Remote Registered Nurse RN RylemRemote Registered Nurse RNLos Angeles, CARemote$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.
Healthcare Compensation Consultant (Physician & Total Rewards) Pyramid Consulting, IncHealthcare Compensation Consultant (Physician & Total Rewards)Los Angeles County, CARemote$42–$45 / hourBy applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Build and maintain advanced Excel models using formulas, Pivot Tables, lookups, and data validation.
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (REMOTE) (Exempt) (Non-Union)Alhambra, CaliforniaRemoteThe Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
Senior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Remote) (Exempt) (Non-Union) University of Southern CaliforniaSenior Revenue Integrity Specialist - Clinical Rev Integrity - Full Time 8 Hour Days (Remote) (Exempt) (Non-Union)Los Angeles, CARemote$99,507–$130,000 / yearThe Senior RI Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance, Clinical Informatics and Integration personnel on technology projects impacting charge entry, charge dictionaries, and charge, and provides data derived from multiple entities of Keck Medical Center of USC for the management and support of critical decisions and functions related the Chargemaster, CDM Maintenance, and the improvement of charge capture. As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
NewAppeals RN - Care Management Full-time - REMOTE Providence Health & ServicesAppeals RN - Care Management Full-time - REMOTETorrance, CARemote$57.28–$88.92 / hourRequsition ID: 449880 Company: Providence Jobs Job Category: Care Management Job Function: Clinical Care Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 7000 UTILIZATION MGMT CA SOCAL Address: CA Torrance 20555 Earl St Work Location: Providence Administrative Offices-Earl Street Workplace Type: On-site Pay Range: $57.28 - $88.92 Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
Telephonic Triage RN - Remote Call Center (PMs) Medcor IncTelephonic Triage RN - Remote Call Center (PMs)CARemoteTo preserve our pioneering, entrepreneurial spirit, we impart our values through the ongoing Better@Medcor campaign: encouraging our advocates to make a conscious choice to practice our values, to celebrate and recognize each other via our peer recognition program, and to support one another during tough times. Our nurses must be able to visualize an injury while on the phone and clarify details about the injury while following our propriety algorithms to guide the triage of the injured worker.
NewRegistered Nurse - Fully Remote MercorRegistered Nurse - Fully RemoteSan Francisco, CaliforniaRemote$55–$65 / hourExperience reviewing charts for quality improvement, utilization review, CDI, or clinical informatics. For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome.
Senior Commercial & Healthcare Regulatory Counsel Fuze HealthSenior Commercial & Healthcare Regulatory CounselCaliforniaRemoteDraft, review, and negotiate vendor, procurement, and operations agreements (IT/SaaS, professional services, logistics/delivery, marketing vendors, clinical vendors), including MSAs, SOWs, order forms, renewals, and amendments, including vendors that support pharmacy operations, PBM services, patient support, data exchange, and related healthcare services. 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.
NewField Systems Administrator : Healthcare Technology, RTLS & Environmental Monitoring Rose InternationalField Systems Administrator : Healthcare Technology, RTLS & Environmental MonitoringPleasanton, CaliforniaRemote$40–$50 / hourTemporarySpecific Systems Knowledge Preferred: Environmental Monitoring – monitoring refrigeration units and coolers to ensure they are at the appropriate temperature and SOX compliant. Will this worker work in a patient access building more than 50% of the time: They will be in hospitals and MOBs that do have patients but will have limited need to be in patient areas.
NewRN Case Manager – Managed Care REMOTE TEEMA GroupRN Case Manager – Managed Care REMOTELos Angeles, CARemote$39–$41Care Coordination : Work closely with interdisciplinary teams, including physicians, case managers, social workers, and other healthcare professionals, to develop and implement individualized care plans for patients. This role involves assessing, monitoring, educating, and supporting patients in managing their diseases to improve overall health and quality of life while reducing unnecessary hospitalizations and emergency care.
Senior Commercial & Healthcare Regulatory Counsel Alto PharmacySenior Commercial & Healthcare Regulatory CounselCaliforniaRemoteDraft, review, and negotiate vendor, procurement, and operations agreements (IT/SaaS, professional services, logistics/delivery, marketing vendors, clinical vendors), including MSAs, SOWs, order forms, renewals, and amendments, including vendors that support pharmacy operations, PBM services, patient support, data exchange, and related healthcare services. 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.
