Adjunct - Pathophysiology - Online (Remote) - College of Nursing and Health Care Professions Grand Canyon University Dining ServicesAdjunct - Pathophysiology - Online (Remote) - College of Nursing and Health Care ProfessionsAZRemotep>This course is designed to build upon existing knowledge of the pathophysiological processes of disease as they affect patients across the life span, recognizing the nurse's multidimensional role in health promotion and disease management and prevention, which include biological, environmental, social, psychological, and spiritual dimensions. The College of Nursing and Health Care Professions at GCU is seeking knowledgeable, mission-driven Adjunct Faculty to teach Pathophysiology online.Adjunct - Complex Disease Management - Online (Remote) - College of Nursing and Health Care Professions Grand Canyon University Dining ServicesAdjunct - Complex Disease Management - Online (Remote) - College of Nursing and Health Care ProfessionsAZRemotep>This course integrates knowledge from pathophysiology, pharmacology, nursing theory, and current evidence-based practice to inform clinical judgment and to ensure safe, effective, and holistic care. The College of Nursing and Health Care Professions at GCU is seeking knowledgeable, mission-driven Adjunct Faculty to teach Complex Disease Management online.Remote-Manager, Case Management SNP (California RN License Required) Alignment Healthcare IncRemote-Manager, Case Management SNP (California RN License Required)AZRemote$113,332–$169,999 / yearIn this fully remote leadership role, you will oversee a high-performing care management team dedicated to improving outcomes for members with complex and chronic healthcare needs. Monitors activities to support the timeliness of Health Risk Assessment (Initial and Reassessment) completion, Individualized Care Plan (ICP) development and Interdisciplinary Care Team (ICT) delivery for SNP members.Initial Clinical Reviewer - Remote - AZ Blue Cross Blue Shield of ArizonaInitial Clinical Reviewer - Remote - AZPhoenix, ArizonaRemoteli>When indicated to assist with team/project functions:Collaborate with team to distribute workload/work tasks; Monitor and report team tasks; Communicate team issues and opportunities for improvement to supervisor/manager; Support/mentor team members. D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to practice in the State of Arizona as an LPN.(Remote) Manager of Software Services & Support Harris Computer Systems(Remote) Manager of Software Services & SupportAZRemote$90,000–$100,000 / yearp>What we are looking for: Candidates must possess demonstrable experience in Hospital Revenue Cycle Management OR Hospital Patient Accounting, as this specialized healthcare knowledge is essential for understanding client needs and delivering effective solutions. About Harris Novum: Harris Novum is a healthcare technology company focused on helping hospitals, health systems, and physician organizations strengthen financial performance and improve patient care through intelligent software solutions.Medical Appeals and Grievance (MAG) Specialist II - Remote Blue Cross and Blue Shield AssociationMedical Appeals and Grievance (MAG) Specialist II - RemotePhoenix, AZRemoteli>Demonstrate ability to acquire specialized knowledge to complete all types of level one appeals, grievances and corrected claims for local lines of business using appropriate benefit plan booklet, administrative guidelines and policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research and precertification research. Ability to demonstrate specialized knowledge to administer Federal Employee Program (FEP)inquiries, appeals, grievances and sub-reconsiderations using appropriate service benefit plan provisions, and internal policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research, and precertification research.Clinical Operations Director (Premium) - Evernorth Health Services -Remote The Cigna GroupClinical Operations Director (Premium) - Evernorth Health Services -RemotePhoenix, AZRemote$144,200–$240,400 / yearp>Working closely with the Managing Director of Case Management Operations and senior cross-functional partners, this role connects strategy with execution to support the design, implementation, and ongoing improvement of differentiated service models that drive client retention, growth, and operational scalability. 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.12345Resume ResourcesFree Resume TemplatesFree Resume Builder
