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Remote Jobs with BSN Education

74 fresh jobs found

Clinical Supervisor
Remote

UM guidelines Milliman care guidelines Navigation Clinical Leadership Technology Platform LCSW Social Work Operations Management Health Insurance +26

USD 88K+

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+

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+

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+

Academic Support Advisor I (Evening/weekend)
remote, REMOTE, United States

Adtalem Global Education

Academic Policies Academic Support Advisement Health Professions Academic Advising Healthcare Education Student Support Higher education Student success +13

Entry Mid Full Time

USD 36K+

Case Manager RN - Maternity/Fertility
Work At Home-Ohio

Ob-gyn Maternity Infertility Women's Health Telephonic case management Integrative functions Clinical resources Clinical Tools Holistic approach +24

USD 54K+

Clinical Diabetes Sales Specialist - Greater Seattle
Seattle, Washington, United States

Tandem Diabetes Care

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

USD 98K+

Occupational Health Consultant - Omaha, NE
Nebraska, Remote

Mutual Of Omaha

Leave processes Health and wellbeing programs Return to Work Strategies FMLA Disability Management Benefits Administration Diversity and Inclusion Clinical expertise Consultation +11

USD 70K+

Assistant Professor- Chemistry
Remote, REMOTE, United States

Adtalem Global Education

Lab Instruction Physician Assistant Studies Health Professions Nursing Practice Academic Advising Online teaching Online Education Healthcare Education Service Excellence +20

USD 53K+

Full Time Registered Nurse, Triage and Navigation
Remote

Evidence-based recommendations Healthcare navigation Mental Health Support Clinical assessments Triage Therapy Data integrity HIPAA Compliance Advocacy +9

USD 86K+

Home Based Nurse Care Manager
Dallas, TX

Included Health

Health outcomes improvement Multidisciplinary teamwork Social Determinants of Health Chronic Disease Management Community Health Specialty care In-person care Care Navigation Community Resources +31

USD 25K+

Case Manager RN
Work At Home-Pennsylvania

Integrative functions Telephonic assessment Clinical resources Clinical Tools Holistic approach Data Review Policies and procedures Care Planning RN licensure +18

USD 60K+

Clinical Strategy Lead
Remote US

Operational data Cross-organizational collaboration Clinical Strategy Clinical Informatics Health outcomes Analyzing Clinical Acumen Epidemiology Qualitative analysis +46

Lead Senior Full Time

USD 112K+

Utilization Management Manager - Denial Appeals and Audit
Working Virtually

MultiCare Health System

Medical necessity Discharge planning Cost Management Quality Standards Utilization management Supervisory Nursing Health care Audit +10

Senior Mid Full Time

USD 168K+

Clinical Diabetes Sales Specialist (Cincinnati, OH)
Cincinnati, Ohio, United States

Tandem Diabetes Care

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

USD 98K+

Utilization Management Nurse Consultant - Remote
Work At Home-New York

Navigating multiple systems Benefit utilization Keyboarding Clinical Criteria RN licensure Clinical assessment Registered Nurse Computer Proficiency Utilization management +18

USD 52K+

Utilization Review Nurse - Remote (Select States)
Sentara Health Plans Community Care

Retrospective review Inpatient review Concurrent review Milliman NCQA InterQual Accreditation RN licensure Acute care +20

USD 77K+

Utilization Management Nurse Consultant- Specialty Medications
Work At Home-Arizona

Clinical documentation systems Clinical Judgement Clinical call center Benefit utilization Phone Benefit management Clinical Criteria Clinical Documentation Prior authorization +17

Senior Mid Full Time

USD 52K+

Clinical Marketing Specialist
Maryland DC Surrounding, Virtual Address

Neuro anatomy Sales materials Neurosurgical devices Clinical marketing Operating Room Experience New Product Development Clinical Training Customer Presentations Anatomy +18

USD 85K+

Utilization Management Nurse Consultant
Work At Home-Pennsylvania

Benefit utilization Coverage determination Benefit management Telephonic Communication Medical necessity Clinical Criteria Acute care Discharge planning Utilization Review +20

USD 58K+

Manager Clinical Health Services LTSS Aetna Better Health of Virginia
Work At Home-Virginia

Data evaluation RN license Healthcare Coordination Holistic approach Policies and procedures Clinical Leadership Registered Nurse Primary Care Health Services +27

USD 87K+

Clinical Programs Manager
United States

Cohere Health Remote-first

Inpatient acute hospital flows Outpatient patient flows Provider-payer workflows Analytical abilities Clinical programs Clinical Intelligence Client-facing Revenue Cycle Management Healthcare Data +18

USD 115K+

Clinical Diabetes Sales Specialist - Portland
Portland, Oregon, United States

Tandem Diabetes Care

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

USD 98K+

RN Sanction Specialist - EMTALA and Sanction (Remote)
Harrisburg, Pennsylvania, United States - Remote

EMTALA Healthcare Risk Management Referrals Public Sector Clinical Experience RN Clinical expertise Healthcare industry Technical Assistance +9

USD 76K+

Case Manager RN
Work At Home-Arizona

Telephonic Communication RN license Clinical Tools Data Review Policies and procedures RN licensure Acute care Member engagement Discharge planning +20

