The Utilization Management Nurse evaluates clinical service requests to ensure care is medically necessary, cost-effective, and evidence-based, applying professional nursing judgment to conduct prior authorization reviews and facilitate care coordination across settings. This role involves ensuring compliance with Oregon Health Plan and Medicare guidelines while collaborating with interdisciplinary teams to promote integrated, high-quality care.
Remote Healthcare Jobs (12,285)
Job category = Healthcare
This role involves partnering with a Senior Medical Recruiter to maintain facility sheets, assist with opening requisitions, and screen candidates, including conducting preliminary screenings and reference checks for Physicians and Advanced Providers. Responsibilities also include managing candidate follow-up, updating records in Taleo and Phenom, and assisting with onboarding timelines.
The Area Manager is primarily responsible for driving sales growth of prosthetic products within the assigned West Florida territory by conducting sales presentations to medical professionals and achieving quarterly and annual sales targets. This role also involves developing and maintaining strong relationships with key clinical decision-makers to expand the customer base and increase market penetration.
The role involves managing a network of Key Opinion Leaders (KOLs) to implement global programs locally, designing and executing country education plans, and serving as the subject matter expert for Dental Solutions products. This includes owning compliance aspects of Healthcare Professional (HCP) relationships and facilitating HCP training and scientific discussions.
Healthcare Scheduling & Logistics Coordinator (Remote)
Outsource Access
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Full Time
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13 Weeks Ago
Outsource Access
The coordinator is responsible for executing high-precision medical staffing by conducting structured pre-screening interviews for nursing professionals and managing complex shift calendars with 100% accuracy. Additionally, the role involves supporting the operational migration from legacy systems to Teambridge while acting as an industry native to build rapport with nursing staff.
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Campus Director, Clinical Education - Speech Language Pathology
West Coast University, Inc.
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Full Time
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13 Weeks Ago
West Coast University, Inc.
The Campus Director oversees the development, management, and administration of the clinical education curriculum for the Speech-Language Pathology master's program, ensuring compliance with accreditation standards and managing all experiential learning sites and policies. This role involves providing professional leadership to faculty, evaluating student clinical performance, developing program policies, and managing budgets consistent with the academic mission.
In-Home Nurse Practitioner or Physician Assistant Part Time - Winchester
CVS Health
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Full Time
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13 Weeks Ago
CVS Health
The clinician will conduct in-home health evaluations lasting about 45 minutes, which includes reviewing medical history, performing a physical evaluation, and conducting diagnostic tests as ordered. They will engage with individuals to answer health questions and bridge gaps in care while using an iPad for clinical workflow.
The physician will provide in-home health evaluations lasting about 45 minutes, which includes medication and medical history review, a physical evaluation, and potentially diagnostic tests. This role involves joining a national network of clinicians dedicated to improving health outcomes by visiting millions of people nationwide.
The physician will deliver high-quality adult primary care via video and asynchronous chat telemedicine for 36 clinical hours per week, caring for a diverse patient population including Medicare and Medicaid beneficiaries. They will also collaborate with an internal subspecialist network and leverage AI-enhanced workflows to maximize clinical decision-making time.
Responsibilities include conducting virtual assessments, monitoring patient data, prioritizing concerns, and initiating evidence-based interventions to ensure timely and safe outcomes. The role also involves developing care plans, coordinating referrals, and educating patients and families on disease management and follow-up steps.
The Care Coordinator will manage an assigned panel of 400-450 patients, conducting 50-60 daily outbound calls for care plan support and health coaching, while collaborating with clinical teams to address patient needs. Responsibilities also include advocating for patient needs, investigating concerns, and ensuring accurate, real-time documentation while maintaining strict HIPAA compliance.
Technicians are responsible for providing exceptional onsite service, troubleshooting, and repairing electrical and mechanical issues for customers across the country to ensure autonomous mobile robots operate efficiently. Key duties include managing on-site repairs, performing routine maintenance, coaching customer staff, and maintaining detailed records of all service activities.
Licensed Outpatient Therapist (Florida: Remote, Flexible Hours)
Consciousabraxas
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Full Time
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13 Weeks Ago
Consciousabraxas
The Licensed Outpatient Therapist will provide virtual therapy to individuals, families, and couples, utilizing DSM-5 criteria for assessments and developing client-centered treatment plans. Responsibilities also include delivering crisis intervention and participating in clinical supervision and team check-ins.
Responsibilities include discussing patient history, formulating accurate diagnoses by asking situation-specific questions, and formulating suitable treatment plans for conditions like ADHD, Insomnia, Depression, and Anxiety. Providers must also prescribe medications, including controlled substances, and maintain accurate patient records.
Clinical Supervisor OHC - Lucas and Surrounding Counties
CareStar, Inc.
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Full Time
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13 Weeks Ago
CareStar, Inc.
The Clinical Supervisor will work directly with individuals to assess their needs, develop personalized care plans, and connect them with essential services and supports within the Ohio Home Care program. Responsibilities include maintaining compliance with policies and ensuring confidentiality regarding patient information.
Clinical Supervisor OHC - Hamilton and Surrounding Counties
CareStar, Inc.
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Full Time
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13 Weeks Ago
CareStar, Inc.
