Director of Managed Care Remote Position RN/LPN Preferred Job Summary: We are seeking an experienced, detail-driven Director of Managed Care to oversee prior authorizations, payer coordination, and ...
Quick apply
Director of Managed Care Remote Position RN/LPN Preferred Job Summary: We are seeking an experienced, detail-driven Director of Managed Care to oversee prior authorizations, payer coordination, and ...
Quick apply
Director of Managed Care Remote Position RN/LPN Preferred Job Summary: We are seeking an experienced, detail-driven Director of Managed Care to oversee prior authorizations, payer coordination, and ...
Cincinnati, OH ยท On-site +1
$18 - $22.75/hr
BSN and RN with applicable experience is required, or more advanced clinical degree (including PharmD) is accepted; * Strong critical thinking, organizational, and multi-tasking skills required;
Cincinnati, OH ยท On-site +1
$18 - $22.75/hr
BSN and RN with applicable experience is required, or more advanced clinical degree (including PharmD) is accepted; * Strong critical thinking, organizational, and multi-tasking skills required;
Cincinnati, OH ยท On-site +1
$18 - $22.75/hr
BSN and RN with applicable experience is required, or more advanced clinical degree (including PharmD) is accepted; * Strong critical thinking, organizational, and multi-tasking skills required;
Cincinnati, OH ยท On-site +1
$18 - $22.75/hr
BSN and RN with applicable experience is required, or more advanced clinical degree (including PharmD) is accepted; * Strong critical thinking, organizational, and multi-tasking skills required;
Cincinnati, OH ยท On-site +1
$18 - $22.75/hr
BSN and RN with applicable experience is required, or more advanced clinical degree (including PharmD) is accepted; * Strong critical thinking, organizational, and multi-tasking skills required;
Cincinnati, OH ยท On-site +1
$18 - $22.75/hr
BSN and RN with applicable experience is required, or more advanced clinical degree (including PharmD) is accepted; * Strong critical thinking, organizational, and multi-tasking skills required;
Columbus, OH ยท Remote
$241K - $311K/yr
Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... Remote
Columbus, OH ยท Remote
$241K - $311K/yr
Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... Remote
Columbus, OH ยท Remote
$241K - $311K/yr
Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... Remote
Columbus, OH ยท Remote
$241K - $311K/yr
Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... Remote
General Summary The Virtual Patient Companion provides continuous remote observation of patients ... RN. This position requires strong attention to detail, effective communication skills, and the ...
General Summary The Virtual Patient Companion provides continuous remote observation of patients ... RN. This position requires strong attention to detail, effective communication skills, and the ...
Columbus, OH ยท Remote
$241K - $311K/yr
Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... LI-Remote For more information about how we protect your information, we encourage you to review ...
Columbus, OH ยท Remote
$241K - $311K/yr
Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... LI-Remote For more information about how we protect your information, we encourage you to review ...
Columbus, OH ยท Remote
$241K - $311K/yr
Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... LI-Remote For more information about how we protect your information, we encourage you to review ...
Columbus, OH ยท Remote
$241K - $311K/yr
Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... LI-Remote For more information about how we protect your information, we encourage you to review ...
Cleveland, OH ยท On-site +1
$100K/yr
Remote Radiologist Opportunity Join Cleveland Clinic's Division of General Radiology as we expand ... registered nurses and advanced practice providers, representing 140 medical specialties and ...
Cleveland, OH ยท On-site +1
$100K/yr
Remote Radiologist Opportunity Join Cleveland Clinic's Division of General Radiology as we expand ... registered nurses and advanced practice providers, representing 140 medical specialties and ...
Toledo, OH ยท Remote
Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare/Medicaid, MDHHS, CMS, and NCQA experience. Additional Information * Workstyle: This is a remote ...
Toledo, OH ยท Remote
Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare/Medicaid, MDHHS, CMS, and NCQA experience. Additional Information * Workstyle: This is a remote ...
Toledo, OH ยท Remote
Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare/Medicaid, MDHHS, CMS, and NCQA experience. Additional Information * Workstyle: This is a remote ...
Toledo, OH ยท Remote
Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare/Medicaid, MDHHS, CMS, and NCQA experience. Additional Information * Workstyle: This is a remote ...
Toledo, OH ยท Remote
Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare/Medicaid, MDHHS, CMS, and NCQA experience. Additional Information * Workstyle: This is a remote ...
Toledo, OH ยท Remote
Licensed healthcare professional in the state of Michigan: LPN, RN, LMSW, LBSW. * Previous Medicare/Medicaid, MDHHS, CMS, and NCQA experience. Additional Information * Workstyle: This is a remote ...
Strong personal computing skills - remote work experience preferred * Passion for and commitment to ... Salvo care includes a team for each patient of registered dietitians, nurses, and therapist/social ...
