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Remote Jobs with State licensure Certification

46 fresh jobs found

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

Centene Corporation

Member Outreach Ncqa standards Provider experience Quality care NCQA Healthcare outcomes Data Reporting Policy Development RN +28

Senior Mid Full Time

USD 100K+

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+

Care Manager (RN)
Remote-OH, United States

Centene Corporation

Home outreach Digital Outreach Personalized care plans Complex Care Management Service plan Resource support Social determinants Foster care Service Assessment +26

USD 55K+

Care Manager (RN)
Remote-FL, United States

Centene Corporation

Digital Outreach Personalized care plans Complex Care Management Service plan Resource support Social determinants Foster care Service Assessment Healthcare outcomes +25

USD 55K+

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+

Care Manager (RN)
Remote-NY, United States

Centene Corporation

Resource Coordination Service plan Complex Care Management Personalized care plans Resource support Social determinants Foster care Service Assessment Healthcare outcomes +26

USD 55K+

Senior Clinical Review Nurse - Prior Authorization
Remote-NY, United States

Centene Corporation

Service authorization Medical appropriateness Authorization requests Health management systems Clinical reviews Health management Medicaid regulations Clinical Information Clinical Review +25

Senior Mid Full Time

USD 60K+

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

Centene Corporation

Digital Outreach Service plan Personalized care plans Complex Care Management Resource support Social determinants Foster care Service Assessment Healthcare outcomes +25

USD 95K+

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+

Senior LTSS Service Care Manager (RN)
Austin-13620 FM 620 Building C Suite 300 (11121), United States

Centene Corporation

Medicaid health assessments Personalized care plan Member advocacy Service authorization Continuum of care Service plan Quality care Long Term Care Health Assessments +38

Senior Full Time

USD 127K+

Care Manager (RN)
Remote-DE, United States

Centene Corporation

Home outreach Service plan Digital Outreach Personalized care plans Complex Care Management Resource support Social determinants Telephonic Outreach Service Assessment +27

USD 55K+

Senior LTSS Service Care Manager (RN)
Corpus Christi - 711 N. Carancahua St., Ste 600 (Superior) (10086), United States

Centene Corporation

Rehab Personalized care plan Member advocacy ICU Service authorization Service plan Continuum of care Long Term Care Service coordination +44

Senior Full Time

USD 70K+

Care Manager (RN) - OB
Remote-WI, United States

Centene Corporation

Home outreach Service plan Digital Outreach Personalized care plans Complex Care Management Resource support Social determinants Telephonic Outreach Service Assessment +26

USD 55K+

Care Manager (RN) OB
Remote-MO, United States

Centene Corporation

Service plan Digital Outreach Personalized care plans Complex Care Management Resource support Social determinants Telephonic Outreach Foster care Service Assessment +26

USD 55K+

Lead Care Manager (RN)
Remote-WI, United States

Centene Corporation

Service plan Ncqa standards Quality care Personalized care plans NCQA Telephonic Outreach Training and education Healthcare outcomes Service plans +25

Senior Mid Full Time

USD 85K+

RN Clinical Review Clinician_Appeals
Remote-CA, United States

Centene Corporation

Appeals processes Interdepartmental Collaboration Ncqa standards Clinical reviews Medicaid regulations Researching NCQA Clinical Review Guidelines +27

USD 95K+

Supervisor, Care Management (RN)
Remote-KY, United States

Centene Corporation

Home outreach Member Outreach Provider experience Digital Outreach Quality care Telephonic Outreach Performance Evaluation RN Care management +16

USD 85K+

Senior LTSS Service Care Manager (RN)
Remote-TX, United States

Centene Corporation

Long-term care planning Medicaid health assessments Community Resource Coordination Personalized care plan Member advocacy Service authorization Service plan Continuum of care Quality care +39

Senior Full Time

USD 127K+

Care Manager (RN)
Remote-MO, United States

Centene Corporation

Service plan RN licensure Compliance Documentation Personalized care plans Complex Care Management Resource support Social determinants Service Assessment Foster care +27

USD 55K+

Care Manager RN
Remote-GA, United States

Centene Corporation

Service plan Ambetter Managed care experience Digital Outreach Personalized care plans Complex Care Management Resource support Social determinants Service Assessment +31

