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Remote Jobs with RN License Certification

48 fresh jobs found

Registered Nurse Team Lead
Remote (Miami, Florida, US)

Group facilitation Client assessment Eating Disorders Remote patient monitoring Utilization Review Nursing Case Management Behavioral health Team Leadership +4

Senior Mid Full Time

USD 85K+

Remote Clinical Care Manager
DeKalb, IL, United States

MS Access Clinical Judgment State regulations Utilization Review Community Health MS Word Predictive Analytics MS Excel Managed Care +12

USD 75K+

Manager, Care Management-Medicaid/Maternity
Work at Home - Kentucky, United States

Operational Leadership Evidence-based practice Analyzing Business Consulting Microsoft Office Applications Health outcomes Health benefits HireVue Registered Nurse +51

Senior Mid Full Time

USD 86K+

Bilingual NP/PA - Virtual Urgent Care (overnights)
Remote

Home monitoring tools PA NP DNP Patient Communication Healthcare delivery system Collaborative care model Remote Monitoring Evidence-Based Care +20

USD 140K+

Integrated Nurse Case Manager
Sentara Health Plans Wise - Remote, United States

Coordinate RN license Discharge planning Health Plan Clinical assessments Care Coordination RN Claims Care management +13

USD 111K+

Manager, Care Management
Remote-MI, United States

Centene Corporation

Clinical administration Family care planning Member Outreach Provider experience Clinical Data Management Quality care Care Planning Healthcare outcomes Clinical Data +31

USD 100K+

Care Manager (RN)
Remote-NY, United States

Centene Corporation

Personalized care plans Social determinants Complex Care Management Resource support Foster care Service Assessment Social Determinants of Health Service plan Healthcare outcomes +27

USD 55K+

Care Manager (RN) - Hudson County
Remote-NJ, United States

Centene Corporation

Resource Coordination Home visits Personalized care plans Social determinants Complex Care Management Resource support Foster care Service Assessment Social Determinants of Health +30

USD 55K+

Integrated Nurse Case Manager
Sentara Health Plans Roanoke - Remote, United States

Coordinate RN license Discharge planning Health Plan Clinical assessments Care Coordination RN Claims Care management +13

USD 111K+

Utilization Management Nurse
Lewiston, ID, United States

Cambia Health Solutions

Disease Management DO Clinical Care Utilization management Quality improvement Clinical expertise Care management Auditing Nursing +16

USD 83K+

Manager, MBB
Dayton WFH, United States

Maternity care Managed healthcare Problem identification Staff training Microsoft Visio Staff Development Engagement Strategies Resolution Motivational interviewing +32

USD 81K+

Integrated Case Manager/RN- Fairfax, Woodbridge, NOVA!
Sentara Health Plan - Northern Virginia Remote, United States

Behavioral health services Health care coordination Chronic Illness Management RN license Telephonic assessments Health Plan Experience Discharge planning Health Plan Clinical assessments +21

USD 111K+

NP/PA - Oscar Primary Care
Remote

Home monitoring tools PA NP Escalations Patient management DNP Remote diagnostics Healthcare delivery system Medical Assistant +18

USD 130K+

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

Health care coordination Chronic Illness Management RN license Telephonic assessments Health Plan Clinical assessments Acute care Care Coordination RN +17

USD 94K+

CA Licensed Nurse Care Manager, Adult
Seattle, WA

Included Health

Telephonic Care Medical Record Systems Spanish Speaking Compassionate care Healthcare navigation Disease Management In-person care Manual Dexterity Specialty care +24

Senior Mid Full Time

USD 25K+

CA Licensed Nurse Care Manager, Adult
Denver, CO

Included Health

Medical Record Systems Telephonic Care Acute case management Spanish Speaking Healthcare navigation Disease Management Computer Systems In-person care Manual Dexterity +26

USD 25K+

CDI Specialist
Remote, GA, United States

Query compliance Apr-drg assignment Ms-drg assignment Coding Rules Cdi ICU Documentation Improvement APR-DRG MS-DRG +27

USD 51K+

Clinical Appeals Coordinator
Remote-AR, United States

Centene Corporation

Appeals coordination Ncqa compliance Ncqa standards Clinical Nursing Clinical Information Utilization NCQA Medical necessity Medical management +17

USD 66K+

Care Manager (RN)
Remote-AR, United States

Centene Corporation

Resource Coordination Social determinants Personalized care plans Complex Care Management Resource support Service Assessment Foster care Service plan Social Determinants of Health +27

USD 55K+

Enrollment Nurse
Remote

Virta Health Remote-first

Low carbohydrate nutrition Meal planning Diabetes Care Enrollment Nutrition Digital Tools Patient Education Telemedicine Clinical expertise +12

USD 69K+

Manager, Case Management PH
Work at Home - Oklahoma, United States

Microsoft Office Applications Analyzing Compliance monitoring Disease Management Discharge planning Social Work Registered Nurse Vision Interviewing +55

USD 86K+

Clinical Programs Director
CORP- Northfield - Headquarters, United States

Medline Industries, LP

Clinical Initiatives Trend Identification Clinical programs Clinical services Delivery Training and Development Clinical support Team Collaboration Access +13

Exec Mid Full Time

USD 110K+

Care Manager (RN)
Remote-GA, United States

Centene Corporation

Resource Coordination Social determinants Personalized care plans Complex Care Management Resource support Service Assessment Foster care Service plan Social Determinants of Health +27

