FreshRemote.Work

Sign in

Remote Jobs with RN Certification

204 fresh jobs found

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

Centene Corporation

Case reviews Clinical auditing Clinical recommendations Medical record audits Clinical Audits Quality of care Utilization Performance Measurement Electronic Medical Records +24

USD 55K+

Care Manager (RN)
Remote-FL, United States

Centene Corporation

Digital Outreach Personalized care plans Complex Care Management Service plan Resource support Social determinants Foster care Service Assessment Healthcare outcomes +25

USD 55K+

Senior Care Manager
Remote-NY, United States

Centene Corporation

Treatment options Personalized care plan Substance Use Disorders Member education Home visits Substance use Quality care Complex Care Management Service plan +40

Senior Full Time

USD 73K+

Quality Practice Advisor
Remote-ME, United States

Centene Corporation

Healthcare Standards Medical record documentation Risk Adjustment Coding Cphq Provider education Documentation standards HEDIS NCQA ICD-9 +25

USD 52K+

Associate Dean of Academic Affairs
Remote, REMOTE, United States

Adtalem Global Education

Faculty recruitment Student success strategies Nursing Practice Health Professions Healthcare Education Performance Evaluation Service Excellence Social Work Simulation +20

USD 70K+

Compliance Analyst II
Dayton WFH, United States

Corrective action management Compliance Analysis Proper grammar usage Government programs Gap Analysis Healthcare operations Training and education Audit Management Healthcare Compliance +46

Entry Mid Full Time

USD 70K+

Bed Flow Coordinator - Remote in VA Only - Flexi/PRN
Sentara Virginia Beach General Hospital, United States

RN licensure Capacity management Acute care Clinical knowledge RN Nursing Behavioral health Patient care Reimbursement +3

USD 64K+

Solution Advisor for Fluency Direct/Fluency for Nursing/ Voice Assistant/Align/Ambient
Remote - Utah, United States

Solventum Remote-first

Health information systems Cdi Ethical Standards Corporate policies Performance Indicators Workflow Optimization Security standards Client Retention Customer Advocacy +46

Senior Mid Full Time

USD 106K+

Care Coordinator- CISC
Remote NM Taos 87571, United States

Magellan Health Remote-first

Social resources Cost-effective care Clinical resources Monitoring and Evaluation Interdisciplinary Team Collaboration Health risk assessment Long Term Care Occupational Health Cost Containment +23

USD 50K+

RN- Complex Nurse Case Manager- Remote
Pennsylvania Work at Home, United States

The Cigna Group

Disease prevention Shared decision making Digital Messaging Cigna Health promotion Behavior Change Internet Research Clinical Acumen Medical management +28

USD 76K+

Temp Registered Nurse Medicare Case Manager - Remote (Virginia Only)
Sentara Health Plans Richmond - Remote, United States

Health Benefits Utilization Chronic Illness Management RN license Telephonic assessments Interdisciplinary Team Collaboration Clinical assessments Health Plan Acute care Care Coordination +16

USD 94K+

Integrated Nurse Case Manager
Virginia Premier Health Plan Richmond, United States

RN license Clinical assessments Discharge planning Health Plan Care Coordination RN Care management Nursing Managed Care +10

USD 66K+

Utilization Review Nurse-Weekends-Remote
Sentara Park 1330, United States

Concurrent review Inpatient review RN license Retrospective review Milliman InterQual NCQA Discharge planning Health Plan +16

USD 60K+

Senior Manager Accreditation and Professional Regulation
Remote, REMOTE, United States

Adtalem Global Education

Academic policies Nursing Practice Health Professions Regulatory Approval Healthcare Education Compliance management Accreditation Higher education Service Excellence +23

Senior Full Time

USD 80K+

Case Manager- Milwaukee, WI
Work at Home - Wisconsin, United States

Health and Wellness Coordination Social service care management Family Care Community integration Prevention Health and wellness Human services Driver safety program Health benefits +42

USD 53K+

Program Relations Manager
CAN - ON - Remote, Canada

AmerisourceBergen

Reimbursement support Liaison Appeals CAD Patient Support Pharmaceutical sales Clinical support Pharmaceutical Industry Consultation +36

CAD 65K+

Field & Infusion Nurse (RN)
CAN - BC - Remote, Canada

AmerisourceBergen

IV initiation Central Venous Lines Port Experience Health and safety standards ACLs CPR Homecare Critical care Pharmaceutical Distribution +46

CAD 72K+

Market Clinical Quality Specialist II
Florida WFH, United States

Microsoft Access Accreditation Utilization Review Clinical Experience Certification Visio Quality improvement RN Technical Writing +27

USD 70K+

Quality Improvement Specialist
Remote-IL, United States

Centene Corporation

Intervention Development Performance data analysis RN licensure URAC Member education Internal Auditing Focus Groups Member Outreach Provider education +40

