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93 fresh jobs found

Case Manager RN (Remote)
Work At Home-Arizona, United States

High-Speed Internet Telephonic assessment Telework Clinical Tools Data Review RN license Telephonic Communication Member engagement RN licensure +21

Senior Mid Full Time

USD 54K+

Case Manager RN (Remote)
Work At Home-Texas, United States

Clinical models Community care Wellness strategies Home health care coordination Home health care Telework Post-acute care Integrative functions Clinical Tools +31

USD 60K+

Case Manager RN
Work At Home-Pennsylvania, United States

Assessment Techniques Healthcare programs Data-driven methods Telephonic case management RN license Member engagement Acute care Motivational interviewing Clinical assessment +24

USD 60K+

Lead Director, Pharma Contracting
Downers Grove-3200 Highland Av, United States

Formulary Strategies Rebate Contracts Specialty Pharmacy Pharmaceuticals Pharmacy Contract Negotiation Market Access Managed Care Health care +14

Senior Full Time

USD 100K+

Case Manager RN
Work At Home-North Carolina, United States

Telephonic assessment Emergency department Integrative functions Telephonic case management Clinical resources Long Term Care Clinical Tools Holistic approach RN license +27

USD 54K+

Worklife Customer Support Associate - Employee Assistance Program (2nd Shift)
Work At Home-Texas, United States

AI interaction Chat support Employee assistance EAP Outbound Calls Policies and procedures Crisis Management Regulatory standards Administrative Support +22

Entry Mid Full Time

USD 34K+

Care Management Associate
Work At Home-Arizona, United States

Health care service delivery Eligibility review Medical services coordination Patient Screening Medical Services Benefits Verification Pre-certification Computer Systems Call Center Experience +33

USD 36K+

Case Manager
High Point-4050 Piedmont Parkway, United States

Emergency department Integrative functions Telephonic case management Clinical resources Long Term Care Clinical Tools Holistic approach RN license Data Review +27

USD 54K+

Customer Service Representative
Work At Home-Texas, United States

Claims research Appeals Phone Medical necessity Healthcare Knowledge Referrals Call Center Health care Critical thinking +10

Entry Mid Full Time

USD 34K+

FP&A Analyst
Work At Home-Tennessee, United States

Balance sheet analysis Account Reconciliations Journal entries Variance analysis GAAP Health Insurance Health care Medicare Accounting +6

Entry Mid Full Time

USD 43K+

Senior Claims Benefit Specialist - Remote
Work At Home-Minnesota, United States

Medical claim processing Claim adjudication Claims Adjudication Cost Containment Outbound Calls Appeals Phone Medical necessity Eligibility verification +9

Senior Mid Full Time

USD 36K+

Senior Pharmacy Technician - Call Center - Work From Home Oklahoma
Work At Home-Oklahoma, United States

Computer navigation Pharmacy Technician Phone Prior authorization Software Applications Retail Medical terminology Pharmacy Call Center +19

Senior Full Time

USD 36K+

Senior Clinical Strategist - Site of Care
Work At Home-Texas, United States

Patient experience Licensed Clinical Social Worker Care Planning Operational processes Value-based care Registered Nurse Networks Quality Management Effective Communication +22

Senior Full Time

USD 87K+

ServiceNow Hardware Asset Manager – HAM Pro
Work At Home-Connecticut, United States

Mainframe Accounts Payable CISCO Asset management Visio ServiceNow Technical Writing Health care Procurement +17

Senior Mid Full Time

USD 83K+

Licensed Clinical Therapist
Work At Home-Nevada, United States

Care Collaboration Short-term Counseling Licensed Clinical Professional Counselor Problem Solving Therapy Virtual Therapy Delivery Electronic health record systems Cognitive Behavioral Therapy Licensed Marriage and Family Therapist Crisis Intervention +24

USD 52K+

Licensed Clinical Therapist
Work At Home-Arizona, United States

Licensed Mental Health Counselor Care Collaboration Short-term Counseling Virtual Therapy Delivery Problem Solving Therapy Electronic health record systems Licensed Professional Counselor Cognitive Behavioral Therapy Licensed Marriage and Family Therapist +24

