FULL_TIME

FEED

OTHER

This leader will collaborate with data management to utilize predictive and prescriptive analytics to stratify our beneficiary population for inclusion in multiple Medical Management programs; direct staff and interventions that will improve beneficiary health outcomes including HEDIS scores; develop and implement clinical programs to optimize Condition/Disease Management strategies and goals; and collaborate with leadership to enhance the overall healthcare education and knowledge of our beneficiaries using multiple platforms and experiences. Technical Skills: Advanced knowledge of managed care principles; working knowledge of medical necessity review criteria, LOS, ICD, CPT, HCPCs and American Dental Coding required; quality management training/experience; extensive experience with relational databases and statistical analysis.

TriWest Healthcare Alliance

Director, Population Health

equestftpin

The Transition of Care Coordinator provides clinical oversight and coordination for beneficiaries moving between levels of care, supports discharge planning, conducts post-discharge follow up, completes assessments and reassessments as needed, identifies barriers to care, and reviews and processes authorization and referral requests according to policy. Technical Skills: Thorough knowledge of internal policies and procedures, utilization management principles, managed care concepts, medical terminology, and medical management system, clinical decision support tools, International Classification of Diseases, and Current Procedural Terminology.

Transition of Care Coordinator RN/LCSW

Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

Program Integrity Investigator

UNKNOWN

Ensures the patient is empowered to manage his/her healthcare needs Provides healthcare system guidance and promotes adherence to recommended treatment throughout the care pathway Supports providers by assisting patients and/or families in understanding their diagnosis, treatment options, and the resources available, including education, clinical research studies (as applicable), and technological advances Provides education/connection to community and external resources, such as access to supportive care, financial support, and return to work Streamlines process for patients by assisting with appointment scheduling in a compliant manner Ensures the organization of appointments and explains the sequence of treatments Ensures smooth transitions between care modalities, facilities, and providers Facilitates patient movement through the appropriate clinical pathway and collaborates with physicians to ensure patient compliance Reinforces patient-specific teaching as defined by the patient's provider Conducts follow-up conversations with patients and communicates any concerns, changes, or social needs to the appropriate physician or other care provider Attends and participates in Multidisciplinary Meetings (MDM) and/or other care planning conferences, as required by the navigation program Ensures appropriate patient data is available, including assessment and documentation Educates the patient and family regarding planned procedures, medications, and treatments What you will need in this role: 1-3 years of experience in Nursing - Required 3 + years of experience as a Nurse Navigator and/or patient educator in service line - Preferred Education Associate's Degree in Nursing required Bachelor's Degree in Nursing preferred Licenses and Certifications Basic Cardiac Life Support (preferred if remote position) - Required Registered Nurse - Currently licensed as a registered professional nurse in the state in which he or she practices, in accordance with law and regulation. What you will do in this role: Serves as a patient advocate Assesses the patient's medical and psychosocial needs as they pertain to their primary medical or surgical condition for navigation Uses appropriate tools to identify patient needs and barriers to care and provides access to potential resolutions Identifies health disparities and assists in the removal of these disparities Provides appropriate education, outreach, and support to patients and families.

YEAR

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.

HCA Healthcare Inc

Perinatal Navigator Registered Nurse RN

Owner operators typically take home $3,500 – $6,000 weekly after deductions and fuel, and top OTR owners have reached $6,500 – $7,000. How we work: Experienced dispatch team that knows dry van freight inside and out.

AmCan Freight Express LLC

Owner Operator Semi Truck Drivers

Betterteam

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. This role provides operational, financial, administrative, and stakeholder-management support for integrated human performance services that sustain Special Operations Forces mission readiness, longevity, and performance.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Business Manager-Remote

Lead and develop program resources (direct reports and/or matrixed team members) through clear goal setting, prioritization, coaching, performance feedback, and escalation management; drive accountability by influence across engineering, product, operations, and vendors to deliver integrated program outcomes. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.

Senior Technology Project Manager - Enterprise Technology PMO

Shall perform engineering tasks for front-end design and development efforts including, but not limited to, creating technical design drawings, mockups, wireframes, and other associated documentation for PMO and stakeholder review, planning and implementing modifications to GUIs, constructing and optimizing various UI elements, optimizing system navigation practices and elements, and facilitating operator ease of use for user-facing feature development. Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.

Frontend Software Developer

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - 10 years of combined experience in: (a) Database development and software engineering/development; (b) Database Design and Data Modeling; (c) Requirements analysis/generation; (d) Developing systems and software architectures.

Database Engineer

ReminderMedia is a leading marketing services provider that has helped over 100K small businesses grow their client base through a powerful suite of digital and direct-mail marketing tools. ReminderMedia is a leading marketing services provider dedicated to helping small businesses grow and retain clients through innovative digital and direct-mail marketing tools.

ReminderMedia

Remote Account Executive Opportunity

Workable

This role is responsible for directing all accounting, financial reporting, cash management, budgeting, grant and contract compliance, tax coordination, and internal control functions across multi-entity nonprofit organizations, including direct-service providers, advocacy and education organizations, and their related affiliates and supporting entities. Operational leadership breadth: Comfortable extending past the accounting function into operations, including process design, vendor and systems management, payroll and HR coordination, and cross-functional leadership alongside executive directors, finance committees, and boards.

Vessel Advisors

Controller (Non-profit Industry Expert)

HOUR

Monitors investigator sites with a risk-based monitoring approach, applies root cause analysis (RCA), critical thinking and problem-solving skills to identify site processes failure and corrective/preventive actions to bring the site into compliance and decrease risks. May need to maintain regular contact between monitoring visits with investigative sites to confirm that the protocol is being followed, that previously identified issues are being resolved and that the data is being recorded in a timely manner.

Mindlance

Clinical and Health - Sr CRA (Level II)

jobdiva

As a Remote Sales Executive, you’ll take full ownership of the sales cycle—engaging qualified prospects over the phone and closing deals in a fast-paced, performance-driven culture built for winners - working for an organization that’s been recognized as a top place to work (philly.com), one of the nation's fastest growing companies (Inc 5000), and an A+ BBB rating. ReminderMedia is a leading marketing services provider that has helped over 100K small businesses grow their client base through a powerful suite of digital and direct-mail marketing tools.

Direct Sales Account Executive - Remote

True Advisory Focus: You won’t just manage a ledger; you will facilitate intensive onsite assessments, advise C-suite leaders, and design financial roadmaps that directly impact client bottom lines. Fractional Controller Leadership: Serve as the lead Controller across a portfolio of recurring clients, managing month-end close quality, budget/forecast builds, and accounting system optimizations.

Consulting Controller - Client Advisory Services (Full-time, W-2)

Monitors investigator sites with a risk-based monitoring approach: applies root cause analysis (RCA), critical thinking and problem-solving skills to identify site processes failure and corrective/preventive actions to bring the site into compliance and decrease risks. May need to maintain regular contact between monitoring visits with investigative sites to confirm that the protocol is being followed, that previously identified issues are being resolved and that the data is being recorded in a timely manner.

Clinical and Health - Sr CRA (Level I)

Dodge Construction Network (Dodge) is seeking a Construction Information Specialist for our West-Great Plains region that will be responsible for leading the acquisition, evaluation, and validation of high-value commercial construction project intelligence through strategic engagement with industry stakeholders, including contractors, construction managers, owners, architects, and public agencies. 5+ years of experience in the commercial construction industry, with deep knowledge of the construction ecosystem (contractors, owners, architects, subcontractors, project lifecycle, bid and award processes) and the ability to evaluate complex project information within a business context.

Dodge Construction Network

Construction Information Specialist (West-Great Plains)

GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. We are extremely competitive, client-focused and realize that our value is in our ability to deliver the right solutions at the right time.

Gpac’s mission is to be the preferred staffing and recruitment solution by effectively delivering and connecting talent with successful companies and organizations. 
 
Our team, with collective experience of over 250 years, is passionate about wh

Gpac

Audit Seniors

LogicMelon

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Work as an integral part of the capture and proposal team, assisting in the development of competitive pricing strategies, developing scoring sensitivity analyses, projecting competitive behaviors, identifying risks, and interpreting solicitation requirements.

Principal Analyst - Senior Pricer

We are seeking an experienced Structural Engineer to join a growing engineering firm specializing in the design and construction of ductwork and structural support systems for power generation facilities worldwide. GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990.

Structural Engineer, P.E. (Remote)

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - E xperience across the Air Force and Space Force Military Departments and CYBERCOM, with demonstrated experience comprised of technical operational, sales, proposals and capture management within those organizations is required.

Remote Jobs in Nellis Air Force Base, NV

Director, Population Health TriWest Healthcare Alliance

Transition of Care Coordinator RN/LCSW TriWest Healthcare Alliance

Program Integrity Investigator TriWest Healthcare Alliance

Perinatal Navigator Registered Nurse RN HCA Healthcare Inc

Owner Operator Semi Truck Drivers AmCan Freight Express LLC

Business Manager-Remote Maximus

Senior Technology Project Manager - Enterprise Technology PMO Maximus

Frontend Software Developer Maximus

Database Engineer Maximus

Remote Account Executive Opportunity ReminderMedia

Controller (Non-profit Industry Expert) Vessel Advisors

Clinical and Health - Sr CRA (Level II) Mindlance

Direct Sales Account Executive - Remote ReminderMedia

Consulting Controller - Client Advisory Services (Full-time, W-2) Vessel Advisors

Clinical and Health - Sr CRA (Level I) Mindlance

Construction Information Specialist (West-Great Plains) Dodge Construction Network

Audit Seniors Gpac

Principal Analyst - Senior Pricer Maximus

Structural Engineer, P.E. (Remote) Gpac

Senior Director - Capture (Air Force & Space Force) Maximus

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