Licensed Professional Counselor - Remote BetterHelpLicensed Professional Counselor - RemotePhoenix, AZRemoteAlso, 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).Experience counseling adults, couples, and/or teens.. Private practice with no doors and no overhead..Integrated Care Manager - Remote Blue Cross and Blue Shield AssociationIntegrated Care Manager - RemotePhoenix, AZRemoteul>Within 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). 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).Government Contracts Manager - Healthcare Staffing Gotham Enterprises LtdGovernment Contracts Manager - Healthcare StaffingPhoenix, AZRemote$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.Healthcare Scheduler PART TIME Banner HealthHealthcare Scheduler PART TIMEAZRemote$19.06–$28.60 / hourli>Effectively communicates and builds impactful relationships through written, digital and verbal channels with patients, facilities, providers and other clinical colleagues to ensure an easy, empathetic, solution-orientated patient experience, included but not limited to phone, chat, email, electronic medical record messaging and other digital channels. Demonstrated ability to provide essential customer service and knowledge in a high paced inbound contact center environment Ability to use technology tools to research and obtain accurate information to respond to customer inquiries via incoming calls, emails and/or instant messaging/chat avenues while maintaining a professional solutions and service-oriented demeanor at all times.Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselAZRemote$135,000–$185,000 / yearp>Physical 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.Clinical Risk Educator, Remote Aledade IncClinical Risk Educator, RemotePhoenix, AZRemote$69,000–$91,000 / yearli>Current medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CST IntellaTriage, Inc.Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CSTPhoenix, AZRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Clinical Quality Coordinator QOC RN - Remote Blue Cross and Blue Shield AssociationClinical Quality Coordinator QOC RN - RemotePhoenix, AZRemoteStrong verbal and written communication skills and the ability to compose a variety of business correspondence and interact professionally with a diverse groups, executives, managers, and subject matter experts. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.ViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains Region GSK plcViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains RegionPhoenix, AZRemote$182,250–$303,750 / yearKey Relationships to Drive Success (Internal & External) Marketing Senior Sales Leaders and current sales team Field Strategy and Operations Market Access Medical Science Liaison (MSL) Field Reimbursement Managers (FRM) Community Medical Liaisons/Contract Nurses HCPs - private practice, community clinics, and integrated systems Physician Support Staff Broader HIV community (Aids Service Orgs) Local business, regulatory and legal stakeholders Specialty Pharmacies Alternate Sites of Administration This role will provide YOU the opportunity to lead key activities to progress YOUR career, these responsibilities include some of the following: Managing the Business and Driving Performance Align and execute on business strategy marketing, market access pull-through, launches, multi-channel customer engagement, and employee development, to deliver exceptional results. 9+ years pharmaceutical sales experience including 6 plus years of specialty management experience leading teams Experience recruiting, developing and leading specialty teams to work cross functionally within an integrated account team model that includes multiple field-based team members.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriage, Inc.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license neededPhoenix, AZRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds) IntellaTriage, Inc.Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds)Phoenix, AZRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Health Manager - RN Required - REMOTE - AZ Blue Cross Blue Shield of ArizonaHealth Manager - RN Required - REMOTE - AZPhoenix, ArizonaRemotep>Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. Active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.Remote- Med Policy Developer/Research Specialist II Pride GlobalRemote- Med Policy Developer/Research Specialist IIPhoenix, AZRemote$35–$39 / hourThis applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793. Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CST IntellaTriageRemote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CSTPhoenix, AZRemoteem>Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Remote Registered Nurse RN RylemRemote Registered Nurse RNPhoenix, AZRemote$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.Senior Consultant, Healthcare Consulting - Epidemiology Clarivate PlcSenior Consultant, Healthcare Consulting - EpidemiologyChandler, AZRemote$115,200–$144,000 / yearli>Execute complex analytical tasks and research efforts by applying advanced healthcare analytics methods, synthesizing large clinical datasets, and interpreting findings to generate actionable insights for clients. Our highly experienced team of expert consultants utilize integrated research, data, and analytics to enable clients to make better, more informed decisions in a rapidly changing landscape.RN - Oncology Nurse Case Manager - Remote The Cigna GroupRN - Oncology Nurse Case Manager - RemoteAZRemote$77,500–$129,100 / yearThese 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. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.NewRemote FT Nursing Course Manager - Peds Specialty Unitek Learning IncRemote FT Nursing Course Manager - Peds SpecialtyTempe, AZRemotep>The Full Time Remote Course Manager provides academic leadership and oversight for online pre-licensure nursing courses, ensuring consistent, high-quality course delivery aligned with program outcomes. Monitor student performance trends and learning analytics, implementing strategies to improve outcomes and supporting at-risk students in collaboration with NCLEX Success teams.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriageRemote Hospice Triage RN PT 3:30p-11p Compact & CA license neededPhoenix, AZRemoteem>Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds) IntellaTriageRemote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds)Phoenix, AZRemoteem>Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.Business Intelligence Developer-Medicaid - Level I (Remote AZ) Blue Cross Blue Shield of ArizonaBusiness Intelligence Developer-Medicaid - Level I (Remote AZ)Phoenix, ArizonaRemotep>This position partners with business leaders across the organization to provide high quality reporting and analysis that is accurate, thoroughly researched, assists in identifying risks & opportunities, and provides untapped insights and knowledge to enable data driven and data literate decision making for departments and teams throughout the entire Medicaid segment. The Business Intelligence Developer - Medicaid role is responsible for the design, creation, and maintenance of sustainable reporting solutions and analytical insights that improve efficiency, drive innovation, and inform data driven decision making in support of broader business and corporate strategies across the organization.Health Manager - Remote in Arizona Blue Cross Blue Shield of ArizonaHealth Manager - Remote in ArizonaPhoenix, ArizonaRemotep>Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. Active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.Health Manager - RN or RD required - REMOTE - AZ Blue Cross and Blue Shield AssociationHealth Manager - RN or RD required - REMOTE - AZPhoenix, AZRemotep>Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. Active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.Adjunct - Pathophysiology - Online (Remote) - College of Nursing and Health Care Professions Grand Canyon University Dining ServicesAdjunct - Pathophysiology - Online (Remote) - College of Nursing and Health Care ProfessionsAZRemotep>This course is designed to build upon existing knowledge of the pathophysiological processes of disease as they affect patients across the life span, recognizing the nurse's multidimensional role in health promotion and disease management and prevention, which include biological, environmental, social, psychological, and spiritual dimensions. The College of Nursing and Health Care Professions at GCU is seeking knowledgeable, mission-driven Adjunct Faculty to teach Pathophysiology online.Adjunct - Complex Disease Management - Online (Remote) - College of Nursing and Health Care Professions Grand Canyon University Dining ServicesAdjunct - Complex Disease Management - Online (Remote) - College of Nursing and Health Care ProfessionsAZRemotep>This course integrates knowledge from pathophysiology, pharmacology, nursing theory, and current evidence-based practice to inform clinical judgment and to ensure safe, effective, and holistic care. The College of Nursing and Health Care Professions at GCU is seeking knowledgeable, mission-driven Adjunct Faculty to teach Complex Disease Management online.Remote-Manager, Case Management SNP (California RN License Required) Alignment Healthcare IncRemote-Manager, Case Management SNP (California RN License Required)AZRemote$113,332–$169,999 / yearIn this fully remote leadership role, you will oversee a high-performing care management team dedicated to improving outcomes for members with complex and chronic healthcare needs. Monitors activities to support the timeliness of Health Risk Assessment (Initial and Reassessment) completion, Individualized Care Plan (ICP) development and Interdisciplinary Care Team (ICT) delivery for SNP members.Initial Clinical Reviewer - Remote - AZ Blue Cross Blue Shield of ArizonaInitial Clinical Reviewer - Remote - AZPhoenix, ArizonaRemoteli>When indicated to assist with team/project functions:Collaborate with team to distribute workload/work tasks; Monitor and report team tasks; Communicate team issues and opportunities for improvement to supervisor/manager; Support/mentor team members. D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to practice in the State of Arizona as an LPN.