Top 105440 Clinical Programs Manager Jobs

Clinical Adjudication Manager (Part C)
TMF Health Quality Institute —Remote
- Weekends as needed
- Nursing
- Writing skills
- Supervising experience
- AD&D insurance
- Disability insurance
Clinical Quality Manager
Capital Digestive Care —Remote
- $90,000 - $120,000 a year
- Full-time
- Remote
- Background check
- Nursing
- 5 years
- Health savings account
- Paid holidays
Quick Apply
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
Team Medical Director
Lynn Community Health Center —Lynn, MA
- $120,000 - $250,000 a year
- Spanish
- Certified Nurse Practitioner
- BC/BE
- Health insurance
- Dental insurance
Quick Apply
Clinical Instructor (Part-time)
Sumner College —Bend, OR
- Part-time
- Laboratory
- CPR Certification
- Nursing
Quick Apply
Director, ICU/Pathology - SMG
SMG System Medical Group —Morgantown, WV
- Overtime
- Hybrid work
- Hospital
- Urgent Care
- Master's degree
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
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
Clinic Manager
BIG STONE THERAPIES INC —Staples, MN
- $19.90 - $30.50 an hour
- Full-time
- Mid-level
- Outpatient experience
- Clinic
- Continuing education credits
- 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) - Atlanta, GA
Monogram Health Professional Services —Atlanta, GA
- On call
- Medicine
- Critical & Intensive Care
- Travel
- Health insurance
- Dental insurance
Quick Apply
RN Facility Administrator
DAVITA —Jacksonville, IL
- $74,000 - $118,000 a year
- Full-time
- CPR Certification
- Nursing
- Microsoft Outlook
- Paid training
- Health insurance
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
Director of Nursing (DON)
Pleasant Valley Nursing and Rehab Center —Derry, NH
- $125,000 - $135,000 a year
- Full-time
- Microsoft Word
- CPR Certification
- Nursing
Quick Apply
Nurse Manager RN Outpatient Surgery
Corpus Christi Medical Center Bay Area —Corpus Christi, TX
- Full-time
- Surgery
- Psychiatry
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Capital Health LIFE Clinical Hiring Event - JULY 16
Capital Health —Bordentown, NJ
- $86,964.80 - $113,672.00 a year
- Full-time
- Nursing
- Management
- RN License
- Free parking
- AD&D insurance
Licensed Clinical Social Worker
Restorative Partners, Inc. —San Luis Obispo, CA
- $53 - $57 an hour
- Weekends as needed
- Hybrid work
- Spanish
- Master of Social Work
- Licensed Clinical Social Worker
Quick Apply
Assistant Nurse Manager, Neuro OR - Neuro Expansion
Cleveland Clinic —Cleveland, OH
- $39.50 - $59.60 an hour
- Overnight shift
- Nursing
- Surgery
- RN License
- Dental insurance
- Vision insurance
Assistant Nurse Manager - Neuro Expansion Operating Room
Cleveland Clinic —Cleveland, OH
- $39.50 - $59.60 an hour
- Nursing
- Surgery
- RN License
- Dental insurance
- Vision insurance
Nurse Care Manager
Hearth INC —Roxbury, MA
- From $95,000 a year
- Full-time
- Background check
- CPR Certification
- Nursing
- Wellness program
- Disability insurance
Quick Apply

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Clinical Adjudication Manager (Part C)

TMF Health Quality Institute -
Remote

Apply Now

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

Writing skills

Full Job Description

Category: Program Management

Requisition Number: CLINI001388

Posting Details

- Posted: June 5, 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 requires working weekends, and rotating holidays as needed*

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 (Part C)

Clinical Quality Manager

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

Team Medical Director

Clinical Instructor (Part-time)

Director, ICU/Pathology - SMG

Licensed Clinical Supervisor (FT, Monday-Friday)

RN Care Coordinator

Clinic Manager

Manager, Nursing - Post Anesthesia Care Unit - Full Time

Market Physician Executive (MPE) - Atlanta, GA

RN Facility Administrator

Clinic Manager - Breckenridge

Director of Nursing (DON)

Nurse Manager RN Outpatient Surgery

Capital Health LIFE Clinical Hiring Event - JULY 16

Licensed Clinical Social Worker

Assistant Nurse Manager, Neuro OR - Neuro Expansion

Assistant Nurse Manager - Neuro Expansion Operating Room

Nurse Care Manager

I want to receive the latest job alert for Clinical Programs Manager

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