Healthcare jobs in Downey, California - Page 20Crear alertas

A company is looking for a Support Analyst II, Customer Success Operations. Key Responsibilities Serve as the primary client-facing point of contact for end users, managing inquiries across various communication channels Investigate and diagnose complex application issues, determining the need for escalation when necessary Maintain a deep understanding of product capabilities and contribute to process improvement through documentation and knowledge sharing Required Qualifications 7-10 years of experience in technical support or customer service roles, preferably in healthcare technology or SaaS Strong experience in technical troubleshooting and problem-solving Experience in creating and/or updating user documentation or training materials Familiarity with Jira, Zendesk, or other ticketing systems Ability to quickly learn and adapt to new technologies and processes

A company is looking for a Student Wellness & Basic Needs Coordinator. Key Responsibilities Serve as a primary point of contact for students experiencing wellness or basic needs challenges Oversee the coordination and operation of non-clinical wellness and basic needs services Design and deliver virtual workshops and outreach initiatives to promote wellness among students Required Qualifications Bachelor's degree from a regionally accredited institution in a related field One year of experience in student support or wellness coordination Strong organizational and digital service delivery skills

A company is looking for a Complex Oncology Nurse Navigator. Key Responsibilities Conduct clinical assessments and monitor changes in health for members diagnosed with cancer Coordinate care transitions and educate members and caregivers about their diagnosis and treatment Assist with administrative projects and communicate feedback to clinical leadership to improve service offerings Required Qualifications Bachelor of Science Degree in Nursing and a compact unrestricted Registered Nurse (RN) license At least 5 years of nursing experience, with 3 years in high-acuity adult oncology Certification as an Oncology Certified Nurse (OCN), Advanced Oncology Certified Nurse (AOCN), or similar Ability to manage multiple tasks and work under pressure while maintaining organization Willingness to learn and use new technologies, including electronic health records and video conferencing tools

A company is looking for a seasonal Listing Support Processor to assist in real estate operations. Key Responsibilities: Support multiple markets throughout the selling process by coordinating with licensed listing coordinators Schedule and manage critical listing activities, including photoshoots and open houses Liaise with service providers to ensure timely and quality delivery of listing materials Required Qualifications: Minimum of one year of customer service experience in a high-volume workflow Interest or exposure to the real estate industry Exceptional attention to detail and excellent organizational skills Comfortable with technology and willingness to learn new tools Ability to work from home in a distraction-free environment

A company is looking for a Senior Scientist, Medical Imaging (f/m/d). Key Responsibilities Provide guidance in the design and execution of imaging clinical trials Prepare Statements of Work, cost estimates, and study documents Evaluate sites and train personnel while maintaining quality standards Required Qualifications Ph.D. in Science or Engineering 10 years of postdoctoral experience in medical imaging Experience in gastrointestinal disease and GI imaging

A company is looking for a Social Service Specialist to facilitate appointments and resources for members qualifying for Long Term Care services. Key Responsibilities Facilitates appointments and clarifies eligibility data for Long Term Care resources Submits applications and follows up with government agencies on claim statuses Maintains accurate documentation and communicates effectively with clients and agencies Required Qualifications Minimum of one year of experience as a Case Manager or similar role At least one year of healthcare experience preferred Basic knowledge of Medicaid/Medicare and Long Term Care High School Diploma or GED required; Associate's degree preferred Experience in a Customer Service Center and familiarity with phone systems

A company is looking for a Collaborating Psychiatrist in Pennsylvania - Remote. Key Responsibilities Provide clinical supervision to Board Certified Psychiatric Nurse Practitioners remotely, including monthly supervision sessions Review charts and progress notes as required by state laws and governing bodies Complete a short documentation after each monthly supervision and stay informed about company policies and guidelines Required Qualifications Board Certified/Board Eligible in Psychiatry Active and Unrestricted Licenses in Pennsylvania Minimum of 2 years of experience supervising residents or mid-levels Willingness to supervise at least 4 Nurse Practitioners No malpractice payouts or disciplinary actions in the last 5 years

A company is looking for an RN Appeals Analyst to perform clinical reviews and benefit analyses for appeal requests. Key Responsibilities Document the basis of appeals and retrospective reviews accurately and timely Conduct thorough research on service appeals based on clinical documentation and policies Perform appeal reviews to determine the application of policies to clinical information Required Qualifications, Training, and Education Associate's degree in a job-related field Graduate of an accredited school of nursing 2 years of clinical experience plus 1 year in utilization/medical review, quality assurance, or home health An active, unrestricted RN license from the United States or a compact multistate RN license Working knowledge of Microsoft Office and managed care systems

