Provide clinical guidance and perform utilization reviews for specialty pharmacy solutions. Collaborate with providers on evidence-based practices and enhance team expertise through education, focusing on improving clinical care and outcomes.

Assess physician reports for accuracy, completeness, and compliance with jurisdictional standards. Communicate with physician reviewers to ensure clarity of information and meet client deadlines. Manage complex disability cases requiring additional r..

Ensure accurate clinical content and timely delivery of reports while communicating with clients and physicians. Provide oversight on complex cases and improve processes for enhanced client satisfaction and report quality.

Enter into and maintain nurse protocol agreement with Nurse Practitioners, provide clinical supervision, guidance, and support, offer remote consultations, ensure compliance with state laws, regulations, and organizational policies related to NP...

Develop detailed care plans and perform telephonic encounters with patients on behalf of partners. Carry a patient panel of a minimum of 100 patients per calendar month and attend regularly scheduled meetings. Graduation from an accredited School of...

Lead and develop a multidisciplinary clinical team, analyze performance metrics, implement new clinical programs, and identify opportunities for quality improvement to enhance patient and caregiver satisfaction.

Evaluate and approve service requests based on medical necessity criteria, document essential information, and collaborate with internal teams to enhance departmental performance and member outcomes while managing caseload volume and adhering to...

Audit clinical decisions against guidelines, facilitate RN training on decision processes, coach team members for quality improvement, and report performance metrics to senior leadership to enhance operational efficiency.

Lead the execution and continuous improvement of Diagnostic/Cardiac Imaging clinical programs, collaborating cross-functionally to achieve strategic goals while managing relationships with external clients and partners to optimize health outcomes.

Act as a primary contact for clinicians, identify job matches, build relationships, and utilize recruitment methods to attract healthcare professionals while ensuring effective communication and support throughout the hiring process.

Coordinate patient admissions and transfers, ensuring compliance with clinical criteria. Collaborate with healthcare teams to enhance patient throughput and maintain accurate documentation for effective care transitions.

Supervise psychiatric nurse practitioners, manage patient medication regimens, and collaborate with mental health clinicians to provide high-quality ADHD care while ensuring a patient-first approach in a fast-paced environment.

Develop, coordinate, implement, and refine clinical, operations, and product training. Support executive leadership and work cross-functionally to identify organizational needs and create a plan of action. Oversee team of clinical and non-clinical...

Manage trade compliance for import/export activities, ensuring accurate product valuation and classification. Collaborate with internal teams on compliance issues and liaise with customs authorities for documentation and investigations of...

Oversee project timelines from startup to completion, manage regulatory documentation for audit readiness, and negotiate study budgets with vendors while ensuring adherence to quality management standards throughout clinical studies.

Act as primary source for managing SNF delinquent accounts, investigate outstanding A/R, communicate with payers to resolve balances, create client reports, assist billing team, achieve performance goals.

Manage patient assignments for balanced provider panels, ensure compliance with healthcare regulations, assist in timely patient onboarding, and provide flexible support across various operational functions to enhance team efficiency.

Provide utilization review determinations for oncology, serve as a subject matter expert on evidence-based guidelines, and enhance clinical expertise through education sessions while collaborating on quality initiatives to improve clinical care.

Function independently to perform age-appropriate history and virtual examinations, diagnose, recommend treatment plan, and document findings. Deliver high-quality patient care while ensuring safety. Review patient history and document medical...

Provide high-quality patient care, maintain accurate and current patient records, and work collaboratively with provider and support teams. Evaluate, diagnose, recommend treatment plan, counsel and educate patients, and order and interpret diagnostic..

Counsel patients on hereditary cancer risks, screen patients for hereditary cancers, collaborate with clinicians based on medical guidelines, and provide metrics on program performance with your team.

Manage patient census with a resolution-driven approach to close gaps in clinical and non-clinical patient care. Identify and coordinate community resources with patients to benefit their care. Provide patient education on chronic conditions and assist...

Conduct preliminary health assessments for new patients, resolve inquiries to understand their needs, coordinate community resources for care, and provide education on managing chronic conditions effectively.

Conduct preliminary health assessments for new patients, resolve inquiries, coordinate community resources for chronic care, and provide education on health management while ensuring timely delivery of essential services.

Manage patient care by coordinating resources, providing education on chronic conditions, and ensuring timely service delivery. Resolve patient inquiries and assist with referrals and appointment scheduling to enhance healthcare experiences.

