You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. - Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. - Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making. - Supports effective implementation of performance improvement initiatives for capitated providers. - Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. - Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements. - Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. - Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes. - Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. - Participates in provider network development and new market expansion as appropriate. - Assists in the development and implementation of physician education with respect to clinical issues and policies. - Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. - Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. - Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. - Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment. - Develops alliances with the provider community through the development and implementation of the medical management programs. - As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues. - Represents the business unit at appropriate state committees and other ad hoc committees. - May be required to work weekends and holidays in support of business operations, as needed. Education/Experience: Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality accreditation standards preferred. Actively practices medicine. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. Experience treating or managing care for a culturally diverse population preferred. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. (Certification in Psychiatry specialty Is required.) Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs. Pay Range: $108.51 - $206.20 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Position Status: Full timeShift: First Shift (Days - Less than 12 hours per shift) (United States of America)Hours per week: 40Job Information Exemption Status: Non-Exempt A Brief Overview Provides professional nursing care for clinic patients following established standard and practices. The delivery of professional nursing care at Stormont Vail Health is guided by Jean Watson's Theory of Human Caring and the theory of Shared governance, both of which are congruent with the mission, vision, and values of the organization. Education Qualifications - Bachelor's of Science in Nursing (BSN) Preferred Experience Qualifications - 1 year Nursing experience. Preferred Skills and Abilities - Skill in applying and modifying the principles, methods and techniques of professional nursing to provide on-going patient care. (Required proficiency) - Skill in establishing and maintaining effective working relationships with patients, medical staff and the public. (Required proficiency) - Ability to maintain quality control standards. (Required proficiency) - Ability to react calmly and effectively in emergency situations. (Required proficiency) Licenses and Certifications - Registered Nurse - KSBN Required What you will do - Triage of all incoming phone calls by evaluating the physical and psychosocial health status of patients. Follows nursing protocols and guidelines for answering and directing calls. - Record and reports patient’s condition and reaction to drugs and treatments to interdisciplinary team. Provide instruction to patients/family regarding treatment. Maintains and reviews patient records, charts, and other pertinent information. - Oversee appointment bookings and ensure preferences are given to patients in emergency situations. Arranges for patient testing and admissions. - Refill prescribed medications per standing orders. Clarify medication orders and refills to pharmacies as directed by providers. Perform medication prior authorizations as needed by providing needed clinical information to insurance. - Maintain timely flow of patient to include scheduling of follow up appointments if needed. - Working of in-basket medication refill requests for providers. - Provide education to patient and family on medications, treatments and procedures. - Record and report patient’s condition and reaction to drugs and treatments to interdisciplinary team, reviewing patient records and other pertinent information. - Ensure patients receive appointments that align with triage disposition and that maintain timely flow of patients. - Coordinate patient testing, referrals, and admissions - Work collaboratively with on-site staff to provider coordinated patient care Required for All Jobs - Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health - Performs other duties as assigned Patient Facing Options - Position is Not Patient Facing Remote Work Guidelines - Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards. - Stable access to electricity and a minimum of 25mb upload and internet speed. - Dedicate full attention to the job duties and communication with others during working hours. - Adhere to break and attendance schedules agreed upon with supervisor. - Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually. Remote Work Capability - Full-Time Scope - No Supervisory Responsibility - No Budget Responsibility Physical Demands - Balancing: Rarely less than 1 hour - Carrying: Rarely less than 1 hour - Eye/Hand/Foot Coordination: Occasionally 1-3 Hours - Feeling: Rarely less than 1 hour - Grasping (Fine Motor): Occasionally 1-3 Hours - Grasping (Gross Hand): Rarely less than 1 hour - Handling: Rarely less than 1 hour - Hearing: Occasionally 1-3 Hours - Kneeling: Rarely less than 1 hour - Sitting: Frequently 3-5 Hours - Standing: Rarely less than 1 hour - Stooping: Rarely less than 1 hour - Talking: Frequently 3-5 Hours - Walking: Rarely less than 1 hour Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment. Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.

