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VP of Medical Management | Health Services - (RN) - Milwaukee, WI Milwaukee... on the shores of Lake Michigan...you will find it is a very comfortable place to enjoy life...rich in historical and cultural attractions, and the perfect place for exploring the outdoors. Company offers generous relocation & perks, including TUITION & stock optionsJoin an already successful leadership team as they continue to improve outcomes and quality in WI. VP will establish and implement the strategic....


Case Manager II - RN - office or field based - TWO positions This health plan has received numerous awards for their programs of care ! They offer generous benefits and PLENTY of opportunity to grow in your career.Innovative health plan truly values their nurses. RN will coordinate continuum of care for select members with complex medical and/or behavioral health conditions to ensure they receive the highest quality most effective care while maintaining cost effectiveness. PCP, specialist, and


Manager, Medical Management - Appleton, WI Provide leadership for experienced clinical team in growing satellite office (12 direct reports), Manager will be responsible for managing a complete program of medical management in accordance with the mission, philosophy, and objectives of plan. Oversight includes both UM and CM. Manager will implement changes to medical service functions and performance in relation to company mission, philosophy objectives and policies, as directed. Manage budgets....

- St Louis, MO
new job!

VP, QUALITY - MCO - St Louis EXCEPTIONAL leadership team - GENEROUS RelocationWorking closely with the Chief Medical Director and the CEO, VP will oversee all related activities for Quality Improvement functions. Lead and direct process improvement activities for more efficient and streamlined workflow. Oversee the business processes related to risk adjustment and quality improvement for assigned products and plans.Responsible for all activities related to National Committee for Quality....

- Indianapolis, IN
new job!

Director, UM - Indianapolis, IN Amazing growth continues with this national firm - award winning programs of care and a chance to TRULY make a difference for the medically underserved population in INDIANA. Benefits are excellent- career advancement opportunities are unlimited Director will join an already successful team and have oversight for referral management, telephonic utilization review, prior authorization functions, and case management programs and ensuring compliance government and....

- Sunrise, FL
new job!

Senior Director, Quality – FLORIDA _____________________________________________________________________ Incredible growth potential - generous relocation to SUNNY Florida! If you enjoy taking the lead in NCQA accreditation - this may be the new job for you! Sr Director will utilize proven success in moving the needle by directing process improvement activities to improve and streamline workflows across the Florida market. Responsible for NCQA and HEDIS performance. Ensure health plan is....

- San Antonio, TX
new job!

Registered Nurse (RN) Home Infusion Sales As part of the sales team working to grow the business by recognizing opportunities to expand relationships with existing referral sources and partner with the medical community to understand their patient’s needs for a safe and smooth transition home. Support and assist physicians, social workers, discharge planners and other referral sources to facilitate appropriate home infusion candidates being discharged from area hospitals. Conduct initial....


TITLE: RN-Director Womens Services LOCATION: Carlin, NV Would you like to work in a facility that will allow you to have work/life balance? This area is not like Las Vegas or Reno. It offers the mountains, skiing, scenic bikeways, lakes and rivers. It also offers a vibrant community that has theater, galleries and some cowboy country all in a town of 35,000 population. Summary: The Director of Women's Services is a Registered Nurse that will manage a busy 15 bed Women’s Services Department.....


We are in need of an Adult or Family Nurse Practitioner with Occupational Health experience or transferable skills from working in an Emergency Room, Urgent care or Correctional Medicine work settings. Our client is a worksite-based health and wellness center serving company employees. This is a NEW role located near Wichita, KS… rated as one of the best places to live in 2018 and known for having some of the best public schools in the country. We are adding TWO Nurse practitioners. The Nurse....


The specialist will work with a team of medical information professionals to capture unsolicited medical inquiries from health care professionals, consumers, and corporate business partners. Also, research and respond to requests for scientific/medical information using various search and retrieval techniques and medical literature database (product label, published and unpublished studies) to develop a medical/scientific response that is accurate, fair balanced, complete and delivered in a....


