The Senior Specialist, Provider Engagement at Molina Healthcare oversees, plans, and implements healthcare quality improvement initiatives and education programs specific to the Provider Network. This role ensures the maintenance of Provider Quality Improvement programs in accordance with prescribed quality standards, conducts data collection, reporting, and monitoring for key performance measurement activities, and acts as a lead specialist providing direction and guidance within the department and/or collaboratively with other departments.

Sr. Specialist, Provider Engagement (Remote in New Mexico)

Senior Specialist, Provider Engagement

The Clinical Services Specialist at Kelly Services will support and contribute to the Clinical Services Team, ensuring exceptional customer and patient experiences with the company's clinical diagnostic products. This role involves accurate and timely communications from sample acceptance to results delivery, working closely with various internal teams and resolving documentation issues related to clinical samples. The position is a 6-month contract, remote, and requires working on PST.

Clinical Services Specialist

Home Instead is seeking compassionate Caregivers to join their team, focusing on providing non-medical services to aging adults to help them remain in their homes with dignity, care, and compassion. Responsibilities include companionship, light housekeeping, meal preparation, medication and appointment reminders, assisting with grooming, bathing, toileting, and incontinence issues, and caring for clients with Alzheimer's.

Caregiver

Aveanna Healthcare is seeking a dedicated Care Coordinator to join their compassionate team. The role involves assisting AveannaCare users through various means, maintaining and updating user accounts, running reports, and resolving payroll/punch issues. This position requires a minimum of one year of payroll and/or customer service experience within the last four years, excellent interpersonal skills, and intermediate computer skills.

Aveanna Care Coordinator-Remote

Care Coordinator

The Care Manager at Magellan Health Services is responsible for authorizing and reviewing utilization of mental health and substance abuse services in both inpatient and outpatient care settings. This role involves collecting and analyzing utilization data, assisting with discharge planning and care coordination, providing member assistance with mental health and substance abuse issues, and participating in special quality improvement projects. The position requires collaboration with other clinical team members, interaction with Physician Advisors, and participation in network development activities.

Care Manager (UM/UR) - Remote, Idaho Licensed

Care Manager

The Care Manager at CareFirst is responsible for researching and analyzing members' medical and behavioral health needs and healthcare cost drivers. They work closely with members and the interdisciplinary care team to ensure an effective plan of care and positive member experience, leading to optimal health and cost-effective outcomes. This role involves identifying members with acute/complex conditions, engaging with them and their providers to develop comprehensive care plans, and facilitating program and community referrals.

Care Manager (MD-DC-Northern VA) (Remote)

The Clinical Affairs Specialist at Teleflex is responsible for augmenting the sales process by partnering with sales representatives and customers to drive clinical aspects of product evaluations, installations, and training. This role involves presentation delivery, training development, objection handling, and solution positioning to support the safe and effective use of Teleflex Interventional MCS products. The position requires extensive travel and involves managing administrative tasks, off-label inquiries, and maintaining expertise in Teleflex products.

Clinical Affairs Specialist-MCS (Remote)

Clinical Affairs Specialist

CareLinx is seeking a Care Advisor to support its Payer Operations line of business. The role involves guiding members through the caregiver search and hire process, ensuring satisfaction, and providing ongoing support. The Care Advisor acts as a liaison between members, families, and caregivers, maintaining relationships and offering support to ensure an exceptional experience. This position requires excellent communication skills, time management, and the ability to work in a remote environment.

Care Advisor (Payer)- Remote

Care Advisor

The Patient Qualification Specialist at Apria Healthcare, a subsidiary of Owens & Minor, is responsible for providing excellent customer service and product information to patients and providers. This role involves critical problem-solving, flagging trends, partnering cross-functionally to implement preventative measures, and proactively creating a better patient experience. The position aims to evangelize customers, turn disgruntled patients into advocates, and support the Field teams, Operations, and Sales by delivering timely feedback.

PATIENT QUALIF SPEC

Patient Qualification Specialist

The Medical Specialist at Guardian Life will be knowledgeable in a variety of medical and behavioral health conditions, performing outreaches to claimants or treating providers to obtain certification dates, treatment plans, and other pertinent medical information. This role involves leveraging medical knowledge to determine necessary information, coordinating vendor utilization, and assisting in claim decisions. The position offers flexibility and requires a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) with a valid license, clinical experience, and strong communication skills.

Medical Specialist

Capgemini is seeking a Service Centre Specialist to join their team. This role involves receiving inbound phone calls from prescribers and members, utilizing multiple software systems to create Prescription cases and determine coverage, determination, and appeals process. The position offers a remote work environment with a focus on good communication skills, meeting or exceeding government mandated timelines, and compliance with turnaround time, productivity, and quality standards.

Multi - Service PA1 - Service Centre Specialist

Service Centre Specialist

The Provider Engagement Specialist at Magellan Health Services is responsible for building and maintaining an adequate provider network to meet the needs of the member population. This role involves monitoring and reporting on network adequacy, recruiting new providers, negotiating reimbursement rates, establishing and maintaining relationships with providers, and resolving provider issues. The position requires extensive communication with providers, representing the network at client meetings, and collaborating with internal teams to drive initiatives.

Provider Engagement Specialist - Remote in Idaho

Provider Engagement Specialist

The Caregiver at Always Best Care Senior Services is responsible for providing companionship, assisting with activities of daily living, light housekeeping, meal preparation, medication reminders, and maintaining a healthy living environment for clients. This role offers a flexible schedule, competitive wages, weekly pay, paid orientation, and training, as well as opportunities for referral bonuses, awards, and incentives. The company emphasizes a supportive mentorship program, scholarships, and offers a variety of employee benefits.

Hillside Family of Agencies is offering a remote Care Coordinator II position for their Youth Act program in Cortland, NY. This role involves delivering quality psycho-social care to youth and families, working closely with Clinicians and other care providers to meet the overall needs of the client. The position is remote and offers a competitive salary based on relevant work experience and education.

Care Coordinator II

The Provider Contracting Specialist at McLaren Health Care is responsible for generating new provider contracting activities within assigned market segments for assigned Plan(s) with a statewide focus on facilities, PHO, and PO. This role involves initiating, negotiating, and executing Value Based physician and/or other provider contracts and agreements, as well as generating new contracting opportunities through various channels. The position is fully remote and offers the opportunity to be a part of a dynamic organization dedicated to improving health care.

Provider Contracting Specialist, MI - Remote - McLaren Careers

Provider Contracting Specialist

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Caregiver Specialist Jobs in Idyllwild, CA Hiring Now

Sr. Specialist, Provider Engagement (Remote in New Mexico)

Clinical Services Specialist

Caregiver

Aveanna Care Coordinator-Remote

Care Manager (UM/UR) - Remote, Idaho Licensed

Care Manager (MD-DC-Northern VA) (Remote)

Clinical Affairs Specialist-MCS (Remote)

Care Advisor (Payer)- Remote

PATIENT QUALIF SPEC

Medical Specialist

Multi - Service PA1 - Service Centre Specialist

Provider Engagement Specialist - Remote in Idaho

Caregiver

Care Coordinator II

Provider Contracting Specialist, MI - Remote - McLaren Careers