Prior Authorization Medical Director Physician- Los Angeles, CA Area - Work From Home
Curative 4.0
Remote job
Prior Authorization Medical Director Physician Opportunity in the Los Angeles Area
Please consider this unique opportunity to join a well-established and respected group of innovators in value-based care. This group of thought-leaders are in search of physician leaders to work alongside them to move the organization forward.
Requirements:
MD/DO degree required
Remote position, but candidate must live in the greater L.A. area for onsite meetings.
Minimum of five years of prior clinical experience required, with at least two years of managed-care or health-plan experience preferred
About the Opportunity:
Understand, promote, and manage the principles of medical management to facilitate the right care for patients at the right time and in the right setting.
Review prior authorization requests for medical necessity using appropriate clinical guidelines.
Identify high-risk patients and help coordinate care with the Employer's high-risk team.
Participate in meetings to review, develop, and continually improve internal quality improvement and peer review processes and programs.
Perform prior authorization functions for various Employer campuses, should the need arise in cross coverage, secondary/tertiary review, or medical director decision-making.
Perform retroactive claims review for outpatient and inpatient care, as needed.
Compensation and Benefits:
Competitive salary and aggressive incentives
Comprehensive benefits including medical, dental, vision, and 401k
Sign on bonus
Ample paid time off
About the Area:
Live in the entertainment capital of he world and enjoy dynamic mix of amenities that include outdoor adventures, fine dining, theme parks, the arts, world-class sports teams, and access to a major international airport
Unmatched cultural amenities in one of the most diverse areas of the world
Excellent public and private schooling options as highly respected colleges and universities
World-class beaches and mountain resorts are within a short drive
Enjoy a warm climate with over 300 sunny days a year
$174k-266k yearly est. 3d ago
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Lead Care Manager (LCM)
Heritage Health Network 3.9
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.
$36k-47k yearly est. 3d ago
Physician / Non Clinical Physician Jobs / Oklahoma / Permanent / Medical Consultant- Remote
UNUM 4.4
Remote job
When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments.
And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally.
$189k-256k yearly est. 6d ago
Medical Director Physician
FCS, Inc. 4.8
Remote job
Full time Psychiatrist to serve as Medical Director in a Dayton-based mental health clinic. Must have experience Board certification preferred. Full time with benefits including 401K match, health, dental, life, PTO, etc. Impressive salary and great hours Monday-Friday. SIGN-ON BONUS.
Work remote providing telepsychiatry and conducting internal virtual meetings. Call or email Molly Brown for more information at ext 244 or
$170k-261k yearly est. 6d ago
Physician / Administration / Puerto Rico / Permanent / Medical Director - Medicaid (remote)
Humana 4.8
Remote job
Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
$197k-311k yearly est. 6d ago
Tax Director Fort Lauderdale, FL, United States and 1 (Hybrid) Posted on 12/22/2025 Be the Firs[...]
CBIZ Employee Services Organization 4.6
Remote job
Locations 201 East Las Olas Blvd, 21st Floor, Fort Lauderdale, FL, 33301, US 201 E Kennedy Blvd, Ste 1500, Tampa, FL, 33602, US (Hybrid)
Expand revenue of existing clients
Responsible for short-term and long-term business planning; identify business opportunities for CBIZ in addition to their individual practice
Manager practice effectively meeting billing, realization, days outstanding and individual charge hour objectives
May be required to meet business development revenue expectations by adding new clients, cross serve activity and fully executing a personal marketing plan
Serve as key client contact; viewed as a trusted business advisor by clients
Ensure quality control standards are met
May work directly with clients and manage staff
Maybe the internal advisor on technical matters as a Subject Matter Expert
Maybe a member of the Senior Operations Management Team
Drive a team environment; demonstrate support of management decisions and builds a positive culture
Additional responsibilities as assigned
Preferred Qualifications
Master's degree preferred in Accounting, Taxation or related field
Minimum Qualifications
Bachelor's degree required
8 years of experience in public accounting or related field
6 years of supervisory experience
Must have active CPA or equivalent certification
Ability to manage deadlines, work on multiple assignments and prioritize each assignment as necessary
Proficient use of applicable technology
Demonstrated ability to communicate verbally and in writing throughout all levels of organization, both internally and externally
Proven high level of business integrity, client service and leadership skills
Must be able to travel based on client and business needs
#LI-SV2 #LI-Hybrid
About Us
CBIZ Inc. is a leading professional services advisor to middle market businesses and organizations nationwide. With unmatched industry knowledge and expertise in accounting, tax, advisory, benefits, insurance, and technology, CBIZ delivers forward-thinking insights and actionable solutions to help clients anticipate what's next and discover new ways to accelerate growth. CBIZ has more than 10,000 team members across more than 160 locations in 22 major markets coast to coast.
