Top 97061 Clinical Programs Manager Jobs

Clinical Adjudication Manager (Weekday Evening Shift + Flexible Scheduling (Part Time or Full Time) (Part C)
TMF Health Quality Institute —Remote
- Full-time
- Nursing
- Supervising experience
- Team management
- AD&D insurance
- Disability insurance
Electronic Medical Records Project Manager - Ambulatory Monitoring and Diagnostics (Central/Eastern US)
Philips —Remote
- $90,000 - $160,000 a year
- Full-time
- 7 years
- Mid-level
- High school diploma or GED
- Health savings account
- Employee stock purchase plan
Registered Nurse Care Manager - Clinical Diabetes Educator; $30,000 Sign On, $15,000 Relocation, and Retention Bonus eligible
Yukon-Kuskokwim Health Corporation —Bethel, AK
- From $54.95 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Paid holidays
- Disability insurance
Nurse Manager | Medical Oncology & Medical Specialties
Concord Hospital —Concord, NH
- Full-time
- Acute care
- Nursing
- RN License
- Disability insurance
- Health insurance
Market Physician Executive (MPE) - Atlanta, GA
Monogram Health Professional Services —Atlanta, GA
- On call
- Medicine
- Critical & Intensive Care
- Travel
- Health insurance
- Dental insurance
Quick Apply
Home Health RN, Case Manager, Eligible for Sign on Bonus!
Care at Home —Newburyport, MA
- $84,300.22 - $107,481.20 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- 403(b) matching
- Health insurance
Licensed Clinical Supervisor (FT, Monday-Friday)
Connections Health Solutions —Kirkland, WA
- $41.80 - $55.00 an hour
- Full-time
- LMFT
- Mid-level
- Master's degree
- Paid parental leave
- Health savings account
Quick Apply
Manager, Nursing - Post Anesthesia Care Unit - Full Time
The Guthrie Clinic —Sayre, PA
- Full-time
- Nursing
- 5 years
- Master's degree
Quick Apply
Market Physician Executive (MPE)
Monogram Health Professional Services —Brunswick, GA
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Market Physician Executive (MPE)
Monogram Health Professional Services —Valdosta, GA
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Director of Emergency Care
Amberwell Health Hiawatha —Hiawatha, KS
- Weekends as needed
- Nursing
- RN License
- BLS Certification
Clinic Nursing Program Manager
Umatilla County —Pendleton, OR
- $7,978 a month
- Full-time
- Nursing
- RN License
- Pass drug screening
Clinic Manager - Breckenridge
BIG STONE THERAPIES INC —Breckenridge, MN
- $19.90 - $30.50 an hour
- Full-time
- Mid-level
- Outpatient experience
- Clinic
- Continuing education credits
- Health savings account
Quick Apply
Market Physician Executive (MPE) - Float
Monogram Health Professional Services —Georgia
- On call
- Hybrid work
- Medicine
- Critical & Intensive Care
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Facility Medical Director - AHCC
State of Washington Dept. of Corrections —Airway Heights, WA
- $130,319 - $338,142 a year
- 8 hour shift
- Background check
- Medicine
- Management
- Paid holidays
- Health insurance
Director of Substance Use Disorder Services
Okanogan Behavioral HealthCare —Omak, WA
- $38.13 - $38.94 an hour
- Full-time
- 5 years
- Driver's License
- Supervising experience
- Health savings account
- Paid holidays
Quick Apply
RN Care Coordinator
Scenic Rivers Health Services —Bigfork, MN
- $31.03 - $36.79 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Health savings account
- AD&D insurance
Quick Apply
Clinical Operations Manager (Nurse Practitioner)
Infusion for Health —Corona, CA
- $150,000 - $160,000 a year
- Full-time
- Nursing
- Patient monitoring
- Word processing
- Dental insurance
- 401(k)
Quick Apply
Clinical Manager (Medicare)
AccordCare & Family of Companies —Ormond Beach, FL
- Full-time
- Background check
- Up to 50% travel
- RN License
Quick Apply
Clinical Instructor (Part-time)
Sumner College —Bend, OR
- Part-time
- Laboratory
- CPR Certification
- Nursing
Quick Apply

