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- Mishawaka, IN
new job!

If you are a RN with at least 1-3 years Cath Lab experience, we are interested in speaking with you about our client’s need in the Mishawaka, IN/ South Bend region. If you are a new grad.... our client is willing to invest the time to train you! Our client facility is located centrally of Chicago, Detroit, Indianapolis and 3 miles from Michigan State Line. This is a college community experiencing economic growth and offers diverse living choices for anyone who is single or has a family. Top....

- Los Angeles, CA
new job!

Reporting into the Sr. V.P of Clinical Operations, this position will be in charge of overseeing, managing and optimization of all CQI, UM and Care Management activities as they relate to inpatient, social service, home health, DME and other healthcare delivery programs within the organization Individual will participate in the development, implementation and maintenance of all programs to ensure that patient care maximizes quality and continuity by utilization of appropriate resources and....

- Indianapolis, IN
new job!

Nationwide Search for Director, Utilization Management (RN) for large Fortune 100 enterprise. Job descriptionOversee operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs. Ensure compliance government and contractual guidelines and the mission, philosophy, and objectives of Corporate and the health plan. Support and perform case management, disease management, and on-site concurrent review functions as necessary.....

- Fort Wayne, IN
new job!

Excellent opportunity for a CRNA to join our established company and growing practice located in NE Indiana. This group provides services at hospitals and surgical centers throughout the region. This position will require an IN license. If you do not currently hold a license in IN we will help you with the process. Practice runs an independent model. Fort Wayne was voted the lowest cost of living in America in 2017 and provides a welcoming community with affordable housing and land options.....

- Reading, PA
new job!

Job Description: Our client is in the process of opening a new Pediatric Emergency Department and are looking for several RN's and RN Managers who will care for children with all levels of illness and traumatic injuries. Their new facility will have a great support services including Radiology, a Lab, Pharmacy and NICU Qualifications:At least one year of experience of Pediatric Emergency Department experienceCurrent RN license

- Honolulu, HI
new job!

Reporting to the Manager of Peds/PICU , this position provides nursing care services to patients and families in our Inpatient Pediatrics floor and Pediatric Intensive Care unit of the Medical Center. We are a 13-bed unit with 2 PICU rooms. Nursing care is supported by inpatient pediatricians and our PICU intensivists. The team also encompasses Child Life Services for collaboration of family centered care. Essential Functions: - Practices professional nursing and delegates nursing tasks to....

- Maryland Heights, MO
new job!

Nationwide Search for Vice President, Quality & Process Improvement (Health Plan) (RN, CPHQ) Position Purpose: As the senior leader, reporting to the Chief Medical Director, you will be responsible for developing and overseeing the quality improvement functions.. To be part of the leadership team to lead and direct process improvement activities, streamline the workflow for a more efficient process. To oversee business processes related to risk adjustment and quality improvement activities


The specialist will work with a team of medical information professionals to capture unsolicited medical inquiries from health care professionals, consumers, and corporate business partners. Also, research and respond to requests for scientific/medical information using various search and retrieval techniques and medical literature database (product label, published and unpublished studies) to develop a medical/scientific response that is accurate, fair balanced, complete and delivered in a....

- Winston Salem, NC
new job!

Looking for a busy, fast-paced unit to broaden your nursing skills? Want to join a team that works well together, supportive leadership and excellent partnership with physicians? We are hiring in the following units. General Surgery Orthopedics Neuroscience Renal/Dialysis MedSurg Pulmonary The Registered Nurse serves as a leader of the healthcare team at Novant Health by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with....

- Chesterfield, MO
new job!

Nationwide Search for Director, Utilization Management (RN) for large Fortune 100 enterprise. Job descriptionOversee operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs. Ensure compliance government and contractual guidelines and the mission, philosophy, and objectives of Corporate and the health plan. Support and perform case management, disease management, and on-site concurrent review functions as necessary.....


The Clinical Research Associate is responsible for coordinating and managing clinical research studies as direct by the study Principal Investigator and Researcher Nurse. Participates in data collection related to clinical trials, enters research data into case report forms and/or electronic database systems. Maintain records and documents accordance with FDA guidelines. Act as liaison between research study sponsor and department staff, ensuring that reporting deadlines are met. Maintain....

- St Louis, MO

VP, QUALITY - MCO - St Louis EXCEPTIONAL leadership team - GENEROUS RelocationWorking closely with the Chief Medical Director and the CEO, VP will oversee all related activities for Quality Improvement functions. Lead and direct process improvement activities for more efficient and streamlined workflow. Oversee the business processes related to risk adjustment and quality improvement for assigned products and plans.Responsible for all activities related to National Committee for Quality....

- Indianapolis, IN

Director, UM - Indianapolis, IN Amazing growth continues with this national firm - award winning programs of care and a chance to TRULY make a difference for the medically underserved population in INDIANA. Benefits are excellent- career advancement opportunities are unlimited Director will join an already successful team and have oversight for referral management, telephonic utilization review, prior authorization functions, and case management programs and ensuring compliance government and....


Senior Director, Quality – FLORIDA _____________________________________________________________________ Incredible growth potential - generous relocation to SUNNY Florida! If you enjoy taking the lead in NCQA accreditation - this may be the new job for you! Sr Director will utilize proven success in moving the needle by directing process improvement activities to improve and streamline workflows across the Florida market. Responsible for NCQA and HEDIS performance. Ensure health plan is....


VP Medical Management | Health Services - Ft Lauderdale, FL VP will be a part of strong & collaborative leadership team with daily interaction with C - Suite executives. Incredible growth opportunities and perks for this executive role GENEROUS relocation & competitive compensation. Direct and coordinate the medical management, quality improvement and credentialing functions for the for the Florida market, establishing the strategic vision and policies and procedures for the entire....


VP of Medical Management | Health Services - (RN) - Milwaukee, WI Milwaukee... on the shores of Lake Michigan...you will find it is a very comfortable place to enjoy life...rich in historical and cultural attractions, and the perfect place for exploring the outdoors. Company offers generous relocation & perks, including TUITION & stock optionsJoin an already successful leadership team as they continue to improve outcomes and quality in WI. VP will establish and implement the strategic....


Case Manager II - RN - office or field based - TWO positions This health plan has received numerous awards for their programs of care ! They offer generous benefits and PLENTY of opportunity to grow in your career.Innovative health plan truly values their nurses. RN will coordinate continuum of care for select members with complex medical and/or behavioral health conditions to ensure they receive the highest quality most effective care while maintaining cost effectiveness. PCP, specialist, and


Manager, Medical Management - Appleton, WI Provide leadership for experienced clinical team in growing satellite office (12 direct reports), Manager will be responsible for managing a complete program of medical management in accordance with the mission, philosophy, and objectives of plan. Oversight includes both UM and CM. Manager will implement changes to medical service functions and performance in relation to company mission, philosophy objectives and policies, as directed. Manage budgets....

- Fort Wayne, IN

Excellent opportunity for a CRNA to join our established company and growing practice located in NE Indiana. This group provides services at hospitals and surgical centers throughout the region. This position will require an IN license. If you do not currently hold a license in IN we will help you with the process. Practice runs an independent model. Fort Wayne was voted the lowest cost of living in America in 2017 and provides a welcoming community with affordable housing and land options.....

- San Antonio, TX

Registered Nurse (RN) Home Infusion Sales As part of the sales team working to grow the business by recognizing opportunities to expand relationships with existing referral sources and partner with the medical community to understand their patient’s needs for a safe and smooth transition home. Support and assist physicians, social workers, discharge planners and other referral sources to facilitate appropriate home infusion candidates being discharged from area hospitals. Conduct initial....

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