Lead Care Manager (LCM)
Remote job
The Bilingual Lead Care Manager partners with Care Team Operations, Clinical Operations, Compliance, Community Health Workers, Behavioral Health staff, and external providers (medical, housing, and social services) to ensure seamless, culturally responsive, member-centered care coordination. The bilingual LCM additionally supports members with limited English proficiency by facilitating communication, translation, and cultural interpretation as needed.
Responsibilities
Serve as the primary point of contact for assigned members, building trust and maintaining active engagement through consistent outreach, relationship-based strategies, and a trauma-informed approach. Provide all communication in the member's preferred language.
Conduct comprehensive assessments (physical, behavioral, functional, social) and develop person-centered care plans that reflect the member's goals, risks, preferences, cultural needs, and social determinants of health.
Implement, monitor, and update care plans following transitions of care, significant changes in condition, or required reassessments; ensure timely and compliant submission of all care plans.
Coordinate services across the continuum-including medical, behavioral health, housing, transportation, social services, and community programs-to reduce fragmentation and remove barriers to care.
Conduct required in-person home or community visits based on member need and risk stratification and maintain a compliant monthly visit structure.
Utilize motivational interviewing, coaching, and health education to promote behavioral change, self-management, and long-term member stability.
Identify gaps in care, service delays, lapses in benefits, unmet needs, and environmental risks; collaborate with internal and external partners to resolve issues quickly and effectively.
Maintain accurate, timely, audit-ready documentation of all interactions, assessments, and interventions using required HHN platforms, including eClinicalWorks (ECW), Google Suite, RingCentral, PowerBI dashboards, and payer portals.
Meet or exceed HHN and payer productivity standards, including encounter metrics, outreach requirements, documentation timelines, and quality measures.
Actively participate in multidisciplinary case reviews, team huddles, care conferences, and escalations with nurses, behavioral health staff, CHWs, care operations, and compliance.
Coordinate and schedule appointments with primary care, specialists, behavioral health providers, and community partners; manage referrals, transportation, and follow-ups to ensure continuity of care.
Support hospital discharge (TOC) planning through follow-up scheduling, care transitions, medication reconciliation support, and education on discharge instructions.
Assist members in navigating plan eligibility, redeterminations, documentation, social service applications, housing resources, and crisis interventions.
Maintain active and professional communication with members and care partners through HHN-approved channels, including RingCentral, secure messaging, SMS workflows, and phone.
Participate in HHN's continuous quality improvement efforts, identifying workflow gaps, documenting barriers, sharing insights, and contributing to best-practice development.
Uphold confidentiality and adhere to all HIPAA and payer regulatory requirements across all areas of care delivery.
Open to seeing patients in their home or their location of preference.
Provide real-time interpretation and translation support (verbal and written) for members and families with limited English proficiency.
Help bridge cultural gaps that may impact communication, trust, adherence, or engagement.
Skills Required
Fluency in English and another language (Spanish preferred); ability to read, write, and speak at a professional level.
Strong ability to build rapport and trust with diverse, high-need member populations.
Proficiency in using eClinicalWorks (ECW), Google Suite (Docs, Sheets, Drive), RingCentral, and virtual communication tools.
Ability to interpret and use PowerBI dashboards, reporting tools, and payer portals.
Demonstrated skill in conducting holistic assessments and developing person-centered care plans.
Experience with motivational interviewing, trauma-informed care, or health coaching.
Strong organizational and time-management skills, with the ability to manage a complex caseload.
Excellent written and verbal communication skills across in-person, telephonic, and digital channels.
Ability to work independently, make sound decisions, and escalate appropriately.
Knowledge of Medi-Cal, SDOH, community resources, and social service navigation.
High attention to detail and commitment to accurate, audit-ready documentation.
Ability to remain calm, patient, and professional while supporting members facing instability or crisis.
Comfortable with field-based work, home visits, and interacting in diverse community environments.
Cultural humility and demonstrated ability to work effectively across populations with varied lived experiences.
Competencies
Member Advocacy: Champions member needs with urgency and integrity.
Operational Effectiveness: Executes workflows consistently and flags process gaps.
Interpersonal Effectiveness: Builds rapport with diverse populations.
Collaboration: Works effectively within an interdisciplinary care model.
Decision Making: Uses judgment to escalate or intervene appropriately.
Problem Solving: Identifies issues and creates practical, timely solutions.
Adaptability: Thrives in a fast-growing, startup-style environment with evolving processes.
Cultural Competence: Engages members with respect for their lived experiences.
Documentation Excellence: Produces accurate, timely, audit-ready notes every time.
Strong empathy, cultural competence, and commitment to providing individualized care.
Ability to work effectively within a multidisciplinary team environment.
Exceptional interpersonal and communication skills, with a focus on building trust and rapport with diverse populations. Bilingual Communication (interpretation + translation)
Job Requirements
Education:
Bachelor's degree in Social Work, Psychology, Public Health, Human Services, or related field preferred; equivalent experience considered.
Licensure:
Not required; certification in care coordination or CHW training is a plus.
Experience:
1-3 years of care management or case management experience, preferably with high-need Medi-Cal populations.
Experience in community-based work, homelessness services, behavioral health, or SUD settings strongly preferred.
Familiarity with Medi-Cal, ECM, and community resource navigation.
Travel Requirements:
Regular travel for in-person home or community visits (up to 45%).
Physical Requirements:
Ability to perform home visits, climb stairs, sit/stand for prolonged periods, and lift up to 20 lbs if needed.
Geriatric Care Manager
Remote job
Benefits:
Job you will love
Fulfilling work
Rewarding Career
Supportive Environment
Make a difference for your clients
In Demand
The Care Manager is responsible for providing quality professional care management services to all clients and their responsible parties. Our objective is to assist our clients in managing and navigating challenges in aging as well as Adults with physical and mental disabilities and providing the highest quality of life. This includes:
Care Coordination
Managing home health aides
Medical oversight
Interfacing with medical personnel
Advocacy, information and referrals
Qualifications:
Professional and positive approach, commitment to customer service
Self-motivated and work with own initiative
Strong in building relationships, team player and able to communicate at all levels
Recognizes industry trends and problem solves
Respectful of company and client confidentiality; any violation of company or client confidence is immediate grounds for dismissal.
Personalized and compassionate service - focusing on the individual client's wants and needs.
Ability to provide non-directive guidance and facilitate constructive relationships.
Ability to ensure inappropriate placements, duplication of services, and unnecessary hospitalizations are avoided.
Manage time efficiently.
Ability to provide coordinated communication between family members, doctors and other professionals, and service providers.
This is a remote position.
Aging Life Care Professionals offer a holistic, client-centered approach to caring for older adults or others facing ongoing health challenges. Working with families, the expertise of Aging Life Care Professionals provides the answers at a time of uncertainty. Their guidance leads families to the actions and decisions that ensure quality care and an optimal life for those they love, thus reducing worry, stress and time off of work for family caregivers through:
Assessment and monitoring
Planning and problem-solving
Education and advocacy
Family caregiver coaching
This business is independently owned and operated. Your application will go directly to the business, and all hiring decisions will be made by the management. All inquiries about employment at this business should be made directly and not to Aging Life Care Association.
Auto-ApplyRadMachine Clinical Success Manager
Remote job
About RadformationRadformation is transforming the way cancer clinics deliver care. Our innovative software automates and standardizes radiation oncology workflows, enabling clinicians to plan and deliver treatments faster, safer, and more consistently, so patients everywhere can receive the same high-quality care.
Our software focuses on three key areas: • Time savings through automation. • Error reduction through automated systems. • Increased quality care through advanced algorithms and workflows.
We are a fully remote, mission-driven team united by a shared goal: to reduce cancer's global impact and help save more of the 10 million lives it claims each year. Every line of code, every product release, and every conversation with our customers brings us closer to ensuring no patient's treatment quality depends on where they live.
About RadMachineRadformation specializes in Radiation Oncology workflow automation. Our solutions save clinics time, eliminate planning errors, and enable them to design the optimal treatment for their patients. Radformation's RadMachine QA software is a cloud platform that standardizes QA across all sites, machines, and users. RadMachine has the ability to track all machine tests and equipment to ensure an efficient workflow while automating data upload and analysis. Instant notifications alert the clinic when a test is due or failing.