USD 52K+

Licensed Clinical Therapist
Work At Home-Illinois, United States

Problem Solving Therapy Licensed Clinical Professional Counselor Short-term Counseling Licensed Mental Health Counselor Virtual Therapy Delivery Care Collaboration Electronic health record systems Cognitive Behavioral Therapy Licensed Marriage and Family Therapist +24

USD 52K+

Licensed Clinical Therapist
Work At Home-Washington, United States

Virtual Therapy Delivery Problem Solving Therapy Licensed Mental Health Counselor Licensed Independent Clinical Social Worker Electronic health record systems Cognitive Behavioral Therapy Licensed Marriage and Family Therapist Crisis Intervention Delivery +20

USD 52K+

LPN - Prior Authorization
Work At Home-Texas

Digital charting Medical Services Pharmacy benefits Pharmacist Navigating multiple systems Keyboarding Phone LVN Clinical Criteria +28

USD 44K+

Care Manager RN
Work At Home-Colorado

High-Speed Internet Clinical Tools RN license Data Review Telephonic Communication Member engagement Policies and procedures RN licensure Acute care +18

USD 60K+

Licensed Psychiatric & Family Nurse Practitioner (NP) – Remote
Work At Home-Mississippi

Behavioral health services Health counseling Clinical quality initiatives Treatment management Electronic health record (EHR) Psychiatric care Patient counseling Phone Family Care +25

USD 74K+

Project Management, Senior Analyst - Fully Remote
Work At Home-Michigan

Quality improvement Conflict Resolution Health care SharePoint Microsoft Outlook Remote work Outlook Implementation Attention to detail +9

Senior Mid Full Time

USD 46K+

Senior Analyst, Project Management - Remote
Work At Home-Kansas

Quality improvement Conflict Resolution Health care SharePoint Microsoft Outlook Remote work Outlook Implementation Attention to detail +9

Senior Mid Full Time

USD 46K+

Utilization Management Nurse Consultant
Work At Home-Washington

Med/surg Coverage determination Long Term Care Benefit utilization Benefit management Clinical Criteria Telephonic Communication Medical necessity Telemetry +30

Senior Mid Full Time

USD 64K+

Behavioral Health Care Planner
Work At Home - Utah

Medical necessity Administrative Support Health Insurance Health care Behavioral health Microsoft Office Suite Mental Health Clinical Outlook +10

USD 42K+

Case Manager RN - Maternity/Fertility
Work At Home-Ohio

Ob-gyn Maternity Infertility Women's Health Telephonic case management Integrative functions Clinical resources Clinical Tools Holistic approach +24

USD 54K+

Lead Director - Business Information Security Officer
Work At Home-Connecticut

HITRUST Security frameworks Security Technologies KPI Reporting PCI Delivery GRC Technical Aptitude ISO +19

Senior Full Time

USD 144K+

Senior Analyst - SQL Developer - Work From Home
Work At Home-Wisconsin

SQL Tuning ETL tools SSRS SSIS Database technologies Business Process Improvement Alteryx SQL Server ETL +17

Senior Mid Full Time

USD 46K+

Health Coach Consultant RN Chronic Conditions
Work At Home-North Carolina

Chronic Conditions Healthcare Guidelines Assessment Techniques Group Coaching Telephonic coaching Clinical Tools Holistic approach WebEx Data Review +34

USD 54K+

Lead Director, Solution Engineering
Woonsocket-1 CVS Drive

Framework engineering Pharmacy experience Technology Strategy Delivery Retail Solution Design Team building Healthcare Technology People Management +18

Senior Full Time

USD 144K+

Senior Analyst - Product Management - Work From Home
Work At Home-Arizona

Rally Deadline management Clinical Management Fast-paced Environment Task Management Prior authorization Utilization management Health care Business Analysis +17

Senior Full Time

USD 46K+

Finance Corporate Intern - Summer 2025
Hartford-Farmington Ave Rogers

Community service Pharmacy services Retail Pharmacy Mathematics Health care Professional Development Financial analysis Business Acumen +18

Entry Internship Full Time

USD 46K+

Case Manager RN
Work At Home-Pennsylvania

Integrative functions Telephonic assessment Clinical resources Clinical Tools Holistic approach Data Review Policies and procedures Care Planning RN licensure +18