CBIZ strives to be our team members' employer of choice by creating an environment where team members are appreciated, recognized for their contributions, and provided with opportunities to grow, both personally and professionally, throughout their careers.
Together, CBIZ and CBIZ CPAs are ranked as one of the top providers of accounting services in the United States. CBIZ CPAs is an independent CPA firm that provides audit, review and attest services, while CBIZ provides business consulting, tax and financial services. In certain jurisdictions, CBIZ CPAs operates under its previous name, Mayer Hoffman McCann P.C.
Notice to Candidates Requiring Sponsorship
At this time, CBIZ is not engaging with applicants who require sponsorship.
Compensation & Benefits
The specific compensation for this role will be determined based on the education, experience, and skill set of the individual selected for this position. Beyond income, you have access to: comprehensive medical and detail insurance, retirement savings, life and disability insurance, health care and dependent care reimbursement accounts, certification incentives, education assistance, referral program and much more.
Notice to Third-Party Agencies
CBIZ does not accept unsolicited resumes from recruiters or agencies. Any staffing/employment agency, person or entity that submits an unsolicited resume to this site does so with the understanding that the applicant's resume will become the property of CBIZ. CBIZ will have the right to hire that applicant at its discretion and without any fee owed to submitting staffing/employment agency, person or entity.
Reasonable Accommodation
If you are a qualified individual with a disability, you may request reasonable accommodation if you are unable or limited in your ability to use or access this site as a result of your disability. You can request a reasonable accommodation by calling ************ (toll free) or send an email to **************.
Equal Opportunity Employer
CBIZ is an equal opportunity employer and reviews applications for employment without regard to the applicant's race, color, religion, national origin, ancestry, age, gender, gender identity, marital status, military status, veteran status, sexual orientation, disability, or medical condition or any other reason prohibited by law. If you would like more information about your EEO rights as an applicant under the law, please visit Know Your Rights.
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$62k-79k yearly est. 3d ago
Regional Center Services Director - Hybrid Leadership
Golden Gate Regional Center Inc. 4.4
Remote job
A regional non-profit agency in San Francisco seeks a Director for Regional Center Services to lead case management efforts. The ideal candidate should have over 10 years of experience with the developmentally disabled, a Master's in social work, and strong skills in leadership and communication. This role offers a hybrid work model and comprehensive benefits, including generous time off and retirement contributions. Join an organization valuing diversity and community engagement.
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$91k-142k yearly est. 6d ago
Medical Director
Intepros
Remote job
Medical Director (Utilization Management)
The Medical Director plays a key role in ensuring coverage and payment determinations are clinically appropriate, compliant, and aligned with plan benefits and contractual agreements with participating provider networks. This position requires sound clinical judgment, collaborative leadership, and a strong understanding of healthcare delivery, population health, and payer operations.
Key Responsibilities
Provide physician leadership and clinical guidance to Utilization Management and Care Management functions
Render coverage and payment determinations in accordance with health plan benefits, medical policies, and provider contracts
Apply evidence-based clinical guidelines and best practices to support consistent, high-quality decision-making
Exercise informed medical judgment grounded in clinical medicine, patient safety, quality management, and population health principles
Collaborate effectively with clinical teams, operational leaders, senior management, and external partners
Promote efficient, cost-effective care delivery across all lines of business
Support organizational initiatives related to quality improvement, compliance, and healthcare outcomes
Required Qualifications & Experience
Medical Doctor (MD) or Doctor of Osteopathy (DO) from an accredited medical or osteopathic medical school recognized by AAMC, AOA, or WHO
Unrestricted and active Pennsylvania medical or osteopathic license
Current board certification through ABMS or AOBMS (Family Medicine or Internal Medicine preferred)
Ability to successfully complete organizational credentialing requirements
Strong knowledge of Utilization Management, healthcare delivery systems, and payer-based medical decision-making
Work Location
Fully Remote: This position is designated as fully remote
Work must be performed within the Tri-State Area (Pennsylvania, New Jersey, or Delaware)
$181k-282k yearly est. 2d ago
Remote Liver Medical Affairs Director - Regional Expert
Gilead Sciences, Inc. 4.5
Remote job
A leading biopharmaceutical company is seeking a Senior Director for Medical Affairs to lead initiatives focused on liver diseases. The ideal candidate should have substantial clinical experience in hepatology and a commitment to scientific excellence. This remote position requires strategic collaboration and contributions to research efforts to improve liver care outcomes. Strong leadership and communication skills are essential for engaging diverse healthcare professionals in clinical discussions.
