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Clinical Judgment Remote Jobs

35 fresh jobs found

Remote Clinical Care Manager
Joliet, IL, United States

MS Access Clinical Judgment State regulations Community Health Utilization Review Predictive Analytics MS Word MS Excel Managed Care +11

Senior Mid Full Time

USD 75K+

Clinical Care Navigator
Remote

Spring Health Remote-first

Solution-focused approaches Crisis assessment Psycho-education Provider operations Safety Planning Ethical Standards Clinical Judgment Mindfulness Precision Mental Healthcare +33

USD 66K+

Lead, Care Navigator
Remote

Spring Health Remote-first

Caseload balancing Provider operations Talkdesk Clinical Decision Making Safety Planning Mindfulness Precision Mental Healthcare Clinical Judgment Tech +31

Senior Mid Full Time

USD 75K+

Specialty Care Navigator - Substance Use Disorder (SUD)
Remote

Spring Health Remote-first

Psycho-education Provider operations Client care Safety Planning Interdisciplinary Collaboration Ethical Standards EHR systems Evidence-based practices Precision Mental Healthcare +34

Senior Mid Full Time

USD 84K+

Nurse Supervisor, Utilization Management Clinical Quality
Remote

Nurse Management HEDIS measures Clinical auditing Escalations RN licensure Insurance experience Ncqa standards Healthcare quality MCG +37

USD 88K+

Diabetes Educator II
2450 Ashby Avenue, United States

Blood glucose monitors Insulin injection devices Nutrition therapy Diabetes monitoring Diabetes education Adult Learning Theory BLS Clinical Judgment Electronic Medical Records +12

USD 130K+

Bilingual Family Nurse Practitioner (CA Licensed, Spanish Speaking)
Remote, United States

Family Nurse Practitioner Interdisciplinary Care Health management Substance Use Disorder Clinical Judgment Care Coordination Virtual care Community Engagement Telemedicine +11

USD 115K+

Pre-Authorization Registered Nurse
Remote US, United States

Medical management systems Rehab Medicaid Experience Health Plan Experience Microsoft Office Word Clinical Nursing InterQual MCG Rehabilitation +53

USD 71K+

Medical Director - Pediatric Otolaryngology- EviCore
Florida Work at Home, United States

The Cigna Group

Evidence-based reviews Evidence-Based Decision Making Evidence-based medical reviews Medical case reviews Case Management Software Federal Laws Automated processes Computer Applications Cigna +25

Exec Senior Full Time

USD 203K+

Diabetes Educator
215 Pesetas Lane, United States

Blood glucose monitors Insulin injection devices Diabetes monitoring Nutrition therapy Diabetes education Delegation BLS Adult Learning Theory Clinical Judgment +12

Senior Mid Full Time

USD 111K+

Pharmacy Technician Call Center - Remote US
Any city, WI, US, 99999

Gainwell Technologies

Internet usage Pharmacy Knowledge Pharmacist Prior Authorization Processing Call center Operations Pharmacy benefit management Clinical Judgment Prior authorization Messaging +19

USD 30K+

Medical Director - Plastic Surgery
Florida Work at Home, United States

The Cigna Group

Evidence-based reviews Evidence-Based Decision Making Evidence-based medical reviews Medical case reviews Case Management Software Federal Laws Automated processes Computer Applications Cigna +25

Exec Senior Full Time

USD 203K+

Medical Case Manager (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Medical Case Management Care Plan Development Telephonic Communication Healthcare Coordination Interdisciplinary Collaboration Clinical Judgment Social Work Community Resources Resource Management +20

USD 57K+

Virtual Family Nurse Practitioner (Late Night Shifts, Spanish Fluency)
Remote, United States

Family Nurse Practitioner Data-Driven Care Digital healthcare Empathetic care Virtual medicine Digital-first healthcare Synchronous video Operational Rigor Spanish fluency +22

Senior Mid Full Time

USD 156K+

Primary Care Nurse Practitioner (Evenings in Hawaii)
Remote, United States

Data-Driven Care Empathetic care Virtual medicine Digital-first healthcare Synchronous video Operational Rigor Resourcefulness Evidence-Based Care Cultural Sensitivity +19

Senior Mid Full Time

USD 156K+

Hawaii Evening Virtual Primary Care Physician
Hawaii, United States · Remote, United States

Data-Driven Care Synchronous video Empathetic care Virtual medicine Digital-first healthcare Operational Rigor Resourcefulness Evidence-Based Care Patient Communication +19

USD 276K+

24/7 Clinical Navigation and Support Care Manager - Evernorth Health Services - Remote
Minnesota Work at Home, United States

The Cigna Group

Confidentiality regulations Cigna Telephonic consultation Biopsychosocial assessment Brief therapy Employee assistance programs Solution focused therapy Safety Planning Substance Use Disorders +35

