Provide strategic accounting advisory and act as outsourced controller for skilled nursing organizations.
Lead financial reporting, budgeting, forecasting, and operational improvement initiatives.
Mentor accounting professionals and build trusted client relationships.
The company provides strategic accounting advisory support to skilled nursing and post-acute healthcare organizations. They foster a collaborative, remote-first culture focused on meaningful client impact and professional growth.
Provide case management addressing medical, social, psychological, physical, and spiritual needs of members.
Develop, implement, and monitor care plans in collaboration with PCP, caregivers, and team members.
Ensure members' needs are met through coordinated care and support.
Elderplan offers Medicare and Medicaid managed care health plans designed to keep members independent and living life on their own terms. As part of MJHS, it is a supportive community committed to excellence, respect, and high-quality personalized health care services.
Provide telephonic triage assessments and health education using nursing protocols and algorithms.
Utilize critical thinking and communication skills to manage diverse patient populations.
Work a flexible schedule that includes evenings and weekend shifts from your home office.
Carenet Health provides telephonic clinical assessments, health education, and utilization management services to patients and members. They are a growing organization with a collaborative national team of Registered Nurses, offering work-from-home options and a supportive culture.
Supervise daily operations of clinical compliance auditors and specialists.
Assist in developing coordinated team processes and managing UM and PHM plan adherence.
Serve as clinical services liaison to senior management and ensure timely documentation.
Guidehealth is a data-powered healthcare company focused on operational excellence and value-based care. They emphasize empathy, AI, and collaboration, with a remote-first culture.
Review Home Health prior authorization requests for medical necessity using CMS regulations and Clover clinical guidelines.
Perform initial and concurrent clinical reviews, ensuring appropriate care in the least restrictive setting.
Collaborate with providers and internal teams to support timely decision-making and positive member outcomes.
Clover Health is a healthcare company that uses data and technology to provide affordable, high-quality insurance plans for seniors. The company fosters a remote-first culture with a diverse and mission-driven team focused on improving member outcomes.
Provide administrative and operations support to executives, managing complex calendars, travel, and expenses.
Coordinate internal and external communications, meeting materials, and project deliverables.
Plan company-wide events and support recruiting and onboarding efforts.
Honest Health is a healthcare company that partners with health systems, physician organizations, and payers to deliver innovative primary care solutions that elevate care and control costs. They are a startup with a collaborative culture focused on purpose, innovation, communities, and kindness.
Deliver healthcare consulting services independently, ensuring compliance with industry regulations.
Analyze and reconcile financial and operational data, including claims and reimbursements.
Prepare client-ready reports and maintain knowledge of healthcare regulations and payer requirements.
Wipfli provides consulting services including financial and operational analysis and regulatory readiness for healthcare organizations. The firm values flexibility, relationships, and individual growth, fostering a culture where people count.
Provides visionary leadership and strategic direction for care coordination and service delivery teams.
Drives transformational initiatives to scale operations, enhance quality, and improve patient outcomes.
Uses data analytics and key performance indicators to monitor program effectiveness and guide evidence-based decision-making.
WellSky is a technology company that provides software, analytics, and services for intelligent, coordinated care across health and community care. The company fosters a culture of independent thinking, collaboration, and innovation, with a focus on improving outcomes and lowering costs.
Provide strategic leadership and operational oversight for care management functions across the assigned region.
Ensure alignment with systemwide standards and regulatory requirements for hospital Care Management.
Collaborate with leadership to formulate strategies that drive organizational objectives and patient-centered outcomes.
CommonSpirit Health is a nonprofit Catholic healthcare organization delivering integrated health services through a network of hospitals, clinics, and care sites across 24 states. With over 157,000 employees and 25,000 physicians, it is one of the largest nonprofit healthcare systems, committed to creating a more just and equitable healthcare delivery system.
The Joint Commission evaluates and accredits health care organizations across the United States. It is a large organization that employs surveyors nationwide, with a culture focused on quality improvement and regulatory compliance.
Shape and govern multi-state licensure and regulatory compliance for non-clinical home care operations.
Define strategy, operating model, and governance framework for compliant state expansion and ongoing readiness.
Translate complex state regulations into actionable operational requirements supporting scalable service delivery.
