Top 105088 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
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- 5 years
- Health savings account
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Telehealth Implementation Manager
Blueprint Creative Group —Remote
- Full-time
- Hospital
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THE MAVEN PROJECT —Remote
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Supervisor, Clinical RN - Behavioral Sciences Unit - Full Time
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Clinical Liaison, Acute Rehabilitation (RN, PT, OT, SLP)
Signet Health Corporation —Wenatchee, WA
- $69,264.00 - $110,531.20 a year
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Market Physician Executive (MPE)
Monogram Health Professional Services —Valdosta, GA
- On call
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- Critical & Intensive Care
- Travel
- Paid parental leave
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Market Physician Executive (MPE)
Monogram Health Professional Services —Brunswick, GA
- On call
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- Critical & Intensive Care
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Market Physician Executive (MPE) - Atlanta, GA
Monogram Health Professional Services —Atlanta, GA
- On call
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Manager, Nursing - Post Anesthesia Care Unit - Full Time
The Guthrie Clinic —Sayre, PA
- Full-time
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- 5 years
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Clinic Manager
BIG STONE THERAPIES INC —Staples, MN
- $19.90 - $30.50 an hour
- Full-time
- Mid-level
- Outpatient experience
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- Continuing education credits
- Health savings account
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Director of Emergency Care
Amberwell Health Hiawatha —Hiawatha, KS
- Weekends as needed
- Nursing
- RN License
- BLS Certification
Market Physician Executive (MPE) - Float
Monogram Health Professional Services —Georgia
- On call
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- Travel
- Paid parental leave
- Paid holidays
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RN / Registered Nurse Case Manager - Hospice
Hospice of the Midwest —Sioux City, IA
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- Mileage reimbursement
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RN Facility Administrator
DAVITA —Jacksonville, IL
- $74,000 - $118,000 a year
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RN / Registered Nurse Case Manager - Hospice
Hospice of the Midwest —Guthrie Center, IA
- Full-time
- Nursing
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- Mid-level
- Mileage reimbursement
- 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
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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
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Lead Clinical Supervisor - Night Shift, CDF
DESC —Seattle, WA
- $97,701.60 - $110,540.40 a year
- Full-time
- LMFT
- Spanish
- Addiction Medicine
- Disability insurance
- Health insurance
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Clinical Instructor (Part-time)
Sumner College —Bend, OR
- Part-time
- Laboratory
- CPR Certification
- Nursing
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

Telehealth Implementation Manager

Clinic Engagement Manager

Supervisor, Clinical RN - Behavioral Sciences Unit - Full Time

Clinical Liaison, Acute Rehabilitation (RN, PT, OT, SLP)

Market Physician Executive (MPE)

Market Physician Executive (MPE)

Market Physician Executive (MPE) - Atlanta, GA

Manager, Nursing - Post Anesthesia Care Unit - Full Time

Clinic Manager

Director of Emergency Care

Market Physician Executive (MPE) - Float

RN / Registered Nurse Case Manager - Hospice

RN Facility Administrator

RN / Registered Nurse Case Manager - Hospice

Licensed Clinical Supervisor (FT, Monday-Friday)

Clinic Manager - Breckenridge

Lead Clinical Supervisor - Night Shift, CDF

Clinical Instructor (Part-time)

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

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