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Clinical Adjudication Manager (Weekday Evening Shift + Flexible Scheduling (Part Time or Full Time) (Part C)

TMF Health Quality Institute -
Remote

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Job Details

Full-time

Benefits

License reimbursement
AD&D insurance
Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Vision insurance
Life insurance

Qualifications

Appeals
Respiratory therapy
Nursing
Project development phase management
Respiratory Therapy
Medicare
Corporate training
Project communication management
Occupational therapy
Supervising experience
Case appeal in utilization management
Team management
Utilization management
Project management experience in healthcare
Healthcare team management
Meeting facilitation
Presentation preparation
Instructional materials development
1 year
Senior level
Associate's degree
Insurance claims appeal handling
Project stakeholder communication
Stakeholder relationship building
Educational content composition projects
Physical therapy

Full Job Description

Category: Program Management

Requisition Number: CLINI001409

Posting Details

- Posted: June 10, 2026
Full-Time
Remote
Locations

Remote, Anywhere USA

Job Details

Description

**Please make sure your application is complete, including your education, employment history, and any other applicable sections. Initial screening is based on the minimum requirements as defined in the job posting, such as education, experience, licenses, and certifications. Your experience should also address the knowledge, skills and abilities needed for the role. Incomplete applications will not be considered.**

*This position is located Remote United States*

This position is weekday evening shift (Part Time or Full Time) and has flexible scheduling

Position Purpose:

Manages project activities and participates in the development and monitoring of all related tasks. Manages medical and non-medical appeals decisions.

Essential Responsibilities:

Plans and manages project activities to meet contract deliverables.
Plans, manages, and develops a standardized approach for dissemination and communication of project information.
Plans, manages, and develops presentations or instructional materials related to area of responsibility.
Plans, prepares, and facilitates regular team meetings.
Manages, trains, and evaluates project work activities and personnel.
Manages the administrative processing of appeals/disputes and the coordination of workflow among internal staff and subcontractors.
Manages, establishes, and maintains professional and effective working relationships with external business partners and internal staff.

Minimum Qualifications

Education

Associate’s degree or 60 or more credit hours towards a Bachelor’s degree from an accredited college or university in healthcare or related discipline
- Additional clinical or medical administration experience may be substituted for Associate’s degree on a year per year basis. (Experience requirements may be satisfied by full-time experience or the prorated part-time equivalent.)

Experience

Five (5) years conducting or overseeing Medicare appeals, medical review, or utilization management of Medicare claims.
Three (3) years management or supervisory

Healthcare Professional with one (1) year demonstrated experience writing, making, or overseeing Medicare related medical necessity decisions
Nursing, Physical Therapy, Respiratory Therapy or Occupational Therapy experience
Conducting or overseeing Medicare Part C related appeals activities, preferred

Benefits

C2C offers an excellent benefits package, including:

Medical, dental, vision, life, accidental death and dismemberment, and short and long-term disability insurance
Section 125 plan
401K
Competitive salary
License/credentials reimbursement
Tuition Reimbursement

EOE Vet/Disability

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Apply Now

Refine Your Search

Clinical Programs Manager jobs

Clinical Adjudication Manager (Weekday Evening Shift + Flexible Scheduling (Part Time or Full Time) (Part C)

Electronic Medical Records Project Manager - Ambulatory Monitoring and Diagnostics (Central/Eastern US)

Registered Nurse Care Manager - Clinical Diabetes Educator; $30,000 Sign On, $15,000 Relocation, and Retention Bonus eligible

Nurse Manager | Medical Oncology & Medical Specialties

Market Physician Executive (MPE) - Atlanta, GA

Home Health RN, Case Manager, Eligible for Sign on Bonus!

Licensed Clinical Supervisor (FT, Monday-Friday)

Manager, Nursing - Post Anesthesia Care Unit - Full Time

Market Physician Executive (MPE)

Market Physician Executive (MPE)

Director of Emergency Care

Clinic Nursing Program Manager

Clinic Manager - Breckenridge

Market Physician Executive (MPE) - Float

Facility Medical Director - AHCC

Director of Substance Use Disorder Services

RN Care Coordinator

Clinical Operations Manager (Nurse Practitioner)

Clinical Manager (Medicare)

Clinical Instructor (Part-time)

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