A company is looking for a React Developer - Tech Lead. Key Responsibilities Lead and manage development teams and projects effectively Develop clean, modern, testable, and well-documented code using JavaScript, React, and related technologies Collaborate on innovative digital products for enterprise clients across various complex industries Required Qualifications 10+ years of professional experience in software development Extensive experience with JavaScript, React, Redux, Websockets, and Async/Await Proven track record of team and project management Advanced fluency in English Ability to work in a fully remote environment and manage flexible hours

A company is looking for a Global Safety Medical Director in General Medicine. Key Responsibilities: Validate safety signals and lead safety signal assessments Develop and maintain Core Safety Information and prepare/review risk management plans Provide safety input to clinical protocols and regulatory filings Required Qualifications: MD or DO degree from an accredited medical school Completion of an accredited medical or surgical residency Clinical experience in an accredited academic or private practice setting Industry pharmacovigilance experience preferred Leadership experience within the safety profile of assigned products

A company is looking for a Family Medicine - Remote/Virtual Care Physician. Key Responsibilities Provide medical care in a high-functioning, supported virtual care environment Collaborate with multi-specialty practice colleagues as part of a world-class health system Expand the virtual primary care office and provide both longitudinal and acute care Qualifications 2-3 years of outpatient in-person primary care experience required Prior experience with telehealth and Epic EMR is preferred Medical Degree from an Accredited University New York and New Jersey Medical License Board Eligible or Board Certified in Internal Medicine or Family Medicine

A company is looking for a Senior Associate Product Support Rep to provide essential service regarding their web-based 340B Federal Government Program software. Key Responsibilities Interface with customers to handle inquiries related to 340B Architect and other software Receive and manage inbound calls, emails, and requests to resolve issues or escalate as necessary Provide analytics, reporting, and support while enhancing customer relations to promote program success Required Qualifications Degree or equivalent with typically 2+ years of relevant experience Experience with product applications support and knowledge of the 340B program Strong troubleshooting and analytical skills Familiarity with Microsoft Office applications, particularly Excel Ability to manage a large caseload and meet service level agreements

A company is looking for a Medical Writer III. Key Responsibilities Communicate study results to the scientific community to support product development while ensuring scientific integrity Collaborate with internal teams to report and publish clinical studies, ensuring aligned messaging Lead the development of manuscripts and conference abstracts for clinical studies Required Qualifications Master's Degree in a biological science required; PhD preferred Minimum of 7 years of experience in Medical Writing or a related field Oncology expertise preferred Knowledge of publication processes, including abstracts, manuscripts, and presentations Expertise in MS Office, with experience in Adobe Illustrator and InDesign a plus

A company is looking for a Medical Director. Key Responsibilities Provide clinical support for all areas of Medical Affairs Review medical files and make coverage and medical necessity determinations Advise team nurses on appropriateness of care and services through the care continuum Required Qualifications Board certified MD or DO with an understanding of utilization and case management 3 years' experience in a managed care environment supporting utilization management 3+ years of prior clinical practice in various specialties Current, unrestricted clinical license(s) Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required

A company is looking for a Biostatistician to support evidence-based decision-making for vaccine policy through statistical analysis and data management. Key Responsibilities Design and produce data collection tools and survey instruments for research needs Develop and maintain secure databases, ensuring data integrity and compliance with federal standards Perform advanced statistical analyses on public health datasets and assist in the preparation of scientific reports and publications Required Qualifications MS/MPH/MBA or similar degree Minimum of ten (10) years of experience in communications project management Experience with CDC health/science preferred Ability to obtain and maintain required customer clearance Familiarity with statistical software for data analysis

A company is looking for a Loan Support Analyst Sr - Specialty (Commercial Real Estate). Key Responsibilities Review and ensure accuracy of Commercial Loan documents based on credit approvals Consult and advise customers and internal teams on transaction execution and compliance Monitor loan servicing activities, ensuring adherence to legal documents and established procedures Required Qualifications Bachelor's degree required Experience in loan documentation and regulatory compliance Knowledge of risk management and due diligence processes Ability to analyze financial data and manage multiple priorities No required certifications or licenses