Strong personal computing skills - remote work experience preferred * Passion for and commitment to ... Salvo care includes a team for each patient of registered dietitians, nurses, and therapist/social ...
Fully remote position - may reside outside Ohio (Ohio license required) * Virtual-first new patient ... registered nurses and advanced practice providers, representing 140 medical specialties and ...
Fully remote position - may reside outside Ohio (Ohio license required) * Virtual-first new patient ... registered nurses and advanced practice providers, representing 140 medical specialties and ...
Cincinnati, OH ยท Remote
$225K/yr
Clinical (RT/RN) background with cath lab exposure preferred. Specialized Skills / Other ... TRAVEL REQUIRED: 25-50% #LI-TC1 @LI-Remote The pay range for this position at commencement of ...
Cincinnati, OH ยท Remote
$225K/yr
Clinical (RT/RN) background with cath lab exposure preferred. Specialized Skills / Other ... TRAVEL REQUIRED: 25-50% #LI-TC1 @LI-Remote The pay range for this position at commencement of ...
Youngstown, OH ยท Remote
$2.4K - $3.1K/wk
We are seeking a Diagnostic Radiologist for an ongoing, remote overnight assignment. This position offers a premium "work-from-home" schedule with an incredible 1:2 rotation, allowing for significant ...
Youngstown, OH ยท Remote
$2.4K - $3.1K/wk
We are seeking a Diagnostic Radiologist for an ongoing, remote overnight assignment. This position offers a premium "work-from-home" schedule with an incredible 1:2 rotation, allowing for significant ...
West Chester, OH ยท On-site +1
$148K - $222K/yr
D., NP, PA, RN, MD, or equivalent) required. * Cardiology/heart failure experience is required * Ideally someone with strong institution-based experience โข Experience: * Experience in Medical ...
West Chester, OH ยท On-site +1
$148K - $222K/yr
D., NP, PA, RN, MD, or equivalent) required. * Cardiology/heart failure experience is required * Ideally someone with strong institution-based experience โข Experience: * Experience in Medical ...
West Chester, OH ยท On-site +1
$148K - $222K/yr
D., NP, PA, RN, MD, or equivalent) required. * Cardiology/heart failure experience is required * Ideally someone with strong institution-based experience โข Experience: * Experience in Medical ...
West Chester, OH ยท On-site +1
$148K - $222K/yr
D., NP, PA, RN, MD, or equivalent) required. * Cardiology/heart failure experience is required * Ideally someone with strong institution-based experience โข Experience: * Experience in Medical ...
Wyoming, OH ยท Remote
$43 - $59/hr
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
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Wyoming, OH ยท Remote
$43 - $59/hr
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
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Garfield Heights, OH โข Remote
Full-time
Posted 18 days ago
Director of Managed Care
Remote Position
RN/LPN Preferred
Job Summary:
We are seeking an experienced, detail-driven Director of Managed Care to oversee prior authorizations, payer coordination, and utilization management across six skilled nursing facilities in Arkansas and Ohio. As a key member of our team, you will ensure timely authorizations, accurate documentation, and strong communication with payers to optimize reimbursement and resident care.
Responsibilities:
Manage and process all prior authorizations for admissions, continued stays, therapy services, and specialty care
Serve as the primary contact for managed care organizations, insurance plans, and payer representatives
Monitor authorization timelines, length of stay, and payer requirements to ensure compliance
Collaborate daily with MDS, nursing leadership, therapy, admissions, and regional leadership
Track, resolve, and appeal denials, ensuring complete and accurate documentation
Provide clear, consistent communication to facility teams regarding authorization status and next steps
Identify trends, barriers, and opportunities to strengthen managed care outcomes
Maintain organized workflows and reporting across all six facilities
Requirements:
Strong background in Managed Care, Utilization Review, Prior Authorization, or MDS within SNF/LTC
Deep understanding of Medicare Advantage, commercial plans, and authorization processes
Excellent communication, follow-through, and problem-solving skills
Ability to manage multiple facilities, deadlines, and payer relationships
Highly organized, tech-savvy, and comfortable working fully remote
Proactive, positive, team-focused professional who thrives in a collaborative environment
Your expertise ensures residents receive timely approvals, facilities maintain accurate reimbursement, and teams across Arkansas and Ohio stay aligned and supported. You'll be the central hub that keeps managed care operations running smoothly.
Why Join Us:
Fully remote role
Supportive, mission-driven leadership
Opportunity to impact outcomes across multiple communities
Competitive compensation
A role where your work directly strengthens resident care and operational success
If you're passionate about managed care excellence and excited to support six dedicated healthcare teams across Arkansas and Ohio, we want to meet you. Apply today and help us continue building strong, high-performing communities.
Sourced by ZipRecruiter
Recruiting and staffing services
501 - 1,000 Employees
Boca Raton, FL, US
2003