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- Temecula, CA
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Work when you want!!! Join our fantastic home health company. We are growing and looking for the best of the best nurses to care for our wonderful patients. This is a part-time or full-time opportunity and works around your schedule. Job DescriptionHealth Home healthcare nurses provide one-on-one care for patients in their homes and may involve wound care, medication management, medication administration, hands-on care to patients, intravenous therapy lines, observing and monitoring patients'....

- Endicott, NY
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RN job opportunities at senior living center in upstate NY that has been nationally recognized with awards for excellence in customer service, practice and quality. This facility offers full nursing care, assisted living and private apartments in a lovely residential neighborhood. Competitive salary, shift pay and excellent benefits, including health insurance, paid time off, bonus and education incentives. Relocation assistance! Schedule: Full time and part time. Part time includes benefits!....

- San Diego, CA
new job!

Work when you want!!! Join our fantastic home health company. We are growing and looking for the best of the best nurses to care for our wonderful patients. This is a part-time or full-time opportunity and works around your schedule. Job DescriptionMental Health Home healthcare nurses provide one-on-one care for patients in their homes and may involve wound care, medication management, medication administration, hands-on care to patients, intravenous therapy lines, observing and monitoring....


Job Title: Senior IT Business Consultant(Healthcare) Location: Gratiot, OH 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 and....

- Vestal, NY
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Supervisor of Inpatient Coding opportunitiy at a teaching hospital system in upstate New York. Overview: Contribute to the flow within the HIM Department by assuring each inpatient record is optimally coded, attested to, billed and paid with the proper DRG/APC. Oversee clinical documentation improvement, working with physicians, care management and nursing. Customers served include HIM Department, Finance, Physicians, and Third Party Payors, Quality Management, Nursing,....

- Chesterfield, SC
new job!

We are in search of a Family Medicine Physician for a corporate site focused on worksite-based health and wellness center serving company employees. This is located 66 miles to Charlotte, NC. 95 miles to Greensboro, NC. This is a very quaint town and a wonderful place to raise children. Here you can dine in one of their fine eating establishments or shop in our quaint downtown village or sprawling highway 9. Follow in Dizzy Gillespie's footsteps, kayak on Lake Juniper, hike and bike in the....


Seeking local RN candidates for Manager, Prior Authorization & Referrals. If overseeing day to day functions of the call center that provides preauthorization and referral services to physicians for plan members is your thing. ... then we need you on our team.Oversee preauthorization nurses and referral specialists in their day to day activities including management of talk times, service levels, abandonment rate, and other key quantitative/qualitative factorsDevelop, implement and....

- El Segundo, CA
new job!

Seeking: RN, BSN, MSN Leader with experience in Complex Case Management, Disease Management, Utilization Management, Care Management, Quality in a managed care setting with at least 5-7 years experience. Job description OVERVIEW OF POSITION: Responsible for the oversight, management and optimization of all CQI, UM and Care Management activities as they relate to inpatient, social service, home health, DME and other healthcare delivery programs for the enterprise. Participates in the....

- Indianapolis, IN
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Nationwide Search for Director, Utilization Management (RN) for large Fortune 100 enterprise. Job descriptionOversee operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs. Ensure compliance government and contractual guidelines and the mission, philosophy, and objectives of Corporate and the health plan. Support and perform case management, disease management, and on-site concurrent review functions as necessary.....

- Oakland, CA
new job!

Nationwide Search for Director to lead and coordinate all National Labor Relations to include national initiatives, collective bargaining as well as day-to-day labor relations for Healthcare enterprise.Serves as a key interface between National Labor Relations and its key customers, ensures positive labor relations climate through effective communications, collaboration, persuasion, and problem-solving; demonstrating knowledge and understanding of the national labor relations program and....


Seeking Director to head up Membership Administration Systems for this healthcare enterprise. A Highly visible role for Healthcare Leader with experience in Operations, Membership Services in the implementation of Healthcare Health Systems and Large scope multi-year project management. Job description Responsible for the management and leadership of a range of process improvement and process management activities. Activities managed include planning, performing, and implementing process....

- Yakima, WA
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Seeking local RN leaders with Case Management experience to Manage the day to day operations of the case management department for this healthcare enterprise. Review analyzes of activities, costs, operations, and forecast data to determine progress toward stated goals and statistical/financial purposes. Promote compliance with federal and state regulations and contractual agreements. Develop, implement and maintain compliance with policies and procedures regarding medical case management.....

- Chicago, IL
new job!

Nationwide Search for the Best in Class of Contract Negotiators in Value-Based and Hospital Contracting. This national leader in healthcare, a Fortune 100 company which provides innovative solutions to over 12 million members, believes their most important assets are its employees. Join their team and help transform the health of the communities they serve, one person at a time. This starts with you, from your benefits to your retirement plan and reaches outwards to community support and....

- Calabasas, CA
new job!

Exclusive Search for Regional Medical Director to serve as liaison for the health plan. Responsibilities and focus to ensure that all the opportunities are highlighted through detailed reporting to the leadership building creditable and trusting relationships with stakeholders regarding performance metrics and serving as the clinical lead with large employer groups in the bid process. Manage assigned departments or functions with an emphasis on execution, outcomes, continual improvement and....

- Calabasas, CA
new job!

Exclusive Nationwide Search for Senior Medical Director to Assist the Chief Medical Officer (CMO) to direct and coordinate the medical affairs functions for the business enterprise. Oversee the denials and appeals department. May manage other medical directors. Medical Leadership Provide medical leadership for all utilization management, pharmacy, case management, disease management, cost containment, and medical quality improvement activities. Perform medical review activities pertaining to....

- Baton Rouge, LA
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Exclusive, Nationwide Search for a strong dynamic high-level nurse leader with a decade of medical management experience. This highly visible role will involve presenting to key stakeholders, coordinating with the medical management, quality improvement, and credentialing teams to support the strategies, vision, and policies of the health plan organization. Direct and coordinate activities of department and aid the chief officer of the health plan and appropriate corporate staff in formulating

- Murphysboro, IL
new job!

Exclusive Search for HR Business Partner responsible for HR strategies for large enterprise to drive the HR agenda, partnering closely with Centers of Expertise (COEs), HR Operations and key business unit leaders to effectively and efficiently deliver HR processes and initiatives for the business unit.Responsible for coaching the front line people managers and partner with them to resolve employee-related mattersDevelop and analyze HR data to guide business leaders in planning and execution of

- Chesterfield, MO
new job!

Nationwide Search for Director, Utilization Management (RN) for large Fortune 100 enterprise. Job descriptionOversee operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs. Ensure compliance government and contractual guidelines and the mission, philosophy, and objectives of Corporate and the health plan. Support and perform case management, disease management, and on-site concurrent review functions as necessary.....

- Binghamton, NY
new job!

Palliative Care Nurse Practitioner opportunity in upstate NY! This position is in a teaching hospital with high marks in employee satisfaction. Overview: Perform health and physical assessments, followup rounding on patients, symptom management, family meetings, interdisciplinary collaboration, etc. Great pay and benefits, including relocation assistance. Requirements: Must have current licensure in NY State as an RN and a current NY State license as a Nurse Practitioner. Beautiful rolling....

- Buffalo, NY
new job!

Nurse Practitioner or Physician Assistant – Substance Abuse Fully certified, premier provider of outpatient substance abuse disorder services in New York State near Buffalo. Our philosophy is that substance abuse disorder is treatable and that all patients should be accorded dignity and respect with the goal of restoring their lives. Full time or part time positions. Requirements: NP or PA and licensed (or eligible) in NY StateMust be able to prescribe and manage medication-assisted treatment....

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