A company is looking for a Sr. Director, Clinical Strategy and Operations. Key Responsibilities Drive clinical strategy in alignment with the Chief Medical Officer's vision and collaborate with various teams to enhance provider relationships and clinical programs Manage utilization management processes, ensuring compliance and efficiency while overseeing departmental budgets and performance metrics Mentor and develop nursing and administrative staff, fostering accountability and collaboration within the team Required Qualifications Bachelor's degree or equivalent Registered Nurse with a Missouri State license 10+ years of relevant experience, including 7+ years in health plan leadership Expert knowledge of managed care and Medicare Advantage programs Proven fiscal management experience, including P&L and contract/vendor management

A company is looking for an RN Pharmacy. Key Responsibilities Perform clinical assessments and evaluate patient drug usage to ensure safety and adherence to treatment guidelines Collaborate with healthcare professionals and stakeholders regarding pharmacy issues Conduct drug utilization management reviews while maintaining patient privacy and adhering to regulatory standards Required Qualifications, Training, and Education Active unrestricted RN license in a state or territory of the United States; compact licensure preferred Bachelor's degree in nursing (BSN) or equivalent work experience preferred Certification in case management, pharmacy, rehabilitation nursing, or a related specialty is highly preferred Two (2) years of direct clinical experience as an RN is required

A company is looking for a Medical Coding Specialist II - Inpatient. Key Responsibilities Determine and assign ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes using official coding guidelines Identify cases needing documentation clarification and collaborate with the CDIS team for accurate coding Required Qualifications, Training, and Education High School Diploma or equivalent and Medical Coding Education, or an active coding certification 2 years of progressive inpatient facility coding experience 2 years or more of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center preferred Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) required upon hire Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred

A company is looking for a Javascript Fullstack Engineer - Tech Lead. Key Responsibilities Collaborate with enterprise clients to create transformative digital products Tackle complex challenges at scale and push boundaries with emerging technologies Learn to handle difficult situations while working in a proactive, team-oriented environment Required Qualifications Expertise in React, Node, Express, Mongo, and SQL Completion of a 2-hour assessment High-level English proficiency Proactive and team-oriented attitude Full-time availability for a minimum of 40 hours per week

A company is looking for a RN-Clinical Auditor 2. Key Responsibilities Performs audits of medical records for denials review, defense audits, disallowed charges, and utilization reviews Completes analysis of records against established criteria to determine compliance with patient care standards Organizes and prioritizes multiple cases while maintaining confidentiality and adhering to HIPAA guidelines Required Qualifications Must be RN/Case Management/Utilization Review/Coding certified with a BS/BA preferred or equivalent experience 3 to 5 years of clinical or clinical auditing experience in case management, Medicare appeals, or denials management Knowledge of Milliman (MCG) or InterQual criteria preferred Experience in medical records review, claims processing, or utilization/case management Proficiency in Microsoft Outlook, Word, Excel, and electronic documentation systems

A company is looking for an RN Care Manager - PRN Days. Key Responsibilities Assess patients from clinical, social, and financial perspectives and coordinate post-discharge needs Act as a clinical and financial resource for patients and interdisciplinary team members Perform utilization review and communicate coverage information with third-party payers and clinical providers Required Qualifications 5 years of experience in various clinical settings (home health, inpatient, physician office, clinic) Current RN licensure in the State of Oklahoma or multistate license from a Nurse Licensure Compact member state BLS certification issued by American Red Cross or American Heart Association within 30 days of hire Bachelor's of Science in Nursing preferred Experience with managed care and payer/provider requirements preferred

A company is looking for a Worklife Customer Support Associate for the Employee Assistance Program. Key Responsibilities Respond to incoming calls and provide emotional support or mental health resources Create a safe environment for members and assess clinical risk for appropriate support Document interactions in real-time while ensuring compliance with privacy policies Required Qualifications 1-2 years of experience in a call center or customer support environment 1 year of experience in a social, psychological, or human service field Technological proficiency, including basic computer knowledge Ability to maintain a private and professional workspace High school diploma or equivalent required

A company is looking for an Advocacy 24/7 Triage Nurse. Key Responsibilities Provides telephonic assessment and makes treatment recommendations for injured workers Recommends appropriate providers based on state law and employer's network requirements Documents clinical assessments and communicates plans of care to relevant contacts Required Qualifications, Training, and Education Graduate of an accredited nursing school with a diploma or Associate's degree (Bachelor's preferred) Current RN licensure in a Nurse Licensure Compact (NLC) state with multistate designation 3 or more years of clinical experience in occupational medicine, urgent care, or emergency room settings Experience in telephone triage or Workers' Compensation is preferred Ability to work various shifts, including evenings, nights, weekends, and holidays

