We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary - Supports comprehensive coordination of Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. - Promotes and supports quality effectiveness of healthcare and Pharmacy Services. - Evaluates, authorizes approval, and communicates decisions for pharmacy requests according to clinical guidelines. - Evaluates and authorizes approval of pharmacy requests received by telephone, facsimile, and/or other means using client clinical criteria. - Determines appropriateness for medications. Communicates decision to physicians, physician’s office staff, medical management staff, members, and/or pharmacists. - Will perform clinical research to support request. - Performs non-medical research including eligibility verification, COB, and benefits verification. - Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. - Process requests in compliance with various laws and CMS regulations and company policies and procedures. - May communicate with Aetna Case Managers, Health Plan Staff, External Pharmacies and Health Care Providers. - Promotes communication, both internally and externally, to enhance effectiveness of medication therapy management services. - Sedentary work involving significant periods of sitting, tal
Jobs in United States
In Home Physician in United States
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Explore current in home physician jobs across United States. Filter by work mode, employment type, experience, department, date posted and distance.
Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. You will report to the Manager of Utilization Management and serve as a member of the One Home/Home Solutions Utilization Management team. This team manages post-acute care services. These services include Skilled Nursing Facility (SNF), Home Health, and Durable Medical Equipment (DME). The team's goal is to ensure members receive the appropriate level of care in the most appropriate setting. As a Utilization Management Registered Nurse: You will use clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. Using established medical criteria, you will make determinations based on information provided by the attending physician and other care providers You will complete request determinations within established processing time frames. (i.e. 10 reviews per day?) You will communicate with providers, members, or other parties to facilitate care and treatment. You will help deliver coordinated care for our members You will understand department, segment, and organizational strategy and operating goals, including their linkages to related areas. Use your skills to make an impact Required Qualifications: Must hold Compact Registered Nurse (RN) license in your state of residence Greater than one year of clinical experience as a RN in a hospital, SNF, Home Health, or acute care setting. Must be passionate about contributing to an organization focused on improving consumer experiences Preferr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. As a Cardiopulmonary Patient Educator with CVS Health, you will have the opportunity to use your clinical skills to be an educator to your patients and their caregivers, helping them understand their complex Pulmonary Arterial Hypertension (PAH) therapies by providing infusion training and clinical support. **This is a direct hire/full-time position. In this role you will: Consult and collaborate with physicians, clinicians, pharmacy operations and the sales team to coordinate the patient’s plan of care. Work within a highly specialized area of nursing and enjoy the autonomy that comes from working within a home care service. Assist patients who are initiating or transitioning to infused or inhaled therapies for PAH. Develop deep relationships with patients and caregivers in a one-on-one setting. Have excellent written and verbal customer service skills and advanced computer skills in order to interact with key partners Participate in on-call as the business needs. Travel: You can expect to work from home approximately 30% of the time when you are educating patients on how to administer their oral, or inhaled therapies. You will spend approximately 70% of your time visiting patients in-person when you are educating them on their infused therapies. About 60% of this time within a two-hour drive. The
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Responsible for supporting the Nursing department by ensuring timely and accurate tracking of Plan of Treatment documents in medical records software. Individual will maximize contact with providers to obtain signatures. Team member will effectively execute the process that is consistent with the management and organizational goals. ESSENTIAL DUTIES AND RESPONSIBILITIES Contacting prescriber offices to obtain fax numbers or prescriber email addresses via phone call Faxing nursing Plan of Treatments to appropriate prescriber fax number or email address Tracking Plan of Treatment details within the patient's electronic medical record. Q and A of Plan of Treatment documents. Obtaining provider signatures on Plan of Treatments. Required Qualifications Minimum one year of related experience in coordinating activities, administrative support functions, and customer service. Effective verbal and written communications skills. Excellent detail orientation and time management skills. Proficiency with Microsoft business software. Preferred Qualifications Experience as a nursing assistant, pharmacy technician, home patient representative, or customer service representative preferred. Experience obtaining physician signatures on Pl