Why This Role MattersIn this role you will mentor clinics as they join the Radformation community to assist them in establishing the most efficient machine QA workflow and increase standardization. You will work closely with clinics, the programming team, and the sales team to give presentations to clinics, solve problems on the fly, proactively check in with customers, and incorporate feedback into redefining how to best complete machine QA. With your clinical background, you will be able to teach and improve efficiency in Radiation Oncology clinics throughout the country.
Job BriefWe are looking for a highly motivated individual who has a passion for machine QA and enjoys a fast-paced environment. The full-time RadMachine Clinical Success Manager will bring their upbeat personality to this role to give presentations to clinics, solve problems on the fly with customers, and proactively call clinics to check in and hear feedback. The RadMachine Clinical Success Manager will help mentor clinics as they join the Radformation community to assist them in establishing the most efficient machine QA workflow and increase standardization. As the RadMachine Clinical Success Manager, you will develop relationships with clinics and incorporate feedback into redefining how to best complete machine QA. With your clinical background, you will be able to teach and improve efficiency in radiation oncology clinics throughout the country.
Responsibilities Include:• Demo, install, and train clinics on Radformation's RadMachine machine QA software • Implement RadMachine at clinics by developing QA templates and customizing clinics' settings • Work with clinics to understand their issues and provide a solution independently and/or with the help of the programming team • Work with the sales team to demonstrate software to prospective customers and provide training to newly installed clinics • Proactively check in with current customers to hear feedback and share new features • Host webinars to answer clinics' questions and highlight features • Test new versions of the software to aid in development and quality assurance • Develop training materials to distribute to clinics • Research new QA guidelines and stay current as updates are released • On-site visits to clinics when permitted
Required Experience:• Minimum 2 years of experience in performing and analyzing daily, monthly, and annual radiation oncology machine QA • 2 years of experience as a medical physics assistant or similar • Strong critical thinking skills • Exceptional presentation skills • Positive attitude and a passion for excellence in patient care
Preferred Experience:• Minimum 5 years of experience in performing and analyzing daily, monthly, and annual radiation oncology machine QA • Degree in medical physics or dosimetry • Minimum 2 years of experience with ARIA OIS • Experience with Python • Customer service experience
Abilities• Enthusiastic about learning new technologies and sharing them with the healthcare community • Thrives with a busy schedule and a constant learning environment • Excels at multitasking and managing multiple projects simultaneously • Enjoys listening to clinics' needs and developing relationships with clinical leaders • Master of machine QA and radiation oncology clinical workflow • Ability to maintain a positive attitude in a fast-paced and ever-changing work environment • Strong organizational skills and ability to work independently • Highly motivated to help clinicians improve their workflow • Excellent communication skills, both written and oral • Non-judgmental personality and welcoming of ideas and feedback
AI & Hiring IntegrityAt Radformation we believe AI can be an incredible tool for innovation, but our hiring process is all about getting to know you, your skills, experience, and unique approach to problem solving. We ask that all interviews and assessments be completed without tools that generate answers in real time. This helps ensure a fair process for everyone and allows us to see your authentic work. Using such tools during the process may affect your candidacy.
Benefits & Perks - What Makes Us RADWe care about our people as much as we care about our mission. We offer competitive compensation, benefits, and the opportunity to make an impact in the fight against cancer. The salary range for this role is $130,000 - $150,000 OTE which includes base salary and bonus eligibility. For Canadian candidates, compensation will vary and will be assessed during the screening process based on local market conditions and individual experience.
For US teammates:Health & Wellness • Multiple high-quality medical plan options with substantial employer contributions • Health coverage starting on day one • Short-term and long-term disability and supplementary life insurance Financial & Professional Growth • 401(k) with employer match vested immediately • Annual reimbursement for professional memberships • Conference attendance and continued learning opportunities Work-Life Balance & Perks • Self-managed PTO and 10 paid holidays • Monthly internet stipend • Company-issued laptop and one-time home office setup stipend • Fully remote work environment with virtual events and yearly retreats
Our Commitment to DiversityCancer affects people from every walk of life, and we believe our team should reflect that diversity. Radformation is proud to be an equal opportunity workplace and an affirmative action employer. We welcome candidates from all backgrounds and are committed to fostering an inclusive environment for all employees.
Agency & Candidate Safety NoticeRadformation does not accept unsolicited resumes from agencies without a signed agreement in place. We do not partner with third-party recruiters unless explicitly stated. All legitimate communication from Radformation will come from an @radformation.com email address. If you receive outreach from another domain or via unofficial channels, please contact ************************.
Auto-ApplyMedical Case Manager - Temporary
Remote job
This position provides medical case management referral services, crisis intervention and eligibility determination services to adults with HIV infection receiving medical services in the outpatient Infectious Diseases Clinic. A very small percentage of time may include services to patients with other infectious diseases. The employee will complete assessments and identify service needs, facilitate linkage to services and coordinate with community agencies. They may assist with transportation and housing needs. Responsibilities may include assisting clients in accessing financial benefit programs. The employee will work closely with the existing licensed social work team, medical providers, nursing staff, and benefits coordinators as part of an interdisciplinary team. Requires timely data entry and data management in an electronic medical record ( EPIC ), electronic databases and tracking systems. Successful employees possess a strong ability to multi-task in a fast-paced environment. Employees are required to attend meetings as directed.
Required Qualifications, Competencies, And Experience
Bachelor's degree in a Human Service field with clinical experience.
Preferred Qualifications, Competencies, And Experience
Experience with clinic population, electronic medical records, and data management preferred. Course work in Social Work.
Work Schedule
Monday - Friday, 8:00 AM - 5:00 PM; fully remote position
Manager of Clinical Insights
Remote job
It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
Job Summary:
The Manager of Clinical Insights is responsible for leading data-informed, population based strategies across integrated clinical programs aimed to improve health outcomes and contribute to medical cost savings overall and at the product level. Working across physical and behavioral health teams, quality and pharmacy programs, the Manager will support all lines of business to establish programs that promote high performing interventions, with a critical focus on quality outcomes. The Manager will also serve as the business owner for NCQA Population Health Management standards, convening a diverse group of organizational stakeholders to assess, develop, and execute a population health program in compliance with NCQA accreditation requirements.
The Manager of Clinical Insights supports programs and clinical best practices with the objective of improving health outcomes, preventing hospital readmissions, improving member safety and reducing medical errors, and promoting health and wellness activities, where appropriate. The position may engage in functions of health information technology development that enhances or maintains activities associated with QI initiatives, accreditation, and monitoring, measuring or reporting clinical effectiveness and outcomes.
Our Investment in You:
Full-time remote work
Competitive salaries
Excellent benefits
Key Functions/Responsibilities:
Organizational business owner for NCQA Population Health Management Standards, building programs that demonstrate health plan adherence to PHM accreditation standards and ongoing readiness for NCQA surveys, with targeted focus on program effectiveness
Analyze member utilization and health data to identify trends, risks, and opportunities for improvement, and strategize across clinical stakeholders to develop and implement evidence-based programs and interventions to impact identified needs
Active participant on the Performance Improvement Medical Cost Savings Committee, supporting intervention development for physical and behavioral health opportunities based on data analytics to product profitability and performance
Lead and engage a team responsible for Clinical Insights analytic and program execution roles
Act as a strategic partner with Quality and Care Management colleagues to prioritize outreach campaigns based on financial performance and/or business need
Support technical solutions and inform design of IT platforms that meet business, accreditation and regulatory requirements
Lead engagement with network providers on performance opportunities and programming associated with improving health outcomes and strengthening financial performance, in addition to working with external and internal stakeholders and partners on pilot opportunities
Develop targeted health education and promotion materials and resources for member distribution
Supervision Exercised:
Directly or indirectly oversees management of 5-15 clinical and non-clinical staff
Supervision Received:
General supervision is received weekly.
