Nursing Case Manager
6 days ago
The Enterprise Engineering team is seeking an experienced Nursing Case Manager to join our dynamic healthcare organization.
This role is ideal for a motivated and detail-oriented nurse with a passion for delivering high-quality patient care.
In this position, you will be responsible for conducting medical necessity reviews for assigned members, collaborating with the Medical Director to ensure accurate adverse determination notices, and ensuring timely discharge planning.
You will have the opportunity to work closely with a talented team of professionals who share your commitment to excellence in patient care.
This is a remote opportunity with flexible working hours.
The estimated salary for this role is $85,000 - $110,000 per year, depending on experience.
- Candidates should have a minimum of 2 years of experience in medical management clinical functions.
- A working knowledge of MCG, InterQual, and NCQA standards is required.
We offer a comprehensive benefits package, including health insurance, retirement savings plan, and paid time off.
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Nurse Case Manager
6 days ago
Remote, Oregon, United States Enterprise Engineering Full timeRole OverviewAs a Nurse Case Manager with Enterprise Engineering, you will have the opportunity to work with a diverse population, promoting quality healthcare outcomes and improving patient experiences.This role requires strong clinical skills, excellent communication abilities, and a keen understanding of medical management principles.We are seeking a...
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Medical Management Specialist
1 week ago
Remote, Oregon, United States Enterprise Engineering Full timeAbout the RoleThe Medical Management Specialist will be responsible for performing prospective, retrospective, or concurrent medical necessity reviews for an assigned panel of members.You will review cases for medical necessity and apply the appropriate clinical criteria, including Medicare, Medicaid, Interqual, Milliman, and Health Plan specific guidelines.
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Medical Management Nurse
6 days ago
Remote, Oregon, United States Enterprise Engineering Full timeAbout the RoleWe are seeking an experienced Nurse to join our team as a Medical Management Nurse with Enterprise Engineering.This role offers a unique opportunity to apply your clinical expertise in a fast-paced environment, driving quality healthcare outcomes for our members.You will be responsible for conducting medical necessity reviews, collaborating...
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Surgical Pain Management Consultant
1 week ago
Remote, Oregon, United States Avanos Medical Full timeAre you a sales professional looking for a new challenge? Do you have a passion for delivering exceptional customer service and driving business growth? If so, we encourage you to apply for the Surgical Pain Management Consultant role at Avanos Medical in Kansas City.Estimated Salary: $70,000 - $90,000 per year, depending on experience.In this role, you will...
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Regional Account Manager
1 week ago
Remote, Oregon, United States Avanos Medical Full timeWe are looking for a highly motivated Regional Account Manager - Pain Management to join our team in Fort Worth, Texas. This role is responsible for developing and maintaining relationships with surgeons, physicians, therapists, nurses, clinicians, department decision makers, and administrators within assigned accounts or markets.The ideal candidate will...
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Member Outreach Coordinator Specialist
4 days ago
Remote, Oregon, United States The Periscope Group Full timeWe are looking for a highly skilled and detail-oriented Member Outreach Coordinator Specialist to join our Client Services team. As a key member of our team, you will be responsible for making outreach calls to members regarding cases entered by contracted health plans, ensuring that the necessary information is gathered before the cases are assigned to a...
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Client Service Liaison
4 days ago
Remote, Oregon, United States The Periscope Group Full timeWe are seeking a detail-oriented and communicative individual to join our Client Services team as a Client Service Liaison. The primary responsibility of this role is to make outreach calls to members regarding cases entered by contracted health plans, ensuring that the necessary information is gathered before the cases are assigned to a consultant for...
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Chief Clinical Officer of Utilization Management
4 weeks ago
Remote, Oregon, United States quantum-health Full timeCompensation: $120,000 - $180,000 per year, based on experience.About UsWe are a privately-owned, independent healthcare navigation organization founded in 1999 and headquartered in Central Ohio. Our mission is to make healthcare simpler and more effective for our millions of members. We believe that no one should have to navigate the cost and complexity of...
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Capital Equipment Territory Manager
7 days ago
Remote, Oregon, United States Avanos Medical Full timeResponsibilitiesDevelop and maintain relationships with surgeons, physicians, therapists, nurses, clinicians, department decision makers and/or administrators within assigned accounts or markets.Manage a Capital Sales Funnel, as well as increase utilization at existing accounts.Drive contract management, including local price negotiations.
