Job Listings

      As a Healthcare Customer Service Expert, you will be the first point of contact for patients needing home healthcare services. Typical phone calls range from interactions with customers who need basic information or to help those with more complex requests.   In this role,...

As a DevOps engineer, you will work on a team of DevOps engineers focusing on the day-to-day tasks of managing and maintaining datacenter environments and will be hands-on involved with building source code, deploying binaries, configuration and monitoring application servers. You will also research and develop build and deployment automation tools and must be comfortable working in an agile environment.

As an AWS Cloud DevOps Engineer, you will manage and maintain On-Premise/AWS environments, focusing on designing, deploying, documenting, and supporting infrastructure. You will also develop, build and deploy automation tools in an Agile environment. This role will be a 50/50 mix of AWS and Core DevOps.

  Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?  

    As a Healthcare Network Services Advocate, you will respond to in- and out-of-network provider questions and deliver first call resolution by researching plan, eligibility, and authorization information and providing education on Explanation of Benefits. Hiring for multiple positions!

As a Temporary Physician Reviewer you will conduct utilization reviews for medical necessity determinations. As appropriate and when required, this position interfaces with the internal staff, Providers, and ordering physicians.   Hours - up to 15 hours per week (including weekends/holidays coverage)

As a Utilization Management Medical Reviewer for our asleep program you will conduct utilization reviews for medical necessity determinations. As appropriate and when required, this position interfaces with the internal staff, Providers, and ordering physicians.   

  Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?  

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/or post-acute care facilities. You will conduct in person, on site, face to face outreach, with facility Case Management/ Discharge Teams, and patients to discuss discharge planning and introduce the Post-Acute program. You will gather patient medical necessity needs and collaborate with hospital clinicians, patients and...

In this role, you will support CareCentrix home infusion and specialty drug clinical programs to fulfill market capabilities and needs for innovation of new products and existing core products. The position will focus on supporting clinical coverage guidelines alignment for specialty drugs and step therapy opportunities that support product enhancements for market growth. You will develop and maintain drug fee schedules for existing clients based on research and decisions of new drugs to our Home Infusion product. You will work closely with the Utilization Management team to interpret drug guidelines and determine self-administration, provider-administration, and...

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/or post-acute care facilities. You will conduct in person, on site, face to face outreach, with facility Case Management/ Discharge Teams, and patients to discuss discharge planning and introduce the Post-Acute program. You will gather patient medical necessity needs and collaborate with hospital clinicians, patients and...

The UM Clinical Manager oversees the assigned UM teams and is responsible for the initial clinical review process for the agreed-upon time. The department's activities include serving as a resource for the utilization management program and participating in clinical guideline applications and interpretation. Will assist with clinical data collection, analysis, and reporting to support ongoing UM Clinical Operations in liaison with the Operations Oversight, Quality & Process Excellence, and Compliance teams to ensure service requirements are met, intervene when service levels are at risk, provide appropriate issue resolution, and/or escalation when necessary, assuring timely letter generation and mailing, and coordinating, as...

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 nurses.

Post-Acute Care (PAC) Program is an end-to-end post-acute offering that manages up to 90-day episodes of care, beginning prior to the patient’s discharge from the hospital, or for elective surgical cases, outreach begins prior to hospitalization. The program identifies the likely best site-of-care for the patient, manages length of stay (LOS) if a Skilled Nursing Facility (SNF), Inpatient Rehab Facility (IRF) and/or Long Term Acute Care Hospital LTCH is appropriate, and reduces hospital readmissions through effective discharge planning.  

As a Revenue Cycle Representative, Reconsiderations you will determine the acceptance of providers' payment through claims research, plans, eligibility and notes to determine if the payor owes payment to CareCentrix.   Identifies and escalates provider issues and concerns to the appropriate senior. Works under general supervision. Guides collectors in their performance of invoice processing activities to ensure receivables are reimbursed in an accurate and timely basis. Works directly with the payer, internal and external customers and...

  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...

  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...