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Clinical Judgment Remote Jobs

39 fresh jobs found

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+

Holistic Health Specialist
Richardson Texas HQ (1001 E. Lookout Drive), United States

Health Care Service Corporation

Intensive Care Medicine Orthopedic Maternity Management Diabetic Management Pediatric NICU Milliman guidelines Medical Management Policies Database experience +35

USD 60K+

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+

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

Culturally Sensitive Care Digital healthcare Data-Driven Care Collaborative care Synchronous video Virtual medicine Empathetic care Digital-first healthcare Operational Rigor +20

Senior Mid Full Time

USD 156K+

Primary Care Nurse Practitioner (Evening and Weekend Shifts)
Remote, United States

Digital healthcare Data-Driven Care Patient management Digital-first healthcare Virtual medicine Synchronous video Empathetic care Operational Rigor Resourcefulness +20

Senior Mid Full Time

USD 156K+

Weekend & Evening Virtual Primary Care Physician (OK Licensure)
Remote, United States

Synchronous communication Data-Driven Care Asynchronous communication Digital-first healthcare Virtual medicine Empathetic care Synchronous video Family Medicine Operational Rigor +19

USD 276K+

Weekend & Evening Virtual Primary Care Physician (IN Licensure)
Remote, United States

Synchronous communication Asynchronous communication Empathetic care Digital-first healthcare Synchronous video Virtual medicine Family Medicine Operational Rigor Resourcefulness +18

USD 276K+

Weekend & Evening Virtual Primary Care Physician (MO Licensure)
Remote, United States

Synchronous communication Data-Driven Care Asynchronous communication Digital-first healthcare Virtual medicine Empathetic care Synchronous video Family Medicine Operational Rigor +19

USD 276K+

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

Data-Driven Care Patient-centered care Synchronous video Empathetic care Virtual medicine Digital-first healthcare Family Medicine Operational Rigor Resourcefulness +19

USD 276K+

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+

Primary Nurse Case Admin I - TX
Richardson Texas HQ (1001 E. Lookout Drive), United States

Health Care Service Corporation

CM Medical Management Policies Standardized Criteria Milliman guidelines Database experience Ancillary services Condition Management UM Coordination of care +35

USD 60K+

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+

Utilization Review Nurse
Remote

Medical necessity reviews Level of care reviews Evidence-Based Guidelines Clinical Guidelines Technology Platform RN licensure Clinical Practice Acute care Clinical Review +11

USD 70K+

Relief Nurse Coordinator (RN), Oncology Transitions of Care - REMOTE
875 Blake Wilbur Dr - AMC Lane - PALO ALTO, United States

Stanford Health Care

Telecommunications Technologies Health advocacy C-i-care Patient Communication Computer Systems Triage Ethics Clinical Judgment Care Coordination +11

USD 144K+

Overnight Virtual Primary Care Physician (GA Licensure)
Remote, United States

Digital healthcare Data-Driven Care Patient management Synchronous video Digital-first healthcare Virtual medicine Empathetic care Technology use Operational Rigor +20

USD 276K+

Licensed Telephonic Counselor - Evernorth Health Services- Remote- Colorado
Colorado Work at Home, United States

The Cigna Group

Military lifestyle knowledge Z-codes Brief therapy Telephonic counseling Employee assistance programs Solution focused therapy Crisis Management Social Work Clinical Judgment +23

USD 65K+

Behavioral Health Coach - (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Resource Coordination Interdisciplinary Collaboration Self-Management Health education Behavior Change Goal setting Psychology Motivational interviewing Social Work +16

Senior Mid Full Time

USD 44K+

Clinical Content Specialist – Nursing (Nurse Educator)
USA-CA-Remote, United States

NurseTim NCLEX Lippincott Learning styles NurseThink Andragogy Nursing education Teaching Strategies Curriculum Design +12

Senior Mid Full Time

USD 95K+

Clinical Care Navigator - After Hours
Remote

Spring Health Remote-first

Crisis assessment Solution-focused approaches Multi-disciplinary collaboration Crisis support Safety Planning Ethical Standards CBT Mindfulness Care Navigation +33

USD 66K+

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

Highmark Health

Healthcare service delivery Dialectical behavior therapy Condition Management Disease Processes Cognitive Behavioral Therapy Cultural Competency Disease Management Care Planning Analytic +20

Senior Mid Full Time

USD 57K+

Medical Expert, OBGYN
Remote

Carrot Fertility Remote-first

OBGYN Menopausal care Fertility care High-risk pregnancy Evidence-based approach Pregnancy Reproductive Health Fertility Continuing Education +14

Senior Mid Full Time

USD 500K+

Medical Director -Pediatric Cardiology
Florida Work at Home, United States

The Cigna Group

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

Exec Senior Full Time

USD 203K+

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

Highmark Health

Dialectical behavior therapy Condition Management Disease Processes Cognitive Behavioral Therapy Cultural Competency Analytic Motivational interviewing Autonomy Clinical Judgment +17

Senior Mid Full Time

USD 57K+

Complex Case Manager RN - Pediatric (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Dialectical behavior therapy Disease Processes Condition Management Statistical Data Analysis Cognitive Behavioral Therapy Cultural Competency Analytic Motivational interviewing Autonomy +18

Senior Mid Full Time

USD 57K+

Virtual Primary Care Physician
Remote, United States

Synchronous communication Data-Driven Care Synchronous video Empathetic care Virtual medicine Digital-first healthcare Patient-centered care Operational Rigor Asynchronous communication +19

USD 276K+

Physician reviewer
Hingham, United States

Blue Cross Blue Shield of Massachusetts

Peer-to-peer outreach Case reviews Medical policy Computer Systems Health outcomes Conflict Management Clinical Judgment Care Coordination Utilization management +1

USD 232K+

Licensed Telephonic Counselor - Evernorth Health Services - Remote - CA License Required
California Work at Home, United States

The Cigna Group

Community resource utilization Telephonic counseling Biopsychosocial assessment Brief therapy Employee assistance programs Solution focused therapy Mental Health Counseling Crisis Management Clinical Judgment +26

Senior Mid Full Time

USD 65K+

Physician Reviewer BH PRU, Part Time
Boston, United States

Blue Cross Blue Shield of Massachusetts

Clinical Judgment MS Word Utilization management Negotiation Leadership Communication

Mid Part Time Full Time

USD 232K+

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