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Clinical supervisor work from home jobs

- 526 jobs
  • Illinois (remote) - Licensed clinical social worker

    Presence 4.8company rating

    Remote job

    What you'll do Provide direct services and student counseling Participate in IEP meetings Complete comprehensive case reports Exercise strong communication and relationship-building skills to collaborate with onsite school personnel and build rapport with students Conduct social/emotional evaluations and eligibility paperwork About you Active state license to work independently as a clinical social worker A SSW letter from State DOE or the ability to obtain 1 year of experience providing direct services/counseling in a school setting, excluding your intern year Schedule flexibility and interest in working across time zones Working knowledge of technology, such as headphones and personal computers Owns a reliable personal computer About Presence As a trusted partner and advocate for clinicians since 2009, we offer our large community of remote providers access to an award-winning platform, assessment and therapy materials, continuing education, and networking opportunities to help them succeed. Through ongoing, clinically-led career resources and support, we're meeting the needs and creating career options for clinicians today-wherever they are. Let's talk perks and benefits Flexible, remote scheduling No-cost continuing education courses and clinical workshops tailored to your professional development Access to the award-winning Presence platform, featuring assessments and curated session materials from top publishers like Highlights, SPARK Innovations and more Designated clinical guidance Cross-licensing support Just so you know All your information will be kept confidential according to Equal Employment Opportunity guidelines Our clinicians can choose to work as little as 5 hours per week or work up to 40: All availability will be considered within typical school-based hours Compensation is $40-48 per hour. Pay rate is determined based on experience and market conditions You'll be paid for both direct and indirect time (Example: Indirect includes specific documentation, attending IEP meetings, and more)
    $40-48 hourly 4d ago
  • Remote Mental Health Therapist - Outpatient - (LISW, LPCC, IMFT)

    Lifestance Health

    Remote job

    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in behavioral health. Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire Mental Health Therapists (LPCC, LISW, IMFT) in our Cincinnati offices who are passionate about patient care and committed to clinical excellence. Haily Kontogianis Director, Practice DevelopmentEmail: ...@lifestance.com Is this you? Wanting to deliver high quality behavioral healthcare. Seeking work life balance. Interested in growing professionally. What we offer Counselors: Flexible work schedules. Telehealth and in person flexibility. Top compensation over $100,000, no cap on compensation. Full benefits package: health, dental, vision, life, 401k (with match), parental leave, EAP and more. Annual incentive bonus plans. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance. Sign on Bonus Annual cash bonus Licensed Counselors are a critical part of our clinical team. We're seeking Licensed Counselors who are: Independently licensed in the state of Ohio (LISW, LPCC, IMFT) Experienced working with adults, children & adolescents and or the complete lifespan MUST live in the state of Ohio and/or be able to come into the office one day during the first week for training. No exceptions. About LifeStance Health LifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees. Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose. If you elect to interact with us via our website, please only use ****************** or *************************** Additionally, our recruiters utilize email addresses with ******************* domain. Other websites and domains are not affiliated with LifeStance Health and may represent threats to your data security. LifeStance Health complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact our Human Resources Team at ...@lifestance.com or by calling +1-800-###-####. Please note: This contact is intended solely for accommodation requests. Inquiries regarding applications, resumes and applicant status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official careers page.
    $100k yearly 8h ago
  • Virtual Primary Therapist (New York)

    Monte Nido & Affiliates, LLC 3.7company rating

    Remote job

    We save lives while providing the opportunity for people to realize their healthy selves.: Licensed Therapist Remote Must be licensed in New York Monte Nido is a leader in eating disorder treatment, providing compassionate, evidence-based care for over two decades. Our Virtual Eating Disorder Treatment Program offers PHP (Partial Hospitalization) and IOP (Intensive Outpatient) levels of care, allowing clients to receive specialized, high-quality treatment from home. Finish Why Join Monte Nido? Work remotely while providing impactful, evidence-based therapy Be part of a dedicated, multi-disciplinary team that includes medical, psychiatric, and nutritional experts Help clients on their recovery journey through individualized care and a proven treatment model What You'll Do: Provide individual, group, and family therapy for clients in virtual PHP/IOP care Conduct psychosocial and bio-psychosocial assessments Collaborate with the treatment team to create and implement Master Treatment Plans Support discharge planning and care coordination Maintain communication with referral sources and external providers Schedule: Monday- Friday, must be available for 2 EST evenings/late nights Pay Range: $60,500-$90k, depending on experience and license VIRTUAL EMPLOYEES: We have the same expectations for employees as we do for clients. We ask that you always have camera on and join from a private space free from other noises and distractions (e.g. not in car) when meeting with clients or joining a clinical staff meeting. You will need a reliable video conferencing setup including camera, microphone and stable, high speed Internet connection. You will also need to be prepared for a back-up in the event of technology failures. We also expect that you consider your personal appearance in much the same way you would if you were seeing clients in-person. You will also need to keep your background (behind the camera) clean and professional. Total Rewards Discover a rewarding career with us and enjoy an array of comprehensive benefits! We prioritize your success and well-being, providing: Competitive compensation Medical, dental, and vision insurance coverage ( Benefits At a Glance ) Retirement Company-paid life insurance, AD&D, and short-term disability Employee Assistance Program (EAP) Flexible Spending Account (FSA) Health Savings Account (HSA) Paid time off Professional development And many more! We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Responsibilities Include Providing individual, group, and family therapy Serving as liaison with families and outpatient providers Interact with insurance companies for pre-certification and utilization management Participating in discharge and aftercare planning Therapeutic meal support, while modeling a healthy relationship with food Provides safe, empathetic, and affirming care for each client and their unique circumstance based on the clients' intersecting identities Qualifications Master's degree in clinical counseling or related discipline, at minimum NY state license in a counseling field (e.g., Psychologist, LMFT, LCSW, LPC) Prior experience with eating disorders and higher levels of care is helpful Knowledge of diversity, equity and inclusion practices
    $60.5k-90k yearly 5h ago
  • Program Manager, Clinical Tools

