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- Baltimore, MD
new job!

Nationwide Search for Director, Utilization Management (RN) for large Fortune 100 enterprise. Job descriptionOversee operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs. Ensure compliance government and contractual guidelines and the mission, philosophy, and objectives of Corporate and the health plan. Support and perform case management, disease management, and on-site concurrent review functions as necessary.....

- Sacramento, CA
new job!

Seeking an Executive leader committed to the medical management function, who thrives on coaching and mentoring a large organization, has a creative and visionary style of leadership with excellent communication skills Are you looking for an opportunity to shine and have ideas that can make a positive impact on programs of care management? Do you have creative ideas and want to work with a GREAT Team? The Director will work closely with the Medical Informatics team to identify trends that need

- Chesterfield, MO
new job!

Architect, Information Technology (4 openings) Chesterfield, MO A National Healthcare Plan Fortune 100 enterprise is currently seeking IT Architect for their expanding team in Chesterfield, MO. The ideal candidate will possess 5+ years of relevant design and architecture experience. Relocation available. Responsibilities of the Architect, Information Technology Develop and drive the standards, development processes, systems architecture, and design patterns to support IT and business....

- Irvine, CA
new job!

Work when you want!!! Join our fantastic home health company. We are growing and looking for the best of the best nurses to care for our wonderful patients. This is a part-time or full-time opportunity and works around your schedule. Job DescriptionHealth Home healthcare nurses provide one-on-one care for patients in their homes and may involve wound care, medication management, medication administration, hands-on care to patients, intravenous therapy lines, observing and monitoring patients'....


Regional Nurse Clinical Sales Leader - Midwest Representing a multi-state Region reporting to the Vice President of Sales supporting the sales initiatives as an expert in IV infusion services. Identify and retain new physicians, hospitals, payors and consumer opportunities to grow parenteral nutrition and cardiac infusion therapies and contribute to the growth of existing business. Strategic analysis of market and implement programs accordingly that support business growth. Up to 50% travel in

- Ottawa, OH
new job!

Summary:Reports to Manager, Human Resources and is responsible for supporting the HR Department through; management, compliance and enforcement of human resource related policies, procedures, and programs. Also, reporting, analysis, training development, implementation and facilitation, employee relation problem resolution, investigations, performance management, health and wellness compliance, and communication using various methods. A significant portion of incumbent’s duties are performed....

- Pittsburgh, PA
new job!

This Chief Nurse officer / CNO will be responsible for overseeing all day to day nursing functions for LIFE Pittsburgh. They will lead, manage and direct 6 nurse managers and up to 20 nurses. They will have the responsibility to lead the strategic clinical direction of the organization in a very team oriented approach. This is an excellent opportunity for Director level nursing person who can look at the big picture strategically while leading by example with their feet on the ground. We are....


Seeking expert in Claims Configuration to Direct and oversee the claims configuration and pricing/benefits set up within the claims payment system ensuring accurate reflection of provider contracts and claims payments with large healthcare enterprise. Ensures timely and accurate configurations and pricing/benefits set up for new business implementationsEnsure changes in provider contracts are reflected in the claims payment systemCollaborate with stakeholders to gather business requirements....


My client is a leader in the field of custom prosthetics, a kind of Durable Medical Equipment (DME) service provider. They are a medical device fabricator and technology innovator as well as a healthcare treatment company ($10MM in sales) with clinics in 7 major metropolitan areas across the U.S. They have been in business for 20 years. They are presently seeking a new National Director of Business Development to lead their entire Business Development and Sales organization across the U.S.....


Nationwide Search for Senior Director, Contracting & Network Development Fantastic opportunity to join our Fortune 100 leading healthcare enterprise experiencing incredible growth and market expansion! Senior Director will oversee the development and implementation of contracting activities in network development and enhancement.Work with Business Development and Providers to develop a strategy for developing new networks including plans to meet network access and unit cost....


