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- Peach Tree City, GA
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POSITION TITLE: Director of Quality-Acute Care POSITION LOCATION: Peach Tree City, GA POSITION DESCRIPTION: Under the oversight of the CQO, directs and manages the clinical nursing staff in the areas of performance improvement, accreditation, regulatory compliance, patient safety, management engineering and infection control for the organization. This includes the management of the outcomes of each of these areas and acts as project manager to obtain goals. POSITION REQUIREMENTS:Education:**....

- Des Moines, IA
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Our client is an MCO focused on serving Medicaid, Medicare and uninsured individual It’s the foundation upon which they are creating greater access to care for their members, greater value for customers and greater health for communities. Will consider PT for Des Moines based candidates. Will consider relocation for FTE. Responsible for providing day to day guidance, support, and leadership for the clinical and quality activities and supporting the Medical Director in ensuring the clinical....

- East of Columbus, OH
new job!

TITLE: Senior Staff Accountant LOCATION: Ohio Are you considering a career change? Looking for a smaller community(25K population), that offers a low cost of living(18% lower than US average) and plenty of activities in the area but is within an hour of a large city. If so, an opportunity to work with an integrated health care system based in east central Ohio is looking for someone to join their team. The system is a not-for-profit and has over 300 physicians and multiple outpatient care....

- East of Columbus, OH
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TITLE: Polysomnagraphy Tech or Respiratory Therapist(RRT) LOCATION: Ohio Are you considering a career change? Looking for a smaller community(25K population), that offers a low cost of living(18% lower than US average) and plenty of activities in the area but is within an hour of a large city. If so, an opportunity to work with an integrated health care system based in east central Ohio is looking for someone to join their team. The system is a not-for-profit and has over 300 physicians and....

- East of Columbus, OH
new job!

TITLE: Surgical Technologist LOCATION: Ohio Are you considering a career change? Looking for a smaller community(25K population), that offers a low cost of living(18% lower than US average) and plenty of activities in the area but is within an hour of a large city. If so, an opportunity to work with an integrated health care system based in east central Ohio is looking for someone to join their team. The system is a not-for-profit and has over 300 physicians and multiple outpatient care....

- Waltham, MA
new job!

Utilization Manager – Waltham Continued growth in this northeast market has created a need for an additional behavioral health clinician to be a part of a program of integrated care. No nights, no weekends, no “on call” …..office -based role with great benefits and growth potential too! Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care settings, provide and/or review intakes and initial....


Sr. Contract Negotiator- HEALTH PLAN - Bedford,NH Very visible role engaging with CEO’s, CFO’s, Board of Directors to present data and work through contract specifics with providers. Company offers exceptional analytics support and generous benefits and career growth. Sr. Contract Negotiator will coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi specialty groups) and ancillary service agreements that are in accordance with corporate, health plan and State....

- Milwaukee, WI
new job!

SVP of Compliance -Wisconsin Leading healthcare enterprise - excellent team work - generous relocation package. Strong, transparent leadership team seeks a compliance executive who will continue the already successful programs and contribute to the continued growth in this market. The VP will work as a partner to the CEO and participate in meetings with a high-powered Board. SVP will serve as a key part of the local leadership team ensuring health plan and corporate are in compliance with....


Manager of Utilization Management – Dental Hygienist – TAMPA - FLORIDA RDH Salary is generous! Fortune 100 dental health insurance – so much room to grow – WONDERFUL benefits! Active Registered Dental Hygienist – any state Must work in Tampa – NICE relocation package! Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff to facilitate daily department functions.Review analyses of activities, costs, operations and forecast....

- Maitland or Sunrise, FL
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Director, Case ManagementINNOVATIVE health plan truly values their nurses . The Director will be engaged in creating, defining and directing a complete Case Management Program across a diverse population.This will encompass needs analysis and planning; working with executive leadership to ensure targets are met for the annual operating plan; ensuring compliance with Corporate, State and NCQA standards. Director will be asked to develop and implement methods, policies and procedures to improve....

- Owego, NY
new job!

Nurse Practitioner or Physician Assistant opportunity at an outpatient Ortho practice affiliated with a teaching hospital in upstate NY. You will be working with an orthopedic spine surgeon performing interventional pain management procedures in an office setting. You will receive top benefits and competitive compensation, including relocation assistance. Recent/new grads are welcome and receive tuition refund! Requirements: NP must possess current NY State RN and NP license. PA must be board....

