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Remote Jobs with Bachelor’s Degree in Nursing Education

41 fresh jobs found

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+

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 (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+

Case Manager- Out of Network Management- System Services- Remote -Full Time- Days
System Services-Telecommuter, United States

Sharp HealthCare

Health plan criteria MCG Clinical Nursing Healthcare Coordination InterQual Patient Assessment Utilization Review Utilization management Consultation +6

USD 60K+

Quality Program Strategist II
Remote-IA, United States

Centene Corporation

HOS CAHPS Quality performance Cphq HEDIS Health Plan Clinical Experience Cross-functional Teams Strategic initiatives +28

USD 68K+

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+

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+

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+

Quality Improvement Coordinator I
Remote-WA, United States

Centene Corporation

Utilization Clinical quality improvement Healthcare quality Clinical Quality HEDIS Quality of care Healthcare Management Medical Records Performance Improvement +22

USD 95K+

Nurse Case Manager- REMOTE
United States

Blue Cross Blue Shield of Michigan

Human Relations Medical Knowledge Disability Management Microsoft Windows Report Preparation Clinical Care Workers Compensation Oral communication Case Management +12

USD 62K+

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+

Quality of Care Coordinator
Remote-KS, United States

Centene Corporation

Quality of care assessment Organizational policy adherence Clinical criteria application Clinical Criteria Medical Records Review Cphq Peer review Quality of care Medical Records +18

USD 118K+

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+

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

Centene Corporation

Service authorization Health management systems Health management Medicaid regulations Authorization requests Medical appropriateness Clinical reviews Clinical Information Clinical Review +21

USD 95K+

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+

Quality Improvement Auditor (Clinical)
Remote-NY, United States

Centene Corporation

Clinical Audits Medical record audits Clinical recommendations Quality of care Performance Measurement Medical Records Clinical Documentation Audits Business Processes +19

USD 55K+

Virtual Nurse Navigator – Remote in the US
New Providence, New Jersey, United States of America

Myelodysplastic syndrome Pharmaceutical industry compliance Iqvia Medical device support Outbound Calls Telephonic Communication Diabetes Management Telephony Call Center Experience +30

USD 62K+

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+

Education Coordinator I
Remote-GA, United States

Centene Corporation

Member management software Learning Technologies Education and Training Health Plan Adult Learning Principles Methodologies Training Programs Clinical operations Instructional Design +15

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+

Telephonic Nurse Triage RN
Working Virtually, United States

MultiCare Health System

Ethical care Nursing process Holistic care BLS Cost reduction Triage Quality improvement Telehealth Nursing +9

USD 94K+

Medical Case Manager - (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Community Resource Knowledge Medical Case Management Care Plan Development Interdisciplinary Collaboration Resource Coordination Telephonic Communication Social Work Clinical Judgment Community Resources +20

USD 57K+

Trainer-Auditor (Clinical)
Remote-MI, United States

Centene Corporation

CCMS Amisys Training Programs Social Work Process Development RN Auditing Nursing Supervision +12

USD 55K+

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+

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

Highmark Health

Healthcare service delivery Dialectical behavior therapy Condition Management Disease Processes Cognitive Behavioral Therapy Cultural Competency Disease Management Care Planning Analytic +20

Senior Mid Full Time

USD 57K+

Clinical Product Surveillance Specialist
REMOTE- Illinois, United States

Medline Industries, LP

Product use Clinical workflow Medical device reporting MDR Adverse event reporting FDA regulations Cross-functional Teamwork Risk Analysis FDA +12

USD 79K+

Clinical Services Leader
Remote

Mips Quality data reporting Regulatory Frameworks Healthcare operations Clinical Data Analytical thinking Financial Management Consulting CRM +7

Senior Full Time

USD 110K+

Full Time Neonatal Intensive Care Unit/Pediatric Registered Nurse - Remote
Remote, United States

EMR technologies Clinical Case Management Telephonic case management Clinical assessments Telephonic Communication Care Planning Therapy EMR Mental Health Support +10

Senior Mid Full Time

USD 86K+

Bilingual RN Care Manager (Remote Flexible - Spanish Speaking)
Galt, California

Patient-Driven Care Complex Care Management Data-Driven Technology Medication Reconciliation Interdisciplinary Care Clinical services Health Literacy Video Conferencing Substance Use Disorder +17

USD 80K+

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

Highmark Health

Dialectical behavior therapy Condition Management Disease Processes Cognitive Behavioral Therapy Cultural Competency Analytic Motivational interviewing Autonomy Clinical Judgment +17

Senior Mid Full Time

USD 57K+

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+

Post-Acute Utilization Management Nurse (Gulf South Region)
Work at Home - Tennessee, United States

Interpreting Criteria Rehab Health Plan Experience CMS guidelines Clinical Nursing Medical Services Consumer Experiences Discharge planning CMS +41

USD 71K+

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

Highmark Health

Dialectical behavior therapy Disease Processes Condition Management Statistical Data Analysis Cognitive Behavioral Therapy Cultural Competency Analytic Motivational interviewing Autonomy +18

Senior Mid Full Time

USD 57K+

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+

Triage Nurse - RN - Must live within 1hr of Ridgeland MS 39157
Mississippi WFH, United States

Compassionate care Health information service Critical reasoning Critical Listening Nursing process Clinical triage Phone Etiquette Provider engagement Computer Applications +15

USD 55K+

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+

Care Manager (RN)
Remote-NJ, United States

Centene Corporation

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

USD 55K+

Clinical Solutions Specialist-Urology
REMOTE- New York, United States

Medline Industries, LP

Product trial Utilization reviews Clinical reviews Urology Customer Education Clinical Practice Clinical expertise Microsoft PowerPoint Microsoft Word +10

USD 85K+

Clinical Associate (Field based)
Oregon, Virtual Address, United States

Acute care products Solutions delivery Customer Excellence Clinical Strategy Critical care Interdisciplinary Collaboration Customer requirements Acute care Data Reporting +15

USD 67K+

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