-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Boise, US-ID
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:09
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Columbus, US-GA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:08
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Jacksonville, US-FL
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:07
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Savannah, US-GA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:07
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Miami, US-FL
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:06
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Tampa, US-FL
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:04
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Atlanta, US-GA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:03
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Tallahassee, US-FL
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:03
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Bridgeport, US-CT
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:02
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Dover, US-DE
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:02
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Colorado Springs, US-CO
Salary / Rate: Not Specified
Posted: 2026-05-13 08:39:00
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Denver, US-CO
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:58
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Hartford, US-CT
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:57
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: San Diego, US-CA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:56
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Wilmington, US-DE
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:56
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: San Francisco, US-CA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:55
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Fort Smith, US-AR
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:54
-
"A different kind of care that ensures you're surrounded by people who make a difference in your life"
Position:RN, Registered Nurse - NHC HomeCare Knoxville
Licensure:
* Unencumbered current Registered Nurse license in the state where the HomeCare agency is located or compact state, if applicable.
* Minimum one (1) year experience as a RN / professional nurse.
* Experience in home care is desirable.
RN Position Highlights:
* Utilizes the nursing process to identify and achieve patient goals: assessment, planning, implementation, and evaluation.
* Assesses the physical, psychosocial, and environmental factors that affect a patient's health to develop a comprehensive nursing care plan which will attain the patients desired health outcomes in a culturally comfortable way.
* Collaborates with the interdisciplinary team to assure personal care, medical care and rehabilitation provide for optimal patient health and well-being.
* Teaches patient/caregiver in various aspects of health care and disease management appropriate to needs/level of education and understanding and documents continuing needs and levels of patients/caregivers understanding.
Benefits:Competitive Wages, Insurance, 401K Match, Dental, Vision (All Optional), Fun, Fast Paced Work Environment
NHC HomeCare Knoxville is located at 9050 Executive Park Dr.
Suite B100, Knoxville, TN 37923
If you are interested in working for a leader in senior care and share NHC's values of honesty and integrity, please apply today and find out more about us at nhccare.com/locations/homecare-knoxville/
We look forward to talking with you!! NHC is an Equal Opportunity Employer.
....Read more...
Type: Permanent Location: Knoxville, US-TN
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:54
-
"A different kind of care that ensures you're surrounded by people who make a difference in your life."
Position: Director of Services
NHC HomeCare Franklin is looking to hire a Director for Services to join our team! The qualified HomeCare manager hired by the Regional Administrator with input from the agency Administrator and approval of the AVP, Clinical Operations and approved by the governing body to direct and coordinate the activities of the HomeCare agency's branch office.
Qualifications:
* Must be a licensed physician or Registered Nurse or holds at least an undergraduate degree (Bachelor's or Associate's) AND
* Has experience in health service administration, with at least 1 year of supervisory or administrative experience in home health care or a related health care program.
NHC HomeCare Franklin offers a competitive compensation package for full time employment including health, dental, vision, life, disability insurance, paid time off, 401(k) with generous company match, stock options, and more.
National HealthCare Corporation is recognized nationwide as an innovator in the delivery of quality long-term care.
Our goal is to provide a full range of extended care services, designed to maximize the well-being and independence of patients of all ages.
We are dedicated to meeting patient needs through an interdisciplinary approach combining compassionate care with cost-effective health care services.
The NHC environment is one of encouragement and challenge ...
innovation and improvement ...
teamwork and collaboration ...
and honesty and integrity.
All NHC employees are committed as partners, not only to the health of our patients, but to the well-being of the communities we serve.
If you are interested in working for a leader in senior care and share NHC's values of honesty and integrity , please apply today and find out more about us at nhccare.com/locations/homecare-franklin/
EOE
....Read more...
Type: Permanent Location: Franklin, US-TN
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:53
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Sacramento, US-CA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:53
-
HIM Assistant for NHC Place at the Trace
NHC Place Trace is looking for an HIM (Medical Records) Assistant to join our team! The position assists the Health Information Technician/Practitioner of the center with clerical and other duties established for the medical record keeping practices.
