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Remote Jobs with RN License Certification

66 fresh jobs found

Lactation Consultant (IBCLC)
United States

Lactation care Equity promotion Inclusion promotion Diversity promotion Healthcare practice Clinical protocols EHRs Software Proficiency Patient Engagement +20

USD 65K+

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+

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+

Clinical Appeals Nurse
Mississippi WFH, United States

MDCH regulations URAC State hearings OAC Proper grammar usage Clinical appeals Phone Etiquette Facets Critical Listening +22

Exec Mid Full Time

USD 55K+

Sr. Nurse Reviewer - Provider Relations
Any city, MA, US, 99999

Gainwell Technologies

Interqual criteria Prepayment review Pre-admission screening Post payment review RN license InterQual Processes Provider Relations Clinical Review +30

Senior Full Time

USD 64K+

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+

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+

NP/PA - Oscar Primary Care (Bilingual)
Remote

Home monitoring tools Escalations Remote diagnostics Healthcare delivery system DNP Medical Assistant Patient management Spanish fluency Healthcare Delivery +14

USD 130K+

Director of Home Health
Remote, CA, USA

Health services administration Nursing administration Health care management Audit compliance Health administration Supervisory experience Home Health Resource Planning Clinical expertise +11

Exec Senior Full Time

USD 132K+

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+

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+

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+

Behavioral Health / Substance Use Nurse Care Manager, Adult
Florida

Included Health

Computer/medical record systems Telephonic care Acute case management Medical record systems Spanish Speaking Substance use Manual Dexterity In-person care Specialty care +24

Senior Mid Full Time

USD 25K+

CA Licensed Behavioral Health / Substance Use Nurse Care Manager, Adult
Remote

Included Health

Telephonic Nursing Computer/medical record systems Medical record systems Acute case management Spanish Speaking Substance use Manual Dexterity In-person care Specialty care +25

Senior Mid Full Time

USD 25K+

Behavioral Health / Substance Use Nurse Care Manager, Adult
Remote

Included Health

Computer/medical record systems Acute case management Telephonic care Medical record systems Spanish Speaking Substance use Manual Dexterity In-person care Specialty care +23

Senior Mid Full Time

USD 25K+

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+

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+

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+

TeleHealth Registered Nurse
Remote-TX, United States

Centene Corporation

Call documentation Telephonic Triage Health management Home Health Clinical Information Community Health Clinical assessment Triage Medical management +22

USD 95K+

Care Manager (RN)
Remote-NJ, United States

Centene Corporation

Resource Coordination Complex Care Management Personalized care plans Resource support Service Assessment Foster care Care Planning Social Determinants of Health Service plans +25

USD 55K+

CA Licensed Nurse Care Manager, Adult
Remote

Included Health

Computer/medical record systems Telephonic care Medical record systems Acute case management Spanish Speaking Healthcare navigation In-person care Specialty care Urgent care +25

Senior Mid Full Time

USD 25K+

Nurse Care Manager, Adult
Virginia

Included Health

Computer/medical record systems Telephonic care Acute case management Medical record systems Spanish Speaking In-person care Specialty care Urgent care Manual Dexterity +24

Senior Mid Full Time

USD 25K+

Nurse Care Manager, Adult
North Carolina

Included Health

Computer/medical record systems Telephonic care Medical record systems Acute case management Spanish Speaking In-person care Specialty care Manual Dexterity Urgent care +25

USD 25K+

Nurse Care Manager, Adult
Pennsylvania

Included Health

Computer/medical record systems Telephonic care Acute case management Medical record systems Spanish Speaking Manual Dexterity In-person care Specialty care Urgent care +25

Senior Mid Full Time

USD 25K+

Nurse Care Manager, Adult
Florida

Included Health

Computer/medical record systems Telephonic care Medical record systems Acute case management Spanish Speaking In-person care Specialty care Manual Dexterity Urgent care +25

Senior Mid Full Time

USD 25K+

Nurse Care Manager, Adult
Texas

Included Health

Computer/medical record systems Telephonic care Medical record systems Acute case management Spanish Speaking Patient-centered care In-person care Specialty care Urgent care +23

USD 25K+

Infertility Maternity Nurse Care Manager, CCM
Remote

Included Health

Infertility Computer/medical record systems EMR Platforms Telephonic care Medical record systems Spanish Speaking Patient-centered care Healthcare navigation In-person care +32

USD 25K+

CA Licensed- Nurse Care Manager, CCM
Remote

Included Health

Clinical navigation EMR Platforms Telephonic care Acute case management Patient-centered care In-person care Specialty care Urgent care Manual Dexterity +29

USD 25K+

Nurse Care Manager, RN Oncology, Adult
Remote

Included Health

EMR Platforms Oncology nursing Patient-centered care In-person care Specialty care Manual Dexterity Urgent care Diagnosis Disease Management +28

USD 25K+

Care Manager (RN) - Southern NJ
Remote-NJ, United States

Centene Corporation

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

USD 55K+

RN II, Primary Nurse Care (Telephonic Care Mgr.- REMOTE)
Hopewell, NJ, United States

Horizon Blue Cross Blue Shield of New Jersey

Health Care Delivery Telephonic care management Clinical assessment Patient advocacy Care Coordination Quality improvement Utilization management RN Care management +6

USD 77K+

TeleHealth Registered Nurse - Registry
Remote-TX, United States

Centene Corporation

Health management Home Health Clinical Information Patient Assessment Triage Medical management Clinical knowledge Health Services Procedures +13

USD 95K+

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

Highmark Health

Health care services Health coaching Clinical Experience Utilization management Healthcare services Care management RN Nursing Managed Care +19

USD 50K+

Care Manager (RN)
Remote-WI, United States

Centene Corporation

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

USD 55K+

Medical Management Auditor
Remote-WI, United States

Centene Corporation

CCMS Clinical Systems InterQual System Maintenance Corrective Actions Health Plan Credentialing Appeals Medical management +16

USD 55K+

Utilization Review Nurse
Remote

Medical necessity reviews Level of care reviews Evidence-Based Guidelines Clinical Guidelines Technology Platform RN licensure Clinical Practice Acute care Clinical Review +11

USD 70K+

Care Manager (RN) - Northern NJ
Remote-NJ, United States

Centene Corporation

Complex Care Management Care Plan Development Resource Coordination Personalized care plans Resource support Service Assessment Foster care Social Determinants of Health Service plans +23

USD 55K+

Clinical Manager
United States - Remote

Video conferencing technology Interdisciplinary team leadership Hospice care Clinical Management Palliative Care Cultural Competency Video Conferencing HIPAA Compliance People Management +13

USD 90K+

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

Evidence-based recommendations Healthcare navigation Clinical assessments Clinical assessment Triage Therapy Patient advocacy Telemedicine Mental Health Support +12

USD 90K+

Team Lead Care Management - Must Reside in Mississippi
Mississippi WFH, United States

Provider engagement Microsoft Visio Motivational interviewing Resolution Visio Team Development Care management Conflict Resolution RN +22

Senior Mid Full Time

USD 63K+

Nurse Auditor
Remote US, United States

Medical necessity auditing Clinical audit Tricare Diagnosis coding Coding certification Medical record documentation Medical claims Medical Record Review CPT codes +49

USD 78K+

TeleHealth Diabetes Nurse Manager
Remote

Nutritional Biochemistry Low Carbohydrate Nutrition Clinical Supervision Diabetes Care Nutrition Patient Education Telemedicine Clinical expertise Telehealth +12

USD 87K+

Complex Case Manager RN - (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Healthcare service delivery Dialectical behavior therapy Condition Management Disease Processes Cognitive Behavioral Therapy Cultural Competency Disease Management Care Planning Analytic +20

Senior Mid Full Time

USD 57K+

RN Medicare Compliance
Recruiting Only - Telecommuter, United States

Medicare Compliance Claims analysis Medical Record Review Liability Interpretive Keyboarding Performance competencies Clinical assessment PC literate +32

USD 78K+

Complex Case Manager RN - Pediatric (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Dialectical behavior therapy Disease Processes Condition Management Statistical Data Analysis Cognitive Behavioral Therapy Cultural Competency Analytic Motivational interviewing Autonomy +18

Senior Mid Full Time

USD 57K+

Manager, Care Management (LTSS - ABD)
Work at Home - Virginia, United States

Interpreting Data Health Plan Experience Rating Supervisory experience Multilingual Rehabilitation Health promotion Microsoft Office Applications Driver safety program +54

USD 25K+

Complex Case Manager RN (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Dialectical behavior therapy Condition Management Disease Processes Cognitive Behavioral Therapy Cultural Competency Analytic Motivational interviewing Autonomy Clinical Judgment +17

Senior Mid Full Time

USD 57K+

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

The Cigna Group

Digital Messaging Disease Prevention Shared Decision Making Internet Research Health promotion Behavior Change Motivational interviewing Clinical Acumen Medical management +27

USD 76K+

Clinical Analyst
Remote - Utah, United States

Solventum Remote-first

Clinical terminology standards Natural Language Understanding Cdi Clinical Nursing Clinical Informatics Clinical Data Electronic Health Records EHR Clinical Documentation +19

Entry Mid Full Time

USD 106K+

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