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Guidehealth

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15 jobs
Guidehealth
2 days ago

Practice Success Manager

NewBe an early applicant RemoteNorth AmericaFull-timeSenior
United States

The Practice Success Manager serves as the primary practice-facing relationship owner for an assigned portfolio and market of individual physician practices. They are responsible for both identifying and securing new…

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Guidehealth
4 days ago

Retinal Camera Operator - Eye Exam Specialist (Ophthalmology Technician)

NewBe an early applicant HybridNorth AmericaFull-timeSenior
United States

Job Description Retinal Camera Operator - Eye Exam Specialist is primarily responsible for performing scheduled diabetic eye exams (retinal screenings) for members at the provider practice using imaging equipment…
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Guidehealth
last week

Registered Nurse (RN) Clinical Compliance Auditor- Remote

RemoteNorth AmericaFull-timeSenior
United States

The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations, utilization management activities, and delegated services comply with regulatory requirements, client contractual…

Process Improvement Regulatory Compliance
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Guidehealth
2 weeks ago

Remote Clinical Quality Improvement Coordinator

RemoteNorth AmericaFull-timeMiddle
United States

WHAT YOU’LL BE DOING Work in a fully remote environment and virtually engage with company and team in your daily work. Subject Matter Expert (SME) on entire scope of QI measures, services, customers and quality…
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Guidehealth
4 weeks ago

Intake Coordinator

RemoteNorth AmericaFull-timeMiddle
United States

The intake coordinator reviews and approves routine referrals and pre-certifications submitted while following established guidelines for our Blue Cross HMO. WHAT YOU’LL BE DOING Initiating pre-review screening on…
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Guidehealth
4 weeks ago

Clinical Compliance Auditor - Remote

RemoteNorth AmericaFull-timeSenior
United States

The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations, utilization management activities, and delegated services comply with regulatory requirements, client contractual…

Process Improvement Regulatory Compliance
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Apply
Guidehealth
2 months ago

Remote Clinical Pharmacist – HEDIS Medication Adherence

RemoteNorth AmericaFull-timeSenior
United States

About the Role: We are seeking a highly motivated and detail-oriented Clinical Pharmacist with a PharmD degree and experience in HEDIS medication adherence initiatives. The ideal candidate will play a crucial role in…
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Guidehealth
2 months ago

Senior Technical Integration Specialist

RemoteNorth AmericaFull-timeMiddle
United States

The Senior Technical Integration Specialist plays a pivotal part in onboarding new practices’ clinical data, new payers' claims data, and managing technical implementation projects with healthcare vendors. The Sr.…

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Guidehealth
2 months ago

Registered Nurse (PRN) - Bilingual (Vietnamese - English)

RemoteNorth AmericaFull-timeSenior
United States

We are seeking a dedicated and compassionate Registered Nurse (RN) to join our team as a Telehealth Medicare Annual Wellness Visit Specialist - PRN. In this remote role, you will be responsible for conducting Medicare…

Hipaa
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Guidehealth
2 months ago

Registered Nurse (PRN) - Bilingual (Korean - English)

RemoteNorth AmericaFull-timeSenior
United States

We are seeking a dedicated and compassionate Registered Nurse (RN) to join our team as a Telehealth Medicare Annual Wellness Visit Specialist - PRN. In this remote role, you will be responsible for conducting Medicare…

Hipaa
Apply
Guidehealth
2 months ago

Registered Nurse (PRN) - Bilingual (Spanish - English)

RemoteNorth AmericaFull-timeSenior
United States

We are seeking a dedicated and compassionate Registered Nurse (RN) to join our team as a Telehealth Medicare Annual Wellness Visit Specialist - PRN. In this remote role, you will be responsible for conducting Medicare…

Hipaa
Apply
Guidehealth
2 months ago

Utilization Management Registered Nurse (RN) - Remote

RemoteNorth AmericaFull-timeSenior
United States

The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state regulations, URAC standards, and Guidehealth policies. This role applies…
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Guidehealth
2 months ago

RN Case Manager - Behavioral Health (Remote)

RemoteNorth AmericaFull-timeSenior
United States

As a registered nurse with an Illinois nursing license, you will work remotely to enhance the quality of member management, maximize both satisfaction and cost effectiveness, and assist in navigating the health care…

Hipaa
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Guidehealth
2 months ago

Retinal Camera Operator - Eye Exam Specialist

RemoteNorth AmericaFull-timeSenior
United States

Job Description Retinal Camera Operator - Eye Exam Specialist is primarily responsible for performing scheduled diabetic eye exams (retinal screenings) for members at the provider practice using imaging equipment…
Apply
Guidehealth
3 months ago

Remote Medical Assistant- Healthguide

RemoteNorth AmericaFull-timeMiddle
United States

As a Healthguide, you will be supported by clinical teams in your strengthening of the connection between the patient and their primary care physician/medical practice staff, as well as improving the patient’s health…
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