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Clinical Guidelines Remote Jobs

25 fresh jobs found

Clinical Genomic Scientist II - Exome Analysis (REMOTE:USA)
Aliso Viejo, California, United States

Laboratory troubleshooting Turnaround time management Genetic evidence analysis Laboratory protocols Sequencing analysis Quality protocols Clinical reporting Laboratory procedures Genetic data analysis +57

USD 105K+

Medical Director- Pacific Southwest
Remote US, United States

Clinical patient care Post-acute services Inpatient care Clinical interpretation Outpatient services Community Groups Clinical reference materials Grievance and appeals processes CMS policies +98

Exec Mid Full Time

USD 223K+

LTSS Service Care Manager - Behavioral Health
Remote-KS, United States

Centene Corporation

Compliance with clinical guidelines Healthcare advocacy Psychotropic medication Medication monitoring Mental health first aid Healthcare provider instructions Community Resource Coordination Holistic care management Service authorization +48

USD 52K+

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

Centene Corporation

Rehab Member services Member advocacy ICU Service authorization Continuum of care Clinical Nursing Personalized care plan Telephonic support +53

Senior Full Time

USD 127K+

Associate Director of Clinical Content and Education
Any Location (Remote)

Behavioral Science Clinical Guidelines Medical Writing Healthcare experience Patient Education Telehealth Content Creation Audit Flexibility +6

Senior Mid Full Time

USD 178K+

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

Centene Corporation

Service authorization Member services ICU Clinical Nursing Continuum of care Care Plan Development Personalized care plan Quality care Service coordination +50

Senior Full Time

USD 127K+

Clinical Policy Lead Analyst - Remote
TN, Franklin, 730 Cool Springs Blvd STE 500, United States

The Cigna Group

Literature evaluation Evidence-based policy Clinical Policy Cigna Peer-reviewed publications Clinical Guidelines Medical Writing Health Services Healthcare administration +15

Senior Mid Full Time

USD 74K+

Medical Director - National Medicare
Remote US, United States

Grievance processes Outpatient services Clinical patient care Health claims Health claims review Grievance and appeals processes Post-acute care Inpatient rehabilitation Commercial health insurance +94

Exec Senior Full Time

USD 223K+

Clinical Program Director
United States

Cohere Health Remote-first

Measurable outcomes Clinical program development Inpatient care Evidence-Based Guidelines Clinical Strategy Clinical Guidelines Clinical Review Clinical programs Medical necessity +16

Exec Senior Full Time

USD 160K+

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

Centene Corporation

Holistic care management Service authorization Hemophilia Holistic care Treatment options Personalized care plans Clinical Guidelines Quality of care Care Planning +31

USD 52K+

Physician - Non Stimulant ADHD Diagnosis and Treatment
Remote - United States

Mechanism Ventures Remote-first

ADHD diagnosis Patient record management Peer review Clinical Guidelines Crisis Intervention Treatment Planning Mental healthcare Telehealth Case Management +2

USD 240K+

Nurse Practitioner - Non Stimulant ADHD Diagnosis and Treatment
Remote - United States

Mechanism Ventures Remote-first

ADHD diagnosis Patient records Peer review Treatment plans Clinical Guidelines Nurse Practitioner Mental Health Care Crisis Intervention Mental healthcare +5

USD 240K+

Licensed Mental Health Clinician for ADHD - Diagnosis and Ongoing Therapy Treatment
Remote - United States

Mechanism Ventures Remote-first

Therapy treatment Patient record management ADHD diagnosis Patient records Treatment plans Clinical Guidelines Mental Health Care Treatment Planning Telehealth +3

USD 240K+

Physician - Stimulant ADHD Diagnosis and Treatment
Remote - United States

Mechanism Ventures Remote-first

Stimulant Medication ADHD diagnosis Patient records Peer review Treatment plans Clinical Guidelines Record keeping Mental Health Care Crisis Intervention +9

USD 240K+

Behavioral Health Utilization Management Clinician I - MHP or SUDP
Spokane, Washington, United States; Seattle, Washington, United States

Community Health Plan of Washington

Workflow systems Clinical Guidelines Discharge planning Community Health Clinical Experience Utilization Review Patient advocacy Utilization management Care Coordination +11

USD 73K+

Medical Director - Post-Acute Care - Evernorth Home-based Care - Remote
Tennessee Work at Home, United States

The Cigna Group

Case conferences Medical licenses Board certifications Peer-to-peer discussions Cigna Ncqa standards Federal Laws Medical Review Clinical Review +21

Exec Senior Full Time

USD 203K+

Utilization Review Nurse
Remote

Level of Care Reviews Medical necessity reviews RN licensure Evidence-Based Guidelines Treatment Clinical Guidelines Clinical Judgment Clinical Review Clinical Practice +14

USD 70K+

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+

Primary Care Embedded Clinical Pharmacist
Remote Work - New York, United States

University of Rochester

Pharmacotherapy Drug Therapy Optimization Clinical pharmacy Pharmacokinetics Interdisciplinary Teamwork Clinical Guidelines Medication management Patient Education Quality Assurance +5

USD 131K+

Auditor Clinical Validation DRG
Remote, United States

Medical claims billing Payer reimbursement policies Coding terminology Medical audit Clinical chart validation Chart validation Payer reimbursement Coding Principles Billing guidelines +45

USD 45K+

Medical Director - Medicaid N. Central
Remote US, United States

Health claims review Computer-Based Review Post-acute services Grievance and appeals processes Post-acute care Humana policies Family practice Clinical group practice management Medical interpretation +92

Exec Senior Full Time

USD 223K+

Utilization Review Nurse
Remote

Clinical auditing Clinical Guidelines Medical necessity Utilization Review Medical Billing Prior authorization Microsoft Suite Quality improvement Healthcare services +12

USD 80K+

Medical Director - Care Plus
Remote US, United States

Grievance processes Health claims review Outpatient services Grievance and appeals processes Post-acute care Clinical group practice management Commercial health insurance Hospitalist Inpatient rehabilitation +90

Exec Senior Full Time

USD 223K+

Digital First - Mental Health Practitioner
London, England, United Kingdom - Remote

Self-care advice Holistic assessment Multidisciplinary teamwork Health promotion Clinical Guidelines Evidence-based treatment Clinical Supervision Crisis Management Regulatory standards +5

Senior Mid Full Time

GBP 49K+

Medical Director - Mid West Region
Remote US, United States

Computer-Based Review Outpatient services Grievance and appeals processes Post-acute care Humana policies Hospitalist Medical interpretation National Guidelines Family practice +83

Exec Mid Full Time

USD 223K+

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