USD 55K+

LTSS Service Care Coordinator
Remote-IL, United States

Centene Corporation

Holistic care management Holistic care Community services Home visits Service coordination Resource support Long Term Care Foster care Service Assessment +30

Entry Full Time

USD 44K+

Resource RN
MA - Remote, United States

Cityblock Health

Virtual visit platforms Case review Medication Reconciliation Care Planning Education and Training Chronic Disease Management Community Health Electronic Health Records Motivational interviewing +7

USD 87K+

Remote, RN Illinois Contracted Position
Remote

Insulin management Blood glucose monitoring Diabetes Management Diabetes technology Triage EHR Patient Education Nursing Telehealth +1

USD 80K+

NP/PA - Virtual Health Assessment
Remote

HEDIS quality measures PA NP Preventative care Virtual health assessment Healthcare delivery system Clinical documentation improvement DNP Family Medicine +19

USD 104K+

NP/PA - Virtual Health Assessment (1099)
Remote

Preventative care screenings PA NP HEDIS quality measures Virtual health assessment Preventative care Medication Reconciliation Healthcare delivery system DNP +21

USD 150K+

Supervisor, Care Management
Remote-WI, United States

Centene Corporation

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

USD 85K+

RN Clinical Review Clinician - Appeals
Remote-CA, United States

Centene Corporation

Medical Records Review Interdepartmental Collaboration Case reviews UM Ncqa standards Medicaid regulations Clinical reviews Researching Clinical Review +30

USD 52K+

Full Time, Registered Nurse, Triage (Care Navigation) - Remote or Hybrid
Remote, United States

Evidence-based recommendations Healthcare navigation Clinical assessments Registered Nurse Patient advocacy Triage Therapy HIPAA Compliance Primary Care +14

USD 81K+

Senior Specialist- Online NCLEX Readiness
Remote, REMOTE, United States

Adtalem Global Education

Academic Coaching Remediation Planning NCLEX Preparation Academic Support Nursing Practice Academic Leadership Health Professions Healthcare Education Study +31

Senior Full Time

USD 53K+

Quality Improvement Specialist
Remote-IL, United States

Centene Corporation

Intervention Development Performance Data RN licensure Member Outreach URAC Member education Internal Auditing Focus Groups Health administration +42

USD 55K+

National Director of Nursing
Sandstone Care - Remote

Substance Abuse Treatment Program Design Staffing Nursing Behavioral health Decision making Compliance Leadership Training +1

Exec Senior Full Time

USD 140K+

assistant vice president
Recruiting Only - Telecommuter, United States

Staffing Management Medical Support Program strategy Performance development Policy compliance Performance competencies Client satisfaction PC literate Keyboarding +29

Exec Senior Full Time

USD 120K+

Integrated Nurse Case Manger
Sentara Health Plans Richmond - Remote, United States

Chronic Illness Management RN license Telephonic assessments Clinical assessments Health Plan Care Coordination RN Care management Coordination +16

USD 111K+

Director, Care Management
Remote-OK, United States

Centene Corporation

Information Technologies Clinical Care Pathways Ncqa standards Provider experience Quality care Staff training Budget development NCQA Healthcare outcomes +31

Exec Senior Full Time

USD 119K+

Vice President, Children's Health-Care Management
Remote-FL, United States

Centene Corporation

Health outcomes initiatives Medicaid compliance Population health strategy Executive leadership Provider contracts UM Quality Initiatives Compliance requirements Clinical programs +57

Exec Senior Full Time

USD 182K+

Senior Care Manager (RN)
Remote-NY, United States

Centene Corporation

Personalized care plan Quality care Service coordination Complex Care Management Service plan Healthcare Coordination Healthcare outcomes Service plans Healthcare benefits +29

Senior Mid Full Time

USD 73K+

Senior Professional Nurse
Topeka, KS, US, 66619-1448

Gainwell Technologies

Billing audits DRG coding Medical Review Provider education DRG Accuracy ICD-9 Utilization Review HCPCS +33

Senior Full Time

USD 64K+

Senior Professional Nurse- Remote
Topeka, KS, US, 66619-1448

Gainwell Technologies

DRG coding Billing audits Medical Review Provider education DRG Accuracy ICD-9 HCPCS Utilization Review +33

Senior Full Time

USD 64K+

Utilization Review Nurse
Remote

Level of Care Reviews Medical necessity reviews RN licensure Evidence-Based Guidelines Treatment Clinical Guidelines Clinical Judgment Clinical Review Clinical Practice +14

USD 70K+

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+

Director, Care Advice Line (Registered Nurse)
Remote, USA, United States

Clinical Guidance Population health management Athena Operational Management Healthcare Regulations Population health Healthcare administration Triage Operations Management +23

Exec Senior Full Time

USD 118K+

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+

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

Centene Corporation

Health management systems Health management Medicaid regulations Guidelines Clinical Review Medical necessity Discharge planning Utilization Acute care +20

USD 95K+

1099 NP/PA, Virtual Urgent Care
Remote

Remote diagnostic tools Home monitoring tools Medical guidelines Spanish Language Healthcare delivery system DNP Spanish fluency Quality of care Healthcare Delivery +12

USD 130K+

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

Women’s care In-home case management Labor and Delivery Web navigation Obstetrics Keyboard Face-to-face assessments NICU Clinical triage +67

USD 25K+

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