    Habitat Health

    Remote job

    At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with our leading healthcare partners, including Kaiser Permanente. Habitat Health offers a fully integrated experience that brings more good days and a sense of belonging to participants and their caregivers. We build engaged, fulfilled care teams to deliver personalized care in our centers and in the home. And we support our partners with scalable solutions to meet the health care needs and costs of aging populations. Habitat Health is growing, and we're looking for new team members who wish to join our mission of redefining aging in place. To learn more, visit ****************************** Note: The estimated start date for this role is 12/1/2025 Role Scope: We are looking for a program manager to drive our Clinical and Strategic tools portfolio, specifically EMR and Growth engines. As a Program Manager you will work cross-departmentally to organize project planning, implementation, and training success. We are looking for a highly organized and dynamic individual who can juggle multiple projects across various applications; help implement and refine processes for intake, prioritization, and tracking of both projects and regular maintenance requests; and work closely with Platform and Operations leaders on end user training success. Develop and refine mechanisms to intake, prioritize, and track projects across multiple functions and systems Organize and facilitate meetings with business stakeholders and technical teams to drive project success Work with Operations leader to identify gaps in user training material and fill said gaps via documentation refinement and demo/training facilitation Partner with the PACE Center Leadership, Office of CMO, Population Health, Practice Operations, Finance, Strategy, Growth, and Health Plan Operations closely to define the business needs, direction and prioritization for Clinical Applications projects, and drive results. Coordinate with multiple vendors to drive project success including clarification of system function, collection of technical and operational documentation, and driving timely delivery of action items both internally and externally Qualifications Aligns with our purpose and our values, and is excited about living those out in daily practice PMP or similar certification 5+ Experience with Epic clinical applications (Ambulatory, Compass Rose) 5+ years of experience leading cross functional projects Strong ability to organize and refine project scope, requirements, and plan from ambiguous needs Excellent communication skills and ability to facilitate cross departmental meetings including senior leadership as well as line level staff Strong documentation skills, especially related to project planning spreadsheets and PowerPoint slides Proficiency with MS office suite and visualization tools (Vizio/Lucid) Nice to Have Experience with Salesforce Experience with Agile methodology including leading SCRUM PACE experience Compensation: We take into account an individual's qualifications, skillset, and experience in determining final salary. This role is eligible for medical/dental/vision insurance, short and long-term disability, life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. The expected salary range for this position is $90,000 - $123,000. The actual offer will be at the company's sole discretion and determined by relevant business considerations, including the final candidate's qualifications, years of experience, skillset, and geographic location. How Habitat Health supports you: Medical, Dental, and Vision plans with competitive coverage for employees and dependents Health Savings Account with employer contribution Flexible Spending Account 12 weeks of fully paid Parental Leave for birthing and non-birthing parents 401k with match CME and License Reimbursements for clinical team members Short and Long Term Disability Voluntary Life Insurance Paid Vacation Time Paid Sick Time 10 company holidays Employee Assistance Program with access to mental health programs, legal and financial support, and much more! Vaccination Policy, including COVID-19 At Habitat Health, we aim to provide safe and high-quality care to our participants. To achieve this, please note that we have vaccination policies to keep both our team members and participants safe. For covid and flu, we require either proof of vaccination or declination form and required masking while in participant locations as a safe as and essential requirement of this role. Requests for reasonable accommodations due to an applicant's disability or sincerely held religious beliefs will be considered and may be granted based upon review. We also require that team members adhere to all infection control, PPE standards and vaccination requirements related to specific roles and locations as a condition of employment. Our Commitment to Diversity, Equity, and Inclusion: Habitat Health is an Equal Opportunity employer and is committed to creating a diverse and inclusive workplace. Habitat Health applicants are considered solely based on their qualifications, without regard to race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), gender identity, gender expression, sexual orientation, marital status, military or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), or other status protected by applicable law. Habitat Health is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Habitat Health will take steps to provide people with disabilities and sincerely held religious beliefs with reasonable accommodations in accordance with applicable law. Accordingly, if you require a reasonable accommodation to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at *************************. Beware of Scams and Fraud Please ensure your application is being submitted through a Habitat Health sponsored site only. Our emails will come from @habitathealth.com email addresses. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission by selecting the ‘Rip-offs and Imposter Scams' option: *******************************
    $90k-123k yearly Auto-Apply 42d ago
  • Clinical Program Success Manager, New Ventures

    Pomelo Care

    Remote job

    About us Pomelo Care is a multi-disciplinary team of clinicians, engineers and problem solvers who are passionate about improving care for moms and babies. We are transforming outcomes for pregnant people and babies with evidence-based pregnancy and newborn care at scale. Our technology-driven care platform enables us to engage patients early, conduct individualized risk assessments for poor pregnancy outcomes, and deliver coordinated, personalized virtual care throughout pregnancy, NICU stays, and the first postpartum year. We measure ourselves by reductions in preterm births, NICU admissions, c-sections and maternal mortality; we improve outcomes and reduce healthcare spend. Role Description Your North Star: Deliver an exceptional experience to clinicians providing care to our Pomelo Care customers. Exceptional experience will be measured by: Clinician Net Promoter Score (NPS) Clinician quality metrics Clinician retention rates What You'll Do In this role, you will have the following responsibilities: Act as the primary internal point of contact for clinicians delivering care across our pilot programs; answer questions, provide feedback, and monitor utilization. Design the onboarding and training program for new clinicians, in partnership with the Training team, and ensure that all providers complete onboarding and training in a timely manner. Own communication and change management to clinicians regarding important updates, using scalable and effective methods. Maintain an up-to-date clinician handbook with accurate details on our offering, such as services included, documentation expectations, and required scripting. Ensure that clinicians meet the expectations of our client sponsors, including documentation requirements, quality standards, and preferred partners. Use data to identify areas for improvement at the individual and team level; escalate programmatic areas of opportunity and provide coaching to specific clinicians, as needed. Build relationships with relevant community clinician groups to support recruitment, build trust within the community, and stay informed of market trends. Who You Are Prior experience working within a healthcare environment, either as a clinician or as a team leader of clinicians. Strong interpersonal skills and demonstrated ability to engage with a diverse population. Demonstrated ability to build trusting relationships in a virtual environment. Excellent written and verbal communication skills. Demonstrated ability to drive change management with large frontline teams at scale. Comfort leading difficult conversations 1:1. Strong sense of ownership, with demonstrated experience partnering cross-functionally to find answers and to find solutions quickly and independently. Able to own processes end-to-end and ensure that all steps are completed accurately. Strong project management skills and attention to detail, ensuring that every step is understood accurately, completed in full, and communicated effectively. Comfort using data to inform prioritization and decision-making. Ability to adapt to changing priorities and work effectively in a fast-paced environment. Willingness to learn new processes and systems, and to teach them to others. Why you should join our team By joining Pomelo, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven startup where you will have a profound impact on the patients we serve. And you'll learn, grow, be challenged, and have fun with your team while doing it. We strive to create an environment where employees from all backgrounds are respected. We value working across disciplines, moving fast, data-driven decision making, learning, and always putting the patient first. We also offer: Competitive healthcare benefits Generous equity compensation Unlimited vacation Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship) At Pomelo, we are committed to hiring the best team to improve outcomes for all mothers and babies, regardless of their background. We need diverse perspectives to reflect the diversity of problems we face and the population we serve. We look to hire people from a variety of backgrounds, including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status. Our salary ranges are based on paying competitively for our company's size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Pomelo Care. In accordance with New York City, Colorado, California, and other applicable laws, Pomelo Care is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity. A reasonable estimate of the current salary range is $95,000-$110,000. We expect most candidates to fall in the middle of the range. We also believe that your personal needs and preferences should be taken into consideration, so we allow some choice between equity and cash. Potential Fraud Warning Please be cautious of potential recruitment fraud. With the increase of remote work and digital hiring, phishing and job scams are on the rise with malicious actors impersonating real employees and sending fake job offers in an effort to collect personal or financial information. Pomelo Care will never ask you to pay a fee or download software as part of the interview process with our company. Pomelo Care will also never ask for your personal banking or other financial information until after you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All official communication with Pomelo Care People Operations team will come from domain email addresses ending ******************. If you receive a message that seems suspicious, we encourage you to pause communication and contact us directly at ********************** to confirm its legitimacy. For your safety, we also recommend applying only through our official Careers page. If you believe you have been the victim of a scam or identity theft, please contact your local law enforcement agency or another trusted authority for guidance.
    $95k-110k yearly Auto-Apply 27d ago
  • Clinical Program Manager

