Job Listings

Here are our current job openings. Please view the details for more information, and apply from that page if you are interested.

 

NOTE:  All Current CareCentrix Employees must apply via the Internal Career Portal to be considered. 

 

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Job Locations Remote | Remote
Posted Date 2 days ago(9/28/2022 1:38 PM)
The Credentialing Coordinator will assist in the organization of all facets of the provider credentialing process with support from a Credentialing Specialist.  Ensure provider compliance with credentialing standards.  Process and record CareCentrix provider amendments (updates and changes).  Answer customer/provider calls effectively and provide exemplary customer service.  Establish and maintain good working relationships with providers and ensure the completeness of data.  Work under direct supervision. Complete special assignments.
Job ID
2022-13465
Job Locations Remote
Posted Date 2 days ago(9/28/2022 6:52 PM)
  Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.
Job ID
2022-14061
Job Locations Remote
Posted Date 1 week ago(9/21/2022 4:24 PM)
  Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.
Job ID
2022-14055
Job Locations Remote
Posted Date 1 week ago(9/22/2022 9:55 AM)
  Do you have the passion to make an impact on people’s lives? Then come join our team! CareCentrix is committed to making the home the center of patient care.   As a Healthcare Customer Service Expert in our Staffing Team, you make a difference every time you schedule home healthcare services for a patient. You will have full accountability and ownership of cases ensuring patient discharges timely, or if already at home, care begins per the physician's request. Prioritization and organization skills are key to being successful in this role.
Job ID
2022-14052
Job Locations Remote
Posted Date 8 hours ago(9/30/2022 10:04 AM)
The Specialty Pharmacy Utilization Director within the Home Infusion Product that will lead and drive the development of specialty and non-specialty drug pipeline strategy and focus on recommendations for market growth. You will support initiatives and partner with cross-functional teams to develop, maintain, and enhance clinical programs.
Job ID
2022-14046
Job Locations Remote
Posted Date 6 hours ago(9/30/2022 12:47 PM)
The Director of Utilization Management for the Post- Acute Care (PAC) Program provides leadership and oversight of clinical and utilization management (UM) activities for programs in accordance with company policies and procedures. They work with the CareCentrix operations management team to develop, implement and manage effective UM initiatives designed to position CareCentrix as an industry leader for excellent clinical outcomes by obtaining optimal financial results for CareCentrix and their customers. This person supports and oversees Utilization Management activities to assure positive outcomes and that expectations are exceeded. They also assure that UM activities are compliant with regulatory and accreditation agency standards and client specific requirements. Working with Medical Directors, Product, Account Management, Clinical Management, Client Services and Health Plans for development of clinical and UM program initiatives. They find and implement best practices for utilization and authorization management.  This Director assists with the development of reporting strategies and implements plans to ensure appropriate staff training for all clinical initiatives and monitors outcomes/performance.   
Job ID
2022-14041
Job Locations Remote
Posted Date 9 hours ago(9/30/2022 9:14 AM)
As the Medical Director - Post Acute Care you will provide clinical oversight for 1 or more CareCentrix markets including Utilization of Post-Acute Care  (PAC) facilities, medically appropriate steerage to home, coordination of discharges and post discharge follow up to prevent readmissions. A key part of the role is to work strategically with UM leaders and market engagement director to overcome facility barriers to discharge. Peer-to-Peer conversations with hospital physicians as needed to impact admissions to PAC facilities and PAC length of stay.  In this role, the Medical Director will perform medical necessity reviews utilizing industry standard criteria, as well as client specific clinical criteria, for PAC facilities: Skilled Nursing Facility (SNF), Long Term Acute Care Hospital (LTCH) and Inpatient Rehabilitation Facility (IRF). The Medical Director will also be responsible to support the nurse coach readmission prevention program for 90 days post discharge.  
Job ID
2022-14037
Job Locations Remote
Posted Date 1 week ago(9/20/2022 2:45 PM)
As a Healthcare Customer Service Expert, you have the opportunity to be the first point of contact for patients needing home healthcare services. You will be responsible for receiving and responding to incoming calls from providers, referral sources and potential patients by collecting and entering clinical and demographic information into our CareCentrix portal. Typical phone calls range from interactions with customers who need basic information, to assisting those with more complex requests. The more challenging calls can be the most rewarding because you know you are making a difference to a customer or patient that needs your help.
Job ID
2022-14029
Job Locations Remote
Posted Date 1 week ago(9/21/2022 11:44 AM)
In this role, you will prepare, analyze, negotiate and maintain contracts for the provider network for the services that CareCentrix provides on behalf of its clients. You will be responsible for the development/fostering of relationships with providers and colleagues to ensure high levels of client interaction and satisfaction. You will also be responsible for participating in the development of the network management strategy which includes aspects of technology product, utilization management, value-based care, membership growth, marketing, compliance, and member and provider experience.
Job ID
2022-14011
Job Locations Remote
Posted Date 3 weeks ago(9/9/2022 5:37 PM)
  Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.
Job ID
2022-13990
Job Locations Remote
Posted Date 1 month ago(9/2/2022 12:33 PM)
  Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.
Job ID
2022-13988
Job Locations Remote
Posted Date 1 month ago(9/1/2022 3:57 PM)
  Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.
Job ID
2022-12944
Job Locations Remote
Posted Date 2 weeks ago(9/15/2022 11:59 AM)
