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Remote Jobs with Licensure Certification

35 fresh jobs found

Case Manager RN
Work At Home-Virginia, United States

Home health care coordination Proprietary applications Home health care RN license Navigating multiple systems RN licensure Keyboarding Home Health Clinical Practice +25

USD 60K+

Project Manager V - Planning (Healthcare)
United States - Remote

Living-centered design Deltek Vision LEED Bluebeam Deltek Financial Performance Revit MS Project Client Relations +20

Senior Mid Full Time

USD 103K+

Prior Authorization Clinician RN
Work At Home-Oklahoma, United States

Precertification Navigating multiple systems Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Clinical Judgment +18

USD 52K+

Pharmacist - Specialty Mail Order (work from home)
Work At Home-Illinois, United States

Transplant Email Applications Infertility Drug information Women's Health Drug therapy monitoring Pharmacy experience Internet navigation Pharmacist +18

USD 110K+

Utilization Management Nurse Consultant
Work At Home-Michigan, United States

CM/UM certification IT platforms Med/surg Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Clinical Judgment +20

Entry Mid Full Time

USD 58K+

Utilization Management Nurse Consultant
Work At Home-Kansas, United States

CM/UM certification IT platforms Med/surg Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Clinical Judgment +20

Entry Mid Full Time

USD 52K+

EAP Clinical Counselor
Work At Home-Arizona, United States

Mental health assessments Substance abuse assessment Community treatment Solution focused therapy Brief therapy models Health counseling Mental health assessment Psychiatric care EAP +23

Entry Mid Full Time

USD 54K+

Utilization Management Nurse Consultant
Work At Home-Illinois, United States

Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria Computer Systems RN licensure Telephonic Communication Medical necessity +25

USD 64K+

Appeals Nurse Consultant (Remote)
Work At Home-Delaware, United States

Computer systems navigation Drg experience Medicare guidelines Appeals experience RN licensure Appeals Medical necessity Typing Utilization management +13

USD 60K+

Quality Behavioral Health Manager - Aetna Better Health of Florida
Work At Home-Florida, United States

Emergency department Health counseling Patient Outreach Licensed Professional Counselor Mental Health Counseling Outbound Calls Licensed Marriage and Family Therapist HEDIS Licensed Clinical Social Worker +31

Senior Mid Full Time

USD 78K+

Utilization Management Clinical Consultant - Remote Kentucky
Work At Home-Kentucky, United States

Healthcare services coordination Triage support Crisis support Clinical Practice Guidelines Navigating multiple systems Keyboarding Benefit management Benefit utilization Evidence-Based Care +24

USD 52K+

Utilization Management Nurse Consultant
Work At Home-New York, United States

Healthcare services coordination Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria Computer Systems RN licensure Telephonic Communication +25

USD 64K+

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

Home healthcare Clinical models Proprietary applications Navigating multiple systems Telework Clinical resources Holistic approach Keyboarding Clinical Tools +38

USD 54K+

Utilization Management Nurse Consultant
Work At Home-Florida, United States

Medical Necessity Review Coverage determination Benefit management Benefit utilization Clinical Criteria Telephonic Communication Medical necessity Acute care Clinical Judgment +21

USD 52K+

Appeals Nurse Consultant (Remote)
Work At Home-Connecticut, United States

Medicare guidelines Computer Systems RN licensure Appeals Medical necessity Typing Utilization management Clinical Experience RN +12

USD 66K+

Case Manager RN
Work At Home-Arizona, United States

Data-driven methods Healthcare programs Assessment Techniques Clinical assessments Member engagement RN licensure Health Literacy Motivational interviewing Clinical Practice +13

USD 54K+

Case Manager RN- Pennsylvania
Work At Home-Pennsylvania, United States

Emergency department Integrative functions Clinical resources Long Term Care Holistic approach Clinical Tools Data Review Member engagement RN licensure +24

USD 60K+

Case Manager RN
Work At Home-Florida, United States

Clinical Judgement Telephonic assessment Clinical resources Holistic approach Clinical Tools Data Review Member engagement RN licensure Care Planning +22

USD 54K+

Utilization Management Clinician Behavioral Health 4 day
Work At Home - Utah, United States

Substance abuse disorders Clinical Practice Guidelines Benefit management Substance abuse Mental health services Evidence-Based Care Call Center Experience Psychology Clinical Practice +14

USD 54K+

Utilization Management Clinician Behavioral Health
Work At Home-Pennsylvania, United States

Navigating systems Clinical Practice Guidelines Navigating multiple systems Keyboarding Coverage determination Benefit management Benefit utilization Mental health services Evidence-Based Care +23

USD 60K+

Utilization Management Nurse Consultant
Work At Home-North Carolina, United States

Multi-systems navigation Navigating multiple systems Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Electronic Medical Records +24

USD 52K+

Utilization Management Clinician Behavioral Health Overnight Shift 4 days
Work At Home-Missouri, United States

Substance abuse disorders Clinical Practice Guidelines Benefit management Substance abuse Mental health services Evidence-Based Care Call Center Experience Psychology Clinical Practice +14

USD 54K+

Special Investigation Unit Nurse Consultant - Remote
Work At Home-Ohio, United States

Certified Coder Internet Explorer Google Chrome Clinical Decision Making Clinical Criteria RN licensure Claims processing Registered Nurse Utilization management +15

Senior Mid Full Time

USD 54K+

Project Director
United States - Remote

Multi-year project delivery Living-centered design Deltek Vision Bluebeam LEED Design Excellence Design Strategy Deltek Financial Performance +27

Exec Senior Full Time

USD 161K+

Utilization Management Nurse Consultant
Work At Home-Ohio, United States

Medical Necessity Review Coverage determination Benefit management Benefit utilization Clinical Criteria Telephonic Communication Medical necessity Acute care Clinical Judgment +30

USD 52K+

Utilization Management Nurse Consultant
Work At Home-Pennsylvania, United States

Keyboarding Coverage determination Healthcare Coordination Benefit utilization Benefit management Computer Systems Clinical Criteria Telephonic Communication RN licensure +25

USD 58K+

Senior Clinical Consultant, Behavioral Health
Work At Home-Texas, United States

Clinical Audits Substance Use Disorders Digital Literacy Delivery Training Development Coordination Clinical Experience RN Behavioral health +17

Senior Full Time

USD 80K+

Utilization Manager Nurse Consultant
Work At Home-Texas, United States

Inpatient utilization Med/surg Coverage determination Benefit utilization Benefit management Clinical Criteria RN licensure Medical necessity Discharge planning +22

USD 58K+

Utilization Management Nurse Consultant
Work At Home-Texas, United States

Medical Necessity Review Coverage determination Benefit utilization Benefit management Clinical Criteria Telephonic Communication Medical necessity Acute care Discharge planning +30

USD 58K+

Utilization Management Nurse Consultant
Work At Home-Arizona, United States

Medical Necessity Review Coverage determination Benefit utilization Benefit management Clinical Criteria Telephonic Communication Medical necessity Acute care Discharge planning +30

USD 52K+

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+

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+

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+

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+

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