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$235k-330k yearly est. 6d ago
Director, Medical Affairs (Remote)
Stryker Corporation 4.7
Remote job
Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.
Working at Abbott
At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You'll also have access to:
Career development with an international company where you can grow the career you dream of.
Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.
An excellent retirement savings plan with high employer contribution
Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor's degree
A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.
A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists.
The Opportunity
Abbott Heart Failure (HF) delivers devices for patients living with heart failure in the areas of hemodynamic monitoring and mechanical circulatory support. Medical affairs of Abbott HF is seeking to hire a director who will join a team of medical specialist dedicated to all medical aspects of safe and effective device heart failure treatment. The director will report to the Chief Medical Officer.
The Director of Medical Affairs will provide daily business operations support related to product development and clinical research, product quality, compliance, commercial/marketing activities and customer interactions. The director assists the Chief Medical Officer in being medical representative of Abbott HF to external regulatory agencies and professional societies.
What You'll Work On
The Medical Director
Develops medical opinions, medical platform documents and Health Hazard Assessments.
Provides medical input for promotional and commercial activities as requested.
Serves as medical representative on Risk Evaluation teams.
Assists investigation teams by providing medical input as needed.
Responsible for updating medical affairs procedural documents and submitting change requests when needed.
Provides medical support for MDR reporting when needed.
Provides initial medical input for quality/regulatory customer communications, technical bulletins and quality directives.
Engages with direct customer interactions with medical content as needed.
Regionally responsible for Investigator Initiated Study and Research Grant programs.
Provides input or content to professional education activities.
Responsible for engaging in and documenting off-label discussions.
Assists the Chief Medical Officer in KOL and professional society engagement.
Provides medical input to new product development
An MD is strongly preferred for this role, but a PhD in a relevant area would be considered. A minimum of 5 years of clinical experience including in CV medicine would be clinical research, including interpretation and presentation would be expected. Strong presentation skills required.
The role is remote (US-based)
Up to 70 % travel should be expected.
APPLY NOW
Enjoy a competitive base salary plus exciting bonus opportunities and long-term incentives designed to recognize your success.
Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: **********************
Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.
Connect with us at *************** on Facebook at *********************** and on Twitter @AbbottNews and @AbbottGlobal
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$221k-314k yearly est. 5d ago
Remote Channel Growth Director - Networking & SD-WAN
Expereo International
Remote job
A global connectivity solutions provider is seeking a Channel Sales Manager in Chicago. The role involves driving revenue growth through partnerships and managing day-to-day relationships with Technology Solution Distributors. Candidates should have 5-8 years of sales experience, preferably in telecommunications or enterprise technology, with strong communication and relationship-building skills. This position offers a competitive health care plan, 401k retirement plan, and the option to work from home.
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$94k-131k yearly est. 7d ago
Home Infusion Nurse, Per Diem - Accredo - Clarion, PA
Carepathrx
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 do multiple patient visits per 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.
$57k-90k yearly est. Auto-Apply 27d ago
Home Infusion Nurse, 32 hours - Accredo - Albuquerque, NM
Cigna 4.6
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.
$70k-99k yearly est. Auto-Apply 60d+ ago
Tax Staff through Director--Major Corporation-Fully Remote!
Tax Staffing Solutions
Remote job
We are seeking to rebuild our in-house tax department at levels since we relocated to Houston. Resume to: taxstaffing@gmail.com Duties include:
Prepare federal and state (current and deferred) tax returns and provisions in accordance with ASC 740. analysis of effective tax rate, the reconciliation and analytical review of the tax accounts, and maintenance of deferred taxes inventory.
