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Remote Jobs with RN License Certification

60 fresh jobs found

Behavioral Health High Acuity Team (BHAT) Specialist - Remote
PA, Working at Home - Pennsylvania

Highmark Health

Psycho-social assessments Lifestyle improvement Health-related decision making Healthcare system navigation Community resource navigation Dialectical behavior therapy Telephonic case management Self-Management Condition Management +24

Senior Full Time

USD 67K+

Remote Clinic Triage Registered Nurse - Primary Care
Washington, USA

Jefferson Healthcare

Phone consultations Interventions Health education Triage Clinical assessment Referrals Utilization management

USD 68K+

Appeals Nurse
HGB SCA Remote KY

TRICARE policies Tricare DRG ICD-9 Medical Documentation Accreditation Peer review MCG ICD +44

USD 69K+

RN Quality Clinical Management Lead Analyst, Work from Home, Anywhere, USA
Pennsylvania Work at Home

The Cigna Group

Patient Disease Processes Database navigation Ncqa standards Quality of care HEDIS Medical Record Review Quality review Health Services Quality improvement +35

Senior Mid Full Time

USD 73K+

Quality Review & Audit Lead Analyst - DRG Coder - Remote
Connecticut Work at Home

The Cigna Group

Inpatient coding guidelines HIPAA confidentiality DRG Coding ICD-10 Coding Coding Quality Provider Relations Quality review Coding Guidelines ICD +20

Senior Mid Full Time

USD 65K+

Care Manager RN
Work At Home-Colorado

High-Speed Internet Clinical Tools RN license Data Review Telephonic Communication Member engagement Policies and procedures RN licensure Acute care +18

USD 60K+

Clinical HEDIS Manager
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

NCQA guidelines Interdisciplinary communication Member Management Submissions Abstraction Data Retrieval Medical Record Review HEDIS Risk Adjustment +23

Senior Mid Full Time

USD 100K+

Care Manager Behavioral Health - Part Time (Weekends) Remote
PA, Working at Home - Pennsylvania

Highmark Health

Health care services Condition Management Health coaching Utilization management Care management RN Health Insurance Nursing Managed Care +15

USD 50K+

Nurse Practitioner - Urgent Care
Remote

Included Health

Management of Health Conditions Diagnostic Tests Referral Diagnostic Testing Nurse Practitioner In-person care Specialty care Triage Care Navigation +27

USD 25K+

Case Manager RN - Maternity/Fertility
Work At Home-Ohio

Ob-gyn Maternity Infertility Women's Health Telephonic case management Integrative functions Clinical resources Clinical Tools Holistic approach +24

USD 54K+

Field Experience Coordinator
Remote, REMOTE, United States

Adtalem Global Education

Field education Academic Leadership Academic Advising Student Support Human services Online Learning Advising Webinars Nursing +19

Entry Mid Full Time

USD 36K+

Nurse Reviewer, Appeals and Hearings (Remote)
Any city, LA, US, 99999

Gainwell Technologies

Appeals process MCG criteria Medical record coding Clinical criteria guidelines InterQual criteria Coding certification CCS CPC InterQual +28

USD 64K+

Clinical Program Advisor - Work from Home Anywhere, USA (AAPC or AHIMA Coding Certification Required) LPN or RN Preferred
Alabama Work at Home

The Cigna Group

Reimbursement Policy Claims Data Business writing LPN HCPCS Health Services CPT Business Operations RN +27

USD 92K+

Full Time Registered Nurse, Triage and Navigation
Remote

Evidence-based recommendations Healthcare navigation Mental Health Support Clinical assessments Triage Therapy Data integrity HIPAA Compliance Advocacy +9

USD 86K+

Home Based Nurse Care Manager
Dallas, TX

Included Health

Health outcomes improvement Multidisciplinary teamwork Social Determinants of Health Chronic Disease Management Community Health Specialty care In-person care Care Navigation Community Resources +31

USD 25K+

Wellbeing Health Advisor
Albuquerque New Mexico HQ (5701 Balloon Fiesta Parkway)

Health Care Service Corporation

Health management Milliman guidelines Medical Management Policies Web-based tools Database experience Condition Management PC Proficiency Medical management Clinical Care +20

