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Acute care Remote Jobs

37 fresh jobs found

Clinical Review Nurse - Prior Authorization
Getzville-105 Crosspoint Pkwy (11106), United States

Centene Corporation

Clinical reviews Authorization requests Health management Health management systems Medical appropriateness Medicaid regulations Clinical Review Medical necessity Acute care +18

USD 95K+

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

Centene Corporation

Health management Health management systems Medicaid regulations Clinical Review Medical necessity Acute care Discharge planning Health Services Medical Records +15

USD 52K+

Clinical Associate (Field based)
Oregon, Virtual Address, United States

Acute care products Solutions delivery Customer Excellence Clinical Strategy Critical care Interdisciplinary Collaboration Customer requirements Acute care Data Reporting +15

USD 67K+

Field & Infusion Nurse (RN) PTG 48 RN Innomar Kamloops Clinic
CAN - BC - Remote, Canada

AmerisourceBergen

Port Experience Central Venous Lines IV initiation Emergency care CPR ACLs Pharmaceutical Distribution Critical care Adverse event reporting +44

CAD 72K+

Business Analyst
Sentara Health Plans Community Care, United States

Analytical Principles Service orientation Statistical Tools Healthcare systems Acute care Data Reporting Verification User Stories Information systems +17

USD 60K+

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

Centene Corporation

Medicaid regulations Clinical Review Medical necessity Acute care Discharge planning Health Services Medical management Clinical knowledge Utilization management +9

USD 93K+

Medical Director - Southeast Region
Remote US, United States

Post-acute services Outpatient services Grievance and appeals processes Clinical group practice management Inpatient rehabilitation Commercial health insurance Coding practices Medical background Hospitalist +82

Exec Senior Full Time

USD 223K+

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+

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+

Director IT Clinical Systems (PACS/ Epic)
Sentara Independence, United States

PACS IT leadership Clinical Workflows IT systems Change Control Healthcare systems Acute care Verification EPIC +11

Exec Senior Full Time

USD 132K+

Peer-to-Peer Nurse Author
Remote, FL, United States

Medical/surgical unit Hospital documentation ICU Case reviews Evidence-based criteria Emergency department Documentation Support RN license Intelligent Automation +11

USD 65K+

Virtual Urgent Care Clinician (Overnight Shifts)
Remote, United States

Family Nurse Practitioner Digital-first healthcare Synchronous video Empathetic care Virtual medicine Resourcefulness Family Medicine Urgent care Acute care +14

Senior Mid Full Time

USD 156K+

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+

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+

Medical Director - Acute Rehab Team
Remote US, United States

Rehab Inpatient rehabilitation Medical background Hospitalist Clinical reference materials Medical interpretation CMS policies Family practice National Guidelines +55

Exec Senior Full Time

USD 223K+

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+

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+

Virtual Urgent Care Clinician
Remote, United States

Synchronous video Digital-first healthcare Virtual medicine Empathetic care Resourcefulness Family Medicine Acute care Urgent care Clinical Judgment +13

Senior Mid Full Time

USD 156K+

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+

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+

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+

Field & Infusion Nurse (RN) PTC Homecare Greater Kelowna area
CAN - BC - Remote, Canada

AmerisourceBergen

IV initiation Emergency care ACLs CPR Critical care Pharmaceutical Distribution Homecare Acute care Oversight +37

CAD 72K+

Offsite Nurse Practitioner-Riverside Overhead- Mount Sinai Hospital - Full Time - Day
United States

Mount Sinai Health System

Interdisciplinary Approach Ethical Nursing Practice Research in Nursing Collaborative Practice Diagnostic procedures Health Assessment Disease Prevention Health promotion Nurse Practitioner +17

Exec Mid Full Time

USD 87K+

Sr. Cloud Cyber Security Engineer - Remote
Sentara Independence, United States

Cloud-native security tools Kill chain Cloud Access Security Broker Vulnerability Scanning Multi-factor authentication MITRE ATT&CK CIS Security assessments Encryption +25

Senior Full Time

USD 81K+

Medical Coding Specialist II/CPC/CCS- Remote!
SMG Central Billing Office Military Hwy, United States

Insurance adjudication Gecb Allscripts Statements Billing cycle Contractual agreement Payment posting Charge Entry Health Plan +17

Senior Mid Full Time

USD 62K+

Medical Director - Florida
Remote US

Home health services Health claims review Grievance and appeals processes Outpatient services Commercial health insurance Inpatient rehabilitation Post-acute care Clinical group practice management Hospitalist +81

Exec Senior Full Time

USD 223K+

Associate Quality Practice Advisor
Remote-MO, United States

Centene Corporation

Member education Health care quality Health administration Medical record documentation Provider education HEDIS Medical Coding Acute care Psychology +18

USD 93K+

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+

Licensed Psychiatric & Family Nurse Practitioner (NP) – Remote
Work At Home-Mississippi

Behavioral health services Health counseling Clinical quality initiatives Treatment management Electronic health record (EHR) Psychiatric care Patient counseling Phone Family Care +25

USD 74K+

Staff Physician - Virtual Primary Care (Family Medicine)
Ohio

Included Health

Preventive health Family Medicine Chronic Disease Management In-person care Acute care Specialty care Care Navigation Disease Management Urgent care +17

Senior Mid Full Time

USD 25K+

Staff Physician - Virtual Primary Care (Family Medicine)
Minnesota

Included Health

Preventive health Care Plan Development Family Medicine Chronic Disease Management In-person care Acute care Specialty care Care Navigation Disease Management +19

Senior Mid Full Time

USD 25K+

Staff Physician - Virtual Primary Care (Family Medicine)
Texas

Included Health

Preventive health Family Medicine Chronic Disease Management In-person care Acute care Specialty care Care Navigation Disease Management Urgent care +17

Senior Full Time

USD 25K+

Staff Physician - Virtual Primary Care (Family Medicine)
Remote

Included Health

Preventive Health Services Preventive health Family Medicine Chronic Disease Management In-person care Acute care Specialty care Care Navigation Evidence-Based Care +20

Senior Mid Full Time

USD 25K+

Team Coordinator, System Administrator (Remote)
Virginia Remote

Networx System compliance Speaking Service orientation Acceptance Testing Qnxt Active learning Acute care Microsoft Access +29

USD 74K+

Reviewing Medical Director
Remote US

Grievance processes Care facilitation Post-acute services Health claims review Grievance and appeals processes Outpatient services Commercial health insurance Post-acute care Inpatient rehabilitation +93

Exec Senior Full Time

USD 199K+

Virtual Primary Care Nurse Practitioner
Remote

Included Health

Preventive Care Evidence-based medicine Clinical Guidance Chronic Disease Management In-person care Specialty care Nurse Practitioner Acute care Care Navigation +21

Senior Mid Full Time

USD 25K+

Medical Director - Southeast Region
Remote US

Health claims review Post-acute services Grievance and appeals processes Outpatient services Social determinants Inpatient rehabilitation Commercial health insurance Post-acute care Coding practices +80

Exec Senior Full Time

USD 199K+

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