Streamlined ASC 740 tax provision, and tax compliance processes by implementing OneSource Tax Provision software and integrating it with OneSource Income Tax software, which led to efficiency in financial reporting, reduction in professional service costs, and increase net profit.
Kept track of tax software upgrade by keeping abreast of latest version update, determine how updates would improve the tax processes, and made system upgrade recommendation to superior if warranted.
Drafted documentation of testing of internal controls under Sarbanes-Oxley 404 and update tax processes and controls.C
Coordinate with outside Big 4 and law firms as well as other third parties.
Led tax compliance efforts, including preparation of quarterly estimates and extension income/franchise tax payment calculations.
Provided assistance in the information gathering process for the ongoing IRS and state tax audits.
Conducted tax-related research to minimize company's federal and state income tax liability.
Research and planning.
Involvement with adminitrative and budge matters
Attend tax seminars and conferences
$62k-101k yearly est. 60d+ ago
CCO In Training, Director of Clinical Services
Pennant Group
Remote job
This opportunity will be on-site in Colorado, Oklahoma or Wisconsin.
Cornerstone, part of The Pennant Group family, is currently seeking entrepreneurial-minded leaders with proven results in building and leading exceptional clinical teams - and has a passion for the home health, hospice and home care industry. Join us in making an impact and shaping the future of home healthcare!
About the Opportunity:
The CCO-in-Training (CCIT) Program is a 12-week, full time paid executive training program designed to prepare outstanding leaders for an opportunity to lead and manage clinical services and teams in a home health, hospice, or home care setting. CCITs learn how to drive results, cultivate a strong team culture, and develop a deep understanding of the unique business model that powers Pennant's success.
Successful CCIT graduates may advance to lead one of our thriving agencies or future agencies, with continued mentorship and operational support from experienced clinical partners. As a CCIT, you will gain hands-on practical experience in high quality clinical care services, agency operations, administrative support, and people leadership skills to equip you to take on a more strategic and elevated Director of Clinical Services position (or equivalent). The CCIT program offers mentorship, cross-functional training, and real responsibility in a dynamic environment.
Key Responsibilities:
Engage in immersive, on-the-job training across clinical, operational and administrative management functions.
Shadow department heads and front-line staff to understand the day-to-day rhythm of agency operations, processes, and clinical controls.
Take the lead on real-time projects and contribute to meaningful improvements within your host agency.
Prepare for a Director-level role by mastering staffing, team engagement, and community growth initiatives.
Study relevant state regulations and best practices in home healthcare operations.
Align leadership and interpersonal skills with our CAPLICO core values and mission.
Qualifications:
Current, unencumbered, active license to practice as a Registered Nurse, Speech-Language Pathologist, Occupational Therapist, or Social Worker in the state where services are rendered; must maintain applicable state licensure requirements at hire, and for the entire duration of employment.
Minimum of one (1) year of experience required, preferably in a home health or hospice treatment setting.
Current and nationally accredited CPR certification.
Enthusiasm, passion for working with people, and an internal drive to improve the lives of individuals in our care.
Must understand and adhere to the ethical standards of the respective licensure governing board.
Must have a valid driver's license, current automobile insurance, and a safe driving record.
Open to relocation based on available opportunities
About Us:
Cornerstone, an affiliate of The Pennant Group (NASDAQ: PNTG), is committed to delivering compassionate, personalized care to patients and families in the comfort of their own homes. As part of the Pennant family-a growing national network with over 180 affiliated locations across 14 states spanning home health, hospice, and senior living-we operate with the independence and flexibility that allow our local leaders to truly make a difference. Pennant Services provides robust clinical, legal, accounting, IT and HR support, enabling our teams to focus on delivering exceptional service and care.
We are guided by the core values that shape Pennant's unique culture:
Customer Second
Accountability
Passion for Learning
Love One Another
Intelligent Risk Taking
Celebrate
Ownership
We believe in empowering our people, fostering excellence, and creating an environment where personal and professional growth thrives. Our culture makes Pennant a truly unique place to work.
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************
#onsite
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************
$75k-109k yearly est. Auto-Apply 7d ago
Manager, Clinical Operations - Full Service CRA Line Manager (Home-Based in Western US )
Syneos Health, Inc.