USD 55K+

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

Centene Corporation

Health management systems Health management Medicaid regulations Guidelines Medical necessity Clinical Review Discharge planning Utilization Acute care +20

USD 95K+

Care Manager RN
Remote-TX, United States

Centene Corporation

Service plan Resource Coordination Personalized care plans Complex Care Management Resource support Telephonic Outreach Social determinants Service Assessment Foster care +26

USD 55K+

LTSS Assessor RN
Remote-NY, United States

Centene Corporation

Clinical guidelines compliance Service plan Personalized care plan Community resources coordination Member advocacy UAS Healthcare provider collaboration Service authorization Continuum of care +34

USD 70K+

TeleHealth Registered Nurse - Registry
Remote-TX, United States

Centene Corporation

Obstetrics Health management Patient Assessment Guidelines Care Planning Clinical Information Home Health Triage Medical management +16

USD 95K+

Supervisor, Behavioral Health Utilization Management
Remote-FL, United States

Centene Corporation

Regulations Compliance UM Guidelines Accreditation Standards Clinical Supervision Medical necessity Utilization Accreditation Utilization Review +28

USD 73K+

Care Manager (RN)
Remote-ME, United States

Centene Corporation

Complex Care Management Personalized care plans Social determinants Resource support Service Assessment Foster care Service plans Healthcare outcomes Healthcare benefits +25

USD 55K+

Care Manager (RN)
Remote-IL, United States

Centene Corporation

Home outreach Digital Outreach Complex Care Management Personalized care plans Social determinants Resource support Telephonic Outreach Service Assessment Foster care +26

USD 55K+

Care Manager (RN)
Remote-AR, United States

Centene Corporation

Maternal health Telephonic case management Obstetrics Compliance Documentation Social determinants Complex Care Management Personalized care plans Resource support Service Assessment +26

USD 55K+

Supervisor, Care Management (RN)
Remote-OK, United States

Centene Corporation

Maternity NICU Member Outreach Provider experience Quality care RN Care management Managed Care Nursing +16

USD 85K+

Care Manager (RN) - OB
Remote-IA, United States

Centene Corporation

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

USD 55K+

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

Centene Corporation

TruCare Health management systems InterQual Guidelines Health management Medicaid regulations Clinical Review Medical necessity Discharge planning +22

USD 52K+

Utilization Review Clinician - ABA
Remote-AZ, United States

Centene Corporation

ABA services Autism spectrum disorder Guidelines Medical appropriateness Behavioral Analysis Healthcare Provider Interaction Clinical Standards Applied Behavior Analysis Treatment plans +29

USD 95K+

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

Centene Corporation

Guidelines Medical appropriateness Healthcare Collaboration Treatment plans Substance abuse Clinical Review Discharge planning Utilization Utilization Review +21

USD 52K+

Care Manager (RN)
Remote-KY, United States

Centene Corporation

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

USD 55K+

Manager, Care Management (RN)
Remote-NY, United States

Centene Corporation

Member Outreach Provider experience Quality care Ncqa standards NCQA Healthcare outcomes Data Reporting Policy Development Audits +26

Senior Mid Full Time

USD 100K+

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

Centene Corporation

Education provision Outpatient Medical appropriateness Healthcare Collaboration Treatment plans Substance abuse Utilization Clinical Review Discharge planning +23

USD 52K+

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+

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

Centene Corporation

Quality care Community resource collaboration Service coordination Spanish Speaking Complex Care Management Healthcare Coordination Healthcare outcomes Service plans Telephonic Outreach +29

Senior Mid Full Time

USD 73K+

Senior LTSS Service Care Manager, RN
Remote-TX, United States

Centene Corporation

Medicaid Assessments Quality care Rehab ICU Continuum of care Service authorization Service coordination Long Term Care Healthcare Education +39

Senior Full Time

USD 70K+

Speech Language Pathologist - CONTRACTOR
US - VA - Remote, United States

Therapy techniques Individualized Education Program Individualized education Accommodations and modifications Ms365 Special education documentation IEP Development Assistive Technology Modifications +28

USD 150K+

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

Centene Corporation

Education provision Healthcare Collaboration Medical appropriateness Utilization Treatment plans Substance abuse Clinical Review Discharge planning Utilization Review +21

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+

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+

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+

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+

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