Qualifications:
Education:
Bachelor's degree or equivalent combination of education and relevant experience in a health plan setting required
Education Preferred/Desirable:
Master's degree in business or health related/public health field preferred
Unrestricted RN or SW
Experience:
5+ years of healthcare/managed care experience
Experience managing NCQA accreditation requirements
Experience in health data analytics, population health data, or medical economics
Managed care experience in care management, population health, or quality programs
Certification or Conditions of Employment:
Successful completion of pre-employment background check
Competencies, Skills, and Attributes:
Exceptional written and oral communication skills.
Excellent organizational skills and attention to detail
Ability to interact with all levels of the organization, as well as external stakeholders.
Superior meeting facilitation skills and experience in leading cross-functional teams
Demonstrated ability to work independently and manage multiple complex projects simultaneously.
Proactive, motivated, and a collaborative team player.
Demonstrated ability to adapt quickly to changing priorities.
Ability to analyze, compile, format, and present data to a variety of stakeholders.
Strong critical thinking, analytical, and problem-solving skills.
Proficiency with MS tools including Word, Excel, PowerPoint, Visio and MS Project
Demonstrated ability of managing competing priorities as well as stakeholders with differing objectives/perspectives.
Effective at forming alliances with other departments to develop partnerships and commitment toward completing the project.
Able to negotiate enterprise solutions with other departments that work interdepartmentally.
Working Conditions and Physical Effort:
Able to perform all work from a remote environment
Occasional travel may be required.
Regular and reliable attendance is an essential function of the position.
Compensation Range:
$88,500 - $128,000
This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.
Note: This range is based on Boston-area data, and is subject to modification based on geographic location.
About WellSense
WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees
Clinical, Manager, Prior Authorization Technician
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 *********************************************
Auto-ApplyManager Clinical Affairs
Remote job
The Company
Dexcom Corporation (NASDAQ DXCM) is a pioneer and global leader in continuous glucose monitoring (CGM). Dexcom began as a small company with a big dream: To forever change how diabetes is managed. To unlock information and insights that drive better health outcomes. Here we are 25 years later, having pioneered an industry. And we're just getting started. We are broadening our vision beyond diabetes to empower people to take control of health. That means personalized, actionable insights aimed at solving important health challenges. To continue what we've started: Improving human health.
We are driven by thousands of ambitious, passionate people worldwide who are willing to fight like warriors to earn the trust of our customers by listening, serving with integrity, thinking big, and being dependable. We've already changed millions of lives and we're ready to change millions more. Our future ambition is to become a leading consumer health technology company while continuing to develop solutions for serious health conditions. We'll get there by constantly reinventing unique biosensing-technology experiences. Though we've come a long way from our small company days, our dreams are bigger than ever. The opportunity to improve health on a global scale stands before us.
Meet the team:
As a Manager in Clinical Affairs at Dexcom, you'll be an integral part of our mission to empower people to take control of their health. In this position, you'll lead a team of global direct reports responsible for comprehensive site management activities. This includes site selection, qualifications, activation, training, proctoring, communications, and closeout for all clinical studies sponsored by Dexcom. You will be responsible for the direct management and development of personnel. Additionally, you will drive the development and improvement of clinical procedures, processes, and templates in support of Dexcom's continuous quality improvement efforts. If you thrive in a fast-paced, evolving environment and are committed to building a world-class Clinical Affairs organization, we'd love to have you on our team.
Where you come in:
Perform line management for a team, including hiring, training/mentoring, resource allocation/assignments, performance and compliance assessments/reviews, recommending salaries and promotions, and implementing performance improvement plans and remedial actions as needed.
Lead the team to ensure high-quality site management, regulatory compliance, and timely delivery of study site milestones, including, but not limited to:
Accountable for global or regional operational leadership on one or more clinical trials, depending on program's priority and breadth.
Oversee site identification, qualification, and selection processes.
Ensure timely completion of Site Qualification Visits (SQVs) and approvals.
Confirm site activation readiness, including supply and equipment receipt.
Supervise Site Initiation Visits (SIVs) and Close-Out Visits (COVs).
Ensure ongoing site support and clear communication.
Provide support and allocate resources for internal or external audits/inspections and ensure resolution of audit/inspection findings.
Ensure maintenance of site-level Trial Master File (TMF) and sponsor TMF for archiving.
Oversee development and distribution of Investigator Site Files and study manuals.
Facilitate IRB/EC submissions and end-of-study notifications.
Lead the development and implementation of improved systems, frameworks, policies, and tools to support a culture of data use for decision-making across programs.
Provide strategic direction as a subject matter expert in site management.
Develop and oversee key performance metrics for the team and provide regular and ad hoc reporting of metrics to Clinical Affairs leadership.
Lead a team of Site Managers who will facilitate training on the use of study-specific equipment during the conduct of clinical study visits to ensure proper use of the equipment and adherence to the Clinical Investigation Plan. In support of this, the team will be responsible for:
Educating site staff on use of the study-specific equipment, including calibration, use, and troubleshooting.
Communicating technical information clearly and effectively.
Developing effective working relationships with site staff, with whom you will interact on a regular basis.
Ensure that staff meet or exceed project and functional timelines and deliverables (e.g., site start-up, enrollment targets, database lock, close-out, etc.). Partner with leadership to ensure shared study timelines are met or exceeded.
Proactively identify issues and create mitigation strategies in collaboration with leadership.
What makes you successful:
You must be open to a dynamic work environment which includes regular interaction with several different physicians and site staff across a variety of locations.
You have extensive prior experience in a similar role with a proven track record of successful clinical study completion with adherence to timelines and milestones.
You bring knowledge and experience with GCP and global medical device regulations and have experience leading complex medical device studies.
You have strong experience of managing individuals.
You are proficient at utilizing clinical management systems and electronic data capture systems.
You have experience in global Contract Research Organization (CRO)/vendor management.
You bring an operational-excellence mindset, critical thinking, and make data-driven decisions.
You are a detail-oriented, critical thinking, independent problem-solver.
You are proficient at working in an extremely fast-paced environment while maintaining high attention to detail, quality, and accuracy.
You have excellent communication (written and verbal) and proven ability to influence outcomes.
What you'll get:
A front row seat to life changing CGM technology. Learn about our brave #dexcomwarriors community.
A full and comprehensive benefits program.
Growth opportunities on a global scale.
Access to career development through in-house learning programs and/or qualified tuition reimbursement.
An exciting and innovative, industry-leading organization committed to our employees, customers, and the communities we serve.
Travel Required:
5-15%
Experience and Education Requirements:
Typically requires a Bachelor's degree with 8 - 12 years of industry experience.
Requires a degree in technical discipline.
2 -5 years of previous management of lead experience.
Remote Workplace: Your location will be a home office; you are not required to live within commuting distance of your assigned Dexcom site (typically 75 miles/120km).
If you reside within commuting distance of a Dexcom site (typically 75 miles/120km) a hybrid working environment may be available. Ask about our Flex workplace option.
Please note: The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor are they intended to be an all-inclusive list of the skills and abilities required to do the job. Management may, at its discretion, assign or reassign duties and responsibilities to this job at any time. The duties and responsibilities in this job description may be subject to change at any time due to reasonable accommodation or other reasons. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Dexcom's AAP may be viewed upon request by contacting Talent Acquisition at ****************************.
If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact Dexcom Talent Acquisition at ****************************.
Meritain, an Aetna Company, creates and publishes the Machine-Readable Files on behalf of Dexcom. To link to the Machine-Readable Files, please click on the URL provided: ***************************************************** Code=MERITAIN_I&brand Code=MERITAINOVER/machine-readable-transparency-in-coverage?reporting EntityType=TPA_19874&lock=true
To all Staffing and Recruiting Agencies: Our Careers Site is only for individuals seeking a job at Dexcom. Only authorized staffing and recruiting agencies may use this site or to submit profiles, applications or resumes on specific requisitions. Dexcom does not accept unsolicited resumes or applications from agencies. Please do not forward resumes to the Talent Acquisition team, Dexcom employees or any other company location. Dexcom is not responsible for any fees related to unsolicited resumes/applications.
Salary:
$116,600.00 - $194,400.00
Auto-ApplyRegional Clinical Manager - Remote (Travel Required)
Remote job
Click here to view our 2026 Benefits Guide
Serves as the clinical expert in key healthcare domains, including infection control, wound care, surgical procedures, vascular access, LVAD (Left Ventricular Assist Device), Durable Medical Equipment (DME), Remote Patient Monitoring (RPM), and related product categories.
