The Regional Clinical Director provides clinical leadership and operational oversight for multiple assisted living and memory care communities. This includes ensuring regulatory compliance, improving resident outcomes, and mentoring clinical leaders across the region.
Remote Healthcare Jobs in United States (10,101)
Remote in = United States
Job category = Healthcare
Appeal Specialist II - RN (Remote)
Community Health Systems Professional Services Corporation
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Full Time
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3 Days Ago
Community Health Systems Professional Services Corporation
The Appeal Specialist II reviews and resolves insurance denials to ensure accurate reimbursement and regulatory compliance. This role involves tracking denial trends, providing feedback to facilities, and collaborating with internal teams to improve recovery processes.
Care Specialist LPN (50923)
GLOBALHEALTH HOLDINGS LLC
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Full Time
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3 Days Ago
GLOBALHEALTH HOLDINGS LLC
Perform telephonic case management for high-risk members to improve long-term wellness through care coordination and advocacy. Educate members and caregivers on self-management techniques and conduct post-discharge assessments.
Care Specialist LPN (50923)
GLOBALHEALTH HOLDINGS LLC
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Full Time
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3 Days Ago
GLOBALHEALTH HOLDINGS LLC
Perform telephonic case management for high-risk members to improve long-term wellness through care coordination and advocacy. Educate members and caregivers on self-management techniques and coordinate services with providers and community resources.
Telehealth Sleep Medicine Nurse Practitioner
OpenLoop Health Partners
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Full Time
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3 Days Ago
OpenLoop Health Partners
Review and diagnose at-home sleep study results to establish patient treatment plans. Interface with patients via telemedicine to provide initial and follow-up reviews and issue necessary medical prescriptions.
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The Health Consultant evaluates business operations and programs to recommend efficiency improvements and ensure regulatory compliance. They manage small projects, lead proposal writing teams, and facilitate discussions with public sector clients.
Medical Science Liaison, IgG4 - Rare Disease - Tennessee and Arkansas
Amgen
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Full Time
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3 Days Ago
Amgen
Serve as a scientific liaison to the medical community by building relationships with experts and clinicians to communicate the scientific value of products. Collaborate with internal teams to identify research opportunities and monitor competitive trends in rare disease therapeutic areas.
Manager, Account Management and Member Experience - Evernorth Health Services - Remote
Cigna Healthcare
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Full Time
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3 Days Ago
Cigna Healthcare
Oversee a team of Account Managers to ensure operational effectiveness, client satisfaction, and member experience within the Prime Division. Lead strategic initiatives for growth, process standardization, and the presentation of operational performance metrics to clients.
Market Medical Director (Alabama)
Health Care Service Corporation
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Full Time
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3 Days Ago
Health Care Service Corporation
The Market Medical Director drives strategy and clinical excellence in programs related to Stars, risk adjustment, and total cost of care. They are responsible for strengthening partnerships with providers, health systems, and managed service organizations to ensure positive customer outcomes.
Provide real-time clinical support and triage for newly re-engaged pediatric patients with complex medical needs. Collaborate with interdisciplinary teams to develop care plans and ensure patients are connected to appropriate care pathways.
Pharmacy Audit Analyst
Vital Care Infusion Services
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Full Time
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3 Days Ago
Vital Care Infusion Services
The Pharmacy Audit Analyst supports the pharmacy network in responding to payer audits by reviewing dispensing activities and coordinating submissions. They act as a liaison between franchise pharmacies and corporate services to ensure accurate claim data and compliance with pharmacy laws.
Coding Specialist Outpatient, Health Information Management, FT, 8A-4:30P
Baptist Health South Florida
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Full Time
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3 Days Ago
Baptist Health South Florida
Accurately code emergency and outpatient diagnostic records using ICD10CM and CPT4 systems. Ensure compliance with regulatory agencies such as CMS and OIG while meeting departmental AR goals.
The APRN provides general medical oversight and coordinates healthcare for clients in a substance use disorder recovery program. Responsibilities include prescribing detoxification treatments, managing chronic medical issues, and leading group therapy sessions.