Hours: Monday-Friday
Pay: $17-$21 an hour
Qualifications
* Minimum of 1-3 years of previous experience working in the field of Health Information preferred.
* High school graduate or equivalent.
* Be able to type and understand the Medical Record Systems, including filing.
Understand medical terminology, scanning, and attention to detail.
* Possess personal attributes to include professionalism, neatness, accuracy, articulates pleasantly and cooperative with all staff.
Position Highlights:
Are determined by the center and may include, but are not limited to the following:
* Determine upon admission of patients whether additional admission data is needed and obtain missing information.
* Check the EHR quantitatively on admission and periodically (once per month minimum) to assure completeness, accuracy, and internal consistency.
* Communicate with and assist the medical staff and alias health personnel in updating the EHR.
Interact with other departments, physicians, administrator, and regional support staff.
* Maintain flow of reports to the EHR / Scanning
* QA all forms that are scanned into the EHR and update as needed.
* Upon discharge, check records quantitatively to assure completeness and accuracy within thirty (30) days of the discharge or in accordance with state requirements.
* Provide information for medical audits as instructed.
* Maintain and control the release of information to authorized personnel as instructed by the Health Information Technician/Practitioner.
* Other duties as may be assigned from time to time.
National HealthCare Corporation is recognized nationwide as an innovator in the delivery of quality long-term care.
Our goal is to provide a full range of extended care services, designed to maximize the well-being and independence of patients of all ages.
We are dedicated to meeting patient needs through an interdisciplinary approach combining compassionate care with cost-effective health care services.
The NHC environment is one of encouragement and challenge ...
innovation and improvement ...
teamwork and collaboration ...
and honesty and integrity.
All NHC employees are committed as partners, not only to the health of our patients, but to the well-being of the communities we serve.
If you are interested in working for a leader in senior care and share NHC's values of honesty and integrity , please apply today and find out more about us at nhccare.com/locations/nhc-place-at-the-trace/
EOE
....Read more...
Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:52
-
Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
....Read more...
Type: Permanent Location: Los Angeles, US-CA
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:51
-
Referral Specialist for NHC - PRN
NHC - National HealthCare Corporation is looking for aReferral Specialist to join our team.
The Referral Specialist executes referral management process with all referral sources and all NHC Center locations.
National HealthCare Corporation is recognized nationwide as an innovator in the delivery of quality long-term care.
Our goal is to provide a full range of extended care services, designed to maximize the well-being and independence of patients of all ages.
We are dedicated to meeting patient needs through an interdisciplinary approach combining compassionate care with cost-effective health care services.
Are you a motivated individual who thrives in a high paced environment? Are you interested in assisting patients transition through healthcare? We would like for you to consider our opportunity to join the Centralized Referral Operation and carry out our vision of seamless transfers of patients from the acute care setting to post-acute care, one patient at a time.
We transition patients from the acute setting to post-acute care, 34 Skilled Nursing Facilities (SNFs) and 19 Home Health Care agencies.
We are located Pulaski TN adjacent to NHC HealthCare Pulaski.
As a Referral Specialist Skilled Nursing Facility, your duties will include managing multiple referral platforms, summarize patient referrals using medical terminology, collaborating between accepting SNF and referral source, and ensuring internal and external customers' needs are met.
You will be responsible for accurately completing referral workflows, data entry of referrals, and conversions of referrals to admissions.
If you are passionate about transitions in healthcare and excited about the opportunity to be a part of growing team, we would love the opportunity to meet you.
Preferred Qualifications:
* Experience: 1-2 years' experience in healthcare setting including but not limited to case management, nursing, coding, billing, medical terminology etc.
Position Highlights:
* Enjoys a fast-paced environment
* Manage multiple accounts
* Problem solver and critical thinker
* Ability to manage both internal and external customer expectations
If you like more details, please contact Scarlett Harris, RN Director of Centralized Referral Operation - sharris@nhccare.com or 888-463-6642
The NHC environment is one of encouragement and challenge ...
innovation and improvement ...
teamwork and collaboration ...
and honesty and integrity.
All NHC employees are committed as partners, not only to the health of our patients but to the well-being of the communities we serve.