    Histosonics 3.6company rating

    Remote job

    HistoSonics is a medical device company, founded in 2009, that has developed a non-invasive, sonic beam therapy platform that uses histotripsy, which is capable of destroying targeted liver tumors. Our mission and passion are to advance the novel science of histotripsy and its powerful benefits, bringing meaningful and transformational change to physicians and their patients. Location: Remote position, ideally candidates will live in a major metro area with an international airport. Travel Expectation: Travel (by automobile or air, day trips and overnight stays) up to 25% of the time. Position Summary: The Clinical Program Manager (Clinical PM) develops, manages and executes global clinical studies in collaboration with the Clinical Affairs team in accordance with applicable regulatory requirements and company's strategic imperatives. The Clinical PM manages all activities of study design and development, vendor management, site management including qualification, training, activation and monitoring. The Clinical PM will ensure study performance and compliance. Key Responsibilities: * Responsible for the management of Clinical Trials from inception through Clinical Study Report (CSR) completion. * Ensure clinical trial activities are completed on time, within budget and in a highly dynamic and complex environment in accordance with appropriate quality standards including ICH/GCP requirements. * Create and implement study-specific clinical monitoring tools and documents. * Lead the identification, evaluation, selection, and oversight of clinical trial sites. * Author and implement operational plans to ensure efficient study enrollment and monitoring activities at clinical sites. * Review/approve vendor and site invoices and track study budget to forecast, working closely with finance and clinical business operations. * Responsible for implementation and oversight of Trial Master File for inspection readiness. * Drive overall process and provide support to cross-functional teams in the development of study documents including study protocols, consent forms and budget templates. * Serve as lead in the creation of project plans, logs, templates, newsletters, and other documents. * Review and approve site specific documents (such as informed consent forms, site budgets, monitoring reports). * Provide study updates and reports, inclusive of study risks and issues. * Lead internal and external meetings, including Investigator Meetings, conferences, events and study management meetings. * Responsible for ongoing study data reviews and data cleaning activities. * Provide oversight of study activities such as site initiation, data quality, interim monitoring and close out activities. * Support the development of study training to investigators, site staff and internal staff. * Participate in the preparation and follow up of internal process audits, vendor, and study site quality audits as well as regulatory inspections. * Other duties as assigned. Qualifications and Skills: * Bachelor's degree in relevant area of study. * Minimum of 2-3 years clinical trial management experience; IDE trial experience preferred. * Minimum of 5 years experience in the medical device industry REQUIRED. * Knowledge of, and experience with, the FDA and the EU regulatory environments. * Excellent written and verbal communication skills. HistoSonics will not offer sponsorship or take over sponsorship of an employment visa for this position at this time. Benefits: We offer a comprehensive benefits package for full-time employees. This includes health, dental, and vision insurance, life, short-term and long-term disability insurance, 401(k), paid time off, and more. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. #LI-Remote
    $68k-107k yearly est. 15d ago
  • Clinical Liaison

    The Periscope Group 3.8company rating

    Remote job

    The Clinical Liaison functions as a critical point of contact between clinical leadership, the administrative team, and external partners. The Clinical Liaison maintains high-level administrative support for clinical operations, manages key communications, and drives efficiency across complex workflows. This role involves proactive problem-solving and the oversight of documentation and information flow, ensuring that both clinical and administrative functions are well-aligned. The Liaison will also play a pivotal role in enhancing process improvements, ensuring adherence to company standards, and supporting company initiatives that advance client experience and company objectives. Compensation Range: $65,000-$75,000 annually Pacific Standard Time preferred Primary Responsibilities: Function as an essential resource to clinical leadership, delivering executive support and anticipating operational needs Proactively manage schedules, appointments, and communications for leadership and clinical teams Coordinate internal and external communications, including supporting high-level relationship management with health plan partners and clients Own the organization, accuracy, and integrity of critical databases, ensuring data is current and accessible to relevant stakeholders Screen, review, and interpret confidential medical documents and requests, making assessments or routing items for decision as appropriate Assist in preparing reports, executive briefings, and presentations as needed for leadership Facilitate information and document flow between teams, upholding standards of confidentiality and compliance (HIPAA) Identify data or process gaps and escalate to supervisors, contributing to ongoing workflow optimization efforts Provide logistical support for meetings, conferences, and special projects led by clinical leadership Handle confidential information with discretion, exercising sound judgment on sensitive matters Perform other executive and operational administrative duties as assigned by leadership Required Qualifications: Degree as a Physical Therapy Assistant, Occupational Therapy Assistant, or higher Minimum 3 years of clinical experience as a Physical Therapy Assistant or Occupational Therapy Assistant, or higher A device to access the internet and Periscope platform (PC, Mac, laptop) Exemplary verbal and written communication and interpersonal skills, including diplomacy and tact Exemplary organizational skills, resourcefulness, and attention to detail Ability to work independently, set priorities, and manage multiple tasks for multiple leaders High degree of professionalism and sound judgment under pressure Flexible and adaptable, able to pivot priorities as business needs evolve Ability to interact and communicate effectively at all organizational levels and with external partners Strong analytical skills to independently assess, review, and escalate clinical documentation as needed Strong proficiency with all Microsoft Office 365 Suite and virtual communication platforms Reliable internet access Preferred Qualifications: Clinical experience with neurological injuries and impairments Experience working with medical equipment, especially complex rehab technology Additional certifications such as ATP and/or CAPS Physical Requirements and Working Conditions: Ability to work in a remote office setting with frequent use of computers and phones Occasional travel required for events and onsite meetings
    $65k-75k yearly Auto-Apply 2d ago
  • Clinical Program Manager - CMS Medical Review (RVC)

    Broadway Ventures 4.2company rating

    Remote job

    At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider-we're your trusted partner in innovation. Location: Remote (U.S.) Schedule: Monday-Friday, 8:00 AM-4:30 PM ET Employment Type: Full-Time Position Overview We are seeking an experienced Program Manager to oversee daily operations for the CMS Review and Validation Contractor (RVC) Program. This role serves as the primary point of contact to the CMS RVC COR and is responsible for ensuring all contract, operational, and medical review requirements are executed in accordance with CMS guidelines. The ideal candidate brings a strong clinical background (RN), extensive Medicare program knowledge, and proven leadership experience managing large, complex healthcare projects. Key Responsibilities Serve as the contractor's authorized representative on all daily operational matters. Maintain ongoing communication with the CMS RVC COR regarding contract performance, staffing, and deliverables. Oversee medical review activities and ensure compliance with CMS guidelines and FFS RAC Program requirements. Lead cross-functional teams and manage staff required to support RVC operations. Ensure accurate interpretation of Medicare coverage, documentation, and regulatory standards. Monitor project progress, performance measures, and quality assurance outputs. Prepare operational updates, reports, and data summaries for CMS and internal leadership. Ensure effective workflows, staffing coverage, and adherence to deadlines and contract terms. Provide clinical oversight and guidance across medical review tasks and methodologies. Required Qualifications 5+ years of Program Management experience overseeing large or complex healthcare projects. Experience in medical review, healthcare auditing, or clinical review operations. Extensive knowledge of the Medicare program, including CMS regulatory and operational requirements. Working knowledge of the CMS FFS RAC Program. Strong leadership abilities with experience managing multidisciplinary teams. Education & Licensure Master's degree in Business, Healthcare Administration, Nursing, Management, or a related healthcare field from an accredited institution. Current, active U.S. Nursing License (RN); must be maintained throughout employment. Preferred Skills Excellent written and verbal communication skills. Strong analytical, organizational, and problem-solving abilities. Experience working with government contracts or federal healthcare programs. Ability to manage multiple projects and deadlines in a fast-paced environment. Why Join Us Opportunity to lead mission-critical work that supports the integrity of the Medicare program. Collaborative team environment with impactful clinical and operational responsibilities. Competitive compensation and benefits package. How to Apply Submit your resume detailing your program management experience, clinical background, and Medicare/CMS expertise. What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and discuss salary requirements. Management will be conducting interviews with the most qualified candidates. We perform a background and drug test prior to the start of every new hires' employment. In addition, some positions may also require fingerprinting. Broadway Ventures is an equal-opportunity employer and a VEVRAA Federal Contractor committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because they drive curiosity, innovation, and the success of our business. We do not discriminate based on military status, race, religion, color, national origin, gender, age, marital status, veteran status, disability, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.
    $62k-96k yearly est. Auto-Apply 2d ago
  • Clinical, Manager, Prior Authorization Technician

