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Remote Jobs with Degree in nursing Education

65 fresh jobs found

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

Centene Corporation

Medicare regulations Service authorization Authorization requests Health management systems Health management Medical appropriateness Medicaid regulations Clinical reviews Utilization +24

USD 95K+

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+

Quality Program Strategist II
Remote-FL, 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-IA, United States

Centene Corporation

Health management systems Health management Medicaid regulations Utilization Clinical Review Medical necessity Discharge planning Acute care Medical Records +18

USD 95K+

Care Manager (RN) (State)
Remote-CA, United States

Centene Corporation

Complex Care Management Digital Outreach Personalized care plans Resource support Service Assessment Foster care Healthcare outcomes Telephonic Outreach Service plans +23

USD 95K+

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

Centene Corporation

Health management systems Health management Medicaid regulations Utilization Clinical Review Medical necessity Acute care Discharge planning Medical Records +19

USD 95K+

Pediatric RN, Team Lead Case Manager
Remote-TX, United States

Centene Corporation

Resource utilization group certification Long-term care planning Pediatric case management Health risk assessment Service coordination Pediatrics Clinical Guidelines Utilization Personalized care plans +31

Senior Mid Full Time

USD 152K+

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

Centene Corporation

Health management systems Health management Medicaid regulations Utilization Clinical Review Medical necessity Acute care Discharge planning Medical Records +18

USD 95K+

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

Centene Corporation

Health management systems Health management Medicaid regulations Utilization Clinical Review Medical necessity Discharge planning Acute care Medical Records +18

USD 95K+

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

Centene Corporation

Rehab Health management systems Health management Medicaid regulations Healthcare Collaboration Utilization Clinical Review Medical necessity Acute care +22

USD 52K+

RN Clinical Review Clinician_Appeals
Remote-CA, United States

Centene Corporation

UM Appeals processing Clinical data analysis Medicaid regulations Ncqa standards Clinical reviews Utilization NCQA Clinical Review +24

USD 95K+

RN Clinical Review Nurse - Retrospective Review
Remote-CA, United States

Centene Corporation

Education for providers Medical Records Review RN licensure Health management systems Health management Medicaid regulations Cost efficiency Utilization Quality of care +27

USD 95K+

Senior LTSS Service Care Manager (RN)
Remote-TX, United States

Centene Corporation

Continuum of care Service plan development Member advocacy Service authorization Service coordination Utilization Healthcare Coordination Clinical Guidelines Quality of care +33

Senior Full Time

USD 127K+

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+

Clinical Review Clinician - Appeals
Remote-MO, United States

Centene Corporation

Appeals processing Interdepartmental Collaboration Clinical data analysis Medicaid regulations Ncqa standards Clinical reviews Utilization NCQA Clinical Review +25

USD 52K+

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+

Clinical Reviewer II (Special Investigation Unit)
Remote-MO, United States

Centene Corporation

Provider Billing Billing practices Claims analysis Information Management Provider education Medical necessity Appeals Medical Coding Medical Records +25

USD 55K+

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+

Care Manager (RN)
Remote-LA, United States

Centene Corporation

Home outreach Complex Care Management Digital Outreach Personalized care plans Resource support Service Assessment Foster care Healthcare outcomes Service plans +25

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+

Tele-Triage Licensed Practical Nurse- LPN
LOUISVILLE, KY, United States

BrightSpring Health Services

Symptom assessment Nursing care plans Medication coordination Tele-triage Patient Communication LPN Care Plans Triage Performance Improvement +13

USD 40K+

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+

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+

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+

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+

Care Manager (RN)
Remote-OH, United States

Centene Corporation

Home outreach Complex Care Management Digital Outreach Personalized care plans Resource support Service Assessment Foster care Telephonic Outreach Service plans +23

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+

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+

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+

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+

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+

Quality Program Strategist
Remote-OH, United States

Centene Corporation

Health program design Cphq Quality Initiatives Quality Metrics Program Design Health Plan Lean Six Sigma Methodologies Risk assessments +18

USD 55K+

Care Manager (Behavioral Health)
Remote-FL, United States

Centene Corporation

Substance Use Disorders Compliance Documentation Treatment options Complex Care Management Home visits Healthcare Education Substance use Digital Outreach Personalized care plans +28

USD 55K+

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+

Medical Policy Analyst
Remote-MO, United States

Centene Corporation

Medical literature research Health care management Technology assessments Clinical Practice Guidelines Evidence-based medicine Medical policy Acute care Medical management Health Services +14

Entry Mid Full Time

USD 68K+

Care Manager
Remote-WA, United States

Centene Corporation

Pediatric case management Substance Use Disorders Treatment options Complex Care Management Home visits Healthcare Education Substance use Digital Outreach Personalized care plans +30

USD 55K+

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+

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)
Remote-NJ, United States

Centene Corporation

Resource Coordination Complex Care Management Personalized care plans Resource support Service Assessment Foster care Care Planning Social Determinants of Health Service plans +25

USD 55K+

Staff Vice President UM Special Markets - FL
Remote-FL, United States

Centene Corporation

UM Healthcare Delivery Health Plan Clinical Guidelines Strategic Leadership Medical management Cross-functional Teams Procedures Data-driven decision making +28

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 (RN) - Northern NJ
Remote-NJ, United States

Centene Corporation

Complex Care Management Care Plan Development Resource Coordination Personalized care plans Resource support Service Assessment Foster care Social Determinants of Health Service plans +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+

Care Manager (Behavioral Health)
Remote-IN, United States

Centene Corporation

Substance Use Disorders Compliance Documentation Treatment options Substance use Healthcare Education Home visits Personalized care plans Digital Outreach Healthcare outcomes +26

USD 54K+

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