Category: Nursing Job Type: Full time Shift: Day - 10 Hour Location: Palo Alto, CA Req: REF1591Z Employee Group: Exempt Benefits Eligible: Yes Remote Eligible: No Department: CPEI Practice and Education Scheduled Weekly Hours: 40 We are
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united
City/StateFredericksburg, VA Work ShiftFirst (Days) Overview: Sentara Health is looking to hire an Integrated Case Manager, RN. This is a remote position; however, candidates must reside in Fredericksburg/ Stafford and surrounding areas as travel is required to
JOB DESCRIPTION The role typically begins with a training period, during which the employee works closely with a Care Coordinator within their assigned region. Initial caseload expectations are approximately 40–45 members. Upon completion of training, the
Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Calling All Esteemed Leaders! Are you a care-management leader who thrives in complex acute-care environments and brings expertise in care transitions, utilization management, discharge planning, and interdisciplinary collaboration? Do you excel at leading teams, improving patient
Job DetailsJob Location: Huntington Beach Office - Huntington Beach, CA 92647Position Type: Full TimeSalary Range: $34.98 - $42.85 HourlyRemote in California onlyAre you ready to make a lasting impact and transform the healthcare space? We are
Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united
Job Title Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs.
Job Title Plays a critical role in ensuring that patients receive high-quality care while efficiently utilizing medical resources. Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in
Job Title Plays a critical role in ensuring that patients receive high-quality care while efficiently utilizing medical resources. Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in
Quality Improvement Coordinator Our home health and hospice agencies are located throughout California, Hawaii, Oregon, and Washington. They serve the entire community and offer personalized in-home care, and many have been recipients of Home Care Elite
Complex Care RN (CCM RN) Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and
Job Title Job Title Job Description Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations -
Job Title Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through
Complex Care Registered Nurse (CCM RN) Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of
Clinical Auditor Position This position will offer remote work flexibility, but the selected candidate must reside in Nebraska. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid Team
Job Description Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy
Job Title Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record