Cardiologist - Remote (#3339) - Location: Brooklyn, NY (Remote) - Employment Type: Part-time to Full-Time (1099 Independent Contractor) - Hourly Rate: $32.00 - $35.00 per reading About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: We are seeking a qualified Cardiologist to join a reputable multi-specialty practice in Brooklyn for a remote role. This flexible 1099 contractor position is designed for physicians specializing in diagnostic interpretation, offering an excellent opportunity for both experienced cardiologists and recent graduates. You will be responsible for reviewing and interpreting cardiac diagnostic tests, contributing to patient care without direct patient interaction. Candidate needed for reading purposes only. Why Join Us? - Competitive Compensation: Earn $32.00 - $35.00 per reading, with strong earning potential based on volume. - Comprehensive Benefits: This is a 1099 contractor position. - Work Schedule: Enjoy a highly flexible schedule as a part-time to full-time independent contractor, allowing you to control your workload and hours. - Professional Growth: Gain valuable experience in a collaborative, innovative, and supportive environment while building your diagnostic expertise. - Impactful Work: Contribute to a mission-driven organization dedicated to improving cardiac health outcomes through accurate and timely diagnostics. Key Responsibilities: - Interpret and provide diagnostic reports for cardiac tests such as EKGs, echocardiograms, stress tests, and Holter monitors. - Ensure timely, accurate, and detailed documentation of all readings. - Collaborate with referring physicians within the multi-specialty practice to support patient diagnosis and treatment plans. - Maintain high standards of quality and compliance in diagnostic interpretation. Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives.

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. Work from home, candidate may reside in Texas or Arizona At CVS Health, we believe we can change the world by improving patient lives, one call at a time. Our Telephonic Registered Nurses (RN) have patient contact in the uniqueness of a telephonic practice setting, where they are impacting lives across the country. You will continue to experience the reasons you became a nurse without having to be in a bedside patient care environment. Working from home, you will be part of a specialized team on the cutting edge of patient care. Working collaboratively with health care professionals, you will provide a meaningful patient experience, while using your critical thinking skills to develop, implement, and evaluate comprehensive plans of care for multiple disease state patients. In this role, you will a profound effect on the lives of the patients and caregivers via each outbound call, providing education and support for their new medication. Along with the Compliance and Persistency team, you are the continuity of care supporting defined patient populations through the use of our state-of-the-art telecommunications nursing outreach programs. To be successful in this Registered Nurse position, you must have excellent written and verbal customer service skills, as well as advanced computer skills in order to interact with patients. Our Nurses redefine the way health care is delivered every day. When you join our team, you'll play an integral role in educating patients with medication adherence and disease state training. As a national leader in the healthcare industry and a Fortune 7 company, we seek special nurses who not only possess strong clinical expertise with innovative ideas, but who have the deep compassion and sensitivity it takes to treat our patients. Shift and Hours for our Telehealth Registered Nurse role: This is a Monday thru Friday role with hours starting from 10:30am - 7:00 pm (CST) These are set hours and this is a fulltime hourly position. Required Qualifications: A Registered Nurse must hold an unrestricted license in their state of residence, with multi- state/compact privileges and have the ability to be licensed in all non-compact states, territories and the District of Columbia based on the needs of the business. Many states’ licensing bodies have their own specific state requirements. Nursing boards may add more requirements from time to time and our nurses are required to meet such requirements. -Candidate must be based in TX or AZ for this particular requisition -3+ years of clinical RN experience -Experience using Microsoft Office, including Word, Excel and Outlook COVID Vaccine Required: N/A COVID Requirements: N/A Preferred Qualifications: Previous Telephonic Nursing experience -EPIC systems experience -Bachelor’s degree preferred -Licensure in multiple states preferred Education: RN Diploma, Associates or Bachelors in Nursing ​RN, Registered Nurse, Case Manager, Nurse, Home Health, Autoimmune, Oncology, Telehealth, Telephone, Telephonic, Health Management, Assessment, Education, Training Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $29.10 - $62.32 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 03/13/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.