    Capital Rx 4.1company rating

    Remote job

    About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi , the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit **************** Location: Remote (For Non-Local) or Hybrid (Local to NYC area) Position Responsibilities: Oversee a dynamic team of pharmacy technicians engaged in the prior authorization process. Analyze available data to provide prior authorization staffing, workflow, and system enhancement recommendations to maximize team agility and performance. Actively participate in the prior authorization technician metric and quality goal setting process. Generate and deliver comprehensive reports on prior authorization technician metrics to both internal and external stakeholders. Assist the talent acquisition team in the hiring, evaluation, training, and onboarding of new employees. Investigate/resolve escalated issues or problems from team members, clients, and other internal teams. Key stakeholder in ensuring the prior authorization review platform is optimized for technician functions. Maintain relationships with external Independent Review Organizations and clinical resource vendors. Support the training and growth of both new and existing staff members in adherence to proper procedures. Collaborate with prior authorization leadership to develop process improvements and support long-term business needs, recommend new approaches, policies, and procedures to influence continuous improvements in department's efficiency and help establish best practices for conflict resolution while actively participating in problem identification and coordinate resolutions between appropriate parties. Assists with in other responsibilities, projects, implementations, and initiatives as needed in accordance with the policies and procedures established within the department. Prepare prior authorization requests received by validating prescriber and member information, level of review, and appropriate clinical guidelines. Maintain compliance with local, state, and federal laws, in addition to established organizational standards. Proactively obtains clinical information from prescribers, referral coordinators, and appropriate staff to ensure all aspects of clinical guidelines are addressed for pharmacist review. Triage phone calls from members, pharmacy personnel, and providers by asking applicable drug and client specific clinical questions. Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and Company policies Required Qualifications: Active, unrestricted, National Certified Pharmacy Technician (CPhT) license required Bachelor's or Associate's degree is preferred 4+ years of PBM or Managed Care pharmacy experience required Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint Strong clinical background required Excellent communication, writing, and organizational skills Ability to multi-task and collaborate in a team with shifting priorities Preferred Qualifications: 2+ years of regulated market prior authorization operations experience or knowledge of how to operationalize regulated market requirements Previous prior authorization operations leadership experience Salary Range$80,000-$90,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at *********************************************
    $80k-90k yearly Auto-Apply 19h ago
  • SDI Clinical Manager

    Parallel LLC 4.4company rating

    Remote job

    Role Type: Part-Time, Guaranteed 15 hours a week About This Role Are you ready to make a difference? Come join Parallel! We're searching for an experienced teacher to join our team! As our Specially Designed Instruction (SDI) Manager, you'll deliver the best services to our students and school partners, as well as work directly with our Director of Behavioral Mental Health Services to build, develop, and improve our program(s). This is a great opportunity for someone who wants to: Make an impact Help transform an antiquated industry Work somewhere mission-driven Work somewhere flexible, supportive, and collaborative Work somewhere with unparalleled opportunities for growth Join a female-led and DEI-focused organization Work somewhere that is team-oriented and where people are equipped to succeed Join a fast-growing startup, backed by top VCs, on the ground floor Why Join Us? Parallel makes it easy to administer quality care! By taking care of the daily hassles of running a business, we empower you to focus on providing services. We provide: Easy Scheduling through our in-house scheduling system Templates & Databases so you can spend less time on administrative tasks Smart Matching to pair you with clients Patient History & Eligibility information so you have the information you need Billing Services so you can focus on what matters Testing and Therapy Materials so you have the tools to succeed! Medical, vision, dental benefits and flexible PTO We also offer: Innovation: Your feedback will help shape the program for providers and clients in the future! Community Events: Collaborate with top clinicians and educators to solve acute problems Growth: Access leadership and growth opportunities as we rapidly scale A Great Mission: Empower students who learn or think in different ways What You'll Do Lead a Team and Support the growth of Parallel's Special Education Programs Provider mentorship, coaching, and clinical support to assigned portfolio of providers; including providing corrective feedback, feedback on instructional strategies, lesson planning, and IEP implementation, as well as sharing evidence-based resources and best practices Host team roundtables and provider meetings; includes provider training (workshops, continuing education sessions) Assist Parallel's talent team in recruiting and selecting new Special Education teachers; assist in screening applicants and reviewing applicant case studies Orient and train new service providers on Parallel processes and procedures Collaborate with the Sales and Customer Success Teams to align instructional service offerings with district needs, ensuring smooth implementation of SDI and academic support service Collaborate and support Provider and School Operations teams with day to day needs; including billing for services, scheduling, caseload management Work closely with school district administrators and teams to resolve potential concerns and to ensure students receive the services they need Support improvement and development of existing policy, procedure, and provider training content Assist with instructional quality assurance through review of lesson plans, progress reports, data collection practices, and IEP goal alignment; provide coaching and feedback to strengthen teaching practices Report to the Director of Clinical Excellence and Behavioral Mental Health Services What You'll Need To succeed in this role, you'll need: State Special Education license; National Board Certification preferred Preference for Special Education teachers who have experience in more than one state in a designated region Minimum of 5 years of classroom teaching or special education service experience, including work with students requiring SDI, resource support, or inclusion services Flexible schedule to internal and school meetings Prior leadership and mentorship experience to mentor and grow a team Experience participating in eligibility/IEP meetings, acting as a case manager, strong understanding of IDEA compliance, IEP processes, and instructional accommodations/modification Excellent communication skills and self-awareness to communicate with individuals from a variety of backgrounds and life experiences; including children, families, and school partners Proficiency with virtual learning platforms and digital instructional tools for tele-education A private workspace with a secure and reliable internet connection 👋 About Us Parallel is the first tech-forward provider of care for learning and thinking differences across the United States. We believe learning differences are parallel ways of thinking that should be celebrated! Our mission is to provide students with the resources and encouragement to succeed in the classroom and beyond. To us, this means helping them build confidence in their unique strengths and create strategies to work around their challenges. Parallel simplifies the process of getting support for learning differences by consolidating providers and resources on a single platform. We connect students with qualified professionals while significantly reducing waiting times, costs, and confusion. We provide a variety of services, including: Psychological Assessment & Therapy Counseling Speech-Language Therapy Special Education And more! Want to know what it's like working here? Check out our Glassdoor reviews! Our commitment to diversity, equity, and inclusion At Parallel, we believe in celebrating differences. This belief extends from schools into our workplace and through the ways we work together toward our mission. We are committed to fostering a diverse, accessible environment that represents many different cultures, backgrounds, viewpoints, and abilities by championing diversity, equity and inclusion. This is why we are committed to having and fostering a diverse workforce, including those from historically marginalized groups, and are committed to a work environment where employees' strengths are championed, differences are celebrated, and no one is discriminated against based on age, race, ancestry, religion, sex, gender identity and expression, sexual orientation, pregnancy, marital status, physical or mental disability, military or veteran status, national origin, or any other characteristic. We are a proud equal opportunity employer, and we are committed to building a diverse, equitable, and inclusive organization in order to build the foundation for different learners and thinkers to thrive. By providing a telephone number and submitting the form you are consenting to be contacted by SMS text message. Message & data rates may apply. Reply STOP to opt out of further messaging.
    $64k-103k yearly est. Auto-Apply 45d ago
  • Project Manager - Clinical Research Pathology Services