Leads expert clinical support for field sales teams to help achieve strategic business objectives and drive revenue growth.
Leads the planning and execution of product evaluations, customer training sessions, and implementation initiatives for both internal stakeholders and external healthcare professionals.
Develops and delivers professional education programs, including the creation of training materials and presentations, often acting as lead presenter and project manager.
Plays a critical role in shaping the customer experience across the sales lifecycle-from initial engagement and product adoption to long-term satisfaction-impacting training outcomes, product utilization, purchasing decisions, and overall customer retention.
Essential Functions (ACCOUNTABILITIES/RESPONSIBILITIES):
Serves as a clinical and education expert, providing training and support to internal teams, customers, distributors, and white-label partners across the full Bravida product portfolio.
Leads field-based product evaluations, implementations, and maintenance activities, including account setup and tailored training plans that directly support sales success.
Leads training for field sales representatives (direct and 1099), and for the training, supervision, and mentorship of per diem clinical staff and clinical education specialists ensuring clinical competence, brand consistency, and measurable ROI from training investments.
Drives the development and execution of Bravida Academy offerings, taking the lead in multiple education programs with significant influence on customer success and learning outcomes. Contributes to CE accreditation processes as needed.
Conducts customer needs assessments in response to field complaints, identifying trends, ensuring compliance with internal processes in partnership with RAQA, and recommends targeted training and troubleshooting strategies to field sales and clinical teams.
Leads and executes training programs for all internal colleagues and external customers, fostering long-term clinical skill development and amplifying the voice of the customer across Bravida teams.
Develops and maintains strategic relationships with KOLs (Key Opinion Leaders), overseeing consultant-led educational content, poster presentations, speaking engagements, and related projects.
Represents Bravida as an active member of professional organizations, delivering presentations, authoring content, and coordinating outreach and training at local, regional, and national events, conferences, and trade shows.
Maintains current expertise in clinical practice guidelines, FDA and regulatory standards, market trends, and competitor products; contributes to content and document review in QT9 quality management system.
Provides clinical input to New Product Development (NPD) and R&D teams, shaping portfolio innovation and supporting training strategy for product launches.
Leads clinical research activities, including Bravida-sponsored trials, ensuring alignment with FDA requirements and Good Clinical Practice (GCP) standards from initiation to completion.
Collaborates cross-functionally with the CCLO, Marketing, and Sales teams to develop and deliver clinical messaging, sales tools, and customer-centric educational content; drives continuous improvement through feedback integration.
Delivers clinical education using a variety of digital platforms (e.g., On24, eLearning tools, websites) and stays current with best practices in remote and virtual training technologies.
Utilzes Bravida business systems (e.g., SFDC, Fast Field, Monday.com, IntelAgree) for planning, communication, project tracking, and deliverable management.
Sets an example and ensures full compliance with Bravida policies, procedures, Code of Conduct, and the organization's mission and values.
Qualifications:
Experience
5+ years of clinical nursing experience in one or more of the following areas: Operating Room, Wound Care, Infection Control, Vascular Access, and/or Critical Care, with a strong foundation in patient care and clinical protocols.
3-5 years of experience in a nursing manager and/or educator role, demonstrating leadership in staff development, training programs, and clinical oversight.
3-5 years of experience in the medical device industry preferred, with a focus on direct customer engagement, clinical field support, educational content development, and training delivery.
Education
Bachelor's Degree in Nursing (BSN) preferred.
Master's Degree in Nursing (MSN) or Business Administration (MBA) preferred.
Credentials
Registered Nurse (RN), licensed and in good standing, required.
Accredited Nursing Certifications (e.g., Wound Care Certification [WCC], Perioperative Nurse [CNOR], Infection Control [CIC], Critical Care Registered Nurse [CCRN]) preferred.
General Skills/Competencies/Specialized Knowledge
Strong clinical competencies in areas such as Operating Room, Wound Care, Infection Control, Vascular Access, and Critical Care.
In-depth understanding of the healthcare industry, market trends, and the evolving role of medical devices in clinical practice.
Proficient expertise in clinical program design for the medical device industry, with the ability to link clinical needs to business outcomes.
Proven effectiveness in supporting sales teams through customer training, product utilization, and decision-making support to drive business objectives.
Competent leadership and project management skills, including the ability to collaborate across departments and lead processes effectively to meet or exceed deadlines.
Training content development and strong presentation skills with a proven track record of success in educational settings.
Exceptional communication, interpersonal, and negotiation skills, with a focus on building long-term professional relationships.
Strong problem-solving abilities in complex clinical and business environments.
Competence in digital tools and platforms, including PPT, Excel, Power BI, eLearning, digital conference and webinar platforms with high-quality content delivery.
Desirable Job Competencies
Ambition and drive to grow within the company and the industry.
Ability to juggle multiple tasks simultaneously with a sense of urgency, prioritizing competing priorities in a fast-paced environment, ensuring timely delivery without compromising quality.
Ability to build strong relationships with internal teams, customers, and professional organizations.
Leadership potential with the ability to manage projects and initiatives to completion.
Innovative, creative thinker with a focus on customer experience and high-quality outcomes.
High clinical confidence with the ability to navigate and influence complex healthcare systems.
Expertise in networking and driving sales, contributing to customer conversion and retention.
TRAVEL REQUIREMENTS/WORK ENVIRONMENT and PHYSICAL DEMANDS:
Travel Requirements
Willing and able to travel up to 80% for customer-facing activities, including product evaluations, conversions, ongoing support, and educational training sessions in the field.
Work Environment & Physical Demands
Must be able to lift and carry items up to 30 lbs. as needed for demonstrations and training setups.
Requires frequent walking and standing in various settings, including acute care hospitals, conference centers, airports, and other customer locations.
Auto-ApplyField Clinical Manager (Remote)
Remote job
Your opportunity By joining the Kardium team, you can help make a difference in the lives of millions around the world. We have developed a ground-breaking medical device for the diagnosis and treatment of the most common heart rhythm disorder, atrial fibrillation - which can cause stroke, heart failure, and other heart-related complications.
Kardium's mission is to deliver the best treatment for atrial fibrillation. To achieve this, we have developed The Globe Pulsed Field System - we have a fantastic technical team that has developed a product with strong, unique, and customer-valued differentiators versus other solutions on the market. We have built connections with key opinion leaders who are already using the Globe System and are helping to tell our story.
We are now focused on our commercial launch. This is an exciting and significant milestone in our journey to bring this ground-breaking technology to patients.
As a Field Clinical Manager, you will play an instrumental role in the success of the commercial launch for the Globe Pulsed Field System. You will be responsible for building, managing and supporting a team of Field Clinical Specialists who will provide clinical expertise and support for the Globe System. You will play a crucial role in ensuring the successful implementation and utilization of our products in clinical settings, fostering strong relationships with healthcare professionals, and driving the overall success of the commercial launch.
Please note, this opportunity is a remote work arrangement based in the United States.
Meaningful work you will be a part of
Your responsibilities will include:
Lead, mentor, and manage a team of Field Clinical Specialists.
Develop and implement training programs to ensure team proficiency in electrophysiology and in supporting commercial ablation cases.
Monitor and evaluate team performance, providing feedback and coaching to drive continuous improvement.
Provide clinical expertise and support to healthcare professionals during cardiac ablation procedures.
Ensure compliance with regulatory requirements and company policies.
Stay current with industry trends, advancements, and best practices in electrophysiology.
Travel to various clinical sites to support team activities and build relationships with key stakeholders.
What you bring to the team
Our Kardium team is smart, creative, and passionate about creating cutting-edge medical devices to help improve people's lives. We work within a collaborative environment based on trust and respect. And we understand that only by working together can we solve the unsolvable.
You will be successful in this role because you possess these attributes:
Bachelor's degree, or equivalent
5+ years experience leading a team of Clinical Specialists in Electrophysiology or experience as a Field Trainer
Strong clinical knowledge and expertise in electrophysiology procedures and products.
Excellent communication, interpersonal, and leadership skills.