Remote job
Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities. Our Clinical Development model brings the customer and the patient to the center of everything that we do. We are continuously looking for ways to simplify and streamline our work to not only make Syneos Health easier to work with, but to make us easier to work for.
Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you'll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to accelerate the delivery of therapies, because we are passionate to change lives.
Discover what our 29,000 employees, across 110 countries already know:
WORK HERE MATTERS EVERYWHERE
Why Syneos Health
* We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program.
* We are committed to our Total Self culture - where you can authentically be yourself. Our Total Self culture is what unites us globally, and we are dedicated to taking care of our people.
* We are continuously building the company we all want to work for and our customers want to work with. Why? Because when we bring together diversity of thoughts, backgrounds, cultures, and perspectives - we're able to create a place where everyone feels like they belong.
Job Responsibilities
Core Responsibilities
* Line management of Clinical Operations staff, responsibilities including interviewing and selection, termination, professional development, performance appraisals, and employee counselling May be involved in assignment of project work and will review workloads for all direct reports. Manages staff by establishing goals that will increase knowledge and skill levels, and by delegating tasks commensurate with skill level.
* Review workload for all staff in reporting chain, participate in managing the resource availability for the assigned staff, providing support that projects are suitably resourced and staffing needs are identified in a timely fashion.
* Provide expert operational oversight and guidance to support prioritization of activities, review and monitor the work performed, metric compliance, and development of contingency plans, among others.
* Assist in recruiting new staff, including participation in interview process and new hire on boarding. Proactively work to ensure staff retention and turnover rates remain within expected levels.
* Ensure quality and adherence to Standard Operating Procedures/Work Instructions (SOP/WIs) and compliance with federal and local guidelines and ICH GCP. Ensure all staff follow required training and complete required documentation. Provide regular updates to management accordingly.
* Work closely within appropriate business unit/region to ensure staff performance on studies and correct deficiencies as identified by staff, customers, and auditors. Able to contribute to BU level process improvements. May provide business development support.
* May conduct several types of sign off and assessment visits to ensure Clinical Operations on-site performance. Develop and oversee training plans to address performance deficiencies. Ensure staff adhere to training guidelines, training records maintenance, and individual and corporate training needs are identified and addressed.
* Organize and chair clinical staff meetings at regular intervals. Manage issues and provide follow up for action items requiring resolution.
* Facilitate and support project and team/country reviews with Clinical Operations staff, focusing on budget, schedule, and risk analysis. Use department systems, reports, and dashboards to identify performance issues, process gaps and monitor overall performance progress in line with departmental goals and metric targets. Oversee all quality control efforts of assigned teams.
Qualifications
* Bachelor's degree in life sciences, nursing degree, or equivalent related experience, plus extensive clinical research experience in a contract research organization, pharmaceutical or Biotechnology Company, including some time in a leadership capacity or equivalent combination of education, training and experience is required.
* Extensive knowledge of GCP/ICH guidelines and other applicable regulatory requirements
* Excellent communication, presentation, interpersonal, and change management skills, both written and spoken, with an ability to inform, influence, convince, and persuade.
* Strong time management, technical and organizational skills. Ability to work independently and within a team environment.
* Knowledge of basic financial concepts as related to forecasting and budgeting. Understands project budgets.
* Must demonstrate good computer skills and be able to embrace modern technologies.
* Ability to travel as necessary (up to 25%)
At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position may include a company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan, Eligibility to earn commissions/bonus based on company and individual performance, and flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos complies with all applicable federal, state, and municipal paid sick time requirements.
Salary Range:
The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate's qualifications, skills, competencies, and proficiency for the role.
Get to know Syneos Health
Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients.
No matter what your role is, you'll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health.
***************************
Additional Information
Tasks, duties, and responsibilities as listed in this are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.
Summary
Accountable for and provides management support and direct supervision to Clinical Operations staff in the assigned areas including Site Selection support, site contracts support, regulatory/ethics submissions, site activities including site activation as well as On-Site Monitoring and/or Central Monitoring through Study Close Out. Provides training, consultation and oversees metric compliance and quality related to operating activities of assigned staff to ensure project deliverables are met. Collaborates and oversees Clinical Operations Team to ensure fulfillment of customer requirements and compliance with related regulations. Supports senior management in operational level planning. May participate in business development presentations as a subject matter expert in Clinical Operations functions within the Company.