USD 54K+

Utilization Manager Nurse Consultant
Work At Home-Texas

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

USD 58K+

Utilization Management Nurse Consultant
Work At Home-Ohio

Benefit utilization Coverage determination Benefit management Long Term Care Telephonic Communication Clinical Criteria Medical necessity Home Health Discharge planning +30

USD 52K+

Nurse Care Manager, Adult
Remote

Included Health

Telephonic care Medical record systems Acute case management Spanish Speaking Specialty care In-person care Patient advocacy Manual Dexterity Disease Management +22

Senior Mid Full Time

USD 25K+

Pediatric Nurse Care Manager
Remote

Included Health

Acute case management Medical record systems Acute care management Spanish Speaking Cultural Competence Pediatric care Patient advocacy Manual Dexterity Disease Management +18

USD 25K+

Case Manager RN
Work At Home-Missouri

Integrative functions Health Assessment Telework Telephonic Communication RN license Clinical Tools Clinical resources Holistic approach Data Review +22

USD 54K+

Transition of Care Nurse - RN
Work At Home-Virginia

Clinical Assistance Goal Attainment Home health care coordination Home health care Emergency department Proprietary applications Navigating multiple systems RN license Keyboarding +34

USD 60K+

Case Manager RN
Work At Home-New York

Healthcare programs Data-driven methods Telephonic case management RN license RN licensure Health Literacy Member engagement Discharge planning Referrals +27

USD 66K+

Clinical Diabetes Sales Specialist - Fresno, CA
Fresno, California, United States

Tandem Diabetes Care

Clinical communication Video remote education Advanced diabetes management Insulin pump therapy Diabetes education Diabetes technology Diabetes Endocrinology Diabetes Care +7

USD 98K+

Utilization Management Nurse Consultant
Work At Home-Texas

Benefit utilization Coverage determination Benefit management Long Term Care Telephonic Communication Medical necessity Clinical Criteria RN licensure Home Health +32

USD 58K+

Utilization Management Nurse Consultant
Work At Home-North Carolina

Multi-systems navigation Benefit utilization Coverage determination Benefit management Navigating multiple systems Keyboarding Clinical Criteria Fast-paced Environment RN licensure +24

USD 52K+

Registered Nurse – Quality Improvement
Remote-US, California, United States

Alignment Health

Medication review Medicare managed care plans Medicare Managed Care Managed Care Plans HEDIS LVN Electronic Medical Records Medical Records Interviewing +15

Senior Mid Full Time

USD 90K+

Case Manager RN- Pennsylvania
Work At Home-Pennsylvania

Emergency department Long Term Care Clinical resources Clinical Tools Holistic approach Data Review Policies and procedures RN licensure Discharge planning +23

USD 60K+

Senior Clinical Consultant
Portland

Medical consultation Clinical analysis Disability claims Utilization Review PC Medical terminology MS Word Claims management Decision making +15

Senior Mid Full Time

USD 81K+

Case Manager RN
Work At Home-Ohio

Clinical resources Clinical Tools Holistic approach Data Review Policies and procedures RN licensure Care Planning Member engagement Clinical Practice +15

USD 54K+

Case Manager RN
Work At Home-North Carolina

Healthcare programs Data-driven methods Telephonic case management RN license Discharge planning Member engagement Acute care Health Literacy Referrals +21

USD 54K+

Utilization Management Nurse Consultant
Work At Home-Nevada

Concurrent review Clinical Judgement Clinical call center Benefit utilization Benefit management Long Term Care Clinical Criteria Home Health Acute care +20

USD 58K+

Case Manager RN
Work At Home-Georgia

Telephonic assessment Transplant Critical care Clinical resources Clinical Tools Holistic approach Data Review Policies and procedures RN licensure +15

Senior Mid Full Time

USD 54K+

UM Nurse Consultant - Prior Authorization
Work At Home-Ohio

Benefit utilization Coverage determination Benefit management Navigating multiple systems Medical necessity Clinical Criteria Keyboarding RN licensure Discharge planning +27

USD 52K+

Temp Nurse Case Manager at $47.25/hour- Remote in Virginia!
Virginia Remote

Telephonic assessments Health Plan Chronic Condition Management Clinical assessments Discharge planning Verification Healthcare systems Judgment RN +14

USD 94K+

Evening Perinatal Nurse (RN) - Florida Based
Florida

Wellness goals Individualized care plans Labor and delivery Maternal-child health Healthcare practice Emergency Services Psychosocial assessment Child health User Feedback +16

USD 70K+

Nursing Lead (Manager)
United States

Tech Adaptation Healthcare practice Labor and delivery Maternal-child health Metrics-driven environment Child health Evidence-Based Care Population health Registered Nurse +14

Senior Full Time

USD 100K+

Evening Perinatal Nurse (RN)
United States

Wellness goals Individualized care plans Labor and delivery Maternal-child health Healthcare practice Emergency Services Psychosocial assessment Child health User Feedback +16

USD 70K+

Field Nurse Care Manager - Milwaukee, WI
Work at Home - Wisconsin

Health Assessment Interdisciplinary Teamwork Health and wellness Family Care Infection control Health promotion Home Health Crisis Intervention Registered Nurse +35

USD 69K+

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