USD 65K+

Psychiatric Mental Health Nurse Practitioner (PMHNP) Remote
Florida

Geriatric psychopharmacology Empathetic Communication Psychiatric Mental Health Collaborative care Electronic Medical Record Patient Engagement Clinical Judgment Crisis Management Primary Care +5

USD 145K+

Registered Nurse Triage -Call Center Hybrid Remote (Perdiem)
SJHSYR-MAINCAMPUS, United States

Telephonic assessment Health records Clinical Judgment Health education Electronic Health Records RN Diversity and Inclusion Multi-tasking Nursing +5

USD 66K+

Clinical Appeals Nurse
Remote, GA, United States

Clinical appeals Denials management Evidence-Based Guidelines Denials Clinical Judgment Regulatory knowledge Basic Computer Intelligent Automation Workflow Orchestration +14

USD 65K+

Global Care Navigator - Romania
Remote

Spring Health Remote-first

Technology troubleshooting Safety Planning Health plans Mental Health Care Ethical Standards Precision Mental Healthcare Mental health services Care Navigation Tech +28

RON 145K+

Remote Clinical Case Manager - LCSW (Social Worker)
Evansville, IN, United States

Medical assessments PDF Behavioral health assessments LCPC HMO Healthcare Management LPC Telephonic Outreach Clinical Judgment +20

Senior Mid Full Time

USD 70K+

Remote Clinical Case Manager - LCSW (Social Worker)
Indianapolis, IN, United States

PDF Behavioral health assessments LCPC HMO Healthcare Management LPC Clinical Judgment Clinical Review Motivational interviewing +19

Senior Mid Full Time

USD 70K+

Remote Clinical Case Manager - LCSW (Social Worker)
Cedar Rapids, IA, United States

PDF Behavioral health assessments LCPC HMO Healthcare Management LPC Clinical Judgment Clinical Review Motivational interviewing +19

Senior Mid Full Time

USD 70K+

Remote Clinical Case Manager - LCSW (Social Worker)
Peoria, IL, United States

PDF Behavioral health assessments LCPC HMO Healthcare Management LPC Clinical Judgment Clinical Review Motivational interviewing +19

Senior Mid Full Time

USD 70K+

Remote Clinical Case Manager - LCSW (Social Worker)
Madison, WI, United States

PDF Behavioral health assessments LCPC HMO Healthcare Management LPC Clinical Judgment Clinical Review Motivational interviewing +19

Senior Mid Full Time

USD 70K+

Remote Clinical Case Manager - LCSW (Social Worker)
Milwaukee, WI, United States

EMR navigation PDF Behavioral health assessments LCPC HMO Healthcare Management LPC Clinical Judgment Clinical Review +18

Senior Mid Full Time

USD 70K+

Remote Clinical Case Manager - LCSW (Social Worker)
Rockford, IL, United States

PDF Behavioral health assessments LCPC HMO Healthcare Management LPC Clinical Judgment Clinical Review Motivational interviewing +19

Senior Mid Full Time

USD 70K+

Behavioral Health 24/7 Clinical Navigation and Support Care Manager - Evernorth Health Services - Remote
Minnesota Work at Home, United States

The Cigna Group

Confidentiality regulations Telephonic consultation Biopsychosocial assessment Brief therapy Employee assistance programs Solution focused therapy MCG De-escalation Clinical Judgment +32

Senior Mid Full Time

USD 65K+

Virtual Primary Care Physician (Overnight Shifts, Spanish Fluency, MD Licensure)
Remote, United States

Patient Communication Spanish fluency Digital-first healthcare Empathetic care Synchronous video Virtual medicine Family Medicine Operational Rigor Resourcefulness +19

USD 276K+

Virtual Primary Care Physician (Overnight Shifts, Spanish Fluency, FL Licensure)
Remote, United States

Patient Communication Spanish fluency Digital-first healthcare Empathetic care Synchronous video Virtual medicine Family Medicine Operational Rigor Resourcefulness +18

USD 276K+

Medical Director - Pediatric Pulmonology - EviCore - Remote
Florida Work at Home, United States

The Cigna Group

Evidence-based medical reviews Evidence-Based Decision Making Medical case reviews Automated processes Case Management Software Federal Laws Computer Applications Healthcare Regulations Medical necessity +23

Exec Senior Full Time

USD 203K+

Nurse Member Advocate
USA - TX - Remote, United States

Data privacy laws Health benefits Client satisfaction Clinical Judgment Virtual care Healthcare experience Clinical Experience Data-Driven Insights Microsoft Outlook +18

Senior Mid Full Time

USD 80K+

Medical Case Manager - (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Community Resource Knowledge Medical Case Management Care Plan Development Interdisciplinary Collaboration Resource Coordination Telephonic Communication Social Work Clinical Judgment Community Resources +20

USD 57K+

Advanced Practice Prescriber
Florida, United States, Remote

Research in psychiatric care Measurement based care Clinical evaluations Interdisciplinary Teamwork Mental Health Care Psychiatric care Psychotherapy Psychoeducation Electronic Health Records +9

USD 130K+

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