$60k-97k yearly est. 5d ago
Manager, Clinical Operations - Full Service CRA Line Manager (Home-Based in Western US )
Syneos Health Clinical Lab
Remote job
Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities.
Our Clinical Development model brings the customer and the patient to the center of everything that we do. We are continuously looking for ways to simplify and streamline our work to not only make Syneos Health easier to work with, but to make us easier to work for.
Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you'll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to accelerate the delivery of therapies, because we are passionate to change lives.
Discover what our 29,000 employees, across 110 countries already know:
WORK HERE MATTERS EVERYWHERE
Why Syneos Health
We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program.
We are committed to our Total Self culture - where you can authentically be yourself. Our Total Self culture is what unites us globally, and we are dedicated to taking care of our people.
We are continuously building the company we all want to work for and our customers want to work with. Why? Because when we bring together diversity of thoughts, backgrounds, cultures, and perspectives - we're able to create a place where everyone feels like they belong.
Job Responsibilities
Core Responsibilities
Line management of Clinical Operations staff, responsibilities including interviewing and selection, termination, professional development, performance appraisals, and employee counselling May be involved in assignment of project work and will review workloads for all direct reports. Manages staff by establishing goals that will increase knowledge and skill levels, and by delegating tasks commensurate with skill level.
Review workload for all staff in reporting chain, participate in managing the resource availability for the assigned staff, providing support that projects are suitably resourced and staffing needs are identified in a timely fashion.
Provide expert operational oversight and guidance to support prioritization of activities, review and monitor the work performed, metric compliance, and development of contingency plans, among others.
Assist in recruiting new staff, including participation in interview process and new hire on boarding. Proactively work to ensure staff retention and turnover rates remain within expected levels.
Ensure quality and adherence to Standard Operating Procedures/Work Instructions (SOP/WIs) and compliance with federal and local guidelines and ICH GCP. Ensure all staff follow required training and complete required documentation. Provide regular updates to management accordingly.
Work closely within appropriate business unit/region to ensure staff performance on studies and correct deficiencies as identified by staff, customers, and auditors. Able to contribute to BU level process improvements. May provide business development support.
May conduct several types of sign off and assessment visits to ensure Clinical Operations on-site performance. Develop and oversee training plans to address performance deficiencies. Ensure staff adhere to training guidelines, training records maintenance, and individual and corporate training needs are identified and addressed.
Organize and chair clinical staff meetings at regular intervals. Manage issues and provide follow up for action items requiring resolution.
Facilitate and support project and team/country reviews with Clinical Operations staff, focusing on budget, schedule, and risk analysis. Use department systems, reports, and dashboards to identify performance issues, process gaps and monitor overall performance progress in line with departmental goals and metric targets. Oversee all quality control efforts of assigned teams.
Qualifications
Bachelor's degree in life sciences, nursing degree, or equivalent related experience, plus extensive clinical research experience in a contract research organization, pharmaceutical or Biotechnology Company, including some time in a leadership capacity or equivalent combination of education, training and experience is required.
Extensive knowledge of GCP/ICH guidelines and other applicable regulatory requirements
Excellent communication, presentation, interpersonal, and change management skills, both written and spoken, with an ability to inform, influence, convince, and persuade.
Strong time management, technical and organizational skills. Ability to work independently and within a team environment.
Knowledge of basic financial concepts as related to forecasting and budgeting. Understands project budgets.
Must demonstrate good computer skills and be able to embrace modern technologies.
Ability to travel as necessary (up to 25%)
At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position may include a company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan, Eligibility to earn commissions/bonus based on company and individual performance, and flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos complies with all applicable federal, state, and municipal paid sick time requirements.
Salary Range:
The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate's qualifications, skills, competencies, and proficiency for the role.
Get to know Syneos Health
Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients.
No matter what your role is, you'll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health.
***************************
Additional Information
Tasks, duties, and responsibilities as listed in this are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.
$60k-90k yearly est. Auto-Apply 6d ago
Clinical Services Manager (Remote)
Jobgether
Remote job
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Clinical Services Manager (Remote). In this pivotal role, you will lead the daily operations of a healthcare facility, ensuring the delivery of exceptional patient care. You will collaborate closely with various stakeholders to promote quality care, enhance employee satisfaction, and drive positive patient outcomes. Your leadership will help shape a culture of professional growth and adherence to regulatory standards while supporting organizational goals and patient needs.Accountabilities
Oversee staffing and management of the nursing department.
