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Clinical Standards Remote Jobs

15 fresh jobs found

Provider Case Manager
Bay Area Remote, United States

Multi-disciplinary teamwork Behavioral health treatment Autism Spectrum Disorders Clinical Standards Clinical Quality Provider Relations Client satisfaction Crisis Management Supervision +15

USD 98K+

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+

MBB Care Manager - Ohio, Indiana, and/or Georgia Based RN's
Dayton WFH, United States

Healthcare resource management Maternity care Inter-disciplinary care team Person-centered planning Clinical Standards Health Assessments Critical Listening Trauma-Informed Care Health Equity +42

USD 61K+

Care Manager Mom and Baby Beginning - RN
Mississippi WFH, United States

Maternity care Person-centered planning Critical Listening Health Assessments Interdisciplinary Teamwork Clinical Standards Health Equity Trauma-Informed Care Disease Management +44

USD 55K+

Transition of Care Manager -RN or LSW - Must live in MS
Mississippi WFH, United States

Inter-disciplinary care team LSW Person-centered planning Health Assessments Critical Listening Clinical Standards Health Equity Trauma-Informed Care Disease Management +44

USD 55K+

Client Engineer III
Mississippi WFH, United States

Inter-disciplinary care team Interdisciplinary Team Collaboration Person-centered planning Health Assessments Critical Listening Clinical Standards Health Equity Trauma-Informed Care Culturally competent care +46

Senior Mid Full Time

USD 61K+

Care Manager NICU - RN
Mississippi WFH, United States

Inter-disciplinary care team NICU Person-centered planning Telephonic Communication Critical Listening Clinical Standards Health Equity Trauma-Informed Care Disease Management +43

USD 55K+

MBB Care Manager - Ohio, Indiana, and/or Georgia Based RN's
Illinois WFH, United States

Maternity care Person-centered planning Clinical Standards Critical Listening Health Equity Health Assessments Healthcare Coordination Trauma-Informed Care Disease Management +40

USD 61K+

Utilization Review/Appeals Clinician - ABA
Remote-FL, United States

Centene Corporation

ABA services Autism spectrum disorder Medical appