Remote: Head of Complex Care & Utilization Management
AbsoluteCARE Inc
A healthcare organization is seeking a Senior Director for Complex Care Management and Utilization Management. This strategic leader will oversee national programs, drive operational excellence, and ensure regulatory compliance. The ideal candidate will have 7-10 years' experience in similar roles and a deep understanding of at-risk populations. Remote work is available, and travel is required across various markets to engage with teams. Strong leadership and communication skills are essential for success. #J-18808-Ljbffr
- ...healthcare organization is seeking a Senior Director for Complex Care Management and Utilization Management. This strategic role involves overseeing... ...leadership and communication skills. This position operates remotely, requiring a dedicated workspace. #J-18808-Ljbffr...Remote work
- ...healthcare organization is seeking a Senior Director of Complex Care Management and Utilization Management to oversee national programs aimed at... ...preferably hold relevant certifications. This position is remote, requiring a reliable home office setup. #J-18808-Ljbffr...Remote workHome office
- ...A healthcare management firm is seeking a Senior Director for Complex Care Management and Utilization Management. This strategic leader will design and optimize integrated care... ...experience in managed care environments. Remote work with travel flexibility is required. #J...Remote work
- ...(Google Ventures), Redpoint, Balderton, Point Nine, and 01A. We hire builders who thrive on complex technical challenges, hold themselves to a high bar, and genuinely care about delighting the people who use what they build. The team here brings sharp judgement, real...Remote work
$190k - $210k
...Head Of Value Based Care At Duet Duet is on a mission to transform primary care by empowering nurse... .... The Head of Value Based Care will manage and mentor a small but impactful team... ...ACO programs. Drive quality, utilization, and financial performance across attributed...Remote workContract work- ...things thoughtfully — we care deeply about quality,... ...What You'll Do As the Head of Community & Insights... ...understand how companies manage risk, timelines, and... ...discussions, able to turn complexity into clarity You're... ...from each other. We're remote‐first, low‐ego, and genuinely...Remote workPermanent employmentH1bWork at officeShift work
- ...Head of Major & Complex Loss About the Company Prestigious provider of risk & claims management services Industry Insurance Type Privately Held Founded 1962 Employees... ...information management managed care risk control appraisal services...Flexible hours
$125 per hour
...Therapy Coordinator – Hilton Head, SC Part-time | Field-Based... ...position providing in-home patient care and education Opportunity... ...customer experience while utilizing company communication and documentation... ...based on individual needs Manage and respond professionally to...Remote workPart timeFlexible hours$229.6k - $360.8k
...About the role: As the Head Counsel for U.S. Policy Legal... ...legal analysis with regard to complex and high risk issues for the Company... ...federal and state health care programs and reimbursement.... ...accordance with Takeda's Hybrid and Remote Work policy. #LI-Hybrid...Remote workMinimum wageFull timeTemporary workLocal area- ...The Peer-to-Peer (P2P) Utilization Review Nurse is an... ...MGB Central Utilization Management team, specializing in... ...on concurrent level-of-care denials and supports physician... ...a high volume of complex cases across multiple... ...Work Model ~ Remote / Work from Home....Remote workWork from home
- ...Serves as a core member of the care team coordinates and... ...cover cost. ~2+ years case management, utilization review, or discharge planning... ...software programs. - Identifying complex problems and reviewing... ..., especially to start. Remote / Work from Home Employees...Remote workDaily paidWork at officeWork from home
$28.2 - $68.49 per hour
...-profit, we support patient care, research, teaching, and community... ...cost. ~2+ years case management, utilization review, or discharge... ...software programs. - Identifying complex problems and reviewing related... ..., especially to start. Remote / Work from Home Employees...Remote workHourly payDaily paidWork at officeWork from homeShift work- ...Utilization Management Workflow Support This position supports the Utilization... ...creating authorizations via phone, Care Advance Provider Tool, and... ...customer questions and complex concerns. Assists Medical Directors... ...may be opportunity for remote work within all jobs posted...Remote workContract workWork at officeWork from homeHome office
$28.94 - $51.63 per hour
...RN Case Manager Optum NY, is seeking an RN Case... ...Optum is a clinician-led care organization that is... ...the flexibility to work remotely from anywhere within... ...plan case management, complex and disease case management... ...Experience in utilization review, concurrent review...Remote workHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...is looking for an experienced Registered Nurse in Peoria, Illinois. The role focuses on utilization review, clinical consultation, and effective patient support within a fully remote setting. Candidates should have an active Illinois RN license and significant...Remote workWork from home