Develop and manage departmental budgets efficiently.
Ensure compliance with healthcare regulations and standards.
Foster a culture of continuous learning and professional development.
Monitor patient satisfaction and implement improvement strategies.
Collaborate effectively with multidisciplinary teams to ensure quality outcomes.
Requirements
Bachelor of Science in Nursing (BSN) or actively pursuing a BSN.
Five years of clinical experience in nursing.
Three years of leadership experience in a clinical setting.
Current Registered Nurse License.
Strong organizational and leadership skills.
Excellent communication and interpersonal abilities.
Knowledge of healthcare regulations and compliance.
Benefits
Health benefits including Medical, Dental, and Vision plans.
Generous holiday, vacation, and sick leave.
Educational discounts available for staff and dependents.
Up to 10% retirement contribution matching.
Career training and educational opportunities.
Concierge prescription delivery services.
Why Apply Through Jobgether? We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.#LI-CL1
$60k-90k yearly est. Auto-Apply 3d ago
Global Study Manager - Clinical Research , Central Labs Services
Labcorp 4.5
Remote job
At Labcorp, we believe in the power of science to change lives. We are a leading global life sciences company that delivers answers for crucial health questions. Through our unparalleled diagnostics and drug development capabilities, we provide insights and accelerate innovations that not only empower patients and providers but help medical, biotech, and pharmaceutical companies transform ideas into innovations.
Central Laboratory Services is part of a global contract research organization within Labcorp. We offer the world's largest network of central laboratories and support global clinical trials testing. A common set of processes, procedures, and instrumentation is offered throughout our sites in Europe, Asia/Pacific, and the United States, allowing us to receive samples globally and provide more than 700 assays across all laboratory science disciplines.
LabCorp is seeking a Global Study Manager. In this position, you will work within our Central Labs Services group supporting Central Labs Projects for clinical trials phases I-IV. You will be responsible for key client deliverables including budget, risk, and milestone management. The Global Study Manager must prove to be knowledgeable and experienced in project management techniques related to clinical trials. In addition, Global Study Managers must demonstrate leadership across the study team, keeping a collaborative attitude and fostering excellent communication within the team. You must be able to combine a strong understanding of client protocol specifics and study feasibility, to ensure successful study management and provision of outstanding customer service.
This is a remote opportunity and can be located anywhere in the US.
Responsibilities:
Key contact for clients; Liaison between Clients, CRO, and Labcorp
Ensure successful interactions between Labcorp study team members needed to provide seamless study delivery to the client.
Provide project management oversight, focusing on key client deliverables through budget, risk, and milestone management.
Facilitate communications between Client and extended Labcorp study team, including Study Design Lead and Regional Study Coordinator.
Perform review of Statement of Work (SOW) to ensure quality implementation of client specifics and requirements.
Manage a portfolio of global and local studies with varying complexity.
Act as an ambassador on behalf of the client within Labcorp Central Labs and across Labcorp business units; exemplifies the concept of Signature Client Service through outstanding, personalized customer service skills
Work with appropriate internal and external personnel to understand the culture and pipeline of assigned clients
Participate in functional meetings and provide input, keeping processes up to date
Comply with Central Labs Global Project Management strategy
Support a culture of continuous improvement, quality, and productivity
Experience and Qualifications:
High School Diploma required; Bachelor's degree preferred
6 years of related industry experience
Minimum of 1 year of experience in driving projects, preferably with global teams
Proven success at managing internal and external customers; ability to manage client relationships, deal with escalations, and provide exceptional customer service and support
Demonstrated ability to act efficiently in an environment with dynamic timelines and priorities; strong planning, organizational, problem-solving skills, and ability to manage conflicting priorities
Application Window: The application window will close at the end of the day on January 13, 2026.
Pay Range: 70-90K per annum
All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.
Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here.
Labcorp is proud to be an Equal Opportunity Employer:
Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.
We encourage all to apply
If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.
$63k-85k yearly est. Auto-Apply 8d ago
Clinical Manager, Care Management Services (Remote)
Author Health
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