Manage patient care by identifying resources, providing education on chronic conditions, and ensuring timely service delivery. Foster communication to address patient needs and coordinate referrals effectively.

Provide patient-centered clinical care through ongoing assessments, establish individualized care plans, develop wellness goals, and address barriers to care, ensuring timely documentation and effective communication with multidisciplinary teams.

Provide evidence-based treatment for adults seeking mental health care. Collaborate with therapists and psychiatrists to support clients during their mental health journey. Hold thoughtful and engaged sessions with clients.

Oversee coding and auditing processes, ensuring compliance with regulations. Conduct training on audit findings, implement process improvements, and manage reporting standards for leadership and operational efficiency.

Provide consulting and support to nursing faculty at partner schools, including analyzing reports, assisting with curriculum, and interpreting statistical information. Travel, provide phone and online support, and contribute to improving service...

Provide high-quality patient care, maintain accurate patient records, evaluate and diagnose patients, counsel and educate patients, and order and interpret diagnostic tests as needed. Must have an active and unrestricted AZ State license and additional...

Conduct comprehensive wellness exams, counsel patients and families, document medical history, coordinate care with primary care providers, and ensure timely completion of all documentation and paperwork.

Manage specialty oncology cases by coordinating care, consulting with healthcare professionals, and providing education to members. Promote quality outcomes and facilitate access to resources for optimal health management.

Assess medical necessity, coordinate care, conduct utilization reviews, and ensure adherence to regulations and guidelines. Utilize clinical knowledge, critical thinking, and communication skills to optimize healthcare delivery and maintain quality...

Oversee performance improvement activities, ensure regulatory compliance, analyze data for quality initiatives, and support HEDIS/Stars activities to enhance clinical resource utilization and quality improvement processes.

Ensure continuity of patient care by coordinating treatment plans, addressing patient needs, and facilitating communication among care teams. Monitor high-risk patients and support their self-management for improved health outcomes.

Lead a team of nurses to deliver high-quality, evidence-based care, monitor and enhance care quality, support addressing patient barriers, and foster professional growth within the team to improve perinatal health outcomes.

Provide comprehensive patient care by prioritizing needs, coordinating treatment plans, and facilitating follow-up for high-risk patients. Ensure effective communication with healthcare teams and maintain continuity of care throughout the treatment...

Provide virtual primary care to adult and pediatric patients for a fast-growing client. Work remotely with flexible hours and receive support from clinical leadership and administrative teams. Requires multiple-state NP license and outstanding clinic..

Provide gender-affirming hormone therapy and expanded clinical services to adult patients. Onboard new patients, provide follow-up care, and manage prescriptions. Work remotely with flexible scheduling and leverage technology for patient care.

Provide patient-centered clinical care through ongoing assessments, establish individualized care plans, and develop wellness goals while addressing barriers to care and ensuring timely documentation of interactions for optimal health outcomes.

Assess physician reports, verify claims, provide customer service, manage complex cases, participate in special projects. RN required with 5+ years of claims experience, long-term disability experience preferred. Excellent communication and computer ..

Assess the quality of physician reports, verify claims support, and provide strong customer service for long-term disability cases. Manage complex cases and participate in special projects. RN required with 5+ years of experience.

Manage patient census, coordinate community resources, provide patient education, medication management, ensure service delivery, resolve patient questions. Active LPN license required. Fully remote with health benefits, paid time off. $21-28/hr.

Provide direct patient care for maternal mental health, manage medication therapies, and conduct evaluations in a telehealth setting while demonstrating clinical expertise and effective communication skills.

Provide expert clinical support for patients and healthcare providers, ensuring accurate communication of clinical information. Manage inquiries with urgency and compliance, while serving as a liaison to enhance patient satisfaction and outcomes.

Provide virtual telehealth services, manage a panel of primary care patients, develop care plans, and collaborate with a multidisciplinary team to improve health outcomes and ensure high-quality patient care.

Provide virtual telehealth services to assess patient needs and deliver clinical guidance. Manage a panel of primary care patients while collaborating with a multidisciplinary team to improve health outcomes and ensure high-quality care.

Deliver high-quality nephrology care to CKD patients, supervise clinical teams, and contribute to the development of a value-based care model while ensuring effective patient-centered planning and medication optimization.