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Remote Jobs with RN licensure Certification

28 fresh jobs found

Registered Nurse - Psychiatry, California (Remote)
Remote - United States

Psychiatric care Mental Health Care Workflow Development Healthcare Regulations Clinical Documentation Crisis Management Psychiatry EHR Clinical support +7

USD 0K+

UM Nurse Consultant - Prior Authorization
Work At Home-Ohio

Benefit utilization Coverage determination Benefit management Navigating multiple systems Medical necessity Clinical Criteria Keyboarding RN licensure Discharge planning +27

USD 52K+

Case Manager RN
Work At Home-Ohio

Clinical resources Clinical Tools Holistic approach Data Review Policies and procedures RN licensure Care Planning Member engagement Clinical Practice +15

USD 54K+

Case Manager RN
Work At Home-Georgia

Telephonic assessment Transplant Critical care Clinical resources Clinical Tools Holistic approach Data Review Policies and procedures RN licensure +15

Senior Mid Full Time

USD 54K+

Case Manager RN- Pennsylvania
Work At Home-Pennsylvania

Emergency department Long Term Care Clinical resources Clinical Tools Holistic approach Data Review Policies and procedures RN licensure Discharge planning +23

USD 60K+

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

Gainwell Technologies

Proprietary Auditing Systems Clinical review judgment Regulatory support MCC Clinical auditing AP-DRG CC Internet browsers APR-DRG +58

Senior Mid Full Time

USD 59K+

Case Manager RN (Remote)
Work At Home-Florida

Home healthcare Telework Proprietary applications Navigating multiple systems Keyboarding Clinical Tools Clinical resources Healthcare Coordination Holistic approach +35

USD 54K+

Clinical DRG Auditor, Specialist (Remote Nurse in US)
Any city, ID, US, 99999

Gainwell Technologies

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

Senior Mid Full Time

USD 59K+

Clinical Associate (Field based)
Michigan, Virtual Address

Post-deployment services Acute care products Customer Excellence Critical care Clinical Strategy Interdisciplinary Collaboration Clinical Training Acute care Customer requirements +11

USD 67K+

Case Manager RN (Remote)
Work At Home-Pennsylvania

Holistic Assessment Home health care coordination Proprietary applications Navigating multiple systems Data evaluation Keyboarding Clinical resources Clinical Tools Holistic approach +39

USD 60K+

Case Manager
High Point-4050 Piedmont Parkway

Telephonic case management Emergency department RN license Long Term Care Clinical resources Holistic approach Clinical Tools Data Review Policies and procedures +26

USD 54K+

Transition of Care Nurse - RN
Work At Home-Connecticut

Home health care coordination Clinical Assistance Goal Attainment Emergency department Proprietary applications Navigating multiple systems Clinical resources Keyboarding Holistic approach +32

USD 66K+

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+

Case Manager RN- Maternity
Work At Home-Arizona

Holistic Assessment Maternity Care Women's Health RN license Clinical resources Clinical Tools Holistic approach Policies and procedures Data Review +23

USD 54K+

Utilization Managment Nurse Consultant
Work At Home-California

Benefit management Benefit utilization Coverage determination Long Term Care Clinical Criteria Medical necessity Telephonic Communication RN licensure Utilization Review +29

Entry Mid Full Time

USD 64K+

Clinical Quality Nurse Reviewer, Sr. Specialist - (RN Remote in US)
Any city, NC, US, 99999

Gainwell Technologies

Clinical quality review InterQual criteria Chart Audits Clinical criteria guidelines Productivity standards Medical Record Review RN license InterQual Clinical Criteria +28

Senior Full Time

USD 64K+

DRG Nurse Quality Auditor, Sr. Specialist - Remote in US
Any city, OK, US, 99999

Gainwell Technologies

CC Education content development DRG auditing MCC Coding reviews Payment methodologies DRG validation Training Initiatives APR-DRG +38

Senior Full Time

USD 64K+

Clinical Associate (Field-Based)
Minnesota, Minneapolis Virtual Address

Acute care products Post-deployment services Customer Excellence Critical care Clinical Strategy Interdisciplinary Collaboration Acute care Clinical Training Customer requirements +10

USD 70K+

Appeals Review Nurse
Remote

NCCN Medical decision support tools Level of care reviews Medical necessity reviews Milliman care guidelines Evidence-Based Guidelines InterQual MCG Clinical Guidelines +16

Entry Mid Full Time

USD 70K+

Clinical Specialist, South (field-based)
Florida, Virtual Address

Clinical insights Tool optimization Performance evaluations Clinical Standards Critical care Metrics Tracking Acute care Medical Information Performance Evaluation +18

USD 85K+

Case Manager RN (remote)
Work At Home - Utah

Clinical resources Holistic approach Clinical Tools RN licensure Policies and procedures Member engagement Data Review Care Planning Clinical Practice +20

USD 54K+

Case Manager RN
Work At Home-Colorado

Transplant Critical care RN license RN licensure Clinical Practice Utilization management RN Managed Care Health care +8

USD 60K+

UM Nurse Consultant (Remote)
Work At Home-Ohio

Coverage determination Benefit utilization Benefit management Navigating multiple systems Clinical Criteria RN licensure Keyboarding Registered Nurse Clinical Judgment +17

USD 52K+

Utilization Review Nurse
Remote

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

USD 70K+

Case Manager RN (Remote, Nevada RN licensure required)
Work At Home-Nevada

Home healthcare Proprietary applications Telework Navigating multiple systems Healthcare Coordination Clinical resources Holistic approach Clinical Tools RN licensure +35

USD 60K+

Utilization Management Nurse Consultant (Remote)
Work At Home-Pennsylvania

Post-acute care Navigating multiple systems Coverage determination Benefit utilization Benefit management Clinical Criteria Acute care RN licensure Keyboarding +19

USD 58K+

Care Manager RN (Remote)
Work At Home-Mississippi

Home healthcare Proprietary applications Telework Navigating multiple systems Healthcare Coordination Clinical resources Holistic approach Clinical Tools RN licensure +35

USD 54K+

Case Manager RN (Remote)
Work At Home-South Carolina

Proprietary applications Home healthcare Telework Healthcare Coordination Navigating multiple systems Clinical Tools Holistic approach Clinical resources RN licensure +34

USD 54K+

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