If you are interested in working for a leader in senior care and share NHC's values of honesty and integrity, please apply today and find out more about us at nhccare.com
We look forward to talking with you!
EOE
....Read more...
Type: Permanent Location: Pulaski, US-TN
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:51
-
NHC Place at the Trace
Payroll Bookkeeper/Administrative Assistant
NHC Place at the Trace is looking for a FULL TIME Payroll/Accounts Payable to join our team working Monday through Friday.
The ideal candidate for this position will have prior experience and will be responsible for paying center bills, keeping track of invoices, & entering payroll and employee information.
You will have the opportunity to train with our current staff member
Full Time
$20-$25 an hour
QUALIFICATIONS:
* High school diploma or equivalent and formal classroom bookkeeping education or two years bookkeeping experience.
* Proficiency in writing and mathematical skills.
* Be able to work accurately with pressures of deadlines and interruptions while at the same time being well organized, persistent and working as a team player.
* Possess good communication and analytical skills with particular ability to pay attention to details.
* Experience in insurance verification, accounts receivable, accounts payable and payroll.
* Possess good communication skills with attention to detail.
* Be able to work effectively and thoroughly with patients and families.
* Be well-organized, persistent and work as a team player with other departments.
Payroll/Accounts Payable Position Highlights:
* Vouchering invoices, Preparing weekly check run, Communicating with vendors and partners with regards to purchases, Preparing month end books for submission to home office, and other various tasks related to accounts payable.
Benefits
* Earned Time Off
* Holiday Incentive Pay
* Health, Dental, Vision, Disability and Life insurance
* 401k with generous company contributions
* Competitive Pay
* Uniforms
* Tuition Reimbursement Opportunities
* Advancement Opportunities
Location: 8353 TN-100, Nashville 37221
Why NHC Place at the Trace?
* A supportive and inclusive environment where your contributions matter.
* Opportunities to grow personally and professionally.
* A mission-driven organization that prioritizes patient care and community well-being.
About NHC: National HealthCare Corporation is a nationally recognized leader in senior care, known for innovation and quality.
At NHC Place at the Trace, we embrace a culture of compassion, integrity, teamwork, and continuous improvement.
Together, we're building a brighter future for our patients and communities.
Ready to join a team that puts you first? Apply today and take the next step in your nursing journey.
Learn more about us at https://nhccare.com/locations/nhc-place-at-the-trace/
Your career in compassionate nursing starts here at NHC Place at the Trace.
EOE
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Type: Permanent Location: Nashville, US-TN
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:50
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Essential Duties and Responsibilities:
- Maintain clinical alignment.
- Develop clinical workplans.
- Identify the risks and gaps in the clinical processes and develop solutions.
- Identify new lines of business and growth opportunities.
- Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
- Complete clinical reviews with regards to denials and level of care on various contracts.
- Fulfill client's requests for educational trainings, services, and workshops for their staff.
- Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
- Oversee quality assurance of nurse and physician work product.
- Conduct quarterly audits of clinical reviews.
- Additional ad hoc client audits as required.
- Other duties as requested.
Minimum Requirements
- Medical degree from an accredited medical school required.
- Active board certification required.
- Minimum 10 years of experience in a similar role.
- Peer review experienced preferred.
- Experience creating and presenting clinical trainings preferred.
- Current on clinical trends.
- Trauma Informed Care knowledge.
- Adherence to accreditation standards.
Additional Requirements:
- Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
- At least five (5) years' full-time experience providing direct clinical care to patients.
- Ability to work up to 29 hours a week between the hours of 8:00am - 5:00pm EST Monday - Friday.
Preferred Skills and Qualifications:
- Auditing experience.
- Licensed in the state of Pennsylvania.
- Previous Medical Director experience.
Please note: For this position Maximus will provide equipment to use.
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
- Must have a smartphone which will be required to log into Maximus systems
EEO Statement
Maximus is an equal opportunity employer.
We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation package.
Other rewards may include short- and long-term incentives as well as program-speci...
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Type: Permanent Location: Tucson, US-AZ
Salary / Rate: Not Specified
Posted: 2026-05-13 08:38:49