Remote Complex Care Registered Nurse - California Residents Only (Active California RN License Required | Bilingual English/Spanish Preferred) Alignment Healthcare USA, LLCRemote Complex Care Registered Nurse - California Residents Only (Active California RN License Required | Bilingual English/Spanish Preferred)Modesto, CARemoteFull timeSpecialized Skills: Required: Complex Care Coordination and Member Journey Management (Advanced): Ability to own and manage the full care journey for high-acuity Medicare Advantage members - maintaining consistent engagement, coordinating across disciplines, and proactively addressing clinical and social needs before they escalate. Cross-Disciplinary Communication and Pod Collaboration (Advanced): Ability to serve as the central coordination hub of a multi-disciplinary care pod - communicating clearly and proactively with APCs, Health Coaches, Care Coordinators, Social Workers, and the RMO to ensure cohesive, accountable care delivery for every assigned member.
NewAppeals RN - Care Management Full-time - REMOTE Providence St. Joseph HealthAppeals RN - Care Management Full-time - REMOTETorrance, CARemoteTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&S) outside payers.
Consulting Manager, Program Manager- Healthcare Cognizant Technology Solutions CorpConsulting Manager, Program Manager- HealthcareLong Beach, CARemote$100,000–$129,500 / yearYou will be a valued member of the Cognizant Consulting Healthcare Practice and work collaboratively with client executives, business leaders, technology teams, vendors, and cross-functional stakeholders to deliver complex transformation outcomes. As a Consulting Manager, Claims Modernization (QNXT Migration) Program Manager, you will make an impact by leading large-scale healthcare payer transformation initiatives focused on claims platform modernization and QNXT migration programs.
NewConsulting Manager, Claims modernization Program Manager (healthcare) Cognizant Technology Solutions CorpConsulting Manager, Claims modernization Program Manager (healthcare)Long Beach, CARemote$105,000–$129,500 / yearYou will be a valued member of the Healthcare Consulting team and work collaboratively with business leaders, product owners, architects, UX/UI teams, API developers, vendors, and client stakeholders to successfully execute complex claims modernization initiatives. In this role, you will combine program leadership, stakeholder management, and healthcare domain expertise to drive the successful delivery of enterprise-scale transformation programs while enhancing member and provider experiences.
Senior Director, Research & Development - Healthcare Nutrition (Dysphagia Focus) Lyons MagnusSenior Director, Research & Development - Healthcare Nutrition (Dysphagia Focus)Corporate - Fresno, CARemoteOur portfolio serves patients across acute care, long-term care, and home settings, and we are rapidly expanding our healthcare presence to better reach and provide the highest level of care for our healthcare providers, caregivers, and patients. Lead the full lifecycle development of healthcare nutrition products, including thickened liquids, texture-modified foods, oral nutritional supplements, and hydration solutions for dysphagia patients.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselCARemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Revenue Cycle Auditor RN -Remote Providence Health & ServicesRevenue Cycle Auditor RN -RemoteCalifornia, CARemoteRequsition ID: 428089 Company: Providence Jobs Job Category: Revenue Cycle Operations Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4001 SS RC REV INTEGRITY Address: CA Irvine 15480 Laguna Canyon Rd Work Location: Providence System Offices Discovery Park-Irvine Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Sales Director, Healthcare Genesys Cloud Services IncSales Director, HealthcareCARemote$156,800–$275,800 / yearYou will serve as an executive sponsor for key customers, shape go-to-market strategy, and help customers leverage AI-powered customer experience transformation to achieve measurable business outcomes. Our platform connects people, systems, data and AI to help organizations deliver more personalized service, improve operational efficiency and build stronger customer relationships.
Urgent Care Nurse Practitioner - Remote Included HealthUrgent Care Nurse Practitioner - RemoteSan Jose, CARemote$98,400–$108,450 / hourIn this role, youll deliver virtual comprehensive care to patients of all ages across a wide range of conditions, while working closely with our provider and support teams. Were seeking board certified Nurse Practitioners licensed in Florida AND 3 other states with broad clinical expertise and a passion for improving healthcare access and quality.