Healthcare Operations Assistant - Integrated Primary Care

Case Manager

Provide community-based mental health case management services to youth, adolescents, and young adults. Develop treatment plans and maintain accurate documentation while collaborating with professionals in mental health, employment, education, and housing.

Therapist

Provide individual, group, and family counseling services in office, home, and community settings. Conduct risk and diagnostic assessments while maintaining clinical documentation and service plans.

Case Manager

Provide community-based mental health case management services to youth, adolescents, and young adults. Develop treatment plans and maintain accurate documentation while collaborating with professionals in mental health, employment, education, and housing.

Therapist

Provide individual, group, and family counseling services in office, home, and community settings. Conduct risk and diagnostic assessments while maintaining clinical documentation and developing service plans.

Pharmacy Technician - Accredo Speciality Pharmacy - Remote PA and AZ

The Pharmacy Technician will assist patients with life-sustaining medications by managing prescription orders and coordinating with insurance companies and healthcare providers. The role involves significant data entry and handling inbound and outbound calls to facilitate timely medication shipments.

Registered Dietitian

The Registered Dietitian develops and implements individualized nutritional care plans for patients receiving home enteral and parenteral nutrition. They also counsel patients and caregivers while ensuring continuity of care with the patient's medical team.

Internal Medicine Consultant / Consultant(e) en médecine interne vétérinaire (French-Speaking, Canada Remote)

The Internal Medicine Consultant provides expert medical consultations to veterinary clients, focusing on diagnostic reasoning, treatment planning, and case management for small animals. They also contribute to team culture by sharing clinical knowledge and supporting internal training initiatives.

Clinical Quality PM, One Medical Senior Health

The Clinical Quality Program Manager leads initiatives to improve clinical quality, preventive care, and chronic disease management outcomes across the enterprise. This role collaborates with cross-functional teams to drive evidence-based practices and utilize data-driven insights to optimize healthcare performance.

Clinical Implementation Specialist

The Clinical Implementation Specialist will lead virtual training sessions and provide hands-on support to integrate voice AI technology into VA clinical workflows. This role involves building clinical champions, monitoring adoption metrics, and serving as a liaison between frontline clinicians and the product team.

Health Information (HI) Data Integrity Specialist

The specialist maintains the integrity of the Master Patient Index by performing patient merges, chart corrections, and contact moves. They also monitor work queues, resolve IT tickets, and assist patients with MyChart access issues.

Clinical Review Nurse I (US)

The Clinical Review Nurse I is responsible for reviewing and making medical determinations regarding whether pre-claim reviews and claims meet member benefits. They assess the necessity and reasonableness of items supplied in a valid claim using medical policy and other materials.

Clinical Policy Specialist - Itemized Bill Review (Remote)

The Clinical Policy Specialist develops and enhances itemized bill review clinical and coding solutions while serving as a subject matter expert for audit strategies and reimbursement methodologies. This role collaborates with cross-functional teams to identify billing vulnerabilities, optimize program performance, and ensure compliance with industry standards.

Medical Science Liaison – AML/Oncology

The Medical Science Liaison will serve as a field-based scientific expert to build relationships with Key Opinion Leaders and facilitate scientific exchange regarding Acute Myeloid Leukemia. They will also collect clinical insights and support the dissemination of medical knowledge to internal and external stakeholders.

Clinical Services Manager - Morristown, NJ (Field Based)

The Clinical Services Manager will build relationships with healthcare providers to integrate Insulet products into patient care strategies. They are also responsible for delivering personalized training to patients and overseeing clinical education initiatives within their assigned territory.

Care Manager, Telephonic Nurse

Conduct comprehensive telephonic assessments and provide medication therapy management for patients with complex health conditions. Develop and implement individualized care plans while delivering patient-centered education on medication administration and adherence.

Registered Nurse I Ambulatory & Outpatient

The Registered Nurse utilizes the nursing process to assess, plan, and evaluate patient care while collaborating with the care team to improve outcomes. They are responsible for maintaining accurate EHR documentation, administering treatments, and upholding a culture of safety within a remote clinical environment.

Clinical Research Associate I

The CRA I is responsible for conducting clinical site visits, managing site relationships, and ensuring protocol compliance according to ICH-GCP guidelines. They monitor data quality, patient safety, and coordinate clinical monitoring processes to support study milestones.

Clinical Care Reviewer II - RN - IN MCD - IN or MSL Licensed

The Clinical Care Reviewer II processes medical necessity reviews for healthcare authorizations and coordinates care transitions for members. They also monitor the delivery of healthcare services and provide clinical guidance to non-clinical and LPN staff.

Utilization Review Clinician_Behavioral Health

The clinician performs clinical reviews to assess the medical appropriateness of mental health and substance abuse services. They also conduct prior authorizations, concurrent reviews for inpatient care, and engage with providers to ensure efficient treatment planning.

Medical Staff Services Coordinator

The Medical Staff Services Coordinator processes initial and reappointment credentialing applications for healthcare providers to ensure compliance with corporate policies. They coordinate with recruiters and providers to obtain necessary documentation and maintain accurate data in the company database.

Engagement Manager - Orlando Area (Hearing Health)

The Engagement Manager is responsible for executing B2C sales strategies to achieve revenue targets for Cochlear implantable technology within the North Florida and Orlando territory. This role involves nurturing candidates, managing professional partnerships, and coordinating educational events to drive brand awareness and market growth.

Biostatistician – Quality Improvement

The Biostatistician supports quality improvement initiatives by applying advanced statistical methods to healthcare data. This role transforms complex data into actionable insights to improve patient outcomes and health equity.

Pharmacy Technician, Prior Authorization

The role involves reviewing and determining prior authorization requests while managing communication with healthcare providers and members. You will also provide operational support for medical management processes and ensure accurate claim adjudication for specialty pharmacy overrides.

Remote Spanish Bilingual Complex Care RN ( Must reside in South Bay, CA area)

The Complex Care RN acts as a clinical quarterback for high-risk Medicare Advantage members, managing care transitions and chronic disease management. They collaborate with a multidisciplinary team to provide proactive, member-centered care through virtual engagement.

Behavioral Health Care Manager

The Behavioral Health Care Manager evaluates member needs and coordinates care plans to facilitate appropriate healthcare outcomes. They also provide coaching and support to empower members in making informed medical and lifestyle decisions.

UM Nurse Consultant - Concurrent Review

Perform concurrent reviews for acute inpatient admissions to evaluate medical necessity and level of care using evidence-based criteria. Collaborate with healthcare providers and care managers to facilitate discharge planning and ensure appropriate resource utilization.

Case Manager, Registered Nurse - Field (Boone/McHenry Counties, IL)

The Care Manager RN assesses, plans, and coordinates individualized care for members with complex medical and social needs. They serve as a liaison between members, families, and providers to ensure quality, cost-effective health outcomes.

Contract Negotiation Manager - PA, OH, WV, and Delaware

The manager will negotiate, execute, and analyze contracts with local and small group providers to maintain network quality and financial goals. They will also collaborate cross-functionally to manage provider relationships and resolve escalated issues related to claims and contract interpretation.

Care Navigator- Licensed Nurse - Remote - CST Time Zone - Compact License Required

The Care Navigator manages patient physiological data and provides preventive health education through wellness calls. They collaborate with care teams to define health goals and ensure appropriate escalation for urgent patient needs.