Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
3+ YOEAssociate's degree and 3+ years experience; RN license highly preferred. Experience analyzing healthcare claims, pharmacy, and lab data; ability to clean/integrate datasets and produce utilization and cost-containment reports.
Louisville or San Antonio or Atlanta or Charlotte or Chicago
$33-$35/hrRemoteFull Time
BrightSpring Health ServicesNASDAQ: BTSG: Provider of home and community-based health and pharmacy services.
2+ YOEAccredited nursing qualification, current compact-state RN license, and two years of home health nursing experience; clinical experience with home health, hospice, or intellectual and developmental disabilities preferred.
Austin Regional Clinic: Multispecialty medical group providing primary and specialty healthcare services.
1+ YOETexas RN license and high school diploma or equivalent required, with nursing school graduation and at least one year of RN or triage experience. Telephone triage, computer, communication, and bilingual Spanish skills preferred.
Healthcare Quality Improvement Specialist (OK, LA & TX (Dallas Fort Worth, Houston, Austin/San Antonio, and Amarillo/Lubbock)
Paris or Dallas or Fort Worth or Houston or Austin or San Antonio or Amarillo or Lubbock or Oklahoma or Louisiana
RemoteFull Time
TMF Health Quality Institute: Provides healthcare quality improvement services to government and providers.
1+ YOEBachelor's degree in healthcare or RN, 1+ year healthcare or project management experience, 1–2 years quality/process improvement experience, CPHQ preferred.
Athra Systems: Provides comprehensive behavioral health services and healthcare operational consulting.
Active RN and APRN licenses in multiple states, PMHNP certification, DEA registration and prescriptive authority, master\u0002s or doctorate in nursing, strong clinical and communication skills.
1+ YOEBachelor's in healthcare administration or RN (or equivalent experience), 1+ year healthcare or project management experience, 1–2 years quality/process improvement experience, CPHQ preferred.
GE HealthCareNasdaq: GEHC: Develops and sells medical imaging and diagnostic technology.
Active RN license with critical care experience, willingness to travel extensively (80%+), proficiency with Windows Outlook, Word, PowerPoint, and Excel, strong clinical education and communication skills.
Windows Outlook, Microsoft Word, Microsoft PowerPoint, Microsoft Excel
Central Health: Travis County public hospital district providing safety-net healthcare services.
3+ YOEActive unrestricted state RN license, 3+ years community health/case management experience, care coordination and disease management experience, strong communication and documentation skills, CCMC expected.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint
Enlyte: Provides technology and clinical services for insurance claims management.
2+ YOEActive RN license required, Associates/Bachelors in nursing or related, 2+ years clinical experience preferred, case management certification preferred, proficiency with EMR, Microsoft Excel/Word/Outlook, reliable transportation and internet.
Electronic Medical Records (EMR), Microsoft Excel, Microsoft Word, Microsoft Outlook
San Antonio or California or Colorado or Nevada or Texas or Oregon or Idaho or Arizona or Oklahoma
RemoteFull Time
Athens Administrators: A nationwide family-owned claims administration providing workers' compensation, managed care, and program business services.
3+ YOEActive RN license, 3+ years workers' compensation case management experience, Spanish fluency, degree in nursing (Assoc/Bach/Master) or equivalent experience, proficiency with Microsoft Office, strong communication and analytical skills.
The College of Health Care Professions: Provides vocational healthcare training and career placement services.
3+ YOE3+ years practical experience, current MA/LVN/RN/MD credential, BLS Provider-Instructor, post-secondary education per state/ABHES, 1 year teaching experience, competency in medical assisting procedures.
Central Health: Providing healthcare services to low-income residents of Travis County.
3+ YOEActive unrestricted state RN license, 3+ years community health or case management experience, knowledge of Medicaid/STAR/CHIP, care coordination, strong communication and documentation skills, familiarity with HHSC/TDI/NCQA/HEDIS.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint
Chicago or Dallas or Tulsa or Santa Fe or Houston or Nashville or Pittsburgh or Portland or Salt Lake City or Seattle or Birmingham or Baltimore or Downers Grove or Midwest City or Austin or San Antonio or Huntsville or Alamogordo or Richardson or Kalispell or Philadelphia or Broken Arrow or Helena or Albuquerque or Great Falls or Oklahoma City or Norman or Waco
$62k-$136k/yrRemoteFull Time
Health Care Service Corporation: Provides health insurance and managed care to millions of members.
2+ YOEActive RN license, 2 years clinical practice, 1 year care/condition management in managed care, PC proficiency (Word, Excel, Lotus Notes), clinical judgment, familiarity with HHC/SNF/Hospice, and strong communication skills.
Microsoft Word, Microsoft Excel, Lotus Notes, Milliman Guidelines