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Remote Jobs with RN License Certification

42 fresh jobs found
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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+

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+

RN Case Manager - California
CA - Remote

Community public health Insurance setting Ambulatory care Geriatric care Medication Reconciliation Home health care Interdisciplinary Collaboration Clinical pharmacy Clinical Care +16

USD 90K+

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+

Integrated Care Manager *Remote*
Sentara Health Information Management (HIM), United States

Observation Care RN license BLS Acute care RN Case Management Billing Coding Reimbursement +4

USD 127K+

Clinical Transformation Manager- eICU Virtual Care (US-Remote)
United States of America - Remote Based

Virtual nursing Critical care nursing Clinical change management Philips solutions ICU Clinical integration Workflow Analysis Critical care Clinical Training +26

USD 83K+

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+

RN Consultant Sr - Professional Liability
Recruiting Only - Telecommuter, United States

Legal nurse consulting Medical malpractice claims Medical malpractice Medical Knowledge Professional liability Clinical Nursing Liability Report Preparation Interpretive +31

Senior Mid Full Time

USD 80K+

Lactation Consultant (IBCLC) (Spanish Fluency Required)
United States

Lactation care Healthcare practice Spanish fluency Clinical protocols EHRs Software Proficiency Patient Engagement Registered Nurse Risk assessments +20

USD 65K+

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+

Clinical Supervisor- Elizabeth City
North Carolina Remote, United States

Home infusion Hospice Policy compliance BLS Staff Development Clinical Supervision Home Health Program development RN +9

USD 69K+

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+

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 Management Coord - New Mexico or Oklahoma
Albuquerque New Mexico HQ (5701 Balloon Fiesta Parkway), United States

Health Care Service Corporation

MCG certification Registered Nurse Clinical Experience Care Coordination Utilization management Medical terminology RN Wellness Health care +8

USD 60K+

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+

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+

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+

Utilization Management Nurse
Renton, WA, United States

Cambia Health Solutions

DO Disease Management Clinical Care Utilization management Clinical expertise Quality improvement Care management Nursing Auditing +15

USD 83K+

Group Health Operations Manager (RN/LPN)
United States - Remote

Staffing Management Peer review LPN Computer literacy Insurance Claims Utilization Review Claims management Typing RN +12

USD 75K+

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+

Appeals Clinician I
Portland, OR, United States

Cambia Health Solutions

Medical policy compliance Claim review MCG guidelines Patient data analysis Claims forms Medical Records Interpretation Medical procedures Icd-9 coding Hcpcs coding +19

USD 98K+

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+

UMP Clinical Program Manager
Renton, WA, United States

Cambia Health Solutions

Account expertise Contract Analysis DO Healthcare Industry Knowledge Policy analysis Autonomy Care management Prioritization Nursing +19

USD 86K+

Full Time Registered Nurse, Behavioral Health Complex Case Manager, Remote
Remote, United States

EMR technologies Clinical Case Management Telephonic case management Telephonic Communication Clinical assessments Personalized care plans Registered Nurse Therapy Care Coordination +18

USD 81K+

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+

NP/PA - Virtual Health Assessments (1099)
Remote

Virtual health assessment Preventative care DNP Healthcare delivery system Risk Adjustment Coding Treatment Patient interaction Healthcare Delivery Risk Adjustment +10

USD 140K+

NP/PA - Virtual Urgent Care (overnights)
Remote

Home monitoring tools Spanish Language Healthcare delivery system Remote diagnostics DNP Collaborative care model Evidence-Based Care Patient Communication Healthcare Delivery +16

USD 140K+

LTSS Service Care Manager
Remote-FL, United States

Centene Corporation

Gerontology Holistic care Geriatrics Pediatrics Long Term Care Healthcare Coordination Quality of care Resource support Service Assessment +31

USD 52K+

Bilingual RN Nurse Navigator (Remote)
Dallas, Texas, United States

Angels of Care Pediatric Home Health

Resource Evaluation Client assessment EMR documentation Patient advocacy Care Coordination EMR RN Care management Case Management +8

USD 75K+

Care Manager (RN)
Remote-MI, United States

Centene Corporation

Resource Coordination Complex Care Management Personalized care plans Care Planning Resource support Service Assessment Foster care Healthcare outcomes Service plans +25

USD 55K+

Care Manager (RN)
Remote-NY, United States

Centene Corporation

Resource Coordination Complex Care Management Personalized care plans Resource support Service Assessment Foster care Healthcare outcomes Service plans Healthcare benefits +24

USD 55K+

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+

Vice President, Population Health - Care Management
Remote-MO, United States

Centene Corporation

Consumer assessment URAC CAHPS Member engagement HEDIS NCQA Health Plan Population health Medical management +28

USD 182K+

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+

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+

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+

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+

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