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Remote Jobs with State licensure Certification

38 fresh jobs found

Utilization Review Clinician - Behavioral Health
Remote-TX, United States

Centene Corporation

Electronic data entry Managed care experience Healthcare Collaboration Medical appropriateness Utilization Treatment plans Substance abuse Call Center Experience Clinical Review +32

USD 52K+

Care Manager (RN) - Hudson and/or Bergen County
Remote-NJ, United States

Centene Corporation

Home visits Complex Care Management Digital Outreach Resource support Personalized care plans Service Assessment Foster care Healthcare outcomes Service plans +24

USD 55K+

Clinical Review Clinician - Appeals
Remote-MO, United States

Centene Corporation

Appeals processing Interdepartmental Collaboration Clinical data analysis Medicaid regulations Ncqa standards Clinical reviews Utilization NCQA Clinical Review +25

USD 52K+

Pediatric Care Manager, RN (ECC)
Tampa-200 W. Waters Ave. (10971), United States

Centene Corporation

Pediatric care Home outreach Complex Care Management Digital Outreach Personalized care plans Resource support Service Assessment Foster care Healthcare outcomes +25

USD 55K+

Care Manager (RN)
Remote-AR, United States

Centene Corporation

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

USD 55K+

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+

Pediatric Care Manager (RN)
Remote-FL, United States

Centene Corporation

Member assessment Pediatric care Complex Care Management Personalized care plans Resource support Service Assessment Foster care Healthcare outcomes Service plans +25

USD 55K+

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+

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

Centene Corporation

Utilization Health management systems Medicaid regulations Health management Medical necessity Clinical Review Acute care Discharge planning Medical Records +19

USD 95K+

Care Manager (RN)
Remote-OH, United States

Centene Corporation

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

USD 55K+

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+

Care Manager RN
Remote-FL, United States

Centene Corporation

Compliance Documentation Managed care experience Complex Care Management Healthcare Education Digital Outreach Personalized care plans Resource support Service Assessment Foster care +29

USD 55K+

Utilization Review Clinician - Behavioral Health - Weekend Shift
Remote-FL, United States

Centene Corporation

Medical appropriateness Healthcare Collaboration Substance abuse Treatment plans Discharge planning Clinical Review Utilization Review Prior authorization Medical management +20

USD 52K+

Utilization Review Clinician - Behavioral Health
Remote-IL, United States

Centene Corporation

Healthcare Collaboration Medical appropriateness Substance abuse Treatment plans Provider education Discharge planning Clinical Review Utilization Review Treatment Planning +21

USD 52K+

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

Centene Corporation

RN licensure Health management systems UM Medicaid regulations Health management InterQual Acute care Discharge planning Clinical Review +22

USD 52K+

Care Manager (RN) - Essex and/or Union County
Remote-NJ, United States

Centene Corporation

Complex Care Management Home visits Digital Outreach Personalized care plans Resource support Service Assessment Foster care Telephonic Outreach Social Determinants of Health +22

USD 55K+

Utilization Review Clinician - Behavioral Health
Remote-GA, United States

Centene Corporation

Education provision Healthcare Collaboration Medical appropriateness Treatment plans Substance abuse Clinical Review Discharge planning Utilization Review Prior authorization +20

USD 52K+

Clinical Review Nurse - Prior Authorization
Remote-IL, United States

Centene Corporation

Service authorization Medical necessity analysis Medicare regulations Health management systems Medical appropriateness Health management Clinical reviews Authorization requests Medicaid regulations +22

USD 95K+

Utilization Review Clinician - Behavioral Health
Remote-SC, United States

Centene Corporation

Healthcare Collaboration Medical appropriateness Treatment plans Substance abuse Clinical Review Discharge planning Utilization Review Medical management Prior authorization +19

USD 52K+

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+

Utilization Review Clinician - ABA
Remote-AZ, United States

Centene Corporation

Autism spectrum disorder Healthcare Provider Interaction Medical appropriateness Clinical Standards Applied Behavior Analysis Treatment plans Behavioral Analysis ABA Clinical Review +25

USD 95K+

Utilization Review Clinician - Behavioral Health
Remote-AZ, United States

Centene Corporation

Clinical licensure Healthcare Collaboration Medical appropriateness Treatment plans Substance abuse Clinical Review Discharge planning Utilization Review Medical management +22

USD 95K+

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+

Clinical Review Clinician - Appeals (RN)
Remote-TX, United States

Centene Corporation

Appeals process Interdepartmental Collaboration Ncqa standards Clinical reviews Medicaid regulations NCQA Clinical Review Medical necessity Medical Records +23

USD 95K+

Care Manager (RN)
Remote-MS, United States

Centene Corporation

Disease education Home outreach Complex Care Management Compliance Documentation Digital Outreach Personalized care plans Resource support Service Assessment Foster care +25

USD 55K+

Utilization Review Clinician - Behavioral Health
Remote-MO, United States

Centene Corporation

Healthcare Collaboration Medical appropriateness Treatment plans Provider education Substance abuse Clinical Review Discharge planning Treatment Planning Utilization Review +21

USD 52K+

Transition Specialist
Remote-CA, United States

Centene Corporation

Education and training development Communication with healthcare providers Resource Facilitation Transition planning Member assessment Transition management Transition of care Health care services Healthcare Coordination +21

USD 95K+

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+

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+

Senior Care Manager
Remote-NH, United States

Centene Corporation

Substance Use Disorders Treatment options Service coordination Substance use Home visits Healthcare Coordination Healthcare outcomes Service plans Healthcare benefits +29

Senior Full Time

USD 73K+

Care Manager (RN)
Remote-WA, United States

Centene Corporation

Home outreach Compliance Documentation Resource support Personalized care plans Digital Outreach Foster care Service Assessment Healthcare outcomes Service plans +22

USD 55K+

Care Manager (RN)
Remote-AZ, United States

Centene Corporation

Resource support Personalized care plans Digital Outreach Foster care Service Assessment Healthcare outcomes Service plans Telephonic Outreach Care Plans +21

USD 55K+

Care Manager (RN) (CA)
Remote-CA, United States

Centene Corporation

Personalized care plans Resource support Digital Outreach Service Assessment Foster care Healthcare outcomes Service plans Care Plans Social Determinants of Health +21

USD 52K+

Clinical Review Clinician - Appeals
Remote-MO, United States

Centene Corporation

Appeals processing Interdepartmental Collaboration Clinical data analysis Ncqa standards Clinical reviews Medicaid regulations NCQA Clinical Review Medical necessity +25

USD 52K+

Care Manager (RN) - Bergen and/or Passaic County
Remote-NJ, United States

Centene Corporation

Compliance Documentation Personalized care plans Resource support Digital Outreach Foster care Service Assessment Home visits Healthcare outcomes Service plans +21

USD 55K+

Utilization Review Clinician - Behavioral Health
Remote-CA, United States

Centene Corporation

Education provision Medical appropriateness Clinical licensure Healthcare Collaboration Treatment plans Substance abuse Clinical Review Discharge planning Utilization Review +19

USD 95K+

Care Manager (RN) Bergen, Passaic, and Essex County
Remote-NJ, United States

Centene Corporation

Service planning Home outreach Personalized care plans Resource support Foster care Service Assessment Digital Outreach Healthcare outcomes Service plans +23

USD 55K+

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