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Remote Jobs with RN Certification

192 fresh jobs found

Sales Support, Clinical Specialist – Coronary Image-Guided Therapy Devices (Denver CO)
United States of America - Remote Based

Clinical Specialist Cardiovascular technologist Cardiovascular radiologic technologist Marketing Trials Operating Room Motivational OR Business Objectives Registered Nurse +16

USD 110K+

Patient Care Advocate
Remote-AR, United States

Centene Corporation

Member advocacy Provider experience Quality Initiatives Health administration HEDIS NCQA CPT coding Health coaching Risk Adjustment +34

USD 52K+

Pediatric Care Manager, RN (ECC)
Tampa-200 W. Waters Ave. (10971), United States

Centene Corporation

Pediatric care Home outreach Complex Care Management Digital Outreach Personalized care plans Resource support Service Assessment Foster care Healthcare outcomes +25

USD 55K+

Care Manager (RN)
Remote-LA, United States

Centene Corporation

Home outreach Complex Care Management Digital Outreach Personalized care plans Resource support Service Assessment Foster care Healthcare outcomes Service plans +25

USD 55K+

Clinical Review Nurse - Concurrent Review
Remote-NC, United States

Centene Corporation

Health management systems Medicaid regulations Health management Utilization Clinical Review Medical necessity Acute care Discharge planning Medical Records +19

USD 52K+

Clinical Product Specialist II (Remote/Flexible)
US - Massachusetts, United States

Insulet Corporation

Clinical Guidance Process-oriented Insulin pump therapy Virtual platforms Diabetes Microsoft Suite Product training Medical Affairs Sales Support +16

USD 77K+

Care Manager (RN)
Remote-AR, United States

Centene Corporation

Education facilitation Home outreach Compliance Documentation Complex Care Management Digital Outreach Personalized care plans Resource support Service Assessment Foster care +26

USD 55K+

Clinical Services Manager - Houston, TX (Field Based)
US - Texas, United States

Insulet Corporation

Clinical partnerships Evidence-based insights Insulin pump therapy Healthcare Collaboration Insulin Pumps Diabetes Management Diabetes Patient Education Clinical expertise +12

USD 130K+

Behavioral Health Service Mgr-BH Medication Monitoring
Remote-OK, United States

Centene Corporation

Behavioral health services Mental health resources Utilization Data Monitoring Clinical Nursing Quality of care Foster care Evidence-based practices Discharge planning +32

USD 95K+

Care Manager RN (Delaware) Remote
PA, Working at Home - Pennsylvania, United States

Highmark Health

Medical Policies Health care services Health coaching Clinical Experience Utilization management RN Care management Managed Care Nursing +16

USD 50K+

Care Manager (Substance Abuse)
Remote-FL, United States

Centene Corporation

Substance Use Disorders Treatment options Complex Care Management Home visits Substance use Substance abuse Digital Outreach Personalized care plans Substance Use Disorder +29

USD 54K+

Care Manager - Atlantic and/or Ocean County
Remote-NJ, United States

Centene Corporation

Substance Use Disorders Treatment options Complex Care Management Home visits Healthcare Education Substance use Digital Outreach Personalized care plans Substance Use Disorder +30

USD 55K+

Pediatric Care Manager (RN)
Remote-FL, United States

Centene Corporation

Member assessment Pediatric care Complex Care Management Personalized care plans Resource support Service Assessment Foster care Healthcare outcomes Service plans +25

USD 55K+

Clinical Review Nurse - Prior Authorization
Remote-FL, United States

Centene Corporation

Utilization Medicare regulations Cost-effective care Service authorization Health management systems Medicaid regulations Health management Authorization requests Medical appropriateness +26

USD 52K+

Quality Improvement Coordinator I
Remote-WA, United States

Centene Corporation

Utilization Clinical quality improvement Healthcare quality Clinical Quality HEDIS Quality of care Healthcare Management Medical Records Performance Improvement +22

USD 95K+

Quality Program Strategist II
Remote-IA, United States

Centene Corporation

HOS CAHPS Quality performance Cphq HEDIS Health Plan Clinical Experience Cross-functional Teams Strategic initiatives +28

USD 68K+

Behavioral Health 24/7 Clinical Navigation and Support Care Manager - Evernorth Health Services - Remote
Minnesota Work at Home, United States