Flexibility to take on additional responsibilities as appropriate
Ability to work in the USA
A valid Driver's License
Ability to travel over 50%
Compensation
Kardium has listed the total cash compensation range (base salary + 5% 401k contribution + variable compensation based on the achievement of organizational goals and objectives) that we expect to pay applicants for this role, as of the time of this posting. Pay offered will be determined based on numerous relevant business and candidate factors including, for example, education, qualifications, certifications, experience, skills, and business or organizational needs. For candidates with more or less experience than listed above, the pay range will be adjusted.
As a permanent employee, you will also participate in Kardium's stock option plan.
$175,000 - 230,000 (USD Annually)
Your Benefits & Well-being
The total cash we've listed for this position includes a base salary, plus a contribution to a Retirement Savings plan to help support your financial goals.
Comprehensive medical & dental coverage for all permanent employees - effective as of Day 1, with no waiting period.
Work-day flexibility - additionally, we provide 3 personal days per year.
Support for you (and your dependents) overall well-being.
Family building - we provide top up for both maternity leave & adoptive leave. Employees can also enroll in benefit coverage for fertility drug treatment.
Career progression and learning support.
Professional membership support.
Life at Kardium
What makes us a great place to work?
Our Purpose
Our People
Our Culture
At Kardium, we embrace diversity of background, experience, and perspective and we're committed to inclusion and equity at every level. We encourage applications from all qualified candidates who represent the full diversity of all communities.
We collaborate with Employee Resource Groups (ERGs), as volunteer-led groups who share a common dimension of diversity and come together to provide support, education, and other opportunities across Kardium. Examples of our ERGs include Women ERG, Pride ERG, Race Ethnicity & Cultural Heritage (REACH) ERG, Truth & Reconciliation ERG, Persian Community ERG, Chinese ERG, Barangay Kardium (Filipino) ERG, and Irish ERG.
As part of your application, we encourage you to note if you require an accommodation for the recruitment process (including alternate formats of materials, accessible meeting rooms or other accommodations). There will be an optional section in the application form where you can provide this information to the recruitment team.
And our employees think we are great too - check out Glassdoor to learn more!
Clinical Manager - Seating and Positioning
Remote job
The Clinical Manager is responsible for developing and implementing clinical training curricula detailing the application and fitting of the designated Etac product area to achieve positive functional outcomes. This position trains providers, therapists, and sales associates in the form, fit, and function of Etac products and their clinical applications. This is a traveling position providing product presentations, clinical in-services, and product/client fittings with providers and/or clinicians and provides one-on-one training with sales associates with the goal of supporting efforts to increase sales of all designated Etac products. The role also supports and leads larger in-person clinical product education and training engagements with key customers.
Product Areas:
Seating & Positioning: all Etac North America Mobility custom and “packaged” seating products, including Axiom, Axiom Kids, Axiom Custom Back, Axiom Custom Seating, Star Cushions, secondary positioning supports, and other products and accessories as they may be designated in the future.
Mobility: all Etac North America Mobility manual wheelchairs and related accessories or components, including power assist. This includes manual wheelchair in the folding, rigid, tilt-in-space, pediatric and adolescent categories, as well as, any products and accessories as they may be designated in the future.
Pediatrics: all Etac North America Mobility products intended for use by the pediatric population. This includes all products, accessories, or components from R82, Convaid, Ki Mobility, including power assist. This will also include any products and accessories as they may be designated in the future.
Essential FunctionsJob Responsibilities
Assist in the development of clinical training curricula relating to relevant Etac products.
Create and deploy training materials that will be used by sales associates, export partners, and other clinical education team members.
Establish and maintain a travel schedule with Etac sales associates centered around in-field customer and clinician engagements.
Attend trade shows, customer events, and sales meetings as necessary.
Contribute to the development of the company's strategic plan to drive future growth and profitability for relevant Etac products.
Present professional continuing education content (CEUs) as needed, either through coordination with sales associates and managers, or at key business partner education events.
Manage sales expenses within the guidelines of the Company expense policy.
Work closely with the sales team, specifically Territory Sales Managers, to align training initiatives with sales strategies and customer needs.
Collaborate with cross-functional teams to align and deliver product education and training programs.
Uphold Company values and ethical business conduct, as well as, maintain confidentiality of sensitive information.
Utilize sales and order analysis tools, including Qlik, to strategically plan and prioritize travel to optimize effectiveness.
Utilize sales and order analysis tools, including Qlik, post-travel to analyze effectiveness of travel and/or training curricula.
Be a key contributor to product development requirements around competitive opportunity, clinical requirements and efficacy that deliver strong new product enhancements that meet market needs.
Ensure and follow safety, quality, and other company requirements and standards.
Keep the work area clean and orderly.
Perform all duties in a manner that follows, demonstrates, and promotes Company's values.
Report to work as scheduled, on time, and able to work entire work schedule.
Perform additional duties as assigned.
Knowledge, Skills, and Ability
Excellent presentation skills and confidence in front of small and large groups.
Strong organizational skills.
Strong Microsoft PowerPoint skills.
Knowledge and proficiency with Microsoft Office Suite products, including Excel and Outlook, and other enterprise software.
In depth knowledge of clinical issues relating to disabled populations.
Knowledge of manual mobility and seating products than span adult and pediatric solutions within the complex rehabilitation industry.
Ability to establish and maintain professional communications both inside and outside the company.
Funding knowledge within complex rehab technology.
Ability to network with providers, ATP's, clinicians, and caregivers.
A high level of interactive communication is required to service our customers and clinicians; must be able to respond quickly and effectively to satisfy customer and clinician inquiries.
Possess a strong business acumen with an understanding of market potential and contract development.
Analytical skills in order to solve complex problems and make informed decisions.
Possess excellent written and oral communication and interpersonal skills to collaborate effectively with cross-functional teams.
Proactive and self-motivated with the ability to work independently and in a team environment.
Ability to lift and handle wheelchairs.
Ability to observe and identify details.
Ability to work extended hours as scheduled, including weekends.
Physical Demands
Frequent sitting, wrist manipulation, walking, and standing.
Frequent bending, pushing, pulling, and twisting.
Occasional to frequent driving in a vehicle.
Frequent light/medium work with lifting up to 30 pounds.
Occasional medium work with lifting up to 50 pounds.
Must be able to lift, handle, load, and unload all products.
Manual dexterity to type and operate office equipment frequently.
Must be able to complete all physical requirements to perform essential functions.
QualificationsEducation/Experience
Degree in a clinical discipline (Occupational or Physical Therapy, Kinesiology) or a related field or 3-5 years of experience in the complex rehab industry.
ATP certification is beneficial.
Must possess and maintain a valid driver's license.
Intermediate level experience with computer applications.
Working Environment
Remote position with an expectation of up to 75% travel focusing on specific key referral sources, their clinicians, providers, and ATP's.
This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the associate for this position. Duties, activities, and responsibilities may change, or new ones may be assigned at any time with or without notice. Associate must be able to satisfactorily perform the essential functions of the position with or without reasonable accommodations.
Ki Mobility is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.
Auto-ApplyClinical Manager - Seating and Positioning
Remote job
The Clinical Manager is responsible for developing and implementing clinical training curricula detailing the application and fitting of the designated Etac product area to achieve positive functional outcomes. This position trains providers, therapists, and sales associates in the form, fit, and function of Etac products and their clinical applications. This is a traveling position providing product presentations, clinical in-services, and product/client fittings with providers and/or clinicians and provides one-on-one training with sales associates with the goal of supporting efforts to increase sales of all designated Etac products. The role also supports and leads larger in-person clinical product education and training engagements with key customers.
Product Areas:
Seating & Positioning: all Etac North America Mobility custom and “packaged” seating products, including Axiom, Axiom Kids, Axiom Custom Back, Axiom Custom Seating, Star Cushions, secondary positioning supports, and other products and accessories as they may be designated in the future.
Mobility: all Etac North America Mobility manual wheelchairs and related accessories or components, including power assist. This includes manual wheelchair in the folding, rigid, tilt-in-space, pediatric and adolescent categories, as well as, any products and accessories as they may be designated in the future.