Conduct patient assessments and develop personalized treatment plans for women with complex hormonal and metabolic conditions via video visits. Collaborate with a multidisciplinary team to provide evidence-based care and maintain accurate patient records.
Conduct patient assessments and develop personalized treatment plans for women with complex hormonal and metabolic conditions via video visits. Collaborate with a multidisciplinary team to provide evidence-based care and maintain accurate patient records.
Act as the primary point of contact for clients seeking mental health care, managing intake and provider matching. Coordinate care journeys by scheduling appointments and facilitating communication between clients, providers, and healthcare systems.
1099 Telemedicine Nurse Practitioner| Evenings, Fridays, and/or Weekends
Allara
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Full Time
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3 Days Ago
Allara
Conduct patient assessments and develop personalized treatment plans for women with complex hormonal and metabolic conditions via video visits. Collaborate with a multidisciplinary team to provide evidence-based care and maintain accurate patient records.
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1099 Telemedicine Nurse Practitioner| Evenings, Fridays, and/or Weekends
Allara
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Full Time
·
3 Days Ago
Allara
Conduct patient assessments and develop personalized treatment plans for women with complex hormonal and metabolic conditions via video visits. Collaborate with a multidisciplinary team to provide evidence-based care and maintain accurate patient records.
The Utilization Review Nurse performs professional assessments of treatment requests to determine medical necessity for outpatient and inpatient services. They manage pre-certifications, process appeals, and coordinate with hospital staff to ensure smooth patient transitions to the next level of care.
Perform telephonic care management for members with complex and chronic needs by assessing, implementing, and monitoring care plans. Coordinate internal and external resources and interface with Medical Directors to optimize member healthcare outcomes.
The Transplant Nurse II provides case and medical management for members receiving transplant services, focusing on optimizing healthcare outcomes and resource use. Responsibilities include conducting assessments, developing care plans, and performing medical necessity reviews for inpatient and outpatient services.
The specialist serves as a primary resource for clinical, therapeutic, and safety information for healthcare providers and internal colleagues. Responsibilities include documenting medical requests, conducting literature analysis for off-label inquiries, and ensuring HIPAA compliance.
The role involves conducting site qualification, initiation, monitoring, and close-out visits for clinical trials. It also requires ensuring protocol compliance, data integrity, and collaborating with investigators to maintain high-quality clinical data.
The Director of Clinical Development will lead the execution of clinical programs and medical assets, focusing on strategy development and the creation of key clinical documents. They will collaborate with internal teams and external partners to ensure studies are delivered within scope, budget, and timelines.
Director, Clinical Research GI ET
Olympus Corporation of the Americas
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Full Time
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3 Days Ago
Olympus Corporation of the Americas
Lead the clinical research strategy for the GI Endotherapy portfolio to support regulatory approval, reimbursement, and commercialization. Collaborate with global stakeholders to design evidence generation plans and serve as a scientific ambassador with Key Opinion Leaders.
The Director of Medical Insights shapes and implements processes to generate and synthesize medical insights that inform strategy and decision-making. The role leverages AI and advanced analytics to translate complex medical data into actionable outputs across Pfizer's portfolio.
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Care Coordinator - Clinical Appeals RN
Premera Blue Cross
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Full Time
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3 Days Ago
Premera Blue Cross
Perform clinical appeals and medical necessity reviews for inpatient and outpatient services to ensure cost-effective care. Collaborate with Medical Directors and cross-functional departments to apply clinical criteria and maintain regulatory compliance.
Provide remote clinical care, triage, and management of pediatric concerns via phone and telemedicine during after-hours. Coordinate care with primary providers and document all patient interactions in the electronic medical record.
Senior Medical Science Liaisons/ Medical Science Liaisons (MSL) - Cardiovascular
Mineralys Therapeutics
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Full Time
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3 Days Ago
Mineralys Therapeutics
Establish and maintain collaborative relationships with Key Opinion Leaders and Healthcare Practitioners to communicate clinical and scientific data. Serve as a subject matter expert at medical conferences and provide actionable field insights to inform company strategy.
Conduct phone interviews with graduating residents and fellow physicians to collect recruitment and contact information. Manage outbound calls and social media outreach to connect physicians with career resources and practice opportunities.
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51
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49
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