Be part of something bigger—make an impact in a growing organization! CareCentrix is committed to making the home the center of patient care.   Clinical Reviewers are responsible for the Utilization Management and review of clinical information for service requests received and to render a medical necessity approval or recommended denial to the Medical Director. As part of this process, you will evaluate information concerning patient care and match those needs with available care options, consistent with CareCentrix guidelines and specific plan payer criteria.
Job ID
2022-13986
Job Locations Remote
Posted Date 3 weeks ago(9/12/2022 11:40 AM)
The Post-Acute Care Program assists with reducing hospital readmissions of clinically complex patients. The program couples patient education/coaching with Home Health interventions to assist a patient’s transition home after a hospital stay. Staff works directly with patients in transitioning from hospital to home with a focus on short term self-recovery in the home and long term ongoing care management of their healthcare. Assess patients care needs through assessments that are completed in home and/or telephonically, treatment plan creation to mitigate care gaps, facilitate in home health care services to accomplish the treatment plan patient goals, patient education/coaching along with adherence/compliance monitoring.   This position functions as the Supervisor of the Post-Acute Care team and primary point of contact for day to day clinical questions, concerns from internal and external clients and provides team leadership and guidance regarding patient centered interventions. Assists in development of Post-Acute Care training, job aids and tools and desk level procedures. Provides clinical oversight for the PAC Nurse Liasions.
Job ID
2022-13985
Job Locations Remote
Posted Date 3 weeks ago(9/12/2022 10:29 AM)
Be part of the changing landscape of healthcare. CareCentrix is committed to making the home the center of patient care.   As a Care Coordinator you will participate in the time sensitive collection of documentation required to manage patient cases of care from beginning to end. You will support the clinical nurses and ensure that patients are serviced in a timely manner, according to customer requirements.
Job ID
2022-13983
Job Locations Remote
Posted Date 3 weeks ago(9/8/2022 4:06 PM)
Do you have the passion to make an impact on people’s lives? Then come join our team! CareCentrix is committed to making the home the center of patient care.   Each Network Analytics team member works closely with the Contract Managers and Directors and will quickly take on a significant amount of responsibility. The quality and creativity of our Network Analytics team is critical to the success of the Network Management team by gathering, analyzing and synthesizing information. They uncover critical performance trends and undertake rigorous analyses that drive department and company performance. This team utilizing data is used to assess market and business trends to identify opportunities and risks in the provider network and department. They are able to work with at large data sets and understand trends. These trends are then communicated to the department leadership with recommendations.
Job ID
2022-13968
Job Locations Remote
Posted Date 1 month ago(8/26/2022 3:23 PM)
Do you have the passion to make an impact on people’s lives? Then come join our team! CareCentrix is committed to making the home the center of patient care. As the Transition Coordinator you will be responsible for coordinating access to benefits and community resources to support patient discharges from acute and post-acute facilities to the home. This job requires face-to-face interaction with memebers at facilites in the Houston, TX area. Please apply if you are interested and are able and willing to travel daily in the Houston, TX area.
Job ID
2021-12804
Job Locations Remote
Posted Date 4 days ago(9/26/2022 10:59 AM)
As a Billing Account Specialist you will provide excellent customer service to Identify patient’s needs to help educate them on CareCentrix role in their care. You will determine the acceptance of patient’s financial responsibility through claim research, plans and eligibility to resolve the patient’s account. Identify and escalate patient issues and concerns In this Job you will: • Researches, resolves, and documents patient inbound and outbound calls involving a wide range of issues utilizing multiple information systems. This includes communications with internal business centers and external customers. Assures customer agreement by summarizing and closing each call appropriately. • Investigates payment status and determines ultimate patient financial responsibility. • Collect outstanding balance, offer patient assistance with financial responsibility through various financial options. • Maintains patient confidentiality and data integrity in accordance with Health Information Portability Accountability Act (HIPAA), and company policies and procedures. • Exercises good judgment, interpret data, and remains knowledgeable in details of all related CareCentrix contracts, policies and procedures. Participates in process improvement initiatives; maintains teamwork, customer service production and quality standards to assure timely, efficient and accurate call resolution. • Minimize patient dissatisfaction with active listening, maintaining a professional tone, and acknowledging their concerns.
Job ID
2022-13943
Job Locations Remote
Posted Date 1 month ago(8/26/2022 11:25 AM)
Come join a dynamic, growing team in an innovative, game-changing, healthcare organization. CareCentrix is committed to making the home the center of patient care.   This position supervises a team of non-exempt associates within assigned unit in Operations. Monitors performance and productivity of individuals and the team and takes appropriate action to ensure department goals are met including, but not limited to regular scheduled and just-in-time coaching, recommending re-training, performance management and mentoring associates. Manages payer, provider and patient complaint resolution. Consistently identifies areas of opportunity/process improvement within department and recommends solutions as necessary.   Schedule: Sun - Thurs 9-5:30 PM EST plus holiday coverage.  
Job ID
2022-13922
Job Locations Remote
Posted Date 1 month ago(8/26/2022 11:49 AM)
As a Senior Analyst of the Product Performance and Reporting team, you will perform the analytical reporting and analysis supporting CareCentrix operational and strategic needs, as well as monitor and track the fulfillment of contractual requirements with our external health plan clients. Through analyzing extensive health-care clinical and operational data, you will develop insights that directly support the business decisions and growth goals of CareCentrix.
Job ID
2022-13919