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Remote Jobs with BSN Education

52 fresh jobs found

Prior Authorization Clinician RN
Work At Home-Oklahoma, United States

Precertification Navigating multiple systems Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Clinical Judgment +18

USD 52K+

Consultant – Healthcare Performance Improvement (Clinical Documentation Improvement)
United States

Berkeley Research Group

ICD-10 CM/PCS Healthcare performance improvement Clinical documentation improvement Inpatient Coding Healthcare Analytics Creative Solutions Health Information Management Regulatory Guidelines Public speaking +11

Senior Mid Full Time

USD 70K+

Utilization Management Nurse Consultant
Work At Home-Kansas, United States

CM/UM certification IT platforms Med/surg Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Clinical Judgment +20

Entry Mid Full Time

USD 52K+

RN Complex Care Manager (Remote)
Silver Spring, MD, United States

Health records Chronic Conditions Health risk assessment Evidence-Based Guidelines Clinical Nursing Electronic Health Records Patient Education Diversity and Inclusion RN +10

USD 76K+

Utilization Management Nurse Consultant
Work At Home-Michigan, United States

CM/UM certification IT platforms Med/surg Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Clinical Judgment +20

Entry Mid Full Time

USD 58K+

Clinical Training Manager
Remote

Microlearning Technology Platform E-Learning Lean Six Sigma Clinical Training Training Programs Clinical operations Instructional Design Learning and development +21

USD 92K+

Utilization Management Nurse Consultant
Work At Home-Illinois, United States

Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria Computer Systems RN licensure Telephonic Communication Medical necessity +25

USD 64K+

Nurse Care Manager, Adult
Arizona

Included Health

Medical record systems Acute case management Telephonic care Spanish Speaking In-person care Specialty care Disease Management Manual Dexterity Urgent care +23

Senior Mid Full Time

USD 25K+

Nurse Care Manager, Adult
Utah

Included Health

Medical record systems Acute case management Telephonic care Spanish Speaking In-person care Specialty care Disease Management Manual Dexterity Urgent care +23

Senior Mid Full Time

USD 25K+

Nurse Care Manager, Adult
Idaho

Included Health

Medical record systems Acute case management Telephonic care Spanish Speaking In-person care Specialty care Disease Management Manual Dexterity Urgent care +23

Senior Mid Full Time

USD 25K+

Mobile Research Nurse (PRN)
Remote, US

Investigational medications Hazardous substances handling Specimen collection BLS Microsoft systems Phlebotomy Patient Assessment Clinical Research Nursing +1

USD 100K+

Clinical Case Manager Behavioral Health
Work At Home-Texas, United States

Community resource identification Provider coordination Bilingual Spanish and English Clinical Tools RN license Data Review Care Planning Telephonic Communication Crisis Intervention +32

USD 60K+

Assistant Professor- MSW Program
Remote, REMOTE, United States

Adtalem Global Education

Evidence-Based Teaching Fieldwork Supervision Advisement Physician Assistant Studies Nursing Practice Health Professions Online Education Accreditation Healthcare Education +23

USD 53K+

Senior Specialist- Online NCLEX Readiness
Remote, REMOTE, United States

Adtalem Global Education

Personalized Remediation Virtual Lab Coordination NCLEX-RN Preparation Academic Coaching Physician Assistant Studies Nursing Practice Academic Support Health Professions Academic Leadership +28

Senior Full Time

USD 53K+

Utilization Management Nurse Consultant
Work At Home-Florida, United States

Medical Necessity Review Coverage determination Benefit management Benefit utilization Clinical Criteria Telephonic Communication Medical necessity Acute care Clinical Judgment +21

USD 52K+

Utilization Management Nurse Consultant
Work At Home-New York, United States

Healthcare services coordination Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria Computer Systems RN licensure Telephonic Communication +25

USD 64K+

Case Manager RN- Pennsylvania
Work At Home-Pennsylvania, United States

Emergency department Integrative functions Clinical resources Long Term Care Holistic approach Clinical Tools Data Review Member engagement RN licensure +24

USD 60K+

Utilization Review Nurse Consultant - Oncology and Transplant
Work At Home-Arizona, United States