USD 58K+

NP/PA - Oscar Primary Care (Bilingual)
Remote

FNP PA NCCPA ANCC ENP AANP Continuity of care Remote diagnostics Home monitoring tools +20

USD 130K+

RN Consultant Team Lead - Professional Liability
Recruiting Only - Telecommuter

Legal nurse consulting Report proofreading Clinical Nursing Medical Record Review Professional liability Liability Staffing Judgment Disability +14

Senior Full Time

USD 80K+

RN Consultant Sr - Professional Liability
Recruiting Only - Telecommuter

Medical malpractice Clinical Nursing Claims investigation Professional liability Liability Medical Knowledge Interpretive Performance competencies PC literate +24

Senior Full Time

USD 70K+

Associate Dean, Nursing Doctoral Programs
Remote, REMOTE, United States

Adtalem Global Education

Program assessment Faculty Recruitment Accreditation Compliance Distance Learning Health sciences Academic Advising Accreditation Online Education Public Administration +27

Senior Mid Full Time

USD 80K+

Manager Clinical Health Services LTSS Aetna Better Health of Virginia
Work At Home-Virginia

Data evaluation RN license Healthcare Coordination Holistic approach Policies and procedures Clinical Leadership Registered Nurse Primary Care Health Services +27

USD 87K+

Remote Bilingual Telephonic RN Case Manager - Outpatient (Must have California License)
Remote-US, California, United States

Alignment Health

Bilingual Vietnamese Health Care Management Resource Utilization Chronic Condition Management Bilingual English and Spanish Vietnamese RN license Community Resources Care Coordination +16

USD 79K+

RN Sanction Specialist - EMTALA and Sanction (Remote)
Harrisburg, Pennsylvania, United States - Remote

EMTALA Healthcare Risk Management Referrals Public Sector Clinical Experience RN Clinical expertise Healthcare industry Technical Assistance +9

USD 76K+

Case Manager RN
Work At Home-Arizona

Telephonic Communication RN license Clinical Tools Data Review Policies and procedures RN licensure Acute care Member engagement Discharge planning +20

USD 54K+

Pediatric Registered Nurse - RN
Remote - California

Pediatric Nursing BLS Infection control Remote patient monitoring Vaccination Electronic Health Records Patient Education Nursing Telehealth +8

USD 130K+

Nurse Care Manager, Adult
Remote

Included Health

Telephonic care Medical record systems Acute case management Spanish Speaking Specialty care In-person care Patient advocacy Manual Dexterity Disease Management +22

Senior Mid Full Time

USD 25K+

Clinical Manager
United States - Remote

Enhanced care management Google Applications Clinical Management Social Determinants of Health Clinical Oversight Microsoft Applications Lean Six Sigma Medication management Care management +9

USD 90K+

Float Pool (RN) Case Management Lead Analyst - Evernorth Health Services - Remote
Virginia Work at Home

The Cigna Group

System proficiency Health advocacy Digital Messaging Telephonic Communication Digital Communication Internet Research Clinical Acumen Cultural Sensitivity Health Services +37

Senior Mid Full Time

USD 75K+

Pediatric Nurse Care Manager
Remote

Included Health

Acute case management Medical record systems Acute care management Spanish Speaking Cultural Competence Pediatric care Patient advocacy Manual Dexterity Disease Management +18

USD 25K+

Patient Safety Specialist
Saint Paul, MN, United States

Process measurement Human factors analysis Clinical analysis Multidisciplinary teamwork Patient Safety Systems Design Healthcare experience Performance Improvement CMS +4

Senior Mid Full Time

USD 75K+

Float Pool RN Case Management Lead Analyst - Evernorth Health Services - Remote (Open)
California Work at Home

The Cigna Group

System proficiency Health advocacy Healthcare Advocacy Digital Messaging Telephonic Communication Digital Communication Internet Research Clinical Acumen Cultural Sensitivity +38

Senior Mid Full Time

USD 75K+

Part -Time Virtual Diabetes Nurse Clinician
Remote

Low carbohydrate nutrition Meal planning Diabetes Care Nutrition Clinical expertise Digital Tools Patient Education Telemedicine Nursing +8

