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Remote Jobs with Bachelor’s Degree in Nursing Education

48 fresh jobs found

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

Centene Corporation

Case reviews Clinical auditing Clinical recommendations Medical record audits Clinical Audits Quality of care Utilization Performance Measurement Electronic Medical Records +24

USD 55K+

Integrated Nurse Case Manager
Virginia Premier Health Plan Richmond, United States

RN license Clinical assessments Discharge planning Health Plan Care Coordination RN Care management Nursing Managed Care +10

USD 66K+

Research Nurse
Baltimore, MD, United States, 21205 Jo Johns Hopkins University

Resource provision Collaborative model Action Planning Home Care Clinical Judgment Registered Nurse Motivational interviewing Nursing Education +5

USD 45K+

Utilization Review Nurse-Weekends-Remote
Sentara Park 1330, United States

Concurrent review Inpatient review RN license Retrospective review Milliman InterQual NCQA Discharge planning Health Plan +16

USD 60K+

Concurrent Review Nurse (RN)
Remote in California

Central California Alliance for Health

Health care data Medi-cal Electronic Medical Records Utilization management Case Management Critical thinking Analysis Reporting Problem-solving +2

USD 80K+

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+

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+

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+

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+

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+

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-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+

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+

Lead Quality Program Strategist
Remote-MO, United States

Centene Corporation

Strategic improvement QRS Quality performance Cphq Healthcare quality Health administration Lean Six Sigma Program development Six Sigma +16

Senior Mid Full Time

USD 86K+

Quality Program Strategist II
Remote-FL, United States

Centene Corporation

Health plan compliance Performance goals HOS Quality performance CAHPS Cphq HEDIS Health Plan Clinical Experience +31

USD 68K+

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

Centene Corporation

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

USD 95K+

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

Centene Corporation

Service authorization Medical appropriateness Authorization requests Health management systems Clinical reviews Health management Medicaid regulations Guidelines Clinical Information +23

USD 95K+

Care Coordinator III
Remote-IL, United States

Centene Corporation

Service plan Service assessments Education on Benefits Member Outreach Home visits Guidelines Service plans Social Work Clinical Experience +24

Senior Mid Full Time

USD 68K+

Lead Quality Program Strategist
Remote-IA, United States

Centene Corporation

Strategic improvement programs Strategic improvement Quality performance trends QRS Quality performance Cphq Healthcare quality Health administration Lean Six Sigma +17

Senior Mid Full Time

USD 86K+

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+

Triage Nurse - RN - Evening Hours - 3pm-1:30am and Every other Weekend
Dayton WFH, United States

Health information service Decision support software Clinical triage Critical reasoning Nursing process URAC Proper grammar usage Decision support Ncqa standards +27

USD 61K+

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+

Case Manager I (RN/MSW) - Medicare/DSNP team
Yakima, Washington, United States; Seattle, Washington, United States

Community Health Plan of Washington

Workflow systems Telephonic case management Medicaid regulations Clinical assessment Home Health Discharge planning Community Health Social Work Clinical Experience +19

USD 77K+

Clinical Review Nurse - Prior Authorization (RN)
Remote-CA, United States

Centene Corporation

RN licensure Service authorization Medical appropriateness Authorization requests Guidelines Clinical reviews Health management systems Medicaid regulations Health management +24

USD 95K+

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+

Quality Improvement Coordinator II
Remote-FL, United States

Centene Corporation

Medical record audits Clinical Initiatives Cphq Corrective action plans Healthcare quality Quality of care Utilization Credentialing Medical Records +27

USD 66K+

Registered Nurse-Multispecialty-Scarsdale, NY-Part Time-Day-Offsite
United States

Mount Sinai Health System

Nursing process Clinical competence Cultural Sensitivity Surgery Clinical Practice Discharge planning Counseling Performance Improvement Cardiology +15

Entry Part Time

USD 107K+

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

Highmark Health

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

USD 57K+

Clinical Coordinator Specialist, International Health - Remote - Cigna Healthcare
Florida Work at Home, United States

The Cigna Group

US healthcare system knowledge Multilingual support Cigna Clinical coordination Healthcare navigation Healthcare Regulations Cultural Awareness Healthcare administration Clinical Acumen +27

Entry Mid Full Time

USD 70K+

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

Highmark Health

Medical Policies Health care services Health coaching Clinical Experience Utilization management Quality improvement RN Care management Managed Care +16

USD 50K+

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

Centene Corporation

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

USD 52K+

Quality Program Strategist II
Remote-NY, United States

Centene Corporation

Performance goals HOS Quality performance CAHPS Cphq HEDIS Health Plan Clinical Experience Cross-functional Teams +29

USD 68K+

Complex Discharge Planner
Remote-FL, United States

Centene Corporation

Prior authorizations Health management systems Health management Medicaid regulations Utilization Discharge planning Needs Assessment Utilization Review Acute care +19

USD 95K+

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

Centene Corporation

Service planning Quality care Service coordination Complex Care Management Healthcare outcomes Service plans Healthcare benefits Care Plans Community Resources +28

Senior Mid Full Time

USD 73K+

Care Manager, Telephonic Nurse (Disease Management)
Work at Home - Virginia, United States

Telephonic Nursing Keyboard Web navigation Advanced Computer Electronic Information Applications Social service agencies Health promotion Chronic Condition Management Rating +61

USD 71K+

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+

Manager, Call Center Operations (Clinical)
Remote-AZ, United States

Centene Corporation

Best Practices Research Call Center Management Workflow Development Call center Operations Staff training Call Center Experience Substance abuse Client satisfaction Psychology +39

Senior Mid Full Time

USD 86K+

Utilization Management Nurse 2-Remote, US
Work at Home - Kentucky, United States

Technical Savvy CGX Health Plan Experience Home Health Mobile Productivity Consumer Experiences Data interpretation Value-based care +50

USD 71K+

Sr. Manager, Clinical Informatics (Remote)
Michigan, Virtual Address, United States

Clinical Workflow Analysis Clinical workflow design Evidence-based practice Clinical Informatics Targeting Strategic development Workflow Optimization Acute care M +26

Senior Full Time

USD 149K+

Clinical Applications Specialist - Hospital Patient Monitoring (Travel: Alberta)
Canada - Remote Based

ICU CCU ER Philips Products Philips Intellivue Monitoring Equipment Philips IntelliVue Philips Intellivue monitoring Training Solutions Education delivery +40

USD 74K+

Care Management Behavioral Health Professional
Work at Home - Florida, United States

Neuropsychological testing Autism spectrum disorder Psychological testing Applied Behavioral Analysis Behavioral Analysis Social determinants Social Determinants of Health Social Work Care Coordination +39

USD 48K+

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+

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+

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+

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+

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