Evidence-based criteria Transplant Clinical call center Concurrent review Clinical Practice Guidelines Telephone Communication Navigating multiple systems Clinical Criteria Disease Management +21

Entry Mid Full Time

USD 52K+

Case Manager RN
Work At Home-Arizona, United States

Data-driven methods Healthcare programs Assessment Techniques Clinical assessments Member engagement RN licensure Health Literacy Motivational interviewing Clinical Practice +13

USD 54K+

Case Manager RN
Work At Home-Florida, United States

Clinical Judgement Telephonic assessment Clinical resources Holistic approach Clinical Tools Data Review Member engagement RN licensure Care Planning +22

USD 54K+

Didactic Full Time Nursing Faculty- BSN Online Prelicensure
Remote, REMOTE, United States

Adtalem Global Education

Evidence-Based Teaching Simulation Experience Complex Adult Health Nursing Fundamentals Pathophysiology Student Evaluation Advisement Nursing Practice Health Professions +26

USD 68K+

Utilization Management Nurse Consultant
Work At Home-North Carolina, United States

Multi-systems navigation Navigating multiple systems Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria RN licensure Electronic Medical Records +24

USD 52K+

RN Nurse Case Management Lead Analyst - Work from Home, Anywhere, USA
Pennsylvania Work at Home, United States

The Cigna Group

Myndshft Nimble learning Clinical criteria review Cover My Meds Nurse Case Management Analytics Reporting Database navigation Decision quality Medical necessity +26

Senior Full Time

USD 76K+

Utilization Management Clinician Behavioral Health
Work At Home-Pennsylvania, United States

Navigating systems Clinical Practice Guidelines Navigating multiple systems Keyboarding Coverage determination Benefit management Benefit utilization Mental health services Evidence-Based Care +23

USD 60K+

Clinical Delivery Leader
Remote, United States

Clinical workflow design TQM Metric development Clinical delivery Clinical decision support Patient Monitoring Process Regulatory standards Digital solutions +26

Senior Mid Full Time

USD 108K+

RN Utilization Management Review - SNF
Remote US, United States

Interpreting Criteria Health Plan Experience Clinical Nursing Medical Services Rehabilitation Acute care Consumer Experiences Registered Nurse Clinical knowledge +36

USD 71K+

Episode Care Coordinator ECC Remote Select States see description below
Sentara Home Care Services Chesapeake STE 300, United States

Home Care Clinical assessments Verification Healthcare Compliance Coordination RN Case Management Nursing Patient care +3

USD 74K+

Special Investigation Unit Nurse Consultant - Remote
Work At Home-Ohio, United States

Certified Coder Internet Explorer Google Chrome Clinical Decision Making Clinical Criteria RN licensure Claims processing Registered Nurse Utilization management +15

Senior Mid Full Time

USD 54K+

Utilization Management Nurse Consultant
Work At Home-Nevada, United States

Clinical call center Clinical Judgement Concurrent review Long Term Care Benefit management Benefit utilization Clinical Criteria Home Health Disease Management +19

USD 58K+

NCLEX Instructor - Chicago, IL (On-Site)
Virtual IL, United States

Test preparation Classroom Management Interpersonal Communication Teaching Nursing Professional Development Equity Inclusion Diversity +9

Entry Mid Part Time

USD 30K+

Utilization Management Nurse Consultant
Work At Home-Pennsylvania, United States

Keyboarding Coverage determination Healthcare Coordination Benefit utilization Benefit management Computer Systems Clinical Criteria Telephonic Communication RN licensure +25

USD 58K+

Utilization Management Nurse Consultant
Work At Home-Ohio, United States

Medical Necessity Review Coverage determination Benefit management Benefit utilization Clinical Criteria Telephonic Communication Medical necessity Acute care Clinical Judgment +30

USD 52K+

Full Time, Registered Nurse - Triage (Care Navigation) - Remote or Hybrid
Remote, United States

Evidence-based recommendations Healthcare navigation Clinical assessments Triage Patient advocacy Therapy HIPAA Compliance Mental Health Support Data integrity +10

USD 90K+

Utilization Manager Nurse Consultant
Work At Home-Texas, United States

Inpatient utilization Med/surg Coverage determination Benefit utilization Benefit management Clinical Criteria RN licensure Medical necessity Discharge planning +22