    Deciphex

    Remote job

    Role Type and Location Work from home role - this role requires you to be based full time in the East Coast, USA. Eligibility to work Unfortunately, we cannot offer USA based Visa sponsorship for this full time USA BASED role. Role Summary We are seeking a proactive and detail-oriented Project Manager to support the delivery of pathology-focused clinical trial projects at Diagnexia Analytix. Sitting under the Clinical Trial Manager, this role will act as the operational driver of projects - ensuring that timelines, deliverables, and quality standards are met across complex, multi-stakeholder clinical studies. The Project Manager will not design the science, but will make sure the science happens: coordinating vendors, labs, pathologists, and internal teams, while keeping communication clear and projects audit-ready. Key Responsibilities Project Delivery & Coordination Translate Statements of Work (SoWs) into actionable project plans, timelines, and trackers. Manage day-to-day execution, logistics, and operational workflows. Oversee sample flow, staining, scanning, and digital pathology processes. Pathologist Management, training and communication Stakeholder Communication Serve as a central point of contact between sponsor, CRO, central labs, and internal teams. Organize and document sponsor calls, training sessions, consensus/adjudication meetings. Maintain action logs, decision records, and issue escalation pathways. Quality & Compliance Ensure all activities follow GCP/GCLP, ICH E6, and regulatory standards. Support preparation of validation reports, pathology manuals, final study reports, and archival outputs. Track QC metrics, deviations, CAPA actions, and maintain audit readiness. Risk & Change Management Maintain a risk register for timelines, logistics, and deliverables. Coordinate structured change control processes when scope or timelines shift. Required Skills & Experience (Must-Have) Degree in life sciences, biomedical sciences, or a related discipline. 3-5 years' experience in clinical trial project management, CRO operations, or translational/biomarker projects. Strong knowledge of GCP/GCLP and ICH E6 standards. Proven ability to deliver multi-stakeholder projects on time and within scope. Excellent organizational skills; able to manage multiple vendors, labs, and deliverables. Strong communication skills, with experience preparing reports, dashboards, and running status calls. Ability to anticipate issues, escalate appropriately, and drive solutions. Proficiency with project management tools (e.g., Smartsheet, MS Project, Asana) and shared document platforms. Preferred Skills & Experience (Nice-to-Have) Exposure to pathology, histology, or biomarker assay workflows. Experience coordinating pathologists and pathology vendors. Familiarity with digital pathology platforms (WSI, image hosting, secure data transfer). Therapeutic area experience in oncology, immunology, or liver disease trials. Formal PM certification (PMP, PRINCE2) or Lean/Agile training. Strong interpersonal skills: able to “manage up” to senior stakeholders while motivating delivery teams. Experience in a scale-up/fast-growing environment. Ideal Candidate Profile A “doer” who thrives on making things happen in complex clinical projects. Comfortable working alongside scientific leaders while taking responsibility for operations, timelines, and compliance. Highly organized, proactive, and able to bring structure and accountability to dynamic, multi-stakeholder studies. What are the benefits of working with Deciphex 💰 Competitive salary with annual performance-based increases. Rewarding your impact and growth 🩺 Healthcare benefits, giving you peace of mind to focus on what you do best 🌴 Annual leave with service increments - Means more time to recharge and enjoy life outside work 💡 Pension contributions, helping you build a secure future 🚀 Work with a world-class, high-performing team in a hyper-growth startup. You'll earn fast, make an impact, and shape the future 📈 Regular feedback and clear career growth opportunities. You keep developing and moving forward 🌍 A collaborative, supportive, multicultural team. Here you'll feel valued and inspired every day About the Company Through the work that we do, the team at Deciphex helps pharma to accelerate the process of essential drug development and helps patients to get timely and accurate diagnosis. Founded in Dublin in 2017, Deciphex has scaled rapidly to a team of over 180 people and counting who are providing software solutions to address the pathology gap in research pathology and clinical areas. We have offices in Dublin, Exeter, Oxford, Toronto and Chicago and are expanding our team throughout the world. We are software developers, clinical specialists, AI engineers, operations professionals and so much more, all working as one team to support our customers and patients. Our team culture is built on trust. We give our team the space they need to deliver results and the environment to ensure they can enjoy doing it. We are looking for highly motivated individuals who are excited to take on challenges and value making a difference in their day-to-day work. This is a unique opportunity to make a difference in the emerging Digital Pathology field. Read more about Deciphex here and more about our incredible team on our Careers Page here
    $66k-102k yearly est. 50d ago
  • Clinical Manager, Care Management Services (Remote)

    Author Health

    Remote job

    Clinical Manager of Care Management Services (Remote) At Author Health, we're revolutionizing how mental health care is delivered, and we want you to be part of it! Our mission is to bring compassionate, high-quality care to people with serious mental illness, substance use disorders, and dementia, including older adults. We don't just treat symptoms. We treat people - fully, holistically, and with heart! Through our virtual-first, innovative care model, we deliver community-based wrap-around outpatient mental health care inclusive of psychiatric, psychotherapeutic and care management services. We partner with primary care providers, hospitals, families, and caregivers to keep patients out of the hospital and empower them to live healthier, more connected lives. At Author, inclusivity isn't a checkbox. It's how we build trust and drive better outcomes! We honor the unique cultures, identities, and stories that shape every patient's experience, and we're creating a workplace where team members can show up as their full selves, too. If you're driven by purpose, ready to shake up the status quo, and eager to make a real impact in people's lives, we'd love to meet you. Let's build the future of mental health care together! We are seeking a dynamic and experienced Clinical Manager of Care Management Services to oversee and coordinate comprehensive care management services across both behavioral health and medical care settings. This clinical leadership role is critical in ensuring the seamless delivery of integrated care, optimizing patient outcomes, and promoting the efficient and effective utilization of resources within our organization. WHAT IS YOUR SUPERPOWER? * Develop, implement, and oversee care management policies, procedures, and protocols for behavioral health and medical care. * Lead and supervise a multidisciplinary Care Management team organized in a "pod" model where: * Care Managers (Registered Nurses and Behavioral Health Care Managers) are responsible for comprehensive care planning and clinical coordination, * Licensed Practical Nurses (LPNs) focus on post-discharge outreach, coordination, and Transitional Care Management (TCM), while * Patient Resource Specialists (PRSs) support our patients by addressing health-related social needs and social determinants of health. * Manage care coordination processes across multiple payor environments, ensuring consistent standards of care, regulatory alignment, and effective operational workflows. * Support the design and implementation of strategic initiatives that enable Author Health to innovate by piloting modifications or new builds in our care delivery model. * Coach members of the Care Management team to enhance performance on both clinical quality and overall efficiency - do so while using a data-driven approach, and by regularly shadowing and auditing individual team members (e.g., auditing calls and documentation). * Collaborate closely with interdisciplinary teams of health care providers both within and outside of Author Health, including physicians, nurses, therapists, and social workers, to ensure integrated care planning and delivery. * Conduct regular assessments of patient needs, develop individualized care plans, and monitor progress towards goals. * Coordinate transitions of care and ensure continuity across different levels of care and health care settings. * Monitor and analyze data related to care management outcomes, utilization, and quality improvement initiatives. * Ensure compliance with regulatory requirements related to care management and patient care. * Participate in interdisciplinary meetings and committees to enhance coordination and communication across departments. * Serve as a resource for staff, patients, and families regarding care management services, resources, and community referrals. * Promote a culture of excellence, professionalism, and continuous improvement within the Care Management team. * Perform other duties as assigned to support departmental and organizational needs. WHAT WE ARE SEEKING: * Bachelor's degree in Nursing; Master's degree preferred. * Experience building and leading teams * Minimum of 5 years of Nursing experience in care management, preferably in behavioral health or medical care settings. * Proven leadership and supervisory experience with strong team-building skills. * Excellent interpersonal and communication skills, with the ability to collaborate effectively with diverse stakeholders. * Solid understanding of health care regulations, policies, and reimbursement practices. * Strong analytical skills and the ability to use data for decision-making and quality improvement. * Certification in Case Management (CCM, ACM, or similar) preferred WHAT WE OFFER: * Retirement savings plan (401k) Plan up to 3.5% company match * Low cost benefits package for employee and dependents ( medical/ dental/ vision/ STD/ Life Insurance) * Paid vacation * Paid sick leave * 9 paid holidays throughout the year with (2) additional flex holidays .. 11 in total! * Performance-based bonuses * and more! NEXT STEPS: * Submit an application * Upload an updated resume * Share LinkedIn profile and/or cover letter Author Health is committed to a diverse and inclusive workplace. It is the company's policy to comply with all applicable equal employment opportunity laws by making all employment decisions without unlawful regard or consideration of any individual's race, religion, ethnicity, color, sex, sexual orientation, gender identity or expressions, transgender status, sexual and other reproductive health decisions, marital status, age, national origin, genetic information, ancestry, citizenship, physical or mental disability, veteran or family status or any other basis protected by applicable national, federal, state, provincial or local law. The company's policy prohibits unlawful discrimination based on any of these impermissible bases, as well as any bases or grounds protected by applicable law in each jurisdiction. We are committed to providing an inclusive and accessible experience for all applicants. If you require any accommodations at any stage of the process, please let us know. The company is pleased to provide such assistance and no applicant will be penalized as a result of such a request. In accordance with applicable legal requirements such as the San Francisco Fair Chance Ordinance Author Health will consider for employment qualified applicants with arrest and conviction records. Monday through Friday, 8am-5pm EST
    $66k-102k yearly est. Auto-Apply 15d ago
  • Clinical Coordinator (Remote)

