Regional Manager of Patient Experience and Nursing Engagement Job at Crothall Healthcare (REMOTE)

Embedded Transitional Care Manager

The Embedded Transitional Care Manager - RN (TCM-RN) plays a critical role in en...

Location

United States , Indianapolis

Salary:

54095.00 - 116760.00 USD / Year

CVS Health

Expiration Date

Until further notice

Requirements

An active RN license within the state of practice in good standing
willingness to obtain cross-state licensure, as needed
Certified Case Manager (CCM) or equivalent case management certification required, or willingness to obtain within 12 months of hire
2+ years’ experience in transitional nursing, discharge planning, nursing case management, or home health
experience in utilization management preferred
knowledge of Medicare/Medicaid and NCQA regulatory transitions of care criteria
exceptional communication skills and customer service orientation
innovative and independent problem-solving skills
ability to monitor and evaluate opportunities for cost-effective care options with high-quality outcomes
Spanish-speaking preferred but not required

Job Responsibility

Manage patients through transitions of care, either face to face in the facility or telephonically
advocate for the patient throughout the care continuum
identify opportunities for workflow improvements and partnerships
maintain real-time records of patient transitions
engage with physicians, case managers, and hospitalists
coordinate follow-up care, medication reconciliation, and discharge planning
collaborate with internal stakeholders and regional leaders on transitions initiatives
participate in training, documentation, tracking, and quality assurance

What we offer

Mission-focused career
paid vacation and sick time
investment/retirement 401K match options
health insurance, vision, and dental benefits
affordable medical plan options
no-cost programs for health and wellness
tuition assistance
flexible schedules
family leave
dependent care resources

Fulltime

Embedded Transitional Care Manager RN

Oak Street Health takes a team-based approach to providing outstanding patient c...

Location

United States , Rockford

Salary:

66575.00 - 142576.00 USD / Year

CVS Health

Expiration Date

Until further notice

Requirements

An active RN license within the state of practice in good standing
Willingness to obtain cross-state licensure, as needed
Certified Case Manager (CCM) or equivalent case management certification required, or willingness to obtain within 12 months of hire
2+ years’ experience in transitional nursing, discharge planning, nursing case management, or home health
Experience in utilization management preferred
Knowledge of Medicare/Medicaid and NCQA regulatory transitions of care criteria
Exceptional communication skills and customer service orientation
Innovative and independent problem solving skills
Ability to monitor and evaluate opportunities for cost-effective care options with high-quality outcomes
Spanish-speaking preferred but not required

Job Responsibility

Manage patients through transitions of care
Advocate for the patient throughout the care continuum
Identify opportunities for improved program workflows
Maintain real-time and accurate records of patient status
Adhere to CMS, state specific and NCQA compliance criteria
Evaluate patient status post-ED visit or observation stay
Triage to determine appropriate follow up care
Engage directly with inpatient physicians, case managers, medical directors, and hospitalists
Coordinate with the Utilization Management team
Conduct structured clinical assessment to identify post-discharge needs

What we offer

Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Affordable medical plan options
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

Fulltime

Nurse Manager, Clinical Support

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Columbus

Salary:

87035.00 - 187460.00 USD / Year

CVS Health

Expiration Date

March 27, 2026

Requirements

Current license to practice as a registered nurse
Bachelor degree in nursing strongly preferred
Advanced degree preferred
US Work Authorization
Minimum of 3 years nursing experience
5 years management experience preferred
Somebody who embodies being “Oaky”
Ability to independently manage and lead projects in a timely manner with minimal supervision, and ability to prioritize and effectively navigate multiple competing priorities
Demonstrated skill in problem solving, critical thinking, conflict resolution, and exceptional communication skills
A flexible and positive attitude, and a strong desire to change the traditional primary care paradigm

Job Responsibility

In collaboration with the central Sr. Manager of Clinical Health Services, and the local regional leadership team, align on a plan to achieve quarterly and annual nursing goals in accordance with regional targets in patient care, quality, and experience
In partnership with local leaders, support the recruitment and hiring of clinical staff
In partnership with the centralized training function, ensure consistent and comprehensive onboarding for new care team Nurses/ MAs/ Phlebotomists
In collaboration with nursing leadership, support the development of and own the local execution of ongoing nursing development opportunities
Directly manages regionally-allocated MA and RN preceptors
Prioritize clinical team member retention by creating an engaging culture
Remain knowledgeable of industry standards and state regulations, and monitor and review best practices as necessary
Advise the regional and central nursing leadership teams about performance, and opportunities to improve care outcomes, quality, experience, and employee engagement
Collaborate with Central and Regional Leadership in implementation of clinical operational standards and processes to streamline operations and patient flow
Work with the clinical and leadership team to implement and execute new clinical services and programs

What we offer

Mission-focused career impacting change and measurably improving health outcomes for medicare patients
Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement
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

Fulltime

Nurse Manager, Clinical Support

We are looking for a results oriented field based Manager of Clinical Health Ser...

