22 Healthcare Regulations jobs in United States

Riverside, California, US (Hybrid)

Job Description Job Summary Provides support for clinical facility site reviews.

Iowa, US (Hybrid)

$75.3–135.4K / year

Position Purpose: Supervises the care coordination team that serves long-term care members to promote quality and efficacy of care management delivery.

El Centro, California, US (Hybrid)

$18.00 – $28.00 / hour

Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers…

Pennsylvania, US (Hybrid)

$72.7–116.6K / year

Company : Endorsed Job Description : JOB SUMMARY This is a full-time hybrid work from home position requiring travel within the assigned territory.

Macomb, Michigan, US (Hybrid)

$75.3–135.4K / year

Position Purpose: Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective…

Glenview, Illinois, US (Hybrid)

$23.00 – $39.00 / hour

Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.

Medford, New York, US (Hybrid)

$36.00 – $65.00 / hour

Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of…

United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.

United States (Remote)

At PicnicCare, we are transforming healthcare by bridging the gap between patient needs and clinical services through our unique integration with PicnicHealth.

United States (Remote)

$35.9–57.3K / year

Weekend Requirement Job Summary: The Member Health Assessor engages with the member to establish an effective, professional relationship with primary…

United States (Remote)

$75.3–135.4K / year

Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members.

United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance…

United States (Remote)

$35.00 – $42.00 / hour

About Us Neuron Health Systems is a community-based provider of acute outpatient rehabilitation and medical and non-medical direct care.

United States (Remote)

Overview Fast Pace Health strives to provide a best in class patient experience in every interaction.

United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.

United States (Remote)

Overview Fast Pace Health strives to provide a best in class patient experience in every interaction.

United States (Remote)

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating…

United States (Remote)

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

$36.00 / hour

Are you an experienced Minnesota Registered Nurse (RN) living in Minnesota looking to support RN Directors of Health Services in Assisted Living…