    Access Telecare

    Remote job

    Who We Are Access TeleCare is the largest national provider of telemedicine technology and solutions to hospitals and health systems. The Access TeleCare technology platform, Telemed IQ , enables life-saving patient care through telemedicine and empowers healthcare organizations to build telemedicine programs in any clinical specialty. We provide healthcare teams with industry-leading solutions that drive improved clinical care , patient outcomes , and organizational health . We are proud to be the first provider of acute clinical telemedicine services to earn The Joint Commission's Gold Seal of Approval - and have maintained that accreditation every year since inception . We love what we do, and if you want to know more about our vision, mission, and values , visit accesstelecare.com to check us out. The Opportunity Access TeleCare is seeking a Clinical Coordinator responsible for the day-to-day activities of managing a specific clinical service line and supporting a group of physicians and Advanced Practice Providers (APPs) , together known as clinicians . The Clinical Program Coordinator is key to the success of the service line's operational performance and clinical culture , ensuring proactively that clinicians have what they need to succeed and thrive in their clinical work. Duties include building effective relationships with client stakeholders, supporting new program implementation , creating action plans to drive service performance, and interfacing with clinicians to facilitate clinical excellence . What You'll Do Maintain working rapport with individual providers covering the service as needed to address clinical workflow or practice issues , and communicate recommended changes to the medical director and affected hospitals Build and maintain positive relationships with partner facility clinical staff; train partner staff on tasks that promote clinical workflow efficiency such as cart coordination, and address concerns in a timely manner Analyze and present reports on healthcare processes and patient outcomes to identify and prioritize areas for improvement Coordinate performance improvement activities focused on specific patient services or organizational quality initiatives through the use of benchmarks and evidence-based practices Participate in efforts to establish and maintain organizational readiness to meet regulatory requirements based on service line specialty Collaborate closely with Clinical Administration Leaders to develop and report KPIs , identify opportunities within programs to improve communication , efficiencies , and processes Perform other duties as assigned What You'll Bring Bachelor's degree in Nursing , or Licensed Clinical Social Worker with at least 1 year of relevant work experience Or, equivalent of 5 years of clinical experience in an Emergency Department setting (Patient Care Tech, Emergency Medical Services, EMT, or Paramedic, Clinical Research Nurse) Prior experience with Behavioral Health patients Ability to navigate multiple EMR systems Strong computer skills and familiarity with Microsoft Office programs , including Excel for data manipulation Excellent interpersonal and communication skills , with the ability to exercise empathy when working with patients and families Exceptional organizational and time management skills Understanding of clinical procedures, laws, and regulations Thorough knowledge of medical terminology Ability to work independently while functioning as part of a collaborative team Proven ability to thrive in a high-growth, fast-paced, remote environment Must be able to remain stationary 50% of the time Occasional travel for meetings and collaboration Why Join Access TeleCare? 100% Remote work with national impact and executive visibility Comprehensive benefits - health, dental, vision, life, and 401(k) Flexible vacation and wellness days - we value performance and balance Culture of ownership, transparency, and results - where the best ideas rise About our recruitment process: We don't expect a perfect fit for every requirement we've outlined. If you can see yourself contributing to the team, we would like to speak with you. You can expect up to 3 interviews via Zoom. Access TeleCare, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, marital status, national origin, disability, protected veteran status, race, religion, sex, or any other characteristic protected by applicable laws, regulations, and ordinances.
    $44k-62k yearly est. Auto-Apply 31d ago
  • Clinical Review Coordinator / Specialty / Remote

    Englewood, Co 80112

    Remote job

    Job Description The Specialty Clinical Review Coordinator will ensure referrals and new orders meet clinical admission payer criteria. This role ensure that all assigned specialty patients are provided with timely and exceptional clinical service and an exception customer experience. Schedule: Monday - Friday 8:30am - 5:30pm • Competitive Pay • Health, Dental, Vision & Life Insurance • Company-Paid Short & Long-Term Disability • Flexible Schedules & Paid Time Off • Tuition Reimbursement • Employee Discount Program & DailyPay • 401k • Pet Insurance Responsibilities On-board all new specialty infusion referrals Manage relationships with internal customers to ensure effective workflow Reviews referral documents and updates information in the patient's demographics Reference clinical admission criteria for specialty therapies and navigate patient charts to locate documentation for admission criteria Works closely with sales partners to ensure completeness of submitted referral information Participates in the development of best practices for documentation supporting clinical care and reimbursement qualification for Specialty Patients Support patient retention efforts by ensuring all reasonable interventions are executed to retain a patient on service Supervisory Responsibility: No Qualifications EDUCATION/EXPERIENCE • Pharmacy Technician background • Recent three to five (3-5) years of experience in specialty pharmacy, home infusion and/or home health • Experience in Microsoft BI. Experience in Outlook, Word, and PowerPoint desired LICENSE/CERTIFICATION/OTHER SPECIAL REQUIREMENTS • State pharmacy technician licensure • PTCB certified technician credentials preferred KNOWLEDGE/SKILLS/ABILITIES • Ability to work effectively within a multidisciplinary team TRAVEL REQUIREMENTS Percentage of Travel: 0-25% **To perform this role will require sitting, and typing on a keyboard with fingers for an extensive amount of time, and occasionally standing, walking, bending, and reaching. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**
    $42k-60k yearly est. 28d ago
  • Clinical Coordinator

    Biotab Healthcare

    Remote job

    is in St Louis, MO and requires an in person interview.*** The Clinical Coordinator reviews medical records based on insurance requirements for each patient, updates equipment details for each patient and creates medical documents. The Clinical Coordinator communicates with healthcare facilities and Clinical Territory Managers. Essential Duties and Responsibilities The essential functions include, but are not limited to the following: Request medical records from healthcare facilities Review medical records to determine information needed to process the order Create medical documents Update patient files with relevant information Communicate with healthcare facilities via the telephone Effective communication with patients, sales team and corporate staff regarding the status of the patient's order Willing to support all members of the team Comply with all HIPAA and privacy regulations Adhere to laws and best practices in regards to dealing with patients and patient data Perform other job-related duties as assigned Minimum Qualifications (Knowledge, Skills, and Abilities) High School Diploma or GED, required MS Office experience, minimum of six months required Data entry skills, minimum of six months required Basic medical terminology, minimum of six months required Excellent telephone skills, minimum of six months required Verbal and written communication skills, required Able to work in a team environment, required Medical documentation review, minimum of six months required Attention to detail, required Critical thinking skills, required Experience working in a healthcare setting, preferred Physical Demands and Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. Must be able to work onsite at our corporate headquarters in Maryland Heights, MO Must be able to work in an office setting, use a computer, keyboard and mouse for the majority of the shift and be able to communicate on the telephone Must be able to work the scheduled 8 hour shift Monday-Friday Work from home is available at supervisors discretion and as business needs allow, in accordance with the BioTAB Work From Home Policy Note This job description in no way states or implies that these are the only duties to be performed by the employee(s) of this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the employee(s) will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an at will relationship.
    $37k-53k yearly est. Auto-Apply 60d+ ago
  • Clinical Coordinator, Call Center