Nationwide Search for Senior Director, Contracting & Network Development with solid experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups, and ancillary service agreements. Fantastic opportunity to join our Fortune 100 leading healthcare enterprise experiencing incredible growth and market expansion! Senior Director will oversee the development and implementation of contracting activities in network development and enhancement.Work with Business....


Seeking RN leader with strong management and organizational skills to manage utilization function of fast growing organization. Develop, implement, and execute utilization management programs to provide appropriate medical resources, best care practices and decrease financial costs.Provide reports on work function activities for statistical and financial tracking purposes to identify utilization trends and process improvement strategiesReview data analytics of services, expenditures,....


Exclusive, Nationwide Search for a strong dynamic high-level nurse leader with a decade of medical management experience. This highly visible role will involve presenting to key stakeholders, coordinating with the medical management, quality improvement, and credentialing teams to support the strategies, vision, and policies of the health plan organization. Direct and coordinate activities of department and aid the chief officer of the health plan and appropriate corporate staff in formulating


Nationwide Search for RN, BSN, MSN Leader with experience in Complex Case Management, Disease Management, Utilization Management, Care Management, Quality in a managed care setting with at least 5-7 years experience. Job description OVERVIEW OF POSITION: Responsible for the oversight, management and optimization of all CQI, UM and Care Management activities as they relate to inpatient, social service, home health, DME and other healthcare delivery programs for the enterprise. Participates in....


Nurse Practitioner or Physician Assistant opportunity at a primary care/family practice located in a picturesque community in affordable upstate New York. Join a financially stable healthcare organization affiliated with a teaching hospital and enjoy top benefits and competitive compensation! Relocation assistance and other perks! Requirements: Certification as an NP or PA, with NY license or eligible. Ability to work independently. New grads welcome and receive tuition repayment! Please email


Nurse Practitioner or Physician Assistant Urology opportunity in upstate NY! This position is in a teaching hospital system with high marks in employee satisfaction. Great pay and benefits, including relocation assistance. New grads welcome and receive tuition repayment - no strings!! Requirements: FNP must have current licensure in NY State as an RN and a current NY State license as a Nurse Practitioner. PA must have NCCPA certification and NY State license. Beautiful rolling hills, major....


Palliative Care Nurse Practitioner opportunity in upstate NY! This position is in a teaching hospital with high marks in employee satisfaction. Overview: Perform health and physical assessments, followup rounding on patients, symptom management, family meetings, interdisciplinary collaboration, etc. Great pay and benefits, including relocation assistance. Requirements: Must have current licensure in NY State as an RN and a current NY State license as a Nurse Practitioner. Beautiful rolling....


Physician Assistant, ENT opportunity in upstate NY! This practice is affiliated with a teaching hospital system with high marks in employee satisfaction. Great pay and benefits, including relocation assistance. New grads welcome and receive tuition repayment - no strings!! Requirements: Valid NYS Physician Assistant license (or eligible) and current certificate of registration from the NCCPA. Beautiful rolling hills, major university, lakes and rivers, parks and trails, small-city environment,


Nationwide Search for Director to lead and coordinate all Regional Labor Relations to include regional initiatives, collective bargaining as well as day-to-day labor relations for Healthcare enterprise. Serves as a key interface between Regional Labor Relations and its key customers, ensures positive labor relations climate through effective communications, collaboration, persuasion, and problem-solving; demonstrating knowledge and understanding of the national labor relations program and....

- Dayton, OH

Our client is a Faith based not-for profit health system rated as among the Top 10 in the country. Highly patient centric and collaborative environmentRN-Ohio License or willingness to obtainHospital OR experience, preferably trauma casesMinimum of two years RN-OR Circulating experienceVariety of cases and complexity with one or more of the following, (i.e., ortho total joint/hip, neuro-spine/crany, robotics, heart, general, etc.)Open to working 10's or 12's (either first, second or third....

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