Clinical Review & Correspondence RN Cohere Health Technologies LLCClinical Review & Correspondence RNNYRemote$31–$35 / hourBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. Opportunity Overview: The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical determinations, and ensuring accurate member and provider communications.
NewRN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorJersey City, New JerseyRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Complex Oncology Nurse Navigator (11:30AM - 8:00PM EST) Thyme Care IncComplex Oncology Nurse Navigator (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our higher-acuity members as they move through the oncology care continuum.
Oncology Transitions of Care Nurse (11:30AM - 8:00PM EST) Thyme Care IncOncology Transitions of Care Nurse (11:30AM - 8:00PM EST)NYRemoteToday, Thyme Care is a market-leading value-based oncology care enabler, partnering with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for thousands of people across the country. In it, you will conduct clinical assessments, monitor for changes in health, coordinate care, including transitions, and educate members and caregivers about their diagnosis and treatment over the phone to support our members as they move through the oncology care continuum.
Clinical Clearance Specialist RN Charlie Health IncClinical Clearance Specialist RNNYRemote$48–$52 / hourThis RN serves as the dedicated clinical reviewer for escalated admissions cases involving eating disorder (ED) and substance use disorder (SUD) presentations - cases that require nursing-level clinical expertise beyond the independent decision-making scope of the CAT team, but that do not require physician review. You will own the clearance review queue, interpret labs, vitals, and EKGs, issue timely admission determinations, and serve as the primary clinical bridge between the admissions team and medical leadership.
Urgent Care Nurse Practitioner (Full Time) Teladoc Health IncUrgent Care Nurse Practitioner (Full Time)NYRemoteJoin Teladoc Health, a pioneer in virtual healthcare, as a full-time, General Medicine Nurse Practitioner (NP), where youll be on the front lines of accessible, patient-first care. Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.
Oncology RN needed for peer review work (PRN, preferably with bone marrow transplant (BMT) unit experience) DOMA TechnologiesOncology RN needed for peer review work (PRN, preferably with bone marrow transplant (BMT) unit experience)NYRemote$100–$340We're growing our network of clinical reviewers and are actively seeking Oncology Nurse for peer review work/PRN (must be actively praciticing in Oncology) who are passionate about quality, accountability, and patient outcomes. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.
Urgent Care Nurse Practitioner Included Health IncUrgent Care Nurse PractitionerNYRemote$59.13–$65.04 / hourIn this role, you'll deliver virtual comprehensive care to patients of all ages across a wide range of conditions, while working closely with our provider and support teams. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care.
Clinical Specialist, Pain Interventions - Long Island, NY Medtronic PlcClinical Specialist, Pain Interventions - Long Island, NYLong Island, NYRemoteThe following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). If you are applying to perform work for Medtronic, Inc. ("Medtronic") in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.
NewClinical Specialist, Pain Interventions - Long Island, NY MedtronicClinical Specialist, Pain Interventions - Long Island, NYLong Island, New YorkRemoteThe following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). If you are applying to perform work for Medtronic, Inc. (“Medtronic”) in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.
NewBilingual Coach English/Spanish Twin Health IncBilingual Coach English/SpanishNYRemote$70,000–$80,000 / yearYour day-to-day priorities, member outreach, and session focus are generated by the Twin platform from continuous data streams - CGM, weight, sleep, movement, and app engagement - and your role is to interpret those insights and deliver them with empathy and motivational skill, not to build an independent care plan from scratch. Twin has an ambitious vision to empower people to live healthier and happier lives, and to achieve this purpose, we need the very best people to enhance our cutting-edge technology and medical science, deliver the best possible care, and turn our passion into value for our members, partners and investors.
CCM Case Management RN Oscar Health InsuranceCCM Case Management RNFlorida, PRRemote$32.60–$42.79 / hourAbout the role: Telephonic case management role in which you will educate members on improving health outcomes, assist with transitions from care settings, participate in process improvement and other pilot programs as they arise, and work with the Clinical Concierge Specialist and other Oscar teams to ensure exceptional care for our members. Work with non-clinical teammates in assisting members to navigate the healthcare system, including coaching non-clinicians on how they can add value to all member interactions.
NewFlex Nurse Educator - New York, NY IQVIA Holdings IncFlex Nurse Educator - New York, NYBronx, NYRemote$80,000–$85,000 / yearIQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide.
RN Clinical Consultant The Guardian Life Insurance Company of AmericaRN Clinical ConsultantNYRemote$68,970–$113,310 / yearPossess excellent verbal and written communication skills to gather and report information accurately, ask appropriate questions to facilitate partnership with treating providers, claimants, and internal partners to encourage participation of claimant in appropriate treatment goals. The Clinical Consultant collaborates with treating providers to assist individuals to obtain appropriate care and ensure optimal treatment outcomes and acts with urgency and ownership to resolve customer issues and prioritize the customer experience.
Physician Bilingual - Virtual Urgent Care Oscar Health IncPhysician Bilingual - Virtual Urgent CareNYRemote$227,226–$298,233 / yearParticipate in collaborative care model with various care team members including but not limited to registered nurses, medical assistants, PCPs, behavioral health clinicians, and clinical supervisor where applicable. Compact license from IMLCC or eligible for a compact license (hold a full, unrestricted medical license in a state that is a member of the Compact).
Clinical Retention Specialist (North-MA, NY, PA, NJ, ME, CT, RI, NH, VT ) Insulet CorpClinical Retention Specialist (North-MA, NY, PA, NJ, ME, CT, RI, NH, VT )Newark, NJRemote$79,300–$118,900 / yearInsulet's flagship innovation, the Omnipod 5 Automated Insulin Delivery System, integrates with a continuous glucose monitor to manage blood sugar with no multiple daily injections, zero fingersticks, and can be controlled by a compatible personal smartphone in the U.S. or by the Omnipod 5 Controller. Identify early indicators of disengagement or churn through data assessment and analytics in partnership with the data science teams and collaborate with Customer Success teams to deploy targeted, regionally informed save strategies.
Oncology Account Executive BillionToOneOncology Account ExecutiveSouth New Jersey, NJRemote$168,346–$184,186 / yearAt BillionToOne, we've built a category-defining, publicly traded company on Nasdaq where transparency fuels trust, collaboration drives breakthroughs, and every contribution moves the needle on our mission to make life-changing diagnostics accessible to all. Unity Confirm enables non-invasive confirmation for high-risk screening results through the capture of intact circulating fetal cells using BillionToOne's Fetal Cell Capture Technology.
Clinical Validation Auditor (CVA) Auditor III ExlService Holdings IncClinical Validation Auditor (CVA) Auditor IIINYRemote$70,000–$80,000 / yearEXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates.
Director of Customer Success Movn HealthDirector of Customer SuccessNYRemote$140,000–$180,000 / yearThis is not a passive account management role - you'll be the person who turns satisfied partners into enthusiastic referral champions, and who brings the right intelligence back into the organization to unlock growth across payer contracting, new business lines, and marketing. Our fully virtual program makes world-class cardiac rehab accessible from home - helping patients build lasting heart-healthy habits while reducing hospital readmissions and costs for our partners.
NP/PA - Virtual Health Assessment Bilingual - Spanish Oscar Health IncNP/PA - Virtual Health Assessment Bilingual - SpanishNYRemote$130,000–$140,000 / yearAbout the role: Oscar Medical Group runs a Virtual Health Assessment (VHA) program that outreaches and virtually engages Oscar Health Insurance members in an evaluation and management visit. Responsibilities: Perform preventative care screenings, complete medication reconciliation, diagnose medical conditions and provide health coaching, referrals and treatment when clinically appropriate.