    The Sante Group 4.1company rating

    Remote job

    Who We Are: Santé Group Companies prides itself in being a leader in community-based behavioral and mental health services. Our track record of innovation and growth reflects our ability to deliver diverse and highly individualized services. We have a passion for providing empathetic and potentially life-saving care to help individuals heal, recover, and thrive, as well as live their lives in a manner that allows them to fully integrate in the community. The Santé Group aspires to create an organization that places value on collaboration, innovation, creativity, and inclusiveness. To achieve this success, it is essential that all members of our organization feel secure, welcome, and respected. All members of our organization have a responsibility to uphold these values. What We're Looking For: Santé is seeking Clinical Coordinator, Call Center to join our frontline crisis intervention team in Easton, MD! You will be responsible for the daily operation of the operations of the call center, providing intake, information, triage and assessment. NOT A REMOTE POSITION. IN PERSON ONLY. This is an on-call supervisory role and hours may vary. What You'll Do: * Monitors all phone cases to ensure documentation is completed in a thorough, accurate and timely manner * Provide clinical and administrative supervision to phone counselors * Responsible to manage OPS leads and coordinate supervision for all staff * Provides on-call clinical and administrative supervision * Develops and implements community-based training as required * Collaborate with community providers to ensure streamline service delivery (ie: crisis beds, local hospitals, shelters) * Responsible for back up phone for call center or the designee * Clinical review of all cases prior to closure * Daily monitoring of all open cases * Oversight of operations center work schedules * Responsible to work with team lead and Director to complete all performance evaluations of staff * Responsible for identifying any needed disciplinary action and working with director and HR to implement any actions * Participates in community and company boards and committees, as needed * Responsible for coordinating and/ or training all staff * Check work e-mail according to agency protocol * Other duties as assigned What We Require: * Master's Degree in Counseling, Social Work, or a related field of study. Provisional license required. * Valid driver's license and proof of current automobile insurance. * Must possess and maintain current licensure in the State of Maryland (ie: a LCSW-C or LCPC.) What You'll Get: * Salary Range: $68,640-75,920 per hour depending on licensure and experience. * Schedule: * Monday- Friday 9:00am-5:00pm and every other weekend as needed; hours may vary. * On call supervisory role. * Financial assistance for certification and licensure fees and no cost supervision for clinical licensure. * Opportunities for career growth, ongoing training and development, flexible work schedules and shifts. * The rare opportunity to make a difference in the very community that you call home. We are leading providers in Behavioral and Mental Health! * Smart, passionate, and engaged coworkers. We believe that diversity of background and experience makes for better problem-solving and collaboration, which is why we are dedicated to adding new perspectives to the team. Even more important than your resume is a positive attitude, a passion for making an impact, a personal desire to grow, and the ability to help individuals heal, recover, and thrive. LI-SC2
    $68.6k-75.9k yearly 3d ago
  • Clinical Review Manager

    Bluecross Blueshield of Tennessee 4.7company rating

    Remote job

    Join the BlueCare team at BCBST as a Clinical Review Manager! In this role, you will complete medical reviews for utilization management within the BlueCare member population. You'll have the opportunity to collaborate with the BlueCare Utilization Management team, Case Managers, and other departments. The ideal candidate for this role is a quick learner who thrives in a role that requires attention to detail and research skills. The role also requires the ability to navigate clinical information and disseminate it in a timely manner. Finally, we're looking for a candidate with strong communication skills to be able to work effectively across multiple teams. Key Schedule Details: Typical schedule is 8-5 pm EST or 9-6 pm EST. Fully remote, at home position. There is an option, upon management approval, for alternative workdays or a compressed work schedule. For example, the Clinical Review Manager may work five 8-hour shifts or four 10-hour shifts, which may include a combination of weekdays and weekends (e.g., Wednesday-Sunday or Thursday-Sunday)." Join our team and make a significant impact on the quality of care our members receive! Job Responsibilities Initiate referrals to ensure appropriate coordination of care. Seek the advice of the Medical Director when appropriate, according to policy. Assists non-clinical staff in performance of administrative reviews Performing comprehensive provider and member appeals, denial interpretation for letters, retrospective claim review, special review requests, and UM pre-certifications and appeals, utilizing medical appropriateness criteria, clinical judgement, and contractual eligibility. Occasional weekend work may be required. Must be able to pass Windows navigation test. Testing/Assessments will be required for Digital positions. Effective 7/22/13: This Position requires an 18 month commitment before posting for other internal positions. Job Qualifications License Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law. Experience 3 years - Clinical experience required Skills\Certifications Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) Working knowledge of URAC, NCQA and CMS accreditations Must be able to work in an independent and creative manner. Excellent oral and written communication skills Strong interpersonal and organizational skills Ability to manage multiple projects and priorities Adaptive to high pace and changing environment Customer service oriented Superior interpersonal, client relations and problem-solving skills Proficient in interpreting benefits, contract language specifically symptom-driven, treatment driven, look back periods, rider information and medical policy/medical review criteria Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
    $84k-98k yearly est. Auto-Apply 48d ago
  • Clinical Intern - Pharmacy

    Navitus 4.7company rating

    Remote job

    Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at ************************************ to be considered for internal opportunities. Pay Range USD $17.78 - USD $20.91 /Hr. STAR Bonus % (At Risk Maximum) 0.00 - Ineligible Work Schedule Description (e.g. M-F 8am to 5pm) M-Th between 8:30am to 7pm and F 8:30am-5pm Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking a Clinical Intern to join our team! The Clinical Intern will be a key contributor to the success of our Clinical Engagement Center focused on improving member's health and wellness via tele-pharmacy and wellness coaching. Under the supervision of a clinician, this individual is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Clinical Intern will assist in the development and execution of additional clinical outreach programs to exceed client expectations. The MTM program will include telephonic and/or video chat outreach with members to complete an analysis of a member's medication regimen for prescription, OTC, herbal and supplement medications. The assessment will include the development of a personalized Medication Action Plan in partnership with the member as required by CMS. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Conduct medication therapy management (MTM) and expanded clinical programs in accordance with the Centers for Medicare & Medicaid Services (CMS). Develop appropriate clinical algorithms, pathways and call scripts to support pharmacy staff in delivering MTM services. Review and update all algorithms and call scripts with updated clinical guidelines. Develop documentation standards for clinical outreach. Collaborate with other CEC staff to develop and maintain a high quality and consistent MTM product. Assist CEC leadership to develop programs to support STAR ratings outreach. Provide clinical outreach to members, prescribers, and pharmacy providers in order to enhance care coordination. Develop a full understanding of Navitus' Clients' member experience and how the engagement center contributes to improved health and wellness. Adhere to compliance and HIPAA regulations. Participate in, adhere to and support compliance and diversity, equity, and inclusion program objectives. Other duties as assigned Qualifications What our team expects from you? Education: In DPH-2 or DPH-3 year. CPhT Preferred. Experience: Must be 18 years or older. Experience working in Microsoft Office suite, particularly Word, Excel, and PowerPoint preferred. The intern role is considered a learning opportunity and as such, no specific experience is required. Preference may be given to candidates with work experience or education paths determined desirable by the department each intern supports. Participate in, adhere to, and support compliance program objectives. The ability to consistently interact cooperatively and respectfully with other employees. Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program - up to $750! #LI-Remote Location : Address Remote Location : Country US
    $17.8-20.9 hourly Auto-Apply 21d ago
  • Clinical Trial Intern