(Remote) Manager of Software Services & Support Harris Computer Systems(Remote) Manager of Software Services & SupportAZRemote$90,000–$100,000 / yearp>What we are looking for: Candidates must possess demonstrable experience in Hospital Revenue Cycle Management OR Hospital Patient Accounting, as this specialized healthcare knowledge is essential for understanding client needs and delivering effective solutions. About Harris Novum: Harris Novum is a healthcare technology company focused on helping hospitals, health systems, and physician organizations strengthen financial performance and improve patient care through intelligent software solutions.Medical Appeals and Grievance (MAG) Specialist II - Remote Blue Cross and Blue Shield AssociationMedical Appeals and Grievance (MAG) Specialist II - RemotePhoenix, AZRemoteli>Demonstrate ability to acquire specialized knowledge to complete all types of level one appeals, grievances and corrected claims for local lines of business using appropriate benefit plan booklet, administrative guidelines and policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research and precertification research. Ability to demonstrate specialized knowledge to administer Federal Employee Program (FEP)inquiries, appeals, grievances and sub-reconsiderations using appropriate service benefit plan provisions, and internal policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research, and precertification research.Clinical Operations Director (Premium) - Evernorth Health Services -Remote The Cigna GroupClinical Operations Director (Premium) - Evernorth Health Services -RemotePhoenix, AZRemote$144,200–$240,400 / yearp>Working closely with the Managing Director of Case Management Operations and senior cross-functional partners, this role connects strategy with execution to support the design, implementation, and ongoing improvement of differentiated service models that drive client retention, growth, and operational scalability. 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.12345Resume ResourcesFree Resume TemplatesFree Resume Builder
Integrated Care Manager - Remote Blue Cross and Blue Shield AssociationIntegrated Care Manager - RemotePhoenix, AZRemoteul>Within 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). 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).
Government Contracts Manager - Healthcare Staffing Gotham Enterprises LtdGovernment Contracts Manager - Healthcare StaffingPhoenix, AZRemote$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.
Healthcare Scheduler PART TIME Banner HealthHealthcare Scheduler PART TIMEAZRemote$19.06–$28.60 / hourli>Effectively communicates and builds impactful relationships through written, digital and verbal channels with patients, facilities, providers and other clinical colleagues to ensure an easy, empathetic, solution-orientated patient experience, included but not limited to phone, chat, email, electronic medical record messaging and other digital channels. Demonstrated ability to provide essential customer service and knowledge in a high paced inbound contact center environment Ability to use technology tools to research and obtain accurate information to respond to customer inquiries via incoming calls, emails and/or instant messaging/chat avenues while maintaining a professional solutions and service-oriented demeanor at all times.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselAZRemote$135,000–$185,000 / yearp>Physical 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.
Clinical Risk Educator, Remote Aledade IncClinical Risk Educator, RemotePhoenix, AZRemote$69,000–$91,000 / yearli>Current medical coding certification such as Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Expert Outpatient (CDEO), Certified Clinical Documentation Specialist-Outpatient (CCDS-O), etc. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.
Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CST IntellaTriage, Inc.Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CSTPhoenix, AZRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.
Clinical Quality Coordinator QOC RN - Remote Blue Cross and Blue Shield AssociationClinical Quality Coordinator QOC RN - RemotePhoenix, AZRemoteStrong verbal and written communication skills and the ability to compose a variety of business correspondence and interact professionally with a diverse groups, executives, managers, and subject matter experts. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
ViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains Region GSK plcViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains RegionPhoenix, AZRemote$182,250–$303,750 / yearKey Relationships to Drive Success (Internal & External) Marketing Senior Sales Leaders and current sales team Field Strategy and Operations Market Access Medical Science Liaison (MSL) Field Reimbursement Managers (FRM) Community Medical Liaisons/Contract Nurses HCPs - private practice, community clinics, and integrated systems Physician Support Staff Broader HIV community (Aids Service Orgs) Local business, regulatory and legal stakeholders Specialty Pharmacies Alternate Sites of Administration This role will provide YOU the opportunity to lead key activities to progress YOUR career, these responsibilities include some of the following: Managing the Business and Driving Performance Align and execute on business strategy marketing, market access pull-through, launches, multi-channel customer engagement, and employee development, to deliver exceptional results. 9+ years pharmaceutical sales experience including 6 plus years of specialty management experience leading teams Experience recruiting, developing and leading specialty teams to work cross functionally within an integrated account team model that includes multiple field-based team members.
Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriage, Inc.Remote Hospice Triage RN PT 3:30p-11p Compact & CA license neededPhoenix, AZRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.
Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds) IntellaTriage, Inc.Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds)Phoenix, AZRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.
Health Manager - RN Required - REMOTE - AZ Blue Cross Blue Shield of ArizonaHealth Manager - RN Required - REMOTE - AZPhoenix, ArizonaRemotep>Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. Active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.
Remote- Med Policy Developer/Research Specialist II Pride GlobalRemote- Med Policy Developer/Research Specialist IIPhoenix, AZRemote$35–$39 / hourThis applies to direct care staff (Examples: RN, LPN, Nurse Aides, Therapists) referred to Kentucky nursing facilities, assisted living communities, or long-term care facilities, in accordance with KRS 216.793. Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.
Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CST IntellaTriageRemote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CSTPhoenix, AZRemoteem>Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.
Remote Registered Nurse RN RylemRemote Registered Nurse RNPhoenix, AZRemote$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.
Senior Consultant, Healthcare Consulting - Epidemiology Clarivate PlcSenior Consultant, Healthcare Consulting - EpidemiologyChandler, AZRemote$115,200–$144,000 / yearli>Execute complex analytical tasks and research efforts by applying advanced healthcare analytics methods, synthesizing large clinical datasets, and interpreting findings to generate actionable insights for clients. Our highly experienced team of expert consultants utilize integrated research, data, and analytics to enable clients to make better, more informed decisions in a rapidly changing landscape.
RN - Oncology Nurse Case Manager - Remote The Cigna GroupRN - Oncology Nurse Case Manager - RemoteAZRemote$77,500–$129,100 / yearThese 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. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
NewRemote FT Nursing Course Manager - Peds Specialty Unitek Learning IncRemote FT Nursing Course Manager - Peds SpecialtyTempe, AZRemotep>The Full Time Remote Course Manager provides academic leadership and oversight for online pre-licensure nursing courses, ensuring consistent, high-quality course delivery aligned with program outcomes. Monitor student performance trends and learning analytics, implementing strategies to improve outcomes and supporting at-risk students in collaboration with NCLEX Success teams.
Remote Hospice Triage RN PT 3:30p-11p Compact & CA license needed IntellaTriageRemote Hospice Triage RN PT 3:30p-11p Compact & CA license neededPhoenix, AZRemoteem>Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.
Remote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds) IntellaTriageRemote Hospice Triage RN PT Monday-Friday 1:30p-7p (No Wknds)Phoenix, AZRemoteem>Read more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.
Business Intelligence Developer-Medicaid - Level I (Remote AZ) Blue Cross Blue Shield of ArizonaBusiness Intelligence Developer-Medicaid - Level I (Remote AZ)Phoenix, ArizonaRemotep>This position partners with business leaders across the organization to provide high quality reporting and analysis that is accurate, thoroughly researched, assists in identifying risks & opportunities, and provides untapped insights and knowledge to enable data driven and data literate decision making for departments and teams throughout the entire Medicaid segment. The Business Intelligence Developer - Medicaid role is responsible for the design, creation, and maintenance of sustainable reporting solutions and analytical insights that improve efficiency, drive innovation, and inform data driven decision making in support of broader business and corporate strategies across the organization.
Health Manager - Remote in Arizona Blue Cross Blue Shield of ArizonaHealth Manager - Remote in ArizonaPhoenix, ArizonaRemotep>Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. Active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.
Health Manager - RN or RD required - REMOTE - AZ Blue Cross and Blue Shield AssociationHealth Manager - RN or RD required - REMOTE - AZPhoenix, AZRemotep>Responsible for supporting members in achieving self-efficacy in managing their health condition(s) through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates self-management strategies and care services available to members through their benefit plan that meet the individuals' health care needs while promoting quality, cost effective outcomes. Active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, or active registration as a Registered Dietician (RD) or Registered Dietitian Nutritionist (RDN), or active registration as a Respiratory Therapist/Respiratory Care Practitioner.
