Physical Therapist *FLEXIBLE schedule* Mobile Outpatient
Provide outpatient physical therapy services to patients in their homes. Focus on helping patients while enjoying autonomy and flexibility in scheduling.
Remote Healthcare Jobs (13,167)
Physical Therapist *FLEXIBLE schedule* Mobile Outpatient
Provide outpatient physical therapy services to patients in their homes. Focus on helping others while maintaining work-life balance and autonomy.
Collections Specialist - Healthcare
The Collections Specialist is responsible for providing accounts receivable management, including timely insurance account follow-up. This role involves recording receivable activities and resolving account discrepancies to ensure timely reimbursement.
Senior Clinical Data Manager - REMOTE Canada based 14 applicants
The Senior Clinical Data Manager will lead studies and manage all data management deliverables from study start-up to database lock. This role includes client-facing activities, project documentation development, and mentoring junior staff.
Pediatric Rare Disease Medical Science Liaison - Central Territory
The Pediatric Rare Disease Medical Science Liaison will act as a liaison with thought leaders to discuss research and medical information, facilitating clinical trial efforts. This role involves engaging in scientific exchange and developing relationships with key stakeholders in the assigned territory.
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Care Coordinator II
The Care Coordinator II supports care management activities and ensures services are delivered by healthcare providers. They interact with members through outreach and coordinate care activities based on care plans.
Medical Director - Spine
The Medical Director (Spine) will expand Aetna's medical management programs to address member needs across the continuum of care and support the Medical Management staff. They will lead utilization review and quality assurance, providing clinical expertise and business direction in support of medical management programs.
Medical Director - Medicaid Northeast
The UM Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review.
Medical Director - Kentucky Medicaid
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and pre-certification as well as concurrent review.
Medical Director - Heartland
The Medical Director will oversee medical policy implementation and participate in the development and evaluation of clinical programs. They will focus on utilization review and quality assurance, ensuring effective execution of medical services programs.
Medical Director - Medicaid (IL)
The UM Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review.
Medical Director - Medicare Appeals
The Medical Director will direct daily work on Part C appeals and provide support to appeal nurses. They will also monitor IRE and collaborate with Medicare Quality and Compliance.
Medical Director - West Virginia Medicaid
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and pre-certification as well as concurrent review.
Medical Director-Medicaid (ABH TX)
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and concurrent review.
Medical Director-Medicaid (ABH TX)
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and precertification as well as concurrent review.
Case Manager – Registered Nurse – Field – Southwest Michigan + Bonus Available 33 applicants
The Case Manager is responsible for assessing, planning, implementing, and coordinating case management activities to evaluate the medical needs of members. They develop proactive care plans and collaborate with various stakeholders to enhance member wellness and address health and social challenges.
Case Manager Registered Nurse- San Antonio, TX 41 applicants
The Case Manager RN is responsible for assessing, planning, implementing, and coordinating case management activities with members to evaluate their medical needs. This role involves developing proactive strategies to enhance members' overall wellness and facilitate smooth transitions to Aetna programs and plans.
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Care Coordinator II
Supports care management activities and ensures services are delivered by healthcare providers. Engages members through outreach to discuss care plans and coordinates care activities as needed.
Clinical Specialist - San Diego, CA
The Clinical Specialist provides comprehensive engineering, sales, educational, and technical support for Cardiac Rhythm Management products. This role acts as a clinical interface between the medical community and the business, responding to inquiries and facilitating training sessions for healthcare professionals.
Clinical Trial Liaison 365 applicants
The Clinical Trial Liaison supports clinical trials by providing scientific and clinical support to investigators and site staff. They also function as recruitment specialists to develop and optimize strategies for successful patient enrollment.
Part-Time Weekend Medical Director (Remote) 24 applicants
The Medical Director ensures that utilization management responsibilities are performed according to clinical standards by reviewing escalated cases and determining medical necessity. They also participate in multidisciplinary teams for case and disease management, advising on high-risk cases and managing special projects.
RN Case Manager-ONCOLOGY (REMOTE) 156 applicants
The RN Case Manager is responsible for assessing patients' clinical needs and coordinating care to ensure appropriate levels of care. This role includes monitoring services, advocating for members, and collaborating with multidisciplinary teams.
Clinical Consultant III, Enabling Technologies - Dallas / Fort Worth, TX
The Clinical Consultant III provides clinical, technical, and product knowledge support to customers while building and maintaining solid relationships. Responsibilities include technical support during procedures, customer training, and collaboration with sales teams to identify new users for technology-enabled procedures.
Utilization Review Nurse - Remote 424 applicants
The Utilization Review Nurse ensures high-quality, cost-efficient medical outcomes for enrollees needing inpatient/outpatient authorizations. Responsibilities include reviewing prior authorization requests, coordinating transitions of care, and managing health care within compliance regulations.
Care Transitions Nurse - Atrium Remote PT Weekends 8a-8:30p 11 applicants
The Care Transitions Nurse facilitates a proactive partnership with patients to manage their health-related needs. They assess, plan, coordinate, and evaluate services to empower individuals and their families in accessing resources and adopting healthy lifestyles.
Nurse Practitioner - Digital Front Door (Virtual) 75 applicants
The Nurse Practitioner will perform comprehensive care using advanced health assessment and therapeutic management for patients with addictions and co-existing health conditions. They will provide recovery-oriented, trauma-informed care and act as a resource for clinical advice related to substance use.
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Nurse Practitioner, Special Interest in Weight Management
Provide online treatment and ongoing care for patients with a focus on weight management. Utilize the Felix platform to deliver healthcare services remotely.
EAP Clinical Counsellor (French Speaking)
EAP Counsellors provide telephonic and video counselling, offering in-the-moment support and crisis management. They assess clients for appropriateness for short-term counselling and develop treatment plans while maintaining client confidentiality.
MA
Health Educator Associate (Remote in Wisconsin) 14 applicants
The Health Educator Associate assists professional staff by developing, conducting, and delivering health education interventions. This role promotes, maintains, and improves individual and community health by helping individuals and communities adopt healthy behaviors.
RN Clinical Review Nurse - Concurrent Review
The RN Clinical Review Nurse performs concurrent reviews to evaluate the necessity and appropriateness of care being delivered to members. This includes collaborating with healthcare providers and contributing to discharge planning according to established guidelines.
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