- Baltimore, MD
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Medical Director – Immediate opportunity in Baltimore, MD Physicians who are looking for a purposeful career will enjoy this health plan's focus on improved quality and outcomes for the underserved population. You will work with an exceptional CMD, enjoy extensive analytic support along with an opportunity to collaborate on care management and quality initiatives. Medical Directors assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and....

- Milwaukee, WI
new job!

MANAGER, CASE MANAGEMENTThis leading healthcare enterprise truly values their nurses. They offer innovative products and sophisticated analytic tools An experienced RN with case management will lead the continuing growth of the team in the WI market. Leader will develop and implement case management programs to facilitate the use of appropriate medical resources and decrease health plan financial exposure. Review analyzes of activities, costs, operations and forecast data to determine progress

- Bedford, NH
new job!

Supervisor, UM - Bedford, NHInnovative health plan continues to expand. Supervisor will lead and mentor the UM staff, including identifying opportunities for process improvement. Benefits and perks are great – growth opportunities are unlimited!!! - Ensure appropriate usage of resources in order to facilitate the UM process - Ensure compliance within applicable state program guidelines - Evaluate compliance policies and procedures and analyze/recommend enhancements - Assist with ensuring....

- Harrisburg, PA
new job!

Director, Utilization Management - PA Award –winning programs of care, advanced technology & analytics, GREAT leadership. RELOCATION offered – must have or be able to secure RN license in PA Lead the operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs, ensuing compliance government and contractual guidelines Oversee the operations of the referral management, telephonic utilization review, prior authorization, and

- Milwaukee, WI
new job!

VP, Health Services | Medical Management - Milwaukee, WI Generous relocation & perks, including TUITION & stock optionsJoin an already successful leadership team as they continue to improve outcomes and quality in WI. VP will establish and implement the strategic vision for all medical management and quality functions. This is an IDEAL opportunity to bring your innovative ideas and success stories to an organization that values and listens to their clinical leadership. Exceptional....

- Owego, NY
new job!

Orthopedic Physician Assistant / Nurse Practitioner opportunity in upstate NY! Due to growth, this busy, diverse practice is seeking mid-level staff to assist physicians with office and surgical procedures. Located in a brand-new, state of the art facility, and affiliated with a teaching hospital, this full-time position offers outstanding benefits and competitive pay, including relocation assistance. Recent grads get tuition refunded! Requirements: Graduate of an accredited PA program.....

- Sprinfgfield, OR
new job!

10 Immediate openings Full-time Critical Care/ICU RN opening with our talented ICU team! This is a wonderful opportunity for a nurse with two years of Critical Care/ICU experience to work in a general Intensive Care Unit with 42 beds. Sacred Heart Medical Center's ICU covers Med/Surge, Cardiac, Neuro & Trauma cases. You’ll get to participate in team building and in the future apply for our Rapid Response (Code Blue) Team. Join our talented team, we are dedicated to increasing patient....

- East of Columbus, OH
new job!

TITLE: Respiratory Therapist(RRT) LOCATION: Ohio Are you considering a career change? Looking for a smaller community(25K population), that offers a low cost of living(18% lower than US average) and plenty of activities in the area but is within an hour of a large city. If so, an opportunity to work with an integrated health care system based in east central Ohio is looking for someone to join their team. The system is a not-for-profit and has over 300 physicians and multiple outpatient care....


Our firm is in search of a candidate with 5-7 years experience working in a business office serving multiple healthcare facilities. All facilities are in the state of Kentucky. Outstanding quality of life, horse country and lots of terrain to enjoy the great outdoors. Enjoy all 4 seasons and reasonable cost of living. In this role you will be responsible for the Business Operations of multiple healthcare facilities. To be considered you should have the following experience working in a....

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Unless noted above, applicants MUST be authorized to work in the US without Visa Sponsorship. US citizens and Green Card holders ONLY. We do not provide relocation assistance for those living outside the continental US. Please only click apply if you meet the specific requirements of the job listing, you are able to work in the location listed, and are comfortable with the salary range indicated above. Thanks for your interest. We look forward to working with you.