The Cigna Group

Confidentiality regulations Telephonic consultation Biopsychosocial assessment Brief therapy Employee assistance programs Solution focused therapy MCG De-escalation Clinical Judgment +32

Senior Mid Full Time

USD 65K+

Sales Support, Clinical Specialist - Heart Rhythm Management Image Guided Therapy Devices (Charleston or Greenville, SC)
United States of America - Remote Based

Clinical Specialist Motivation Cardiovascular radiologic technologist Cardiovascular technologist Marketing Trials Operating Room Motivational Image Guided Therapy OR +18

USD 121K+

Clinical Education Manager (Invasive Cardiology)
Remote, United States

Advanced Applications Training documentation Clinical applications Field Support Clinical Education Quality Management System Training Programs Cardiology Digital solutions +36

USD 108K+

Care Manager (RN)
Remote-OH, United States

Centene Corporation

Home outreach Complex Care Management Digital Outreach Personalized care plans Resource support Service Assessment Foster care Telephonic Outreach Service plans +23

USD 55K+

HMSA Intake Precert Care Manager - Remote Hawaii
Remote HI Honolulu 96813, United States

Magellan Health Remote-first

DSM V Telephone triage Clinical reviews Substance abuse Discharge planning Outpatient Care Triage Tracking Crisis Intervention +17

USD 58K+

Care Manager (RN)
Remote-FL, United States

Centene Corporation

Community resource collaboration Home outreach Compliance Documentation Complex Care Management Healthcare Education Digital Outreach Personalized care plans Resource support Service Assessment +28

USD 55K+

Health Coach - Wellness - Diabetes
Remote-WI, United States

Centene Corporation

Clinical risk evaluation Wellness Plans Telephonic assessments Member engagement Care Plan Development Wellness Programs Chronic Condition Management Health Assessments Accreditation Standards +21

USD 95K+

Care Manager RN
Remote-FL, United States

Centene Corporation

Compliance Documentation Managed care experience Complex Care Management Healthcare Education Digital Outreach Personalized care plans Resource support Service Assessment Foster care +29

USD 55K+

Quality of Care Coordinator
Remote-KS, United States

Centene Corporation

Quality of care assessment Organizational policy adherence Clinical criteria application Clinical Criteria Medical Records Review Cphq Peer review Quality of care Medical Records +18

USD 118K+

LTSS Service Care Manager
Remote-HI, United States

Centene Corporation

Healthcare Provider Interaction Holistic care Member education Quality of care Long Term Care Resource support Service Assessment Foster care Healthcare outcomes +21

USD 95K+

Manager, Care Management (Maternal-Child Health)
Work at Home - Virginia, United States

Clinical Intervention Maternal-Child Health Face-to-face assessments Interpreting Data Operational Leadership Cultural Competence Judgement Health and wellness Rating +66

USD 25K+

Maternity Clinical Practice Advisor
Remote-NV, United States

Centene Corporation

Maternal care Utilization metrics Clinical Practice Guidelines RN licensure Community partnerships Clinical Initiatives Quality performance Billing practices Clinical Standards +43

USD 68K+

Clinical Informatics Specialist
Working Virtually, United States

MultiCare Health System

McKesson Biomedical devices Epic Proficiency Pharmacy Informatics Virtual health RFID Decision support PACS Clinical Workflows +32

USD 113K+

Telephonic Nurse Case Manager
HGB SCA Remote PA, United States

Holistic approach Tricare MCG Evidence-based medicine Clinical Nursing Medical Services Accreditation Motivational interviewing Utilization Review +45

USD 71K+

Clinical Review Nurse - Concurrent Review
Remote-MN, United States

Centene Corporation

RN licensure Health management systems UM Medicaid regulations Health management InterQual Acute care Discharge planning Clinical Review +22

USD 52K+

Clinical Review Nurse - Prior Authorization
Remote-NY, United States

Centene Corporation

Service authorization Health management systems Health management Medicaid regulations Authorization requests Medical appropriateness Clinical reviews Clinical Information Clinical Review +21

USD 95K+

Behavioral Health Care Manager Remote, must be Licensed and Reside in California
Remote CA San Diego 92126, United States

Magellan Health Remote-first

Inpatient care DSM-5 DSM V Telephone triage Clinical reviews Substance abuse Discharge planning Outpatient Care Triage +19

USD 58K+

Utilization Review Clinician - Behavioral Health
Remote-IL, United States

Centene Corporation

Healthcare Collaboration Medical appropriateness Substance abuse Treatment plans Provider education Discharge planning Clinical Review Utilization Review Treatment Planning +21