A company is looking for a Managed Care Appeals Analyst. Key Responsibilities Research closed $0 balance accounts for underpayment amounts due from payors according to contracts Create detailed appeals for accounts not reimbursed as per established contracts Monitor payments for accuracy and resolve outstanding amounts with payors Qualifications and Requirements Associate or bachelor's degree in a related field or equivalent work experience Minimum of one year of healthcare-related experience in auditing 4+ years of experience in revenue cycle and appeals writing Proficient knowledge of reimbursement methodologies and medical billing terminology Intermediate skills in Microsoft applications and basic understanding of HIT systems

A company is looking for a Product Support Analyst. Key Responsibilities Manage coordination and communication with customers to understand their needs Document reported issues and perform initial triage for escalation if needed Provide customer feedback and coordinate with product teams for operational support Required Qualifications, Training, and Education Bachelor's degree in Information Technology, Computer Science, or a related field, or equivalent work experience Knowledge of the public safety or criminal justice industry is preferred Ability to work from 8am - 5pm EST, Monday - Friday Must pass rigorous fingerprint-based state and federal background screenings No sponsorship available for this position

A company is looking for a Senior Medical Officer and Interoperability Specialist. Key Responsibilities Advise leadership on digital health strategy to enhance data interoperability Support data modernization efforts, including architecture and governance of public health information systems Engage with cross-sector stakeholders and assist in the design and implementation of scalable electronic data sharing products Required Qualifications, Training, and Education Doctor of Medicine with an active California medical license Graduate of a School of Medicine; Master's degree in public health preferred Five years of experience in public health and/or clinical data system management preferred Board Certification in Internal Medicine, Preventative Medicine, and/or Infectious Diseases preferred Experience in leading innovation and technology initiatives preferred

A company is looking for a Utilization Management Care Manager. Key Responsibilities Conduct clinical reviews for utilization management, including eligibility and coverage determinations Manage authorization requests for medical services and coordinate necessary information Ensure adherence to departmental performance metrics and maintain effective relationships with stakeholders Required Qualifications Associate's Degree in Nursing required; Bachelor's Degree preferred Massachusetts Registered Nurse License required 2-3 years of utilization review experience preferred Experience with Interqual or Milliman preferred 1-2 years of experience in a payer and acute care setting preferred

A company is looking for a Remote Daytime Teleradiologist. Key Responsibilities Interpret diagnostic imaging studies including X-ray, Ultrasound, CT, and MRI Utilize AI-assisted tools to enhance the accuracy and speed of readings Provide high-quality radiology services in a fully remote setting Required Qualifications ABR or AOBR board certification in radiology Active South Carolina medical license Minimum of 1 year of experience in interpreting diagnostic imaging studies Fellowship training preferred, but not mandatory

A company is looking for a Lead Care Coordinator. Key Responsibilities Manage daily operations for the Care Coordinator team and ensure adherence to CoCM protocols Direct a growing team, synthesize weekly KPI reports, and provide actionable feedback Maintain a targeted clinical caseload and oversee urgent clinical guidance during patient crises Required Qualifications Experience in direct patient care and conducting Intake Assessments Ability to serve as a primary Care Coordinator for partner clinics Experience in crisis management and providing clinical guidance Strong background in operational management and team leadership Familiarity with technology-driven workflows in healthcare settings

A company is looking for a Board-Certified Radiologist (MD) to serve as an Adjudicator for prostate ultrasound imaging initiatives. Key Responsibilities Perform expert-level review, adjudication, and validation of prostate ultrasound scans Interpret and confirm prostate anatomy and pathology across TAUS and/or TRUS imaging Provide expert feedback and clarification to clinical and annotation teams Required Qualifications Board-Certified Radiologist (MD) Minimum 7 years of clinical practice with a focus on lower abdominal imaging Current experience interpreting ultrasound studies Experience teaching or mentoring others in prostate anatomy review Ability to accurately identify ultrasound artifacts from true anatomy