Job Title Sales, Territory Manager - RespirTech (Houston) Job Description RespirTech’s Territory Manager represents the InCourage airway clearance therapy medical device, calling on but not limited to Pulmonologists to support patients with chronic respiratory and neuromuscular conditions on a journey to better breathing. Your role: Executing outside sales and territory management, inclusive of account management and new business development. Employing a hunter mentality to identify new opportunities, overcome objections and change the mindsets of prescribers, while achieving performance growth goals. Performing total office sales calls, in-services on patient profiles, product demonstrations and presenting clinical evidence to physicians. Being an expert on Medicare, Medicaid and private insurance coverage-criteria for InCourage vest therapy, while effectively educating healthcare teams in identifying patients who meet coverage criteria. Obtaining medical record documentation in order for coverage to be obtained. Analyzing data to effectively target priority healthcare teams and create sales call routing. Capable to be flexible and adjust routing to fit pipeline management needs. You're the right fit if: You’ve acquired 3+ years of successful direct field sales, clinical education or clinical sales support experience. Previous durable/home medical equipment and/or pharmaceutical sales experience preferred. Your skills include: Ability to be in the field within your territory 90% (some territories may include overnights). The ability to build and maintain strong customer relationships. You have a Bachelor’s Degree in Business Administration, Marketing, Sales or equivalent (preferred) or 7+ years of field sales experience. You must be able to successfu
Job Title Sales, Territory Manager (Allentown/Scranton, PA) Job Description RespirTech’s Territory Manager represents the InCourage airway clearance therapy medical device, calling on but not limited to Pulmonologists to support patients with chronic respiratory and neuromuscular conditions on a journey to better breathing. Your role: Executing outside sales and territory management, inclusive of account management and new business development. Employing a hunter mentality to identify new opportunities, overcome objections and change the mindsets of prescribers, while achieving performance growth goals. Performing total office sales calls, in-services on patient profiles, product demonstrations and presenting clinical evidence to physicians. Being an expert on Medicare, Medicaid and private insurance coverage-criteria for InCourage vest therapy, while effectively educating healthcare teams in identifying patients who meet coverage criteria. Obtaining medical record documentation in order for coverage to be obtained. Analyzing data to effectively target priority healthcare teams and create sales call routing. Capable to be flexible and adjust routing to fit pipeline management needs. You're the right fit if: You’ve acquired 3+ years of successful direct field sales, clinical education or clinical sales support experience. Previous durable/home medical equipment and/or pharmaceutical sales experience preferred. Your skills include: Ability to be in the field within your territory 90% (some territories may include overnights). The ability to build and maintain strong customer relationships. You have a Bachelor’s Degree in Business Administration, Marketi
$90K – $143K/yr
Job Title Disease management Solutions Clinical Support Specialist (90% Travel M-F) Job Description Disease management Solutions Clinical Support Specialist (90% Travel M-F) Help healthcare providers maximize the value of Philips Disease Management Solutions by delivering expert clinical training, product education, and implementation support across a highly customer-facing field role. Your role: Deliver hands-on and remote clinical training for Philips Disease Management Solutions products, with primary focus on DynaCAD and UroNav, ensuring customer competency and successful adoption. Serve as a trusted clinical consultant to physicians and technologists, providing education, workflow guidance, and application support that improves customer productivity and outcomes. Partner closely with Sales, Marketing, Service, Customer Support, Quality, Research & Development, and Manufacturing teams to support customer success, product implementations, and new product introductions. Demonstrate product expertise, you will be responsible for product assembly and installation for the UroNAV product as well as troubleshoot software and workflow issues, and help customers optimize their use of advanced imaging and post-processing solutions. Travel extensively (approximately 90%) to customer sites throughout the U.S., working from a home-based office and supporting changing customer locations as business needs require. You're the right fit if: You’ve acquired 5+ years of clinical experience as an MRI Technologist and/or Ultrasound Technologist, with strong knowledge of imaging workflows and patient care environments. Your skills include troubleshooting software, computer, networking, and basic Digital Imaging and Communications in Medicine (DICOM) issues, along with strong teaching, presentation, a
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Do you have a passion for engaging with people and helping them on their journey to better health? Signify Health, part of CVS Health®, is seeking a Per Diem Clinician (Nurse Practitioner) to provide In-Home Health Evaluations, engaging with people in the comfort of their own homes and helping bridge gaps in care. You’ll play a critical role in building trusted relationships to make people healthier, helping bring flexible, comprehensive and personalized health evaluations right to people’s front doors. Job highlights The visit, which lasts about 45 minutes, allows for time to connect one-on-one and answer health questions. It includes a medication and medical history review, a physical evaluation, and, if ordered by the person’s health plan, additional diagnostic tests (i.e., diabetic eye exams, spirometry, etc.). You’ll use an iPad and an intuitive clinical workflow for each evaluation and are not required to prescribe medicine, order lab tests or alter people’s current treatment regimen. In this role, you will: Bring your heart into every visit, joining a national network of purpose-driven clinicians dedicated to improving health outcomes Be part of our efforts to visit millions of people nationwide with the goal of providing connections to the right care for people’s unique needs Work with Signify Health as a
