10 jobs found

Clinical Reviewer (Remote - LCSW/LMHC/RN/PsyD/PhD) Are you an experienced Clinical Reviewer looking for a new challenge? Do you value care management and quality improvement ? Are you motivated , energetic , and excited to become part of the Kepro team? If so, you might be our next new team member! Who we need: The Clinical Reviewer completes comprehensive PASRR determinations for individuals with serious mental illness, intellectual disability, or related conditions, who require nursing facility level of services. Summary determinations are person-centered assessments utilizing medical and behavioral health records, evaluations, and treatment team consultations and will include the need for confirming diagnoses and making recommendations for care, including specialized services, within integrated settings. Why us? Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20...

Compassion. It’s the starting point for health care providers like you and it’s what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you’re also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing your life’s best work. SM **$3,500 Sign on Bonus for External Candidates** Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no...

HealthHelp - A WNS Company (www.HealthHelp.com), is the leader in the field of healthcare utilization & care management. We have gained this position by actively working to change out-of-date practices with a collaborative, non-denial based approach. Our methodology helps payors achieve a higher return on investment, gives providers education programs that better inform physicians, and ensures quality and safety for the patients needing treatment. HealthHelp’s innovative approach and strong IT capability in specialty benefits management means that staff will move healthcare forward when provided with evidence-based solutions and second opinions. HealthHelp's staff is comprised of healthcare professionals who make a difference every day. HealthHelp has a desire to fill their company with talented and innovative people who want a career path filled with success and personal growth. Our specialty benefits management services are broad and include,...

About Carrot Carrot Fertility is the leading global fertility benefits provider for employers and health plans, built to support employees through their lifelong fertility healthcare journey. Companies use Carrot to customize an inclusive fertility benefit that provides employees financial, medical, and emotional support as they pursue parenthood and fertility care, reducing healthcare costs and resulting in better clinical outcomes. The Role/ Opportunity This is a great opportunity to re-shape healthcare by utilizing your clinical experience, independent critical thinking, and expertise in a collaborative environment. The Medical Expert (Registered Nurse) is a clinical resource for their functional area(s). This role requires a focused approach to providing evidence-informed sessions pertaining to relevant information and guidance on various medical, reproductive, and pregnancy topics. Carrot is developing solutions to optimize health and family-forming journeys...

Ophelia   is a mission-driven organization that helps individuals with opioid use disorder (OUD) improve their health and quality of life. We make evidence-based treatment private, accessible, and affordable.   Opioid overdose is the #1 cause of death for Americans under 50, accounting for over 100 deaths each day. There is a proven treatment for OUD, called medication-assisted treatment (MAT), but 80% of people in need are unable to access it. We created Ophelia to make this treatment accessible from the privacy of your home.   We're a diverse and dedicated team - clinicians, scientists, techies, and humanitarians - on a mission to reimagine addiction treatment in America. We've raised  $68 million  from the world's top healthcare and technology investors (Y Combinator, Tiger Global, Menlo Ventures, General Catalyst), and we're rapidly expanding across the nation, helping thousands of people each day.   Join us, save...

Are you ready to link your passion with a purpose? At NantHealth, we build technology that simplifies healthcare. We manage the data and decisions that help the healthcare industry deliver better patient care. NantHealth’s products target specific pain points that inhibit healthcare from reaching its full potential. Our payer-provider collaboration solutions increase operational efficiency, unlock savings, and enhance communications. Our treatment plan validation capabilities help payers better manage costs for oncology and autoimmune conditions. We’re seeking innovative thinkers who love doing meaningful work. If you’re looking to bring your skills and expertise to a growing technology company, it’s time for you to join us! To ensure we can provide the best in healthcare tech, we focus on building the best team. Through holding true to our core values – clarity, empathy, collaboration, integrity, a sense of community, and a pioneering approach...

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth. Job Description This is a full-time, remote position working 1 weekend day. This person must be located in a Compact state and hold a Compact License in the state you reside. Bilingual in Spanish is preferred. The Worker’s Compensation Telephone Triage Clinician position provides inbound telephone triage services remotely to injured workers while following the individual state Worker Compensation rules and regulations. Uses clinical expertise and communication skills to triage,...

*Position is fully remote.** Job Summary Provides professional nursing care through skillful assessment, diagnosis, outcomes identification, planning, implementation, and evaluation in accordance with policies and procedures under the supervision of the supervisor and manager. Assists in maintaining a safe work environment and performs all related job responsibilities in a safe manner. Maintains clinical and professional competency as appropriate to the age, culture, developmental stages, and special needs of the patients served. Essential Functions Collects data pertinent to the healthcare consumer's health or the situation. Analyzes the assessment data to determine actual or potential diagnoses, problems, and issues. Identifies expected outcomes for a plan individualized to the healthcare consumer or the situation. Develops a plan that prescribes strategies to attain expected, measurable outcomes. Implements the identified plan, coordinates care...

*We are currently hiring for this position in the following states: AL, AR, AZ, CO, FL, GA, IN, KS, KY, LA, MD, ME, MO, MT, NC, NH, NJ, NM, OK, SC, TN, TX, UT, VA, WV.*  *Compact licensure is required at the time of application.* HealthHelp - A WNS Company (www.HealthHelp.com), is the leader in the field of healthcare utilization & care management. We have gained this position by actively working to change out-of-date practices with a collaborative, non-denial based approach. Our methodology helps payors achieve a higher return on investment, gives providers education programs that better inform physicians, and ensures quality and safety for the patients needing treatment. HealthHelp’s innovative approach and strong IT capability in specialty benefits management means that staff will move healthcare forward when provided with evidence-based solutions and second opinions. HealthHelp's staff is comprised of healthcare professionals who make...

We are looking for certified tumor registrars, registered nurses, physician assistants, or those with equivalent backgrounds who are fluent in oncology terminology to help us interpret and organize clinical oncology data, as well as help us accomplish our mission to improve lives by learning from the experience of every cancer patient. Here's what you need to know about the role, our team, and why Flatiron Health is the right next step in your career.  What You'll Do In this role, you’ll primarily abstract data from electronic medical records and use our proprietary software system to enter the data into our database. You would also be responsible for providing feedback to our team about the software that you are using. As an abstractor you will:  Help generate robust data sets by extracting key data points from electronic health records using Flatiron’s proprietary software system Maintain a high level of performance, as measured by passing...