A company is looking for a Social Media Lead to define and evolve its social presence and creator ecosystem. Key Responsibilities Lead the end-to-end social media strategy across multiple platforms to align with brand and growth objectives Build and scale a social ecosystem to drive awareness and grow an active community of buyers and sellers Develop and manage creator relationships to co-create content and amplify key moments in the live calendar Required Qualifications 6-8+ years of experience in social media, digital marketing, or brand strategy Proven ability to launch and optimize the social presence of evolving products or live content experiences Deep understanding of creator culture and social platform ecosystems Demonstrated success in driving business growth through innovative social strategies Experience in fast-paced environments where adaptability and innovation are key

A company is looking for an RN Coordinator-Utilization Review. Key Responsibilities Review and screen the appropriateness of services and utilization of hospital resources Facilitate quality healthcare delivery through continuous assessments and education Utilize best practice workflows and evidence-based criteria to maximize reimbursement Required Qualifications Registered Nurse required Minimum 3-5 years of clinical experience required Bachelor of Science in Nursing required or four years of relevant experience in lieu of a degree Valid, unrestricted State of Michigan RN license required

A company is looking for a Registered Nurse (RN) Utilization Reviewer in Massachusetts. Key Responsibilities Process medical necessity reviews for healthcare service authorizations and assist with discharge planning activities Coordinate care and engage with collaborative partners to facilitate transitions to appropriate care levels Maintain knowledge of regulations and refer quality issues and members for care management as needed Required Qualifications, Training, and Education Associate of Science (A.S) degree from an accredited registered nursing (RN) program required Three (3) years of clinical experience required Preferred experience in med/surgical, emergency acute care, or home health Current, unrestricted Registered Nurse (RN) licensure in the state of practice required MCG Certification or ability to obtain within six (6) months of hire required

A company is looking for a Call Center Representative to provide customer service and support in a remote environment. Key Responsibilities Guide emotional conversations regarding end-of-life and quality-of-life care for pets Engage with pet families through customer service calls and accurately document pet medical information Meet productivity and performance standards while demonstrating dependability and flexibility Required Qualifications Experience in high call volume, customer service, or call center environments Wired Ethernet connection required; satellite internet and hotspots are not supported Ability to quickly learn custom software and programs Previous experience working from home or with minimal peer interactions Attendance at a mandatory 4-week training program is required

Key Responsibilities Oversee provider performance, documentation quality, and risk adjustment accuracy Guide training, coaching, and development of Nurse Practitioners Collaborate cross-functionally to refine workflows and improve operational success Required Qualifications Board Certified Nu

A company is looking for a Medical Policy Coordinator Intern. Key Responsibilities Complete conversion of Laboratory Policies initial draft of Translation Guide Conduct policy research to support maintenance of science intent in Translation Guide library Participate in work teams to ensure deliverables meet client and internal process needs Required Qualifications Current graduate student in healthcare administration, public health, political science, or related field Strong analytical abilities to interpret complex information Excellent writing abilities

A company is looking for a PRN Crisis Care Triage Nurse (RN). Key Responsibilities Triages incoming catastrophic injury referral calls, applying nursing processes and critical reasoning Identifies life-threatening emergencies and assigns appropriate Field Case Managers for onsite visits Maintains communication with clients and updates them on injured worker status and case management Required Qualifications Bachelor's degree in nursing (BSN) preferred; active unrestricted RN license required Six years of related experience, including three years of recent clinical practice or Telephonic/Field Case Management in Worker's Compensation Strong knowledge of nursing practice and theory Ability to apply critical thinking under pressure Knowledge of the insurance industry and claims processing

A company is looking for a Grievance and Appeals Nurse (AZ Certified). Key Responsibilities Serve as a subject matter expert for Part C and Part D grievance and appeal functions Investigate and resolve member, provider, and claim processing appeals in accordance with CMS requirements Coordinate complex grievance and appeal investigations, analyzing documentation to make determinations Required Qualifications Associate degree in nursing (RN), nursing diploma, LPN, RN certification, or BSN Experience in Medicare medical necessity appeals and escalations for grievances Knowledge of CMS Managed Care Manual Chapter 13 and Prescription Drug Benefit Manual Chapter 18 Understanding of healthcare billing and claims adjudication processes Must be licensed or have a compact license covering the state of Arizona

A company is looking for a Technical Support Representative to provide technical assistance and support to store employees. Key Responsibilities Document problems, complete problem tickets, and request information in support tools Maintain up-to-date knowledge of current policies, procedures, and troubleshooting techniques Provide outstanding customer support by analyzing, diagnosing, and resolving problems within service level agreements Required Qualifications 6 months of technical and/or call center experience High School Diploma or GED required or 2 years equivalent experience