The Clinical Supervisor will work directly with individuals to assess their needs, develop personalized care plans, and connect them with essential services and supports within the Ohio Home Care program. Responsibilities include maintaining knowledge of Medicare, Medicaid, insurance, waiver programs, and community resources while adhering to company policies.
Home Health Agency - Field RN II
Cincinnati Children's
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Full Time
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13 Weeks Ago
Cincinnati Children's
This role involves following professional practice standards, assisting in peer competence development through precepting and coaching, and actively participating in identifying and evaluating safety best practices within the department. Responsibilities also include utilizing current research to expand professional knowledge and supporting clinical research studies.
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Global Clinical Operations Manager - Remote Opportunity
Airvet Inc
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Full Time
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13 Weeks Ago
Airvet Inc
The Clinical Operations Manager will lead domestic and global clinical operations, ensuring operational excellence by driving scalable systems, measurable performance outcomes, and high-quality care delivery across regions. This involves owning performance metrics, leading global expansion initiatives, defining the clinical roadmap, and designing operational experiments to improve workflows and the pet parent experience.
Telephonic RN Case Manager – Special Needs Plan (California RN License Required) Bilingual preferred
Alignment Health
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Full Time
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13 Weeks Ago
Alignment Health
The RN Case Manager will provide telephonic case management to medically complex and chronically ill members, conducting comprehensive health assessments and developing individualized care plans. This role involves coordinating care with internal and external partners, educating members/caregivers, monitoring progress, and resolving access issues.
Overnight Clinical Counsellor (French Speaking)
Workplace Options
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Full Time
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13 Weeks Ago
Workplace Options
Counsellors will provide single-session telephonic and video counselling, in-the-moment support, and crisis management while conducting thorough assessments to determine suitability for short-term counselling. Responsibilities also include managing high-risk situations, referring clients appropriately, developing treatment plans, and maintaining accurate clinical documentation.
VP, Medical Science & Strategy - Cardiovascular(Remote U.S)
Thermo Fisher Scientific
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Full Time
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13 Weeks Ago
Thermo Fisher Scientific
This role involves ensuring high-quality input into significant requests for proposals, including strategy, regulatory issues, and protocol considerations for cardiovascular indications. The incumbent will also support proactive client engagement, develop product plans through consulting, provide therapeutic expertise to internal teams, and contribute to innovative initiatives.
Licensed Telehealth Therapist / Mental Health Counselor (Massachusetts) 193 APPLICANTS
Prosper Health
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Full Time
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13 Weeks Ago
Prosper Health
Licensed Mental Health Therapists will provide specialized telehealth therapy services exclusively for autistic and neurodivergent adults. Responsibilities include delivering exceptional client care while the company manages administrative tasks, insurance billing, and client acquisition.
Clinical Application Specialist 80 - 100 % (f/m/d)
Hamilton Medical
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Full Time
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13 Weeks Ago
Hamilton Medical
This role involves providing expert consultation, developing strategies, and leading key account development initiatives within a designated geographical region while supporting end-users and distributors on advanced technologies. The specialist will also act as a mentor for a smaller regional team and drive the implementation of company strategies.
The facilitator will conduct remote group sessions for adolescent and young adult clients, adhering strictly to Charlie Health's best practices and curriculum, while fostering client engagement and camera-on culture. Responsibilities also include timely communication, completing all required documentation within 24 hours, and participating in mandatory supervision and treatment team meetings.
The facilitator will be responsible for completing onboarding, attending required check-ins, and preparing for and facilitating virtual groups using the assigned Charlie Health curriculum. Key duties also involve fostering client engagement, adhering to operational policies, and collaborating with the care team, including timely documentation.
The facilitator will be responsible for reviewing curriculum, arriving early, and facilitating virtual groups for adolescent and young adult clients following Charlie Health best practices and curriculum. Key duties also include fostering client engagement, participating in required supervision and team meetings, and ensuring timely and professional documentation.
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The facilitator will complete onboarding, attend required check-ins and supervision meetings, and facilitate virtual groups following Charlie Health best practices and curriculum for adolescent and young adult clients. Responsibilities also include fostering client engagement, maintaining timely documentation, and collaborating respectfully across the care team.
Cardiologist Consultant - Non-Direct Patient Care (75066)
Centurion Health
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Full Time
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13 Weeks Ago
Centurion Health
The Cardiologist will provide expert witness record review and testimony concerning applications for line of duty death benefits under Pennsylvania law. This short-term, per diem role requires medical review and analysis related to these specific benefit claims.
Executive Director, Clinical Development - Neurology
Insmed Incorporated
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Full Time
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13 Weeks Ago
Insmed Incorporated
This role involves leading clinical programs in neurology, supervising the clinical development team, and serving as the primary point person for medical monitoring and data interpretation for assigned clinical studies. The individual will also be crucial in formulating the company’s neurology pipeline and portfolio expansion in collaboration with research and commercial departments.
The role involves providing skilled, compassionate therapy to children aged birth to 21 with various physical, developmental, and sensory needs, which includes completing evaluations and creating individualized treatment plans. Additionally, the therapist will work closely with families, maintain accurate documentation, collaborate with a multidisciplinary team, and supervise COTAs when necessary.
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