USD 60K+

Customer Service Representative - Behavioral Health
Work At Home-Michigan

Financial data maintenance Data Maintenance Claims resolution Call Center Health care Behavioral health Regulatory Compliance Insurance Customer service +2

Entry Mid Full Time

USD 34K+

EAP WorkLife Analyst - Medicare Team
Work At Home-Texas

Elder care Resource needs assessment Spanish Speaking Community service Health education EAP Phone Social services Referrals +25

Entry Mid Full Time

USD 42K+

Clinical Pharmacist - Oncology BCOP (Work From Home)
Work At Home-Texas

Oncology pharmacy Healthcare quality improvement Pharmacist Pharmacy Health care Oncology Stakeholder engagement Clinical Insurance +3

Entry Mid Full Time

USD 87K+

EAP Worklife Analyst - Medicare Team
Work At Home-Texas

Elder care Spanish Speaking Psychosocial assessments Community service EAP Health education Phone Social services Call Center Experience +24

Entry Mid Full Time

USD 42K+

Project Management Senior Analyst - Remote
Work At Home-Ohio

QuickBase Microsoft SharePoint Call center Operations Microsoft Teams Asana Call Center Coordination SharePoint Health care +14

Senior Mid Full Time

USD 46K+

Remote Medicaid Call Center Supervisor (Columbia, MD)
Work At Home-Maryland

Staff Development Call center Operations Call handling Call Center Health care Medicaid Medicare Performance Management Regulatory Compliance +11

USD 43K+

Analyst, EAP WorkLife
Work At Home-Texas

Resource needs assessment Community service Spanish Speaking Health education EAP Phone Social services Community Resources Discharge planning +23

Entry Mid Full Time

USD 42K+

Customer Service Representative - Linthicum, MD
Work At Home-Maryland

High-Speed Internet Prior authorization Call Center Health care Medicaid Medicare Insurance Technical Customer service +4

Entry Mid Full Time

USD 34K+

Utilization Management Nurse Consultant - Remote
Work At Home-New York

Navigating multiple systems Benefit utilization Keyboarding Clinical Criteria RN licensure Clinical assessment Registered Nurse Computer Proficiency Utilization management +18

USD 52K+

Utilization Management Nurse Consultant- Specialty Medications
Work At Home-Arizona

Clinical documentation systems Clinical Judgement Clinical call center Benefit utilization Phone Benefit management Clinical Criteria Clinical Documentation Prior authorization +17

Senior Mid Full Time

USD 52K+

Behavioral Analysis Utilization Management Clinical Consultant
Work At Home-Florida

Behavior Analysis Claims review Clinical Practice Guidelines Benefit utilization Benefit management Clinical Guidelines Clinical Criteria Electronic Medical Records Evidence-Based Care +26

USD 52K+

Network Relations Manager, Remote (VA, MD, DC)
Work At Home-Virginia

Benefit plan design Provider management Contract Interpretation Data evaluation Conflict Management Problem Resolution Conflict Resolution Health care Critical thinking +9

USD 60K+

Manager Clinical Health Services LTSS Aetna Better Health of Virginia
Work At Home-Virginia

Data evaluation RN license Healthcare Coordination Holistic approach Policies and procedures Clinical Leadership Registered Nurse Primary Care Health Services +27

USD 87K+

Case Manager RN (Remote)
Work At Home - Utah

Integrative functions Clinical resources Clinical Tools Holistic approach Data Review Policies and procedures Care Planning RN licensure Member engagement +21

USD 54K+

Utilization Management Nurse Consultant
Work At Home-Pennsylvania

Benefit utilization Coverage determination Benefit management Telephonic Communication Medical necessity Clinical Criteria Acute care Discharge planning Utilization Review +20

USD 58K+

Pharmacist - Specialty Mail Order (Hybrid Work From Home)
Lenexa-11162 Renner Boulevard

Drug therapy monitoring Patient counseling Pharmacist Dispensing Healthcare Collaboration Chronic Disease Management Specialty Pharmacy Medication management Digital Literacy +20

USD 76K+

Associate Manager - Resource Planning - Work From Home
Work At Home-Ohio

Staffing optimization Resource Planning Strategic Leadership Resource Management Team Development Resource Allocation Health care Business Intelligence Decision making +13

USD 46K+

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