USD 52K+

Utilization Review Clinician - Behavioral Health - Weekend Shift
Remote-FL, United States

Centene Corporation

Medical appropriateness Healthcare Collaboration Substance abuse Treatment plans Discharge planning Clinical Review Utilization Review Prior authorization Medical management +20

USD 52K+

Manager, Health Solutions
Canada - Remote

Health Programming Health Solutions KPI measurement User Engagement Content development Competitive analysis Information security Stakeholder management Implementation +9

USD 77K+

Associate Director, UM Nursing
Remote US, United States

Interpreting Criteria Clinical Nursing Medical Services Prior authorization Registered Nurse Clinical knowledge Utilization management Authorization RN +45

USD 115K+

Sales Support, Clinical Specialist - Peripheral Image Guided Therapy Devices (Northern New Jersey)
United States of America - Remote Based

Clinical Specialist Product enhancement Cardiovascular technologist Cardiovascular radiologic technologist Marketing Trials Operating Room Motivational Image Guided Therapy OR +20

USD 121K+

Utilization Mgmt Spec RN-3
Working Virtually, United States

MultiCare Health System

Chart documentation Insurance Industry Knowledge Guidance Clinical Experience Insurance Industry Utilization management Judgment Authorization Health care +12

Senior Full Time

USD 98K+

Payment Integrity Clinician - RN (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Coding criteria Health care services Medical Documentation Payment Integrity Claims analysis Provider education Utilization management RN Managed Care +10

Senior Mid Full Time

USD 57K+

Quality Improvement Auditor (Clinical)
Remote-NY, United States

Centene Corporation

Clinical Audits Medical record audits Clinical recommendations Quality of care Performance Measurement Medical Records Clinical Documentation Audits Business Processes +19

USD 55K+

Care Manager (RN) - Essex and/or Union County
Remote-NJ, United States

Centene Corporation

Complex Care Management Home visits Digital Outreach Personalized care plans Resource support Service Assessment Foster care Telephonic Outreach Social Determinants of Health +22

USD 55K+

Manager, Care Management (Physical Health)
Work at Home - Virginia, United States

Holistic approach Transitions of Care Tactical Operations Interpreting Data Operational Leadership Health and wellness Rating Microsoft Office Applications Supervisory experience +54

USD 25K+

Care Manager, Health Plan - Licensed / Remote in CA
Remote CA San Diego 92101, United States

Magellan Health Remote-first

Quality of life improvement Monitoring strategies Health Assessment DSM V Interdisciplinary Team Collaboration Member education Health risk assessment Telephone triage Patient-centered care +29

Senior Mid Full Time

USD 64K+

Care Manager Health Plan- Licensed/Remote in CA
Remote CA San Diego 92108, United States

Magellan Health Remote-first

Monitoring strategies Health Assessment DSM V Member education Health risk assessment Interdisciplinary Team Collaboration Telephone triage Patient-centered care Substance abuse +26

Senior Mid Full Time

USD 64K+

Medical Policy Analyst
Remote-MO, United States

Centene Corporation

Medical literature research Health care management Technology assessments Clinical Practice Guidelines Evidence-based medicine Medical policy Acute care Medical management Health Services +14

Entry Mid Full Time

USD 68K+

Opioid Case Management Lead Analyst - Evernorth Health Services - Remote
Ohio Work at Home, United States

The Cigna Group

Pain management Cognitive behavioral coaching Telephonic counseling Telephonic support Health care services Treatment plans Health education Substance Use Disorder Goal setting +29

Senior Mid Full Time

USD 65K+

Care Manager (Behavioral Health)
Remote-FL, United States

Centene Corporation

Substance Use Disorders Compliance Documentation Treatment options Complex Care Management Home visits Healthcare Education Substance use Digital Outreach Personalized care plans +28

USD 55K+

Quality Practice Advisor
Remote-IL, United States

Centene Corporation

Clinical Relationship Management Cphq Documentation standards Risk Adjustment Coding Medical record documentation NCQA Provider education Health Plan HEDIS +23

USD 52K+

Lead Quality Improvement Specialist
USA - TX - Remote, United States

PDSA Cycles Process Measure Development Mips Electronic health record systems Clinical Informatics Statistical Process Control Data privacy laws HEDIS Health benefits +28

Senior Full Time

USD 120K+

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