Pediatrics: all Etac North America Mobility products intended for use by the pediatric population. This includes all products, accessories, or components from R82, Convaid, Ki Mobility, including power assist. This will also include any products and accessories as they may be designated in the future.
Essential FunctionsJob Responsibilities
Assist in the development of clinical training curricula relating to relevant Etac products.
Create and deploy training materials that will be used by sales associates, export partners, and other clinical education team members.
Establish and maintain a travel schedule with Etac sales associates centered around in-field customer and clinician engagements.
Attend trade shows, customer events, and sales meetings as necessary.
Contribute to the development of the company's strategic plan to drive future growth and profitability for relevant Etac products.
Present professional continuing education content (CEUs) as needed, either through coordination with sales associates and managers, or at key business partner education events.
Manage sales expenses within the guidelines of the Company expense policy.
Work closely with the sales team, specifically Territory Sales Managers, to align training initiatives with sales strategies and customer needs.
Collaborate with cross-functional teams to align and deliver product education and training programs.
Uphold Company values and ethical business conduct, as well as, maintain confidentiality of sensitive information.
Utilize sales and order analysis tools, including Qlik, to strategically plan and prioritize travel to optimize effectiveness.
Utilize sales and order analysis tools, including Qlik, post-travel to analyze effectiveness of travel and/or training curricula.
Be a key contributor to product development requirements around competitive opportunity, clinical requirements and efficacy that deliver strong new product enhancements that meet market needs.
Ensure and follow safety, quality, and other company requirements and standards.
Keep the work area clean and orderly.
Perform all duties in a manner that follows, demonstrates, and promotes Company's values.
Report to work as scheduled, on time, and able to work entire work schedule.
Perform additional duties as assigned.
Knowledge, Skills, and Ability
Excellent presentation skills and confidence in front of small and large groups.
Strong organizational skills.
Strong Microsoft PowerPoint skills.
Knowledge and proficiency with Microsoft Office Suite products, including Excel and Outlook, and other enterprise software.
In depth knowledge of clinical issues relating to disabled populations.
Knowledge of manual mobility and seating products than span adult and pediatric solutions within the complex rehabilitation industry.
Ability to establish and maintain professional communications both inside and outside the company.
Funding knowledge within complex rehab technology.
Ability to network with providers, ATP's, clinicians, and caregivers.
A high level of interactive communication is required to service our customers and clinicians; must be able to respond quickly and effectively to satisfy customer and clinician inquiries.
Possess a strong business acumen with an understanding of market potential and contract development.
Analytical skills in order to solve complex problems and make informed decisions.
Possess excellent written and oral communication and interpersonal skills to collaborate effectively with cross-functional teams.
Proactive and self-motivated with the ability to work independently and in a team environment.
Ability to lift and handle wheelchairs.
Ability to observe and identify details.
Ability to work extended hours as scheduled, including weekends.
Physical Demands
Frequent sitting, wrist manipulation, walking, and standing.
Frequent bending, pushing, pulling, and twisting.
Occasional to frequent driving in a vehicle.
Frequent light/medium work with lifting up to 30 pounds.
Occasional medium work with lifting up to 50 pounds.
Must be able to lift, handle, load, and unload all products.
Manual dexterity to type and operate office equipment frequently.
Must be able to complete all physical requirements to perform essential functions.
QualificationsEducation/Experience
Degree in a clinical discipline (Occupational or Physical Therapy, Kinesiology) or a related field or 3-5 years of experience in the complex rehab industry.
ATP certification is beneficial.
Must possess and maintain a valid driver's license.
Intermediate level experience with computer applications.
Working Environment
Remote position with an expectation of up to 75% travel focusing on specific key referral sources, their clinicians, providers, and ATP's.
This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the associate for this position. Duties, activities, and responsibilities may change, or new ones may be assigned at any time with or without notice. Associate must be able to satisfactorily perform the essential functions of the position with or without reasonable accommodations.
Ki Mobility is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.
Auto-ApplyHome Infusion Nurse, 32 hours - Accredo - Albuquerque, NM
Remote job
Home Infusion Registered Nurse - Accredo Specialty Pharmacy
Take your nursing skills to the next level by helping to improve lives with Accredo Specialty Pharmacy, a division of Evernorth Health Services. We are looking for dedicated registered nurses like you to administer intravenous medications to patients in their homes.
As a Home Infusion Registered Nurse at Accredo, you'll travel to patients' homes to provide critical infusion medications. However, this job is about more than just administering meds; it's about building relationships with patients and seeing the positive impact of your care. You'll work independently, making decisions that lead to the best outcomes for your patients. You'll drive growth in your career by challenging yourself to use your nursing skills, confidence, and positive attitude to handle even the toughest situations, with the support from your team.
For more than 30 years, Accredo has delivered dedicated, first-class care and services for patients. We partner closely with prescribers, payers, and specialty manufacturers. Bring your drive and passion for purpose. You'll get the opportunity to make a lasting impact on the lives of others.
How you'll make a difference and improve lives:
Empower Patients: Focus on the overall well-being of your patients. Work with pharmacists and therapeutic resource centers to ensure that patients' needs are met and to help them achieve their best health.
Administer Medications: Take full responsibility for administering IV infusion medications in patients' homes.
Provide follow-up care and manage responses to ensure their well-being.
Stay Connected: Be the main point of contact for updates on patient status. Document all interactions, including assessments, treatments, and progress, to keep track of their journey.
Requirements:
Active RN license in the state where you'll be working and living
2+ years of RN experience
1+ year of experience in critical care, acute care, or home healthcare
Strong skills in IV insertion
Valid driver's license
Willingness to travel to patients' homes within a large geographic region
Ability to work 32 hours a week (can include days, evenings, and weekends, per business need)
Flexibility to work different shifts on short notice and be available for on-call visits as needed
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Auto-ApplyClinical Review Nurse - Remote
Remote job
Job DescriptionCLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to join a dynamic and well-respected organization offering tremendous career growth potential.
At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply.
100% REMOTE!
Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering).
SUMMARY STATEMENT
The Clinical Review Nurse is responsible for reviewing and making medical determinations as to the validity of health claims and levels of payment in meeting national and local policies as well as accepted medical standards of care. The incumbent applies clinical knowledge to assess the medical necessity, level of services and appropriateness of care which may include cases requiring prior authorization, complex pre-payment medical review or post-payment medical review.
ESSENTIAL DUTIES & RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary.
90% of time will be spent on one or more of the following activities depending on assignments:
Review and analyze pre and post pay complex health care claims from a medical perspective, inclusive of prior authorization:
Perform clinical review work as assigned; may provide guidance to other team members and accurately interpret and apply broad CMS guidelines to specific and highly variable situations.
Conduct review of claim data and medical records to make clinical decisions on the coverage, medical necessity, utilization and appropriateness of care per national and local policies, as well as accepted medical standards of care.
Review provider practices and identify issues of concern, overpayment and need for corrective action as necessary; includes surfacing potential fraud and abuse or practice concerns.
May develop recommendations for further corrective action based on medical review findings.
May refer for review, or implement, corrective action related to medical review activities.
May process claims and complete project work in the appropriate computer system(s).
The remaining 10% of time will be spent on the following activities depending on assignments:
Identify providers needing education and individually educate providers who are subject to medical
review processes:
Initiate or participate in provider teaching activities, creating written teaching material, providing one on one education or education to a group as a result of a medical review (e.g., probe, progressive corrective action, consent, etc.) or appeal.
This may involve discussion with CMS leaders and leaders in the provider community.
Participate in special projects as assigned.
REQUIRED QUALIFICATIONS
* Valid nursing degree
* 2 years' clinical experience
* Excellent written and oral communication skills
* Demonstrated experience with evaluating medical and health care delivery issues (e.g., Inpatient Rehab Facility)
* Strong computer skills to include Microsoft Office proficiency
* Valid unrestricted Registered Nurse (RN) license
PREFERRED QUALIFICATIONS
* Inpatient Rehabilitation Facility Experience
* Bachelor of Science in Nursing (BSN)
* Insurance industry experience
* Certified Coder
ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed.
At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know.
Position is offered with no fee to candidate.