USD 55K+

Medical Policy Analyst
Remote-MO, United States

Centene Corporation

Medical literature research Abuse management Medical policy development Clinical Practice Guidelines Technology assessments Waste management Evidence-based medicine Fraud Management Payment Integrity +18

Entry Mid Full Time

USD 68K+

Director, Utilization Management
Remote-OH, United States

Centene Corporation

Ncqa standards Provider experience Healthcare Management NCQA Utilization Medical management Performance Improvement Health Services Training and Development +27

Exec Senior Full Time

USD 124K+

Nurse Case Manager
CAN - NS - Remote, Canada

AmerisourceBergen

Bilingual (French/English) Patient Follow-up Adverse event reporting Patient Support Services Liaison CAD KPI Tracking Patient services Patient Support +22

CAD 59K+

Labor & Delivery, Clinical Triage Nurse, Work From Home
4255 Lake Park Boulevard, United States

Telephone nursing Disease Processes Clinical triage Health sciences Clinical Nursing Pharmacology Federal regulations Electronic Medical Records Interviewing +13

USD 71K+

Care Manager (RN)
Remote-NY, United States

Centene Corporation

Resource Coordination Service plan Complex Care Management Personalized care plans Resource support Social determinants Foster care Service Assessment Healthcare outcomes +26

USD 55K+

Field and Infusion Nurse (RN)
CAN - BC - Remote, Canada

AmerisourceBergen

IV initiation Port Experience Central Venous Lines Health and safety standards ACLs CPR Homecare Critical care Pharmaceutical Distribution +44

CAD 72K+

Clinical Referral RN, Hospice, Work From Home
4255 Lake Park Boulevard, United States

Referral management ICD-10 Coding Federal regulations Electronic Medical Records Hospice care EMR RN Nursing Data Entry +10

USD 91K+

Business Area Manager
CAN - BC - Remote, Canada

AmerisourceBergen

Clinic Growth Nursing Standards Compliance Teleconferencing Infusion Therapy IV initiation HRIS management Budget control Training & Education ACLs +53

CAD 79K+

Care Manager (RN)
Remote-WI, United States

Centene Corporation

Service plan Resource Coordination Complex Care Management Personalized care plans Resource support Foster care Social determinants Service Assessment Healthcare outcomes +26

USD 55K+

Senior LTSS Service Care Manager (RN)
Austin-13620 FM 620 Building C Suite 300 (11121), United States

Centene Corporation

Medicaid health assessments Personalized care plan Member advocacy Service authorization Continuum of care Service plan Quality care Long Term Care Health Assessments +38

Senior Full Time

USD 127K+

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

Centene Corporation

Service authorization Medical appropriateness Authorization requests Health management systems Clinical reviews Health management Medicaid regulations Clinical Information Clinical Review +25

Senior Mid Full Time

USD 60K+

Care Manager (RN) (State)
Remote-CA, United States

Centene Corporation

Digital Outreach Service plan Personalized care plans Complex Care Management Resource support Social determinants Foster care Service Assessment Healthcare outcomes +25

USD 95K+

Compliance Analyst III
Dayton WFH, United States

Corrective action management Proper grammar usage Government programs Healthcare operations Gap Analysis Training and education Healthcare Compliance Analytic Certification +45

Senior Mid Full Time

USD 81K+

Utilization Management Clinical Care Reviewer II - MUST be Multi-State Licensed
Dayton WFH, United States

Change resiliency Clinical care review Registered Nursing Proper grammar usage Medical Necessity Review Phone Etiquette Discharge planning Clinical Care Accreditation +35

USD 61K+

Sr Medical Affairs Specialist (Remote/Hybrid)
US - Massachusetts, United States

Insulet Corporation

Evidence dissemination Medical content creation Automated insulin delivery systems Educational program development Continuous Glucose Monitors Data management systems Diabetes technology Scientific Acumen Insulin Pumps +12

Senior Mid Full Time

USD 111K+

Care Manager Transition of Care (BH)
Remote-WI, United States

Centene Corporation

Post-discharge assessments Care/service planning Transition support Medication review Transition of care Continuum of care Service plan Treatment plans Quality of care +23

USD 55K+

Utilization Management Registered Nurse
Remote US, United States

Medicaid Experience Interpreting Criteria Health Plan Experience Microsoft Office Word Clinical Nursing Medical Services Rehabilitation LESS Registered Nurse +49

USD 71K+

Senior LTSS Service Care Manager (RN)
Corpus Christi - 711 N. Carancahua St., Ste 600 (Superior) (10086), United States

Centene Corporation

Rehab Personalized care plan Member advocacy ICU Service authorization Service plan Continuum of care Long Term Care Service coordination +44