Location

United States , Indianapolis

Salary:

78331.00 - 168714.00 USD / Year

CVS Health

Expiration Date

April 30, 2026

Requirements

Current license to practice as a registered nurse
Bachelor degree in nursing strongly preferred
Advanced degree preferred
US Work Authorization
Minimum of 3 years nursing experience
5 years management experience preferred
Somebody who embodies being “Oaky”
Ability to independently manage and lead projects in a timely manner with minimal supervision, and ability to prioritize and effectively navigate multiple competing priorities
Demonstrated skill in problem solving, critical thinking, conflict resolution, and exceptional communication skills
A flexible and positive attitude, and a strong desire to change the traditional primary care paradigm

Job Responsibility

In collaboration with the central Sr. Manager of Clinical Health Services, and the local regional leadership team, align on a plan to achieve quarterly and annual nursing goals in accordance with regional targets in patient care, quality, and experience
In partnership with local leaders, support the recruitment and hiring of clinical staff
In partnership with the centralized training function, ensure consistent and comprehensive onboarding for new care team Nurses/ MAs/ Phlebotomists
In collaboration with nursing leadership, support the development of and own the local execution of ongoing nursing development opportunities
Directly manages regionally-allocated MA and RN preceptors
Prioritize clinical team member retention by creating an engaging culture
Remain knowledgeable of industry standards and state regulations
Advise the regional and central nursing leadership teams about performance, and opportunities to improve care outcomes
Collaborate with Central and Regional Leadership in implementation of clinical operational standards and processes
Work with the clinical and leadership team to implement and execute new clinical services and programs

What we offer

Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement
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

Fulltime

Account Manager/Specialty Account Manager - TAVNEOS

Representing Tavneos to physicians and healthcare professionals, playing a key r...

Location

United States , Flint

Salary:

149052.00 - 177700.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Bachelor's Degree and 3 years of sales experience within pharmaceutical, biotech or medical device industry or hospital sales experience
OR Associate degree and 6 years of sales experience within pharmaceutical, biotech or medical device industry or hospital sales experience
OR High school diploma/GED and 8 years of sales experience within pharmaceutical, biotech or medical device industry or hospital sales experience
OR Doctorate degree & 2 years of collective account management experience, sales, & commercial experience
OR Master’s degree & 6 years of collective account management experience, sales, & commercial experience
OR Bachelor’s degree & 8 years of collective account management experience, sales, & commercial experience
OR Associate degree & 10 years of collective account management experience, sales, & commercial experience
Willingness to travel approximately up to 80%, including occasional overnight or weekend travel as needed

Job Responsibility

Develop and execute a comprehensive territory business plan to achieve and exceed sales objectives, aligned with broader commercial and strategic account goals
Promote Tavneos within approved labeling in a fair, balanced, and ethical manner in accordance with corporate and industry compliance guidelines
Serve as a trusted partner and disease expert to healthcare professionals by delivering meaningful, patient-centered education on disease state and product information
Build and manage strong relationships with a range of stakeholders across the patient care ecosystem—including physicians, nurses, office staff, case managers, infusion centers, and caregivers
Navigate and engage within diverse healthcare delivery settings such as private practices, academic institutions, IDNs, community hospitals, and specialty clinics
Identify and address patient access, reimbursement, and pull-through challenges by working cross-functionally with field access teams, patient services teams, and case managers
Coordinate internal matrix teams (e.g., MSLs, Market Access, Nurse Educators, TLLs) to deliver integrated, account-specific solutions that drive long-term customer engagement and product utilization
Lead or support the development of referral networks and site-of-care pathways to enable seamless patient initiation and continuity of care
Establish productive relationships with local and regional KOLs to expand reach and influence within the therapeutic landscape
Actively contribute field insights and market intelligence to cross-functional partners and leadership to inform strategy, resource deployment, and future planning

What we offer

Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans and bi-annual company-wide shutdowns
Flexible work models, including remote work arrangements, where possible

Fulltime

Lead Clinical Pharmacist

Lead Clinical Pharmacist position at Thrifty White Pharmacy, a pharmacy chain fu...