Home Infusion Nurse, 32 hours - Accredo - Bismarck, ND
Remote job
Home Infusion Registered Nurse - Accredo Specialty Pharmacy Join Accredo Specialty Pharmacy, part of Evernorth Health Services, and bring your nursing expertise to patients where they feel most comfortable-their homes. As a Home Infusion Registered Nurse, you'll deliver life-changing care while building meaningful relationships and driving positive health outcomes.
Responsibilities:
* Provide safe and effective administration of specialty medications (including IV infusion) in patients' homes.
* Partner with pharmacists and care teams to ensure holistic patient well-being.
* Document assessments, treatments, and progress to maintain accurate patient records.
* Serve as the primary point of contact for patient updates and care coordination.
* Demonstrate autonomy in clinical decision-making to achieve optimal outcomes.
Required Qualifications:
* Active RN license in the state of practice.
* Minimum 2 years of RN experience.
* At least 1 year in critical care, acute care, or home healthcare.
* Proficiency in IV insertion and infusion techniques.
* Valid driver's license and ability to travel within a large geographic region.
* Availability for a 32-hour workweek, including evenings and weekends as needed.
Preferred Qualifications:
* Bachelor of Science in Nursing (BSN).
* Experience with specialty pharmacy or infusion therapy programs.
Benefits:
* Medical, Dental, Vision, and Life insurance
* 401k with strong company match
* Mileage reimbursement and/or company car
* PTO and company holidays
* Merit and Bonus eligibility
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Auto-ApplyClinical Manager, Care Management Services (Remote)
Remote job
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,coordinate, and deliver 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. This Clinical Manager is expected to split his or her time between administrative / managerial responsibilities (typically ~60% of the time) and time serving patients directly (typically ~40% of the time).
WHAT IS YOUR SUPERPOWER?
Administrative & Managerial Responsibilities
* 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.
* Ensure compliance with regulatory requirements related to care management and patient care.
* 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.
* Participate in interdisciplinary meetings and committees to enhance coordination and communication across departments.
* 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).
* Monitor and analyze data related to care management outcomes, utilization, and quality improvement initiatives.
* 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.
Patient Care Delivery Responsibilities
* 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.
* 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.
* Serve as a resource for staff, patients, and families regarding care management services, resources, and community referrals.
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
Auto-ApplyClinical Staff Manager, Cardiac Rehab
Remote job
Job Title: Clinical Staff Program Manager Classification: Full Time Work Structure: Fully Remote Schedule/Shift: Standard Business Hours Team: Clinical Operations Reporting to: Senior Manager, Cardiac Rehab Compensation: $65,000-$75,000 annually
About Us:
Recora was founded in 2020 by seasoned digital health entrepreneurs. In past roles, we've founded and scaled high-growth startups, run large health systems, advised government programs, built technology you use every day, and provided healthcare for millions of lives.
We're backed by leading VCs including SignalFire, Pear, GFC , 2048, Great Oaks, MGV and more. Over the last year, we've built the leading virtual cardiac recovery and management platform for members with cardiac conditions. For every member we serve, we add an average of five years to their lifespan.
We're growing - fast. Our member base is doubling every month and we're looking to 3x our team size quickly. This will allow us to scale nationally and accelerate product development across the continuum of heart health.
Position Overview
Recora Health is seeking a dedicated and experienced Clinical Staff Program Manager to lead our virtual cardiac rehabilitation program. This role involves managing a team of care providers, ensuring high-quality patient care, and driving program success through strategic planning and execution. The ideal candidate will have a strong background in exercise physiology and a passion for improving patient outcomes in a virtual setting.
Key Responsibilities
* Care Provider Management
* Develop and manage care provider schedules to ensure adequate coverage and optimal patient care.
* Conduct performance reviews to support professional development, uphold program standards, and address underperformance by implementing targeted improvement plans for care providers to include contract termination.
* Ensure care providers meet performance targets and work with them to create plans for achieving those goals.
* Provide guidance and support to the Lead Exercise Physiologist and Lead Intake Specialist, ensuring alignment with program goals, effective onboarding and training, session shadowing, and completion of other assigned responsibilities.
* Hiring, Onboarding, and Training
* Lead the recruitment process for new care providers, ensuring the selection of qualified candidates.
* Oversee onboarding and training programs to equip new hires with necessary skills and knowledge.
* Operational Oversight
* Review and approve invoices related to program operations, ensuring accuracy and compliance with budgetary constraints.
* Develop and update standard operating procedures (SOPs) to reflect workflow changes and ensure program efficiency.
* Data and Metrics Tracking
* Monitor and analyze program data and metrics to assess performance and identify areas for improvement.
* Use data-driven insights to inform decision-making and strategic planning.
* Communication and Meetings
* Facilitate regular meetings with care providers to discuss program updates, share best practices, and collaborate on projects.
* Prepare agendas and lead monthly huddles to ensure team alignment and effective communication.
* Monitor care team slack channels and respond to escalations from care providers.
Qualifications
* Proven experience in managing virtual care programs.
* Proven experience managing a staff of 50+ 1099 contractors.
* Strong leadership and communication skills.
* Ability to analyze data and metrics to drive program improvements.
* Experience in patient care and retention strategies.
* Familiarity with virtual health platforms and technologies.
We are an equal opportunity employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected veteran status, or any other characteristic protected by federal, state, or local law.
Auto-ApplyRemote HEDIS Nurse Consultant
Remote job
HEDIS work typically includes requesting records, abstracting/overreading medical records, performing claims research, preparing medical records for the NCQA HEDIS Auditor, etc. Abstracts medical record data from practitioner's files to support annual Healthcare Effectiveness Data and Information Set (HEDIS) reporting for company's accredited products
Conducts medical record reviews to support the annual reporting and responds to inquiries from provider, and their office staff, regarding the HEDIS initiative
Review and abstract 40-50 medical records per day, based on NCQA and HEDIS technical specifications
Document information clearly and concisely from patient record to paper document abstraction tool, or into company's electronic HEDIS application
Ensure Health & Care Management are in compliance with HEDIS audit and technical specification standards
Participate in the training of NCQA (national committee quality assurance) requirements with completion of Inter-Rater Reliability compliance
Communicate with internal and external stakeholders by making appropriate follow-up phone calls for additional medical information to complete reviews
Comply with regulatory standards, accreditation standards and internal guidelines
Remain current and consistent with the standards pertinent to the Quality Management team
Qualifications
* Active and Unrestricted RN License with 4+ years of experience.
(Need to have the license in the state in which they live but does not need to be compact since they are not working directly with members in Iowa.)
* Strong clinical background and understanding of medical terminology, healthcare practices and electronic medical record systems. Ability to review medical records and technical specifications and draw defensible conclusions from available information.
* Experience In health insurance, health care, managed care, or a related setting. A strong clinical background could also be considered - e.g., hospital medical records or research.
* Excellent attention to detail and ability to analyze complex medical records, identify relevant data and abstract HEDIS measures accurately.
* Strong written and verbal communication skills with ability to communicate and/or present complex information to team members and stakeholders.
* Demonstrated success in roles that require strong time management and work-flow management skills. Ability to prioritize work independently, manage multiple assignments simultaneously, and meet deadlines.
* Flexibility to adapt to changing requirements, regulations, and technology platforms related to HEDIS reporting.
* Proficiency with Microsoft Office and Microsoft Teams. Technical aptitude to learn new systems quickly.
Preferred Qualifications:
* 2 years of experience in HEDIS abstraction and familiarity with HEDIS measure specifications.
* Prior work in utilization management, quality management/review, accreditation, outpatient clinic setting or related area.
Job Type & Location
This is a Contract position based out of Des Moines, IA.
Pay and Benefits
The pay range for this position is $40.00 - $41.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Jan 7, 2026.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Nurse Case Manager (Western Time Zone)
Remote job
Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by VYVGART, our first-in-class neonatal Fc receptor blocker approved for the treatment of gMG, and with the potential to treat patients across dozens of severe autoimmune diseases.
We are building a new kind of biotech company, one that maintains its roots as a science-based start-up and pushes our commitment to innovate across all corners of our business. We strive to inspire and grow our company, our partnerships, our science, and our people, because when we do, we deliver more for patients.