Senior Full Time

USD 70K+

Care Manager (RN)
Remote-DE, United States

Centene Corporation

Home outreach Service plan Digital Outreach Personalized care plans Complex Care Management Resource support Social determinants Telephonic Outreach Service Assessment +27

USD 55K+

Care Manager (RN) - OB
Remote-WI, United States

Centene Corporation

Home outreach Service plan Digital Outreach Personalized care plans Complex Care Management Resource support Social determinants Telephonic Outreach Service Assessment +26

USD 55K+

Senior LTSS Service Care Manager (RN)
Remote-TX, United States

Centene Corporation

Long-term care planning Medicaid health assessments Community Resource Coordination Personalized care plan Member advocacy Service authorization Service plan Continuum of care Quality care +39

Senior Full Time

USD 127K+

BH Care Coach
Work at Home - Virginia, United States

Transitions of Care Advanced Computer Electronic Information Applications Peer support Prevention Social service agencies Health promotion Provider engagement Substance use +65

USD 53K+

Care Manager (RN) OB
Remote-MO, United States

Centene Corporation

Service plan Digital Outreach Personalized care plans Complex Care Management Resource support Social determinants Telephonic Outreach Foster care Service Assessment +26

USD 55K+

Supervisor, Care Management (RN)
Remote-KY, United States

Centene Corporation

Home outreach Member Outreach Provider experience Digital Outreach Quality care Telephonic Outreach Performance Evaluation RN Care management +16

USD 85K+

Lead Care Manager (RN)
Remote-WI, United States

Centene Corporation

Service plan Ncqa standards Quality care Personalized care plans NCQA Telephonic Outreach Training and education Healthcare outcomes Service plans +25

Senior Mid Full Time

USD 85K+

RN Clinical Review Clinician_Appeals
Remote-CA, United States

Centene Corporation

Appeals processes Interdepartmental Collaboration Ncqa standards Clinical reviews Medicaid regulations Researching NCQA Clinical Review Guidelines +27

USD 95K+

Coder Analyst I (Ophthalmology Coder)
Remote - TN, United States

St. Jude Children's Research Hospital

Ophthalmology coding Health Information Management ICD-9 Medical Billing ICD-10 CPT EPIC Auditing Coding +5

Entry Mid Full Time

USD 48K+

Coder Analyst I (Orthopedic Coder)
Remote - TN, United States

St. Jude Children's Research Hospital

Orthopedic coding Health Information Management ICD-9 Medical Billing ICD-10 CPT EPIC Auditing Education +4

Entry Mid Full Time

USD 48K+

Field Case Manager- 12 Month Contract
CAN - BC - Remote, Canada

AmerisourceBergen

Bilingual English and French Performance Standards Adverse event reporting Registered Nurse CAD Bilingualism Pharmaceutical sales Quality improvement Medical terminology +25

CAD 65K+

Supervisor, Care Management
Remote-WI, United States

Centene Corporation

Team Supervision Member Outreach Quality care Performance Evaluation Healthcare benefits Care Coordination Referrals Procedures RN +22

USD 85K+

Registered Nurse (Part-Time) - Centralized Primary Care Triage
Riedman - Remote, United States

Rochester Regional Health

Treatment procedures EHR Management Treatment Fast-paced Environment Nursing Patient care Critical thinking Education Documentation +3

Entry Mid Part Time

USD 68K+

Remote Jobs in North America Remote Jobs in Europe Remote Jobs in Asia/Pacific Remote Jobs in South America Remote Jobs in Africa Remote Jobs in Middle East Full Time Remote Jobs Part Time Remote Jobs Internship Remote Jobs Contract Remote Jobs Temporary Remote Jobs Freelance Remote Jobs Mid-Level Remote Jobs Senior-Level Remote Jobs Entry-Level Remote Jobs Exec-Level Remote Jobs Lead-Level Remote Jobs

Remote Jobs with GBP > 80K in Salary Remote Jobs with CAD > 80K in Salary Remote Jobs with CAD > 100K in Salary Remote Jobs with GBP > 100K in Salary Remote Jobs with EUR > 80K in Salary Remote Jobs with PHP > 40K in Salary Remote Jobs with PHP > 60K in Salary Remote Jobs with PHP > 80K in Salary Remote Jobs with CAD > 120K in Salary Remote Jobs with PHP > 200K in Salary Remote Jobs with PHP > 180K in Salary Remote Jobs with PHP > 220K in Salary Remote Jobs with PHP > 240K in Salary Remote Jobs with PHP > 140K in Salary Remote Jobs with PHP > 160K in Salary Remote Jobs with PHP > 260K in Salary Remote Jobs with PHP > 100K in Salary Remote Jobs with PHP > 120K in Salary Remote Jobs with PHP > 300K in Salary Remote Jobs with PHP > 280K in Salary