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Remote Jobs with Degree in nursing Education

45 fresh jobs found

Behavioral Health Care Manager - Foster Care
Remote-KS, United States

Centene Corporation

Care Plan Development Treatment options Substance Use Disorders Compliance Documentation Home visits Substance use Digital Outreach Personalized care plans Complex Care Management +33

USD 55K+

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+

Quality Program Strategist II
Remote-NY, United States

Centene Corporation

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

USD 68K+

Care Manager Transition of Care
Remote-UT, United States

Centene Corporation

Care/service planning Post-discharge assessments Medication review Transition support Transition of care Continuum of care Treatment plans Medical Services Service plan +25

USD 55K+

Vice President, Children's Health-Care Management
Remote-FL, United States

Centene Corporation

Health outcomes initiatives Medicaid compliance Population health strategy Executive leadership Provider contracts UM Quality Initiatives Compliance requirements Clinical programs +57

Exec Senior Full Time

USD 182K+

Quality Improvement Coordinator - Behavioral Health
Remote-WA, United States

Centene Corporation

Complaints resolution Appeals management Quality Initiatives CDP Grievances Clinical quality improvement Clinical Nursing Clinical Quality Program Evaluation +28

USD 66K+

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+

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+

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+

Medical Policy Analyst
Remote-MO, United States

Centene Corporation

Medical literature research Abuse management Medical policy development Clinical Practice Guidelines Technology assessments Waste management Evidence-based medicine Fraud Management Payment Integrity +18

Entry Mid Full Time

USD 68K+

Care Manager Transition of Care (BH)
Remote-WI, United States

Centene Corporation

Post-discharge assessments Care/service planning Transition support Medication review Transition of care Continuum of care Service plan Treatment plans Quality of care +23

USD 55K+

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+

Provider Performance Manager
Remote-IL, United States

Centene Corporation

Clinical improvements Value-based contracting Clinical outcomes Field Work Psychology Clinical Psychology Population health Performance Indicators Social Work +26

USD 55K+

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+

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)
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+

Supervisor, Clinical Grievance and Appeals
Remote-MO, United States

Centene Corporation

Appeals management Grievance Grievances Ncqa standards Quality Metrics NCQA Regulatory reporting Medical necessity Appeals +31

USD 68K+

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+

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+

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+

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+

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+

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 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+

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-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+

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+

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+

Care Manager Transition of Care (State)
Remote-CA, United States

Centene Corporation

Post-discharge assessments Wellness promotion Medication review Transition support Care/service planning Continuum of care Transition of care Treatment plans Medical Services +24

USD 95K+

Director of Nursing / IDD / Western USA
DALLAS, TX, United States

BrightSpring Health Services

Community relations Clinical Solutions Operational improvement Clinical operations Typing Pharmacy Auditing Nursing Sales Support +12

Exec Senior Full Time

USD 110K+

Director of Nursing / IDD / Eastern USA
PHILADELPHIA, PA, United States

BrightSpring Health Services

Community relations Clinical Solutions Operational improvement Clinical operations Typing Pharmacy Auditing Nursing Sales Support +14

Exec Senior Full Time

USD 110K+

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+

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+

Maternity Clinical Practice Advisor
Remote-NV, United States

Centene Corporation

Maternal care Utilization metrics Clinical Practice Guidelines RN licensure Community partnerships Clinical Initiatives Quality performance Billing practices Clinical Standards +43

USD 68K+

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+

VP, PHCO Utilization Management Medicaid & Marketplace
Remote-MO, United States

Centene Corporation

Ncqa standards NCQA Clinical Training Financial Forecasting Provider Relations Acute care Marketplace Reconciliation Utilization Review +25

Exec Senior Full Time

USD 182K+

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+

Care Manager
Remote-IL, United States

Centene Corporation

Member education Care Plan Development Complex Care Management Substance Use Disorders Compliance Documentation Treatment options Substance use Health Plan Home visits +31

USD 55K+

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