    Vial

    Remote job

    Who We Are Vial is a hyper-scalable biotech company advancing programs into the clinic by leveraging dramatically cheaper trials and computationally designed therapeutics. Our mission is to reimagine drug development in order to cure all human diseases. We have assembled a talented team of clinical operators, chemists, and innovative thinkers to achieve this vision. Vial is fully remote and was founded by Simon Burns in October 2020. Since our founding, we have grown rapidly to a team of 50+ employees with over $100 million in funding from leading investors including General Catalyst, Box Group, and Byers Capital. Vial is rebuilding the infrastructure to advance research. By deploying technology at every step, we are creating a more efficient future for drug discovery. Why You'll Love Working At Vial Innate curiosity. At our core, we embody an insatiable curiosity. Our journey into the realm of clinical trials was ignited by a firsthand understanding of the challenges involved. This innate curiosity drives us to constantly innovate, seek fresh ideas, and bring our vision of reimagining clinical trials to life. Fostering autonomy. Autonomy is our guiding principle. We firmly believe that when team members are entrusted with autonomy, they unleash their true potential. Our culture fosters an environment where each individual takes ownership of their domain, empowering them to make a profound impact. The pursuit of mastery. We are dedicated to cultivating mastery. We understand the value of honing expertise in a craft. The pursuit of mastery, coupled with a deep sense of pride in one's workmanship, fuels our unwavering commitment to tackle intricate challenges. At Vial, we foster a culture of highly autonomous professionals, each an expert in their field, collaborating on an immensely demanding endeavor together. Move fast, stay humble. Our strength lies in agility and humility. We firmly believe that intellectual honesty and a nimble mindset are the pillars of success. By staying adaptable and open-minded to all solutions, we tackle obstacles head-on, remaining humble in the face of adversity. This enables us to surmount the hurdles that confront us at every twist and turn. What You'll Do Support the Clinical Development team in planning and execution of early-stage clinical trials. You'll gain exposure to protocol development, trial operations, and the systems that keep studies running smoothly. Key Responsibilities * Assist with preparation and review of trial documents (protocols, informed consent forms, study reports) * Track study timelines, milestones, and deliverables * Help organize and maintain clinical trial data, regulatory submissions, and correspondence * Support coordination with sites, CROs, and internal stakeholders * Contribute to process improvement projects within clinical operations What You Will Bring * Strong organizational skills and attention to detail * Interest in clinical research, drug development, or healthcare operations * Ability to manage multiple tasks and prioritize effectively * Strong written and verbal communication skills Preferred Skills * Background in life sciences, public health, or related field * Familiarity with clinical trial design or regulatory environment (FDA, ICH/GCP) * Experience with project management tools (Notion, Excel, or similar) * Previous internship or coursework in clinical research a plus
    $29k-43k yearly est. 60d+ ago
  • Clinical Practicum Intern (Master's Level)

    Charlie Health

    Remote job

    Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they're met with barriers to care. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Charlie Health exists to change that. Our mission is to connect the world to life-saving behavioral health treatment. We deliver personalized, virtual care rooted in connection-between clients and clinicians, care teams, loved ones, and the communities that support them. By focusing on people with complex needs, we're expanding access to meaningful care and driving better outcomes from the comfort of home. As a rapidly growing organization, we're reaching more communities every day and building a team that's redefining what behavioral health treatment can look like. If you're ready to use your skills to drive lasting change and help more people access the care they deserve, we'd love to meet you. About the Role Charlie Health is seeking passionate and driven second-year master's students in mental health programs (such as Social Work, Clinical Mental Health Counseling, Marriage and Family Therapy, or related fields) to join our dynamic virtual care team for their clinical practicum or internship experience. As a clinical practicum student at Charlie Health, you'll gain direct experience working with high-acuity clients in a virtual Intensive Outpatient Program (IOP) setting. Under the close supervision of one of our experienced therapists, you'll develop your clinical skills through a variety of client interactions and treatment modalities. This internship offers a unique opportunity to work across: Group treatment sessions Individual therapy sessions Family therapy sessions Crisis intervention Clinical research Clinical curriculum What You'll Gain Exposure to evidence-based practices used in treating high-acuity teens and adults Experience working within a multidisciplinary team of primary therapists, group facilitators, and care coordinators Training and mentorship from experienced clinicians in the field Skills in virtual care delivery, documentation, and client engagement We're a team of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing life-saving solutions. If you're inspired by our mission and energized by the opportunity to increase access to mental healthcare and impact millions of lives in a profound way, apply today. Responsibilities Participate in group sessions as well as individual and family therapy sessions under the supervision of an experience clinician Observe and co-facilitate therapeutic interventions using evidence-based modalities Attend clinical supervision meetings and engage in reflective practice to support growth and development Collaborate with members of the interdisciplinary care team to ensure high-quality, coordinated care Maintain confidentiality and adhere to all ethical and professional standards Engage in ongoing learning and training opportunities related to trauma-informed care, telehealth best practices, and working with high-acuity populations #LI-Remote Requirements Enrollment in a master's-level program in Social Work, Clinical Mental Health Counseling, Marriage and Family Therapy, or a related discipline (see list below for examples) Students should be in the second year of their master's program by the time the practicum or internship begins, meeting eligibility requirements to start clinical hours. Interest in working with high-acuity populations and providing trauma-informed care For clinical time, we require a combination of afternoon or evening availability. Non-clinical, administrative, and case management duties can be done outside these hours. A complete schedule will be set individually with the intern to account for clinical time, admin time, and supervision/training meetings. Reliable WIFI connection and familiarity with cloud based communication software (Gmail, Slack, Zoom, Dropbox) Ability to skillfully engage a wide range of ages including children, teens, young adults, and adults over video technology. Strong communication and organizational skills Note: Internship placements are contingent on the availability of clinical supervisors licensed in your state. If you are enrolled in a graduate program we do not currently partner with, additional conversations and a formal agreement with your school will be required before placements are confirmed Example Master's Programs: Master of Science (M.S.) in Mental Health Counseling Master of Social Work (M.S.W.) with a concentration in Mental Health Master of Science (M.S.) in Clinical Mental Health Counseling Master of Arts (M.A.) in Marriage and Family Therapy Other Masters Degree programs that allow pursuit of a Social Work, Marriage & Family, or Counseling license (mental health / therapy focused) Our Values Connection: Care deeply & inspire hope. Congruence: Stay curious & heed the evidence. Commitment: Act with urgency & don't give up. Please do not call our public clinical admissions line in regard to this or any other job posting. Please be cautious of potential recruitment fraud. If you are interested in exploring opportunities at Charlie Health, please go directly to our Careers Page: ******************************************************* Charlie Health will never ask you to pay a fee or download software as part of the interview process with our company. In addition, Charlie Health will not ask for your personal banking information until you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All communications with Charlie Health Talent and People Operations professionals will only be sent *********************** email addresses. Legitimate emails will never originate from gmail.com, yahoo.com, or other commercial email services. Recruiting agencies, please do not submit unsolicited referrals for this or any open role. We have a roster of agencies with whom we partner, and we will not pay any fee associated with unsolicited referrals. At Charlie Health, we value being an Equal Opportunity Employer. We strive to cultivate an environment where individuals can be their authentic selves. Being an Equal Opportunity Employer means every member of our team feels as though they are supported and belong. We value diverse perspectives to help us provide essential mental health and substance use disorder treatments to all young people. Charlie Health applicants are assessed solely on their qualifications for the role, without regard to disability or need for accommodation. By submitting your application, you agree to receive SMS messages from Charlie Health regarding your application. Message and data rates may apply. Message frequency varies. You can reply STOP to opt out at any time. For help, reply HELP.
    $29k-43k yearly est. Auto-Apply 22d ago

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