The Nurse Case Manager (NCM) is the single point of contact for patients and their caregivers. They are aligned regionally and are responsible for educating patients, caregivers and families affected by generalized Myasthenia Gravis (gMG) about the disease and argenx's products and support services. The NCM may provide resources to help patients better manage their disease and coordinate their treatment. The NCM is responsible for participating in one-on-one communications with patients and their caregivers.
Roles and Responsibilities:
Provide direct educational training and support to patients and caregivers about gMG and prescribed argenx products
Communicate insurance coverage updates and findings to the patient and/or caregiver
Review and educate the patients and/or caregivers on financial assistance programs that they may be eligible for. Coordinate logistical support for patient to receive therapy and manage their disease
Collaborate with argenx Patient Access Specialist, Case Coordinator, and Field Reimbursement Manager teams to troubleshoot and resolve reimbursement-related issues
Engage with patients and provider case coordinators to ensure appropriate support is being given on an individualized basis
Provide patient-focused education to empower patients to advocate on their behalf
Develop relationships and manage multiple and complex challenges that patient and caregivers are facing
Ensure compliance with relevant industry laws and argenx's policies
Aligned regional travel will be required for patient education to support patient programs
Must be an excellent communicator and problem-solver
Demonstrated time management skills; planning and prioritization skills; ability to multi-task and maintain prioritization of key projects and deadlines
Skills and Competencies:
Demonstrated effective presentation skills; ability to motivate others; excellent interpersonal (written and verbal) skills - with demonstrated effectiveness to work cross-functional and independently
Demonstrated ability to develop, follow and execute plans in an independent environment
Demonstrated ability to effectively build positive relationships both internally & externally
Demonstrated ability to be adaptable to changing work environments and responsibilities
Must be able to thrive in team environment and willing to contribute at all levels with flexibility and a positive attitude
Fully competent in MS Office (Word, Excel, PowerPoint)
Flexibility to work weekends and evenings, as needed
Participate in and complete required pharmacovigilance training
Comply with all relevant industry laws and argenx's policies
Travel requirements less than 50% of the time
Education, Experience and Qualifications:
Applicants must live in the desired Time Zone
Current RN License in good standing
Bachelor's degree preferred
5+ years of clinical experience in healthcare to include hospital, home health, pharmaceutical or biotech
2-5+ years of case management
2+ years of experience in pharmaceutical/biotech industry a must
Reimbursement experience a plus
Must live in geographically assigned territory
Bilingual or multilingual a plus
#LI-Remote
For applicants in the United States: The annual base salary hiring range for this position is $136,000.00 - $204,000.00 USD. This range reflects our good faith estimate at the time of posting. Individual compensation is determined using objective, inclusive, and job-related criteria such as relevant experience, skills, demonstrated competencies and internal equity. This means actual pay may differ from the posted range when justified by these factors. Because market conditions evolve, pay ranges are reviewed regularly and may be adjusted to remain aligned with external benchmarks.
This job is eligible to participate in our short-term and long-term incentive programs, subject to the terms and conditions of those plans and applicable policies. It also includes a comprehensive benefits package, including but not limited to retirement savings plans, health benefits and other benefits subject to the terms of the applicable plans and program guidelines.
At argenx, all applicants are welcomed in an inclusive environment. They will receive equal consideration for employment without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other applicable legally protected characteristics. argenx is proud to be an equal opportunity employer.
Before you submit your application, CV or any other personal details to us, please review our
argenx Privacy Notice for Job Applicants
to learn more about how argenx B.V. and its affiliates (“argenx”) will handle and protect your personal data. If you have any questions or you wish to exercise your privacy rights, please contact our Global Privacy Office by email at
privacy@argenx.com
.
If you require reasonable accommodation in completing your application, interviewing, or otherwise participating in the candidate selection process please contact us at
****************
. Only inquiries related to an accommodation request will receive a response.
Auto-Apply50% Field and 50% Remote Opening as a Nurse Case Manager II - (Wayne, Macomb, Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties ): MI
Remote job
Job Title: Nurse Case Manager II Estimated Length of Assignment: 03+ Months with Possible Extension (The dates provided are only an estimate and not a guarantee) Negotiable Estd. Pay Range - $40.00/Hour to $45.00/Hour on W2 (USD) -All Inclusive
Work Type: Wayne, Macomb, Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties ): MI
Schedule -Monday-Friday 8am-5pm EST
Description:
Field and Telephonic
Add city/state, zip and county at the top of the resume
Candidates should be either in one of these counties or very close to it. They will be traveling to this region. Sourcing for Wayne, Macomb, Barry, Van Buren, Kalamazoo, Calhoun, Branch, St Joseph, Cass, and Berrien Counties ): MI.
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires an RN with unrestricted active license
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
Experience
3 years Clinical practice experience, e.G., hospital setting, alternative care setting such as home health or ambulatory care required.
Healthcare and/or managed care industry experience.
Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
Effective communication skills, both verbal and written.
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
Typical office working environment with productivity and quality expectations?
Position Summary
The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
Requires an RN with unrestricted active license for MI.
Education
RN with current unrestricted state licensure for MI.
Case Management Certification CCM preferred
What days & hours will the person work in this position? List training hours, if different.
Monday-Friday 8am-5pm EST
Telehealth Clinical Manager - Remote
Remote job
Ready to Elevate Addiction Recovery? If you're looking to redefine the way care is delivered and be at the forefront of addiction recovery, we have the career for you! Your expertise and compassion can change lives-one virtual session at a time
Gateway Rehab Center (GRC) is seeking a passionate and skilled Clinical Manager to revolutionize the way we deliver care. This management position allows you to bring compassion, innovation, and expertise to individuals on their journey to recovery-all from the comfort of your home with occasional travel to a GRC location. If you're driven by the mission of making high-quality, accessible care a reality for all, we want to hear from you!
Please Note: This is a remote position with occasional travel to a GRC facility in Robinson, PA. Ideal candidate should live in the Pittsburgh area or surrounding counties.
Why Choose Gateway Rehab?
Make an impact through Gateway's mission
“to help all affected by addictive disease to be healthy in body, mind, and spirit.”
Be a part of an organization that has been leading the way in addiction treatment for over 50 years.
Leverage cutting-edge telehealth technology to bridge gaps in care and transform lives.
Enjoy the flexibility of a remote role while maintaining meaningful client
Why This Role is the Future of Addiction Treatment?
GRC's Telehealth Services team is changing lives, and as a Clinical Manager you'll be at the forefront of this movement. Your work will expand access to critical services, empower clients, and shape the future of addiction recovery. This is more than just a job-it's a mission-driven career where you can make a lasting impact every single day.
Your Role in Transforming Recovery
Conduct authorization audits to ensure timely completion, avoiding any disruption in payments.
Develops a training curriculum for Aura/m.care, tailored for new hires in all Telehealth positions.
Performs chart audits for compliance of all new admissions, ensuring deadlines are met and sending reminders to staff with outstanding documentation.
Maintains staff training records and identify training opportunities based on areas of need, as recommended by the Director or Executive Director.
Oversees patient program attendance, ensuring compliance with policies and licensure requirements, particularly for psych services and IOP.
Conducts documentation audits across different levels of care to ensure timely completion of all required items.
Attends mandatory GRC trainings and in-services.
Requirements
What We're Looking For
Master's degree in field that meets Pennsylvania Department of Health staffing qualification regulations required.
License or certification from the Pennsylvania Certification Board eligible.
Two years' clinical experience in a health or human service agency, including one year working directly with chemically dependent persons.
Supervisory experience preferred.
Knowledge of Substance Use Disorders and Evidence-based treatment methods.
Strong leadership skills.
Ability to manage crisis, make decisions, and make sound clinical judgements.
Excellent written and verbal communication skills.
Additional Requirements
Pass PA Criminal Background Check.
Obtain PA Child Abuse and FBI Fingerprinting Clearances.
Pass Drug Screen.
TB Test.
Work Conditions
Remote with travel into a GRC facility.
Favorable working conditions.
Minimal physical demands.
GRC is an Equal Opportunity Employer committed to diversity, equity, inclusion, and belonging. We value diverse voices and lived experiences that strengthen our mission and impact.