From $212K/yr
Airbnb was born in 2007 when two hosts welcomed three guests to their San Francisco home, and has since grown to over 5 million hosts who have welcomed over 2 billion guest arrivals in almost every country across the globe. Every day, hosts offer unique stays and experiences that make it possible for guests to connect with communities in a more authentic way. The Difference You Will Make: Airbnb is entering a new era—reimagining how fraud, safety, and quality are measured, protected, and elevated across the digital landscape. Reporting to the Director of Advanced Analytics, Fraud & Safety, you will lead a dispersed team of ~8 advanced analysts tasked with turning safety measurement into governed, self-serve decision systems for Policy, Ops, Legal, Product, and Engineering. You will be a pivotal leader safeguarding Airbnb’s global community. You’ll steer a multidisciplinary team that designs, delivers, and scales state-of-the-art analytics for: Safety (physical & digital) Connected-account & circumvention detection Privacy protection & risk management This role isn’t just about reporting what happened; it’s about building the systems that help Airbnb see around corners. You will democratize data access, build always-on scenario simulators for fraud and safety, and turn incident impacts into seamless signals for continuous improvement. Your insights and systems will empower every stakeholder—from legal to operations, policy to product—to make bold, data-driven, and context-aware decisions in real time. A Typical Day: Own end-to-end analytical workflows for platform safety controls: data ingestion, feature engineering, modeling, experimentation, and visualization. A core mandate is to co-own and drive the enterprise-wide “Safety Single Source of Truth” (SSoT) strategy —a unified, structured data asset and taxonomy that underpins decision-making across Product, Operations, Policy, and Legal. Ensure metrics are future-proof, privacy-compliant, and g
Work Flexibility: Hybrid The Sourcing Manager (Hybrid) will be responsible for developing sourcing strategies for defined suppliers and/or commodities for MAKO business unit. You will work to obtain the best quality, service, and value for products and services through effective bidding, negotiation, and supplier management. You will lead the development and implementation of specific strategies and projects related to cost reduction initiatives, supply base and sourcing optimization and rationalization, quality improvement, risk assessment, and contract negotiation. Hybrid located in weekly onsite with the ability to work for home This is a hybrid role. We are seeking a candidate in Weston, FL or surrounding area. The employee is expected to be physically present at a Stryker location on a weekly basis but has the flexibility to work from home. Key Areas of Responsibility Develop best in class strategic sourcing strategies for assigned suppliers and/or commodities in support of business objectives Implement supplier and/or commodity strategy which will include spend/supply assessments, consolidation strategy, sourcing selection, financial and make v’s buy analyses. Develop strong relationships with key suppliers as well as other disciplines within the businesses. Represent the ‘voice of the supplier’ in the organization Negotiate favorable long-term supply contracts and serve as the escalation point in resolving supplier challenges. Identify supply base risk, develop and implement mitigation plans Utilize market trends to identify and implement appropriate cost controls and business strategy changes. Perform cost analyses in partnership with Value Engineering and engage in cost-based negotiations with suppliers. Responsible for assuring cost standards are established
About the Team Industrial Compute is building the infrastructure ecosystem that enables OpenAI to train and deploy increasingly capable AI systems at unprecedented scale. The organization operates across compute supply, demand, infrastructure, partnerships, and the physical and commercial systems required to make large-scale compute available. Industrial Compute Strategy & Operations serves as the connective operating layer across this ecosystem. The team works directly with senior leadership across Scaling, Finance, Partnerships, Research, and Infrastructure to translate ambiguous, high-impact challenges into clear strategies, scalable operating mechanisms, and decisive execution. This team is responsible for ensuring that OpenAI’s compute strategy evolves into durable competitive advantage by identifying systemic constraints, aligning stakeholders around critical decisions, and driving the operating mechanisms required to execute at scale. About the Role We are seeking a highly experienced Strategic Operations leader to help shape and operationalize OpenAI’s compute strategy across supply, demand, infrastructure, partnerships, and commercial strategy. This is a senior individual contributor role operating at the intersection of strategy, operations, infrastructure, and executive decision-making. You will work closely with compute leadership to identify the most consequential problems facing the organization, develop structured approaches to solving them, align stakeholders across the company, and drive initiatives from ambiguous concepts through execution. The role will span both strategic and operational work. You may develop long-range compute strategies and investment frameworks, evaluate build-versus-buy decisions, shape major commercial transactions, establish organizational planning mechanisms, or take ownership of a cross-functional initiative that does not have a clear organizational home. Success in this role requires exceptional judgment, analytical