Location

United States , Maple Grove

Salary:

50.00 - 72.00 USD / Hour

Thrifty White

Expiration Date

Until further notice

Requirements

B.S. Degree or Pharm.D. in Pharmacy from an accredited educational institution
Three years of experience as a practicing pharmacist
Must be capable of assuming responsibility for evaluating and monitoring drug therapy relative to the total needs/problems of the ambulatory care patient in collaboration with physicians, nurses, and other healthcare professionals
Current Minnesota pharmacist license
Current or willing to obtain North Dakota, Iowa, and/or Wisconsin pharmacist license
Certificate of training for Immunizations
Certification in CPR or BCLS
Working knowledge of third-party pay plans and of various quality measurement entities, such as the Centers for Medicare & Medicaid Services (CMS) and Pharmacy Quality Alliance (PQA)
Excellent customer service and communication skills
Proficient in the English language

Job Responsibility

Supervise a team of pharmacist(s), technician(s) and other support staff in administering and completing clinical services
Perform all duties of a staff pharmacist by conducting direct patient care services
Coordinate and help manage clinical pharmacy patients, programs, and initiatives
Provides a pharmacy atmosphere and excellent customer service to develop and maintain patient and employee loyalty
Welcomes partnership of management to leverage tools, reports, and processes to exceed sales goals
Leads team to meet and exceed financial goals including payroll, sales, and clinical service expectations
Leads team by modeling, coaching, and maintaining high standards in patient service
Leverages Regional Support Pharmacy Manager, Regional Support Pharmacist, and Senior Regional Support Pharmacist for personal and team development
Organizes and directs workflow
Provides professional services to patients by presenting a positive image of leading by example

What we offer

401(k)
Competitive salary
Dental insurance
Flexible schedule
Health insurance
Opportunity for advancement
Paid time off
Profit sharing
Training & development
Vision insurance

Fulltime

Patient Access Liaison

Join Amgen’s Mission of Serving Patients. At Amgen, if you feel like you’re part...

Location

United States , Houston

Salary:

178336.00 - 201298.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree AND 2 years of Sales/ Account Management OR direct patient care experience
Master's degree AND 4 years of Sales/ Account Management OR direct patient care experience
Bachelor's degree AND 6 years of Sales/Account Management OR direct patient care experience
Scientific background and ability to learn product and disease information
Nursing or other clinical background a plus
Access and reimbursement for buy and bill products
Orphan or Rare disease experience
Familiarity with HIPAA guidelines and FDA requirements
Familiarity with and Adherence to internal and OIG Compliance guidelines a must
Ability to handle difficult patient cases and resolve hurdles

Job Responsibility

Secure written or electronic patient HIPAA for patients in the assigned geography
Develop relationships with patients and caregivers by engaging via phone, text, email, virtual or in person connections
Assess individual needs of the patient and develop an appropriate education and resource plan of action, considering the patient’s family and team of healthcare providers to empower the patient to become their own advocate
Educate the patient on Krystexxa coverage based on their benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access
Provide information on co-pay assistance programs, national foundations, and free drug programs by sharing information to patients as appropriate and needed
Provide proactive education to prescribers and sites of care upon patient enrollment on coverage for Amgen rare disease therapies, common prior authorization requirements, and coding and billings requirements
Provide access and reimbursement education based on the enrolled patient’s Krystexxa benefits to physician offices and sites of care
Educate the physician office and/or SOC on Krystexxa coverage based on the patient’s benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access
Investigate access challenges pre and post-infusion to include support for denied claims and claim reviews
Partner with Safety and PV and report AE’s and product complaints through medical information

What we offer

A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans
Flexible work models where possible

Fulltime

Patient Access Liaison

In this vital role you will provide logistical, non-medical educational assistan...

Location

United States , Pittsburgh

Salary:

178336.00 - 201298.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree AND 2 years of Sales/ Account Management OR direct patient care experience
Master's degree AND 4 years of Sales/ Account Management OR direct patient care experience
Bachelor's degree AND 6 years of Sales/Account Management OR direct patient care experience
Scientific background and ability to learn product and disease information
Nursing or other clinical background a plus
Access and reimbursement for buy and bill products
Orphan or Rare disease experience
Familiarity with HIPAA guidelines and FDA requirements
Familiarity with and Adherence to internal and OIG Compliance guidelines a must
Ability to handle difficult patient cases and resolve hurdles

Job Responsibility

Secure written or electronic patient HIPAA for patients in the assigned geography
Develop relationships with patients and caregivers by engaging via phone, text, email, virtual or in person connections
Assess individual needs of the patient and develop an appropriate education and resource plan of action, considering the patient’s family and team of healthcare providers to empower the patient to become their own advocate
Educate the patient on Krystexxa coverage based on their benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access
Provide information on co-pay assistance programs, national foundations, and free drug programs by sharing information to patients as appropriate and needed
Provide proactive education to prescribers and sites of care upon patient enrollment on coverage for Amgen rare disease therapies, common prior authorization requirements, and coding and billings requirements
Provide access and reimbursement education based on the enrolled patient’s Krystexxa benefits to physician offices and sites of care
Educate the physician office and/or SOC on Krystexxa coverage based on the patient’s benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access
Investigate access challenges pre and post-infusion to include support for denied claims and claim reviews
Partner with Safety and PV and report AE’s and product complaints through medical information

What we offer

A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans
Flexible work models where possible

Fulltime

Regional Manager of Patient Experience and Nursing Engagement

Crothall Healthcare

Location:
United States , REMOTE

Category:
Nursing

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
January 09, 2026

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