This partner company is a high-impact healthcare organization focused on improving care delivery and outcomes. It operates in a fast-scaling, mission-driven environment with a remote-first work culture.
Review patient records and healthcare documentation to ensure compliance with regulatory standards.
Evaluate accuracy and completeness of clinical documentation, including OASIS guidelines and coding.
Collaborate with interdisciplinary teams to enhance patient outcomes through quality improvement initiatives.
Jobgether is a job platform that uses AI-powered matching to connect candidates with hiring companies. They partner with various employers to manage recruitment processes.
Support implementation and operation of the Compliance Program, including conflict of interest, compliance hotline, and regulatory reviews.
Serve as liaison for compliance questions and incidents, and recommend corrective actions and education opportunities.
Work with all levels to ensure internal controls provide accurate, complete, and compliant processes.
Cooper University Health Care is a healthcare organization dedicated to providing extraordinary health care and fostering clinical innovation. It offers competitive compensation, comprehensive benefits, and opportunities for professional growth.
Lead complex workstreams and manage multiple client engagements in healthcare policy.
Translate policy developments into actionable business strategies for pharmaceutical, biotech, and health plan clients.
Mentor junior team members and contribute to practice development and account growth.
Avalere Health is an advisory firm focused on ensuring every patient is identified, treated, supported, and cared for through strategic policy and marketing services. The company has major hubs in London, Washington D.C., New York, and Manchester, and fosters an inclusive culture with six Employee Network Groups.
Drive end-to-end pipeline and outreach for healthcare employer partnerships, from prospecting to close.
Build and maintain sales materials, financial models, and account plans to scale revenue.
Collaborate cross-functionally with legal, operations, and finance to deliver compelling proposals.
Noodle is a leading strategy, services, and technology partner for higher education, helping universities become more resilient and efficient. They foster an inclusive workplace and value diversity, with a mission to empower universities to change the world.
Provide proactive outreach and sustained mentoring to BSN students, delivering Chamberlain Care that promotes engagement and academic success.
Create and implement individualized support plans by assessing learning styles and challenges to guide students through the program and NCLEX readiness.
Maintain virtual availability, coordinate lab experiences, and collaborate with faculty to support student progression and retention.
We are the largest nursing school in the country with over 135 years of history in healthcare education. We offer a variety of nursing and health professions degree programs and are committed to providing a high-value education through Chamberlain Care.
Collaborate with primary care providers to coordinate care for patients with multiple chronic conditions, ensuring high-quality care through telephonic and in-person outreach.
Conduct transitional care management including post-discharge follow-up and provide education on lifestyle coaching and dietary improvements.
Operate independently to achieve goals, attend regular care team meetings, and perform other duties as assigned.
Privia Health is a technology-driven national physician enablement company that collaborates with medical groups and health systems to optimize practices and improve patient care. The company is led by top industry talent and focuses on scalable operations and cloud-based technology to reduce healthcare costs and improve outcomes.
Review patient medical records to determine why claims are denied and prepare compelling appeal arguments using clinical evidence and regulatory guidelines.
Search for supporting evidence and analyze insurance denial trends to provide feedback to hospitals and executive leadership.
Ensure compliance with HIPAA regulations and demonstrate excellent written communication skills in crafting appeal letters and hearing testimony.
PAM Health provides specialty healthcare services through over 70 long-term acute care hospitals, rehabilitation hospitals, wound clinics, and outpatient physical therapy locations in 17 states. With a collaborative culture and a focus on compassionate care, the company employs a dedicated team committed to high-quality patient outcomes and professional growth.
Administer and interpret assessments and screening tools to prioritize member needs.
Lead care plan development and coordination within the multidisciplinary team.
Build strong, trusting relationships with members, using listening and empathy as the foundation.
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. The company is a growing organization focused on shaping the future of community-based palliative care nationwide through an interdisciplinary care model.
Provide clinical assessment and nursing triage to diverse patients across the health continuum.
Assist in directing patients to the most appropriate level of care via telephonic health information.
Work in collaboration with Telehealth providers for virtual care visits and follow-up calls.
We bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, and 400 healthcare facilities, we are a leader in clinical practice management with a culture of belonging and empowerment.