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Case Manager (RN) – Field Location: Mesquite, Balch Springs, Forney, Talty, Seagoville, Hutchins, Lancaster, Ferris, Red Oak, Cockrell Hill, Cedar Hill, Wilmer, West Dallas, Highland Park and South Dallas (Remote with local travel) Travel: Up to, 75% within territory Position Summary Nurse Case Manager (RN) for a work-from-home role that requires frequent local travel for in-home member visits and occasional visits to nursing facilities within the Dallas & Surrounding Areas in Texas In this role, you will deliver high-quality case management services through a combination of telephonic and face-to-face engagement, helping members navigate their healthcare needs and achieve improved health outcomes. Key Responsibilities Conduct comprehensive telephonic and in-person assessments to evaluate members' medical and behavioral health needs Develop and implement individualized care plans, ensuring alignment with clinical and program guidelines Coordinate and monitor ongoing care plan activities, adjusting as needed to improve outcomes Collaborate in multidisciplinary care reviews to optimize member health results Identify and escalate quality of care concerns through appropriate channels Engage members using motivational interviewing and coaching techniques to encourage healthy lifes
From $60K/yr
CPI Security is looking for a Residential Installation Technician based in Raleigh, NC who will install our state-of-the-art home security solutions to residential and commercial customers. This individual will assess the customer’s need and sell additional products and services. This is a fantastic opportunity to earn a great performance-based income, while providing a valuable service to our customers. What You'll Do: Servicing residential security systems accurately and efficiently Meeting or exceeding performance goals on a consistent basis Performing walkthrough of home to determine the optimal system configuration, and to identify up-selling opportunities Keeping the customer informed at all times of what the service process will entail, whether walls will need to be drilled in order to run wiring, etc. Connecting in-home system up to our central monitoring system, activating system and performing customer demonstration Maintaining good administrative responsibility by submitting billing and payroll paperwork in a timely and accurate manner Ensuring the highest level of safety and responsibility in order to avoid injury, property damage or loss of unused materials Providing exceptional customer service at all times Consulting with management on any issues or concerns Cleaning up work area thoroughly Maintaining all company equipment, including truck, tools, inventory, etc. Maintaining a professional appearance and demeanor at all times What We're Looking For: High School diploma or equivalent; electronics/electrical/HVAC/technical training at trade school or community college, a plus Good sales skills, particularly with strong up-selling and closing abilities Mechanical aptitude Strong customer service skills Commitment to safety Ability to work effectively both on an individual basis and as part of a team Professional appearance and demeanor High energy, fun and positive attitude Schedule flexibility and the ability to work weekends Thorough unde
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Location: Work From Home – Flexible, Travel Required: 25 – 50% (Wayne and Macomb Counties) Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST No evenings, weekends, or major holidays 4 day/10-hour schedule available after training Our Mission The LTSS RN Case Manager is responsible for comprehensive assessment, care planning, coordination, implementation, and monitoring of Long-Term Services and Supports (LTSS) for dual-eligible Medicare and Medicaid members. This role ensures members receive appropriate waiver and community-based services to promote safety, independence, and improved health outcomes while maintaining regulatory compliance. This position includes in-home visits to complete functional assessments, evaluate eligibility for waiver services, and develop person-centered service plans. Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and
From $60K/yr
CPI Security, a leader in the security and automation solutions industry, is looking for a Residential Security Advisor to join our growing team in Zebulon, North Carolina! Our Residential Security Advisors will design, present and sell our award-winning security and home automation solutions and will schedule in-home sales consultations through lead generating and prospecting activities using company provided tools. As an Advisor, you will lead our mission to make every day safer for our community by working directly with customers to identify and meet their security and automation needs. This is a fantastic opportunity to earn an uncapped, performance-based income while providing valuable service to our customers. This is more than “just a sales job” – it’s your chance for a fulfilling and purpose-driven career that provides opportunities for growth, stability, and competitive pay and benefits. We are looking for go-getters who can work independently while exceeding goals. If you’re an experienced sales professional and excellent communicator, you enjoy building relationships with customers and solving problems, this opportunity is for you. What you'll do: Effectively communicate CPI Security’s value, product vision, and capabilities to potential customers Self-generate customer connect opportunities, in addition to company leads, to meet or exceed sales targets Develop and maintain outstanding working relationship with customers and potential customers to ensure complete satisfaction Maintain a schedule of weekly appointments with accounts in assigned location Merchandise product sections and build displays to stimulate sales Work closely with Sales Manager and team to ensure goal is achieved What We Are Looking For: High school diploma 1-2 years of outside sales experience preferred, but will train the right individual Highly driven and motivated, with a strong work ethic and integrity Strong time-management, organizational a
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