USD 58K+

Care Manager, Telephonic Nurse 2
Remote US, United States

Auto dialer system Resource identification Multi-disciplinary collaboration Nursing judgment Advanced Computer Clinical Nursing Telephonic assessment Chronic Condition Management CMS guidelines +52

USD 71K+

Utilization Management Nurse Consultant
Work At Home-Texas, United States

Medical Necessity Review Coverage determination Benefit utilization Benefit management Clinical Criteria Telephonic Communication Medical necessity Acute care Discharge planning +30

USD 58K+

Utilization Management Nurse Consultant
Work At Home-Arizona, United States

Medical Necessity Review Coverage determination Benefit utilization Benefit management Clinical Criteria Telephonic Communication Medical necessity Acute care Discharge planning +30

USD 52K+

Clinical Diabetes Sales Specialist (Greater Louisville Area)
Louisville, Kentucky, United States

Tandem Diabetes Care

Advanced diabetes management Video remote education Clinical communication Insulin pump therapy Diabetes technology Diabetes education Endocrinology Diabetes Diabetes Care +6

USD 98K+

Clinical Diabetes Sales Specialist (Dallas/Fort Worth)
Dallas, Texas, United States

Tandem Diabetes Care

Advanced diabetes management Video remote education Clinical communication Insulin pump therapy Diabetes technology Diabetes education Endocrinology Diabetes Diabetes Care +6

USD 98K+

Clinical Diabetes Sales Specialist (New Hampshire/Vermont)
Concord, New Hampshire, United States

Tandem Diabetes Care

Advanced diabetes management Video remote education Clinical communication Insulin pump therapy Diabetes technology Diabetes education Endocrinology Diabetes Diabetes Care +6

USD 98K+

Content Solutions Analyst I (CPE)
Remote, United States

Clinical coding Medical policy rules Claims payment NDC Reimbursement methodologies Payment ICD HCPCS Exchange +27

Entry Mid Full Time

USD 95K+

RN - Utilization Management
Work at Home - Florida, United States

Interpreting Criteria Health Plan Experience Clinical Nursing Medical Services Rehabilitation Acute care Consumer Experiences Registered Nurse Utilization management +42

USD 71K+

Clinical Strategy Lead
Remote US, United States

Operational data Cross-organizational collaboration Clinical Strategy Health outcomes Clinical Informatics Analyzing Clinical Acumen Epidemiology Qualitative analysis +48

Lead Senior Full Time

USD 115K+

NCLEX Instructor - Worcester, MA (On-Site)
Virtual MA, United States

Test preparation Classroom Management Interpersonal Communication Nursing Teaching Professional Development Equity Inclusion Diversity +9

Entry Mid Part Time

USD 30K+

Senior Clinical Strategist - Site of Care
Work At Home-Texas, United States

Patient experience Licensed Clinical Social Worker Care Planning Operational processes Value-based care Registered Nurse Networks Quality Management Effective Communication +22

Senior Full Time

USD 87K+

RN Care Manager
Remote - USA

Clover Health Remote-first

Telephonic Care Coordination Chronic Illness Management Intermediate Computer Healthcare reimbursement Care Plan Development Geriatrics Bilingual (English Electronic Medical Records Discharge planning +11

USD 68K+

Care Manager RN
Work At Home-Colorado

High-Speed Internet Clinical Tools RN license Data Review Telephonic Communication Member engagement Policies and procedures RN licensure Acute care +18

USD 60K+

Utilization Management Nurse Consultant
Work At Home-Washington

Med/surg Coverage determination Long Term Care Benefit utilization Benefit management Clinical Criteria Telephonic Communication Medical necessity Telemetry +30

Senior Mid Full Time

USD 64K+

NCLEX Instructor - Rochester, NY (On-Site)
Virtual NY

Test preparation Classroom Management Interpersonal Communication Nursing Teaching Professional Development Equity Diversity Inclusion +9

Entry Mid Part Time

USD 30K+

Senior Clinical Evaluation Specialist (Remote)
Massachusetts, Boston Virtual Address

Clinical evaluation Systematic Reviews Clinical Strategy New Product Development Medical Writing Regulatory strategy Clinical Documentation M Regulatory Affairs +24

Senior Mid Full Time

USD 75K+

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