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Surgical Solutions Account Manager
1 week ago
Remote, Oregon, United States Avanos Medical Full timePain Management Sales Job Description:We are seeking a highly motivated and results-driven Pain Management Sales Representative to join our team. As a key member of our sales team, you will be responsible for meeting or exceeding sales objectives for our surgical pain management products, including On-Q and Ambit Pump Pumps.Key Responsibilities:Develop and...
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Sales Representative for Medical Devices
1 week ago
Remote, Oregon, United States Avanos Medical Full timeCompany OverviewAvanos Medical is a leading medical device company driven by a passion for making a difference in people's lives. Our mission is to provide innovative solutions that improve patient outcomes and enhance the quality of life.We strive to be independent, different, and supportive of our team members' growth and success. Our goal is to inspire...
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Clinical Account Manager
1 week ago
Remote, Oregon, United States Avanos Medical Full timeAbout UsAvanos Medical is a leading medical device company focused on delivering clinically superior breakthrough solutions that help patients get back to the things that matter. Our team is dedicated to creating innovative healthcare solutions that address the most pressing healthcare needs, such as reducing the use of opioids while helping patients move...
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Content Development Manager
1 week ago
Remote, Oregon, United States Solventum Full timeSolventum OverviewAt Solventum, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Our company is committed to providing breakthrough solutions for our customers' toughest challenges.Job DescriptionWe are...
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Sales Representative Pain Management
1 week ago
Remote, Oregon, United States Avanos Medical Full time**About Avanos Medical**A medical device company focused on delivering clinically superior breakthrough solutions to help patients get back to what matters.We're passionate about making a difference in our products, services, and offers, as well as how we work and collaborate. Our goal is to create groundbreaking solutions for healthcare challenges...
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Clinical Product Development Manager
4 weeks ago
Remote, Oregon, United States Lightbeam Health Solutions Full timeJob OverviewThe Clinical Product Development Manager will lead the design and development of our Care Orchestration platform. This role requires strategic thinking, strong operational capabilities, results-driven approach, creativity, and high collaboration to create data-driven Care Management products.ResponsibilitiesManage the product lifecycle for Care...
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Surgical Pain Product Manager
1 week ago
Remote, Oregon, United States Avanos Medical Full timeJob Title: Surgical Pain Product ManagerWe are seeking a highly motivated and experienced sales professional to join our team as a Surgical Pain Territory Manager at Avanos Medical. As a key member of our sales team, you will be responsible for driving business growth and making a difference in the lives of patients by developing and executing strategies to...
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Pain Management Specialist
1 week ago
Remote, Oregon, United States Avanos Medical Full timeEstimated Annual Salary: $120,000 - $150,000A competitive salary is offered for this role as a Pain Management Specialist at Avanos Medical in Atlanta, GA. This position comes with an estimated annual salary of $120,000 to $150,000, depending on experience.The successful candidate will be responsible for meeting or exceeding sales objectives of Surgical Pain...
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Sales and Business Development Manager
1 week ago
Remote, Oregon, United States Avanos Medical Full timeAvanos Medical: A Leader in Surgical Pain Management">We are seeking a highly skilled Strategic Account Manager, Surgical Pain to join our team at Avanos Medical. As a key member of our sales force, you will be responsible for driving business growth and expanding our presence in the surgical pain management market.Key Responsibilities:">">Develop and...
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Evidence Coordinator
4 weeks ago
Remote, Oregon, United States Digistream Investigations Full timeJob OverviewDigistream Investigations, a rapidly growing national private investigations firm, seeks a detail-oriented Evidence Coordinator to join our fast-paced Evidence Division in Portland. As an integral member of our team, you will play a crucial role in ensuring the seamless delivery of high-quality evidence to clients.About the RoleThe Evidence...
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Remote, Oregon, United States Vets2PM Full timeJob Description:The Davinci Company is a leading provider of generic pharmaceuticals, medical supplies and equipment to federal government agencies. We are seeking experienced professionals to join our team as Medical Equipment Business Development Managers.Key Responsibilities:Federal Sales Strategy: Develop and execute strategic plans to identify and...