A-Line Staffing Solutions
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Fairfield,CA
Job Title : Hybrid Review & Evaluation RN Location: Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may be required , and additional details can be discussed further during interviews Work Schedule:...
Optum
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Fairfield,CA
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...
Virtual Vocations
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Fairfield,CA
To support donor eligibility assessments, the full-time salaried CTBS Certified Case Manager will review donor medical records, ensure compliance with regulatory standards, and coordinate necessary corrections while working remotely.Key...
Virtual Vocations
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Fairfield,CA
Texas Licensed Assessment Coordinator is a full-time remote position responsible for managing intake assessments, responding to service referrals, and ensuring compliance with admission procedures.Key ResponsibilitiesDocument and process inquiry...
Virtual Vocations
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Fairfield,CA
To support the educational mission, the part-time RN Licensed Adjunct Pathophysiology Instructor will deliver high-quality online instruction, facilitate classroom discussions, and assess student learning while maintaining compliance with...
Virtual Vocations
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Fairfield,CA
To improve health outcomes for members, the full-time Remote Healthcare Case Manager will coordinate care and services, conduct assessments, and develop care plans while working collaboratively with a multidisciplinary team from North Carolina.Key...
Virtual Vocations
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Fairfield,CA
To ensure the accuracy and completeness of medical reports, the full-time Florida Licensed Clinical QA Supervisor will oversee the review process, manage QA staff, and act as a liaison between various stakeholders while working remotely.Key...
Virtual Vocations
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Fairfield,CA
Seeking a Tennessee Licensed Clinical Supervisor for Women and Children's Health, the full-time remote position will manage a team of care managers, oversee daily workflows, and ensure high-quality delivery of Healthy Maternity, High-Risk OB, and...
Virtual Vocations
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Fairfield,CA
A company is looking for a Clinical Reviewer DC.Key ResponsibilitiesApply clinical review criteria and guidelines to determine the medical necessity of healthcare servicesConsult with physician/practitioner consultants on cases that do not meet...
Virtual Vocations
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Fairfield,CA
Supporting documentation of medical necessity, the temporary California Licensed Medical Records Case Manager will work remotely to facilitate medical records collection, provide expert review and interpretation, and maintain collaborative...
Virtual Vocations
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Fairfield,CA
To support a growing network of aesthetic practices, the full-time California Licensed Medspa Medical Director will oversee medical hires, approve treatment menus, and provide general supervision remotely while ensuring compliance with state...
Virtual Vocations
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Fairfield,CA
Overseeing clinical operations and ensuring compliance with Oklahoma regulations, the fully remote Oklahoma Licensed Director of Case Management will lead a clinical team in delivering holistic care, managing health risk screenings, and improving...
Virtual Vocations
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Fairfield,CA
To ensure appropriate coordination of care, the full-time Tennessee Licensed Clinical Review Manager will initiate referrals, assist with administrative reviews, and perform comprehensive provider and member appeals while working remotely.Key...
Virtual Vocations
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Fairfield,CA
To support the Denver Health Nurse Advice Line, the part-time Health Information Aide will manage incoming calls, assist customers by gathering essential information for patient care, and ensure accurate scheduling while working remotely from the...
Virtual Vocations
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Fairfield,CA
To support the education of future healthcare leaders, the part-time Arizona Licensed Nurse Educator will teach Advanced Pathophysiology and Pharmacology online, delivering high-quality instruction while maintaining compliance with accreditation...
Virtual Vocations
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Fairfield,CA
A company is looking for a Reimbursement Policy Analyst (Healthcare).Key ResponsibilitiesAnalyze, develop, and implement medical reimbursement policies and claims processing configurationsPartner with cross-functional stakeholders to define...
Virtual Vocations
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Fairfield,CA
Passionate about shaping future health care leaders, the part-time Arizona Licensed Nursing Educator will teach the Nursing Education Practicum online, delivering engaging instruction while overseeing 150 hours of clinical and educational...
Virtual Vocations
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Fairfield,CA
To support registry operations, the part-time Adult Cardiac Data Abstractor will be responsible for remote data abstraction, adhering to project guidelines, and meeting productivity and quality standards for assigned projects.Key...
Virtual Vocations
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Fairfield,CA
Massachusetts Licensed Care Coordinator, a full-time remote position responsible for facilitating smooth transitions of care for members, ensuring timely communication among providers, and addressing barriers to care.Key ResponsibilitiesEnsure...
Virtual Vocations
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Fairfield,CA
A company is looking for a Director of Health Plan Quality (RN).Key ResponsibilitiesLead enterprise STAR strategy to achieve and sustain 4+ STAR ratings while overseeing HEDIS, HOS, and administrative measure performanceDrive improvements in...
Virtual Vocations
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Fairfield,CA
Leading a dynamic team, the full-time Colorado Licensed Nursing Simulation Director will oversee the Interprofessional Simulation and Skills Hub, managing operations, finances, and educational initiatives while collaborating with faculty and...
Virtual Vocations
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Fairfield,CA
To support a Substance Use Disorder Program, the full-time Tennessee Licensed Nurse Educator will provide nursing education and support to prenatal and postpartum clients through remote interactions while coordinating with healthcare providers and...
Virtual Vocations
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Fairfield,CA
Working remotely in a full-time capacity, the Licensed Clinical Care Reviewer will process medical necessity reviews for behavioral health services, assist with discharge planning, and coordinate care for members.Key responsibilities:Complete...
Virtual Vocations
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Fairfield,CA
To support healthcare auditing needs, the full-time Clinical DRG Validation Auditor will lead audits of hospital billing and coding practices, develop audit forms, and provide guidance on ICD 10 CM and DRG assignment, all while working remotely...
Virtual Vocations
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Fairfield,CA
To support nursing staff in a remote capacity, the full-time Pennsylvania Licensed Assistant Nursing Manager will provide on-call support, oversee performance management, and ensure continuity of care while working from home during scheduled hours...