TITLE: RN(Registered Nurse) for Surgery area LOCATION: East of Columbus, Ohio Are you considering a career change? Looking for a smaller community(25K population), that offers a low cost of living(18% lower than US average) and plenty of activities in the area but is within an hour of a large city. If so, an opportunity to work with an integrated health care system based in east central Ohio is looking for someone to join their team. The system is a not-for-profit and has over 300 physicians....

- Pittsburgh, PA

Home Healthcare Manager Our client company is a growing home health care / managed care organization in the Allegheny county area. They are seeking a Home Health Agency Manager on a full-time/direct basis. This opportunity will offer a career path with the overall responsibility for facility growth and employee development. The selected individual will have the following responsibilities:Oversee operations in a Medicare/Medicaid certified home health agencyOversee day to day agency operations,


If you are a RN with at least 1-3 years Cath Lab experience, we are interested in speaking with you about our client’s need in the Mishawaka, IN/ South Bend region. If you are a new grad.... our client is willing to invest the time to train you! Our client facility is located centrally of Chicago, Detroit, Indianapolis and 3 miles from Michigan State Line. This is a college community experiencing economic growth and offers diverse living choices for anyone who is single or has a family. Top....


We are in search of a Medical Director for a corporate site focused on worksite-based health and wellness center serving company employees. This is a NEW role located near Wichita, KS… rated as one of the best places to live in 2018 and known for having some of the best public schools in the country. There are 8400 employees eligible for care at this site. Matching 401k, 34 paid days off, CME allowance, and more. Relocation and possible sign on bonus. Salary starts at $ 200K and goes up quite....


Geriatric Nurse Practitioner opportunity in upstate NY near the PA border. Come join a leading hospital system with top benefits and competitive compensation. Excellent compensation package and relocation assistance.Provides general medical care and treatment to patients in area Long Term Care facilities, under direction of physician. Performs physical examinations and preventive health measures within prescribed guidelines and instructions of physician. Orders, interprets, and evaluates....


Regional Nurse Clinical Sales Leader - Midwest Representing a multi-state Region reporting to the Vice President of Sales supporting the sales initiatives as an expert in IV infusion services. Identify and retain new physicians, hospitals, payors and consumer opportunities to grow parenteral nutrition and cardiac infusion therapies and contribute to the growth of existing business. Strategic analysis of market and implement programs accordingly that support business growth. Up to 50% travel in

- Central, GA

POSITION TITLE: OB/GYN Physician POSITION LOCATION: Central, GA POSITION DESCRIPTION: OB/GYN physician opportunity that offers a great work/life balance combined with a beautiful location. Athens, Greensboro, Lake Oconee, and other accessible premiere locations make this a true life style opportunity. This modern hospital has a very good physician retention rate and congenial working environment. Choose hospital employed or private practice with a guarantee. Great benefits which include....


Job Description: Our client is in the process of opening a new Pediatric Emergency Department and are looking for several RN's and RN Managers who will care for children with all levels of illness and traumatic injuries. Their new facility will have a great support services including Radiology, a Lab, Pharmacy and NICU Qualifications:At least one year of experience of Pediatric Emergency Department experienceCurrent RN license


Are you a RN with a strong Quality background with hands on experience with NCQA accreditation expereince? Do you have this expereince in a Managed Care setting? If you have answered YES to these two important questions, read on… you just might be a match for this job! THIS IS A NEWLY CREATED POSITION AT THIS COMPANY. Here is more of what our qualified candidate looks like:7+ years of healthcare operations experience, including quality improvement experience. Managed care experience is....

- Waco area, TX

TITLE: RN, Registered Nurse ICU LOCATION: WACO area, TEXAS Would you like to work in a facility that will allow you to have work/life balance? The Cost of living in the area is 17% lower than the U.S. average. The facility is located within an hour and a half of Dallas/Fort Worth. The area offers plenty of small town living features include a historic district, entertainment and parks and recreation. Summary: The registered nurse assumes principle responsibility for total care of assigned....

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