A company is looking for a Nurse Case Manager - NICU (CST time zone). Key Responsibilities Assess members' needs and develop individualized care plans Monitor care plans and coordinate with providers to ensure effective service delivery Provide education to members and facilitate access to community resources Required Qualifications Registered Nurse (RN) with a current, unrestricted license Preferred college degree Three or more years of clinical experience in a Level III or above NICU CCM certification required within specified timeframe Experience with data entry into a database or EHR

A company is looking for a Social Scientist to support the Social Sciences Branch of the Northeast Fisheries Science Center. Key Responsibilities Improve reproducibility and capacity of recreational Decision Support Tools (DSTs) by optimizing code and developing standards Support stakeholders by enhancing quality assurance processes and creating reports that visualize model outputs Strengthen the scientific rigor of DSTs through research and analysis of catch models Required Qualifications M.Sc. in natural resource economics, fisheries science, computer science, or data science with 3 years of work experience; Ph.D. may substitute for experience Demonstrated proficiency with R programming Experience using version control software for reproducible research Experience working collaboratively in a team environment Proficiency in written and oral communication

A company is looking for an arXiv User Support Assistant, a temporary, part-time position. Key Responsibilities Respond to user queries related to submissions, accounts, and access Perform technical and validation checks on submission files and metadata Manage and prioritize service ticket queues Required Qualifications Associate degree or equivalent formal training program of two years One or more years of professional experience in a technical computing environment A people- and service-oriented attitude Proven ability to work productively in a supportive role with colleagues Excellent troubleshooting and problem-solving skills

A company is looking for a RN Quality Assurance Reviewer (100% Remote). Key Responsibilities Audit clinical documentation and calls to ensure compliance with NCQA, URAC, and client requirements Support clinical operations in pre-delegation, delegation, and accreditation reviews Prepare and deliver weekly reporting statistics of audit activities and outcomes Required Qualifications, Training, and Education Bilingual in English and Spanish RN or LPN licensure and a Bachelor's degree required (8+ years of clinical quality improvement experience may substitute) Three years of healthcare experience in care management or quality management required Experience with electronic medical records and data analysis required Knowledge of regulatory, CMS, and accreditation agencies (NCQA and/or URAC) preferred

A company is looking for a Collaborative Physician in Wisconsin. Key Responsibilities Serve as a Collaborative Physician in accordance with applicable laws and NP Collaborative Practice Protocol Agreement Conduct quality reviews of NP's patient charts periodically as required by state regulations Provide consultation to NPs on patient care activities via phone or electronic communication during operational hours Required Qualifications Successful completion of the credentialing process Current board certification Valid state medical license in Wisconsin Valid federal DEA and Controlled and Dangerous Substances (CDS) licenses without sanctions

A company is looking for a Nurse Consultant. Key Responsibilities Review medical records and documentation to determine appropriate billable services and construct payment appeals Analyze trends in denials and provide best practice recommendations to clients and management Maintain regular communication with clients, payors, and internal teams regarding claims status and resolutions Required Qualifications Must be a Registered Nurse (RN) with a college degree or diploma from a nursing school Minimum of 5 years of experience in utilization review or patient accounting, preferably in a hospital setting Proficiency with Interqual and MCG guidelines for claim appeals Understanding of patient accounting documents such as UB04 and EOB Familiarity with healthcare billing software and databases (e.g., EPIC, Cerner, Meditech)

A company is looking for a Multistate Telemedicine Physician to review telemedicine consultations and prescribe medications. Key Responsibilities Review and assess asynchronous patient consultations on digital health platforms Prescribe medications in accordance with clinical protocols and state regulations Provide clinical oversight and support to Nurse Practitioners and participate in clinical governance discussions Required Qualifications MD or DO with unrestricted US licensure Minimum 3 years of active clinical practice Experience in Family Medicine or Internal Medicine Experience with remote or asynchronous prescribing Active, unrestricted medical licenses in multiple specified states

A company is looking for a Transitions of Care Coordinator. Key Responsibilities Call members post-discharge to check on their well-being and resource needs Coordinate with healthcare providers and agencies to ensure members receive necessary support Assist in scheduling post-discharge visits and support the TOC clinical team with operational tasks Required Qualifications Medical Assistant Certification preferred; prior medical office experience is highly desirable Minimum of 2 years of experience in a healthcare setting, managed care, or community health Must be available to work Monday-Friday from 10am-6:30pm EST Fully bilingual in English and Spanish preferred