The Advanced Practice Clinician role at Alignment Healthcare involves providing care and support to Alignment Healthcare patients in their homes through the Care Anywhere program. This role aims to prevent unnecessary hospitalizations, health complications, and unmanaged disease progression by offering in-home assessments, medication reviews, health screenings, and patient education. The position offers a competitive salary, annual bonus, stock options, continuing education reimbursement, and more, along with a comprehensive benefits package.

ADVANCED PRACTICE CLINICIAN (NP/PA) CARE ANYWHERE

Advanced Practice Clinician

The Registered Nurse - Critical Care at SSM Health is a broad subject matter expert for service line Epic functionality and integrated third-party applications. This role involves guiding decision-making, presenting best practices, working closely with stakeholders to define technical systems and enhancements, leading research on solutions, and developing detailed analysis for proposals. The position requires an Epic Certification in ASAP (ED) or an Inpatient related module and is remote but requires residents of Missouri, Oklahoma, Illinois, Indiana, Texas, Florida, Kentucky, North Carolina, or Wisconsin.

REGISTERED NURSE - CRITICAL CARE

Registered Nurse - Critical Care

Molina Healthcare Services works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. The role involves ensuring optimum outcomes, cost-effectiveness, and compliance with all state and federal regulations and guidelines through clinical service assessments, analysis against evidence-based clinical guidelines, and prior authorization reviews.

Care Review Clinician, Prior Auth (Registered Nurse) PACIFIC HOURS

Care Review Clinician

Molina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. The role involves ensuring optimum outcomes, cost-effectiveness, and compliance with all state and federal regulations and guidelines through prior authorization reviews.

Care Review Clinician, Prior Auth (RN): South Carolina, REMOTE

Care Review Clinician, Prior Auth (RN)

The Clinical Assistant at BlueCross BlueShield of Tennessee is responsible for screening incoming calls and/or faxes or other digital format for Utilization Management and/or Care Management, directing calls/faxes/other digital requests to the appropriate area, and identifying and referring cases appropriately. This role involves receiving, investigating, and resolving customer inquiries and claims, maintaining departmental goals, performing projects, reviewing and handling reports as assigned, and loading complete organization determination/notifications for services designed by internal policy.

Clinical Assistant

Molina Healthcare is seeking a US licensed RN to perform prior authorization reviews. This fully remote position involves calling across the contiguous US states, with a requirement to work using Pacific time zone. Previous experience in utilization management for another MCO is preferred. The role focuses on assessing, facilitating, planning, and coordinating integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.

Remote Care Review Clinician, Appeals (RN) - Must work PST schedule

Remote Care Review Clinician

Molina Healthcare Services works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. The role involves assessing inpatient services to ensure optimum outcomes, cost-effectiveness, and compliance with all state and federal regulations and guidelines. This remote position requires excellent computer skills, attention to detail, and virtual office skills for collaboration.

Care Review Clinician, Inpatient Review (RN)

Care Review Clinician, Inpatient Review

The Advanced Practice Clinician in Internal Medicine is a licensed Physician Assistant or Nurse Practitioner working in an adult ambulatory care setting, delivering patient-centered care in a virtual care setting as a member of a clinical team. The role supports value-based care while achieving positive clinical outcomes and providing a world-class patient experience. Successful candidates will have effective communication skills, enjoy collaborating with a multidisciplinary team, and have experience with current virtual care delivery methods.

APC - Virtual Care

Advanced Practice Clinician in Internal Medicine

The Clinical Care Coordinator at CenterWell is a part-time, work-from-home role responsible for ensuring optimal continuity of care for patients transitioning into and out of services. This includes being knowledgeable about post-acute levels of care and Kindred at Home services, such as home health, hospice, and palliative care. The coordinator communicates with the clinical team to facilitate patient follow-up and is under the general supervision of the Manager of Care Coordination.

RN Clinical Care Coordinator - Part Time Remote

Clinical Care Coordinator

The Bi-lingual (English/Hebrew) Principal Clinician IR/IRev will review, score, and provide feedback to site raters regarding the administration of standardized structured and semi-structured diagnostic and severity assessments. This role offers flexible hours and remote opportunities, focusing on evaluating patients' current clinical condition and symptom severity, performing diagnostic assessments, and conducting training for site raters.

Contract Principal Clinician - Bi-lingual Hebrew English - Remote (Flexible Hours)

Principal Clinician

Gentiva is seeking a Clinical Care Coordinator responsible for making clinical level of care determinations based on discussions, medical records, and any other pertinent clinical data. This role involves utilizing a variety of tools and methods to provide patient options and education on Gentiva services, including home health, hospice, and palliative care. The position requires an associate degree, with a bachelor's degree preferred, and a minimum of 3 years' post-acute experience, with home care and hospice experience preferred.

Clinical Care Coordinator - Remote

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