Adjunct - Pathophysiology - Online (Remote) - College of Nursing and Health Care Professions Grand Canyon University Dining ServicesAdjunct - Pathophysiology - Online (Remote) - College of Nursing and Health Care ProfessionsAZRemotep>This course is designed to build upon existing knowledge of the pathophysiological processes of disease as they affect patients across the life span, recognizing the nurse's multidimensional role in health promotion and disease management and prevention, which include biological, environmental, social, psychological, and spiritual dimensions. The College of Nursing and Health Care Professions at GCU is seeking knowledgeable, mission-driven Adjunct Faculty to teach Pathophysiology online.
Adjunct - Complex Disease Management - Online (Remote) - College of Nursing and Health Care Professions Grand Canyon University Dining ServicesAdjunct - Complex Disease Management - Online (Remote) - College of Nursing and Health Care ProfessionsAZRemotep>This course integrates knowledge from pathophysiology, pharmacology, nursing theory, and current evidence-based practice to inform clinical judgment and to ensure safe, effective, and holistic care. The College of Nursing and Health Care Professions at GCU is seeking knowledgeable, mission-driven Adjunct Faculty to teach Complex Disease Management online.
Remote-Manager, Case Management SNP (California RN License Required) Alignment Healthcare IncRemote-Manager, Case Management SNP (California RN License Required)AZRemote$113,332–$169,999 / yearIn this fully remote leadership role, you will oversee a high-performing care management team dedicated to improving outcomes for members with complex and chronic healthcare needs. Monitors activities to support the timeliness of Health Risk Assessment (Initial and Reassessment) completion, Individualized Care Plan (ICP) development and Interdisciplinary Care Team (ICT) delivery for SNP members.
Initial Clinical Reviewer - Remote - AZ Blue Cross Blue Shield of ArizonaInitial Clinical Reviewer - Remote - AZPhoenix, ArizonaRemoteli>When indicated to assist with team/project functions:Collaborate with team to distribute workload/work tasks; Monitor and report team tasks; Communicate team issues and opportunities for improvement to supervisor/manager; Support/mentor team members. D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN, OR an active, current, and unrestricted license to practice in the State of Arizona as an LPN.
(Remote) Manager of Software Services & Support Harris Computer Systems(Remote) Manager of Software Services & SupportAZRemote$90,000–$100,000 / yearp>What we are looking for: Candidates must possess demonstrable experience in Hospital Revenue Cycle Management OR Hospital Patient Accounting, as this specialized healthcare knowledge is essential for understanding client needs and delivering effective solutions. About Harris Novum: Harris Novum is a healthcare technology company focused on helping hospitals, health systems, and physician organizations strengthen financial performance and improve patient care through intelligent software solutions.
Medical Appeals and Grievance (MAG) Specialist II - Remote Blue Cross and Blue Shield AssociationMedical Appeals and Grievance (MAG) Specialist II - RemotePhoenix, AZRemoteli>Demonstrate ability to acquire specialized knowledge to complete all types of level one appeals, grievances and corrected claims for local lines of business using appropriate benefit plan booklet, administrative guidelines and policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research and precertification research. Ability to demonstrate specialized knowledge to administer Federal Employee Program (FEP)inquiries, appeals, grievances and sub-reconsiderations using appropriate service benefit plan provisions, and internal policies, medical criteria guidelines, claims research, provider contracts and fee schedules, communication records research, and precertification research.
Clinical Operations Director (Premium) - Evernorth Health Services -Remote The Cigna GroupClinical Operations Director (Premium) - Evernorth Health Services -RemotePhoenix, AZRemote$144,200–$240,400 / yearp>Working closely with the Managing Director of Case Management Operations and senior cross-functional partners, this role connects strategy with execution to support the design, implementation, and ongoing improvement of differentiated service models that drive client retention, growth, and operational scalability. 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.