- ...This position supports the Utilization Management (UM) workflows by providing... ...authorizations via phone, the Care Advance Provider Tool, and fax... ...customer questions and complex concerns. Assists Medical Directors... ...holidays. Potential for remote work within all jobs posted...Remote workContract workWork at officeWork from homeHome office
- ...Truman Medical Centers is seeking a Utilization Management RN for a part-time position working from home. The role involves partnering with interdisciplinary teams to optimize patient care and resources, ensuring compliance with regulatory standards. Applicants should...Remote workPart timeWork from home
- ...healthcare technology startup is seeking an Associate Director, Patient Care Advocate to lead the patient care advocacy team. You will... ...in healthcare support and significant experience in people management. Competitive benefits, flexible work options, and a commitment...Remote workFlexible hours
- ...don't settle for good enough. We're curious, compassionate makers always looking to get the job done right. Put People First Care Like Crazy Company Values Customer Obsession Build with empathy. Ask thoughtful questions. Think about the customer impact...Remote work
$48.52 - $72.78 per hour
...Description PeaceHealth is seeking a RN Complex Care Manager Outpatient - Care Mgmt for a Full... ...experience and Preferred: Utilization management/quality management experience... ...Ability to work in an independent and remote environment as position may be a hybrid...Remote workFull timeWork experience placementLocal areaWork from home- ...operations, the full-time Head of Content Process will... ...processing model while managing a team and... ...functional stakeholders in a remote environment. Key responsibilities... ...designing and leading complex operational workflows... ...Proven ability to utilize data and analytics for...Remote workFull time
- ...Head Of Microgrid Controls The Head of Microgrid... ...commissioning and startup of utility-grade microgrid systems... ..., you will build and manage a controls engineering... ...Develop and enhance remote monitoring, control, and... ...the ability to present complex technical information...Remote workFor subcontractor
$250k - $400k
...Head of Structuring and FRM Structured Equity... ...Mizuho is seeking a Managing Director to serve as Head... ...monitor financial resource utilization, including capital (... ...ability to synthesize complex information into clear... ...opportunities for remote work depending on the...Remote workWork at officeLocal areaWorldwide- ...first to AI-first through its AI Care platform, making world-class... ...Learn more at We are seeking a Head of Commercial Strategy to work with the General Manager to establish Bloom, Sword's AI-powered... ...* 401(k) Flexible working hours Remote-first company Paid company...Remote workFull timeFlexible hoursShift work
$300k - $424k
...This Role As the Head of Advertising, Labeling... ...to communicate complex scientific concepts clearly... ...post-approval lifecycle management. Prior people... ...an analytical approach utilizing a combination of factors... ...part in our mission. Caring Deeply. Achieving Excellence...Remote workTemporary workLocal area- ...Head of Interconnection & Transmission Role Overview... ...& Transmission Manager Hours: Full time; Salaried... ..., UT, possibly open to remote or hybrid Benefits Eligible... ...directly with utilities and ISOs, coordinate with... ...necessary to navigate complex utility processes and negotiate...Remote workFull timeLocal area
- ..., and we are seeking a Head of Workforce Recruiting... ...experience and hiring manager satisfaction. Optimize... ...planning, and ATS/CRM utilization to reduce time-to-fill... ...growth or operationally complex environments (e.g., manufacturing... ...condition, family care status, military or...Remote workPermanent employmentFull timeLocal areaRelocation packageFlexible hours
$60k - $80k
Position Overview Join our team as a Complex Care Manager where you will coordinate acute and post... ...‑life balance, with approximately 80% remote and 20% of the time allowing you to... ...acute settings with the goal of reducing utilization and unnecessary costs Work to...Remote workFull timeTemporary workWork at officeWork from homeFlexible hoursWeekend workDay shiftAfternoon shift- ...Supervising a remote team of clinical reviewers, the... ...York State Licensed Utilization Supervisor will oversee... ...team members to improve care delivery. Key... ...and track utilization management resources to ensure adherence... ...management team to resolve complex member care issues...Remote workFull time
- ...space. Position : Head of Artificial Intelligence... ...States and Canada (remote/hybrid depending on... ...including building and managing talent and ensuring ulitization... ..., gross margin, utilization, bench, subcontractor... ...stakeholders and lead complex deal pursuits. ~...Remote workFor subcontractorCasual work
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