USD 68K+

Case Manager RN
Work At Home-New York

Healthcare programs Data-driven methods Telephonic case management RN license RN licensure Health Literacy Member engagement Discharge planning Referrals +27

USD 66K+

Transition of Care Nurse - RN
Work At Home-Virginia

Clinical Assistance Goal Attainment Home health care coordination Home health care Emergency department Proprietary applications Navigating multiple systems RN license Keyboarding +34

USD 60K+

Case Manager RN
Work At Home-Missouri

Integrative functions Health Assessment Telework Telephonic Communication RN license Clinical Tools Clinical resources Holistic approach Data Review +22

USD 54K+

Case Management Coordinator II
Richardson Texas HQ (1001 E. Lookout Drive)

Health Care Service Corporation

Medical Management Policies CM Database experience PC Proficiency Discharge planning Medical management Disease Management PC Clinical Care +22

USD 58K+

I/DD Waiver Registration Coordinator RN
West Virginia, United States - Remote

Person-centered planning Developmental disabilities Strong organizational Medical Documentation Software tools Policy interpretation Microsoft software Public Sector Software Applications +27

USD 49K+

Case Manager RN
Work At Home-North Carolina

Healthcare programs Data-driven methods Telephonic case management RN license Discharge planning Member engagement Acute care Health Literacy Referrals +21

USD 54K+

Senior Clinical Consultant
Portland

Medical consultation Clinical analysis Disability claims Utilization Review PC Medical terminology MS Word Claims management Decision making +15

Senior Mid Full Time

USD 81K+

Field Care Manager, Behavioral Health
Work at Home - Kentucky

Social determinants Medical Services Microsoft Office Word Social service agencies Health outcomes Health promotion Rating Community Health Bilingual English/Spanish +50

USD 25K+

Temp Nurse Case Manager at $47.25/hour- Remote in Virginia!
Virginia Remote

Telephonic assessments Health Plan Chronic Condition Management Clinical assessments Discharge planning Verification Healthcare systems Judgment RN +14

USD 94K+

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

Highmark Health

Quality outcomes Dialectical behavior therapy Disease Processes Condition Management Healthcare operations Cultural Competency Disease Management Cognitive Behavioral Therapy Analytic +19

Senior Mid Full Time

USD 57K+

Evening Perinatal Nurse (RN)
United States

Wellness goals Individualized care plans Labor and delivery Maternal-child health Healthcare practice Emergency Services Psychosocial assessment Child health User Feedback +16

USD 70K+

Nurse Practitioner / Physician Assistant, JSA
Remote-US, California, United States

Alignment Health

Physician Assistant Geriatric care RN license Chronic Disease Management Nurse Practitioner Home Care Disease Management Clinical Care Patient Assessment +12

USD 140K+

Nurse Auditor 2
Remote US

Clinical audit Medical record documentation Coding certification Medical Record Review Medical claims CPT codes Clinical Review CPT Consumer Experiences +37

USD 69K+

Registered Nurse with Coding Certificate - Remote in US
Any city, OK, US, 99999

Gainwell Technologies

AP-DRG HMS Auditing Systems Clinical auditing CC Internet browsers MCC Coding reviews Clinical review judgment Regulatory support +57

Senior Mid Full Time

USD 59K+

Oncology Nurse (RN) Case Management Lead Analyst - Evernorth Health Services - Remote
Pennsylvania Work at Home

The Cigna Group

Oncology Nursing Disease Prevention Shared Decision Making Digital Messaging Health promotion Internet Research Clinical Acumen Behavior Change Medical management +30

Senior Mid Full Time

USD 75K+

In Home Nurse Care Manager
Phoenix, AZ

Included Health

Health outcomes improvement Multidisciplinary teamwork Social Determinants of Health Chronic Disease Management In-person care Specialty care Manual Dexterity Community Health Disease Management +30

USD 25K+

RN- Maternity Nurse Case Manager-Remote
Pennsylvania Work at Home

The Cigna Group

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

USD 75K+

Case Manager RN- Maternity/Fertility
Work At Home-Arizona

Maternity Telephonic case management Ob-gyn Infertility Women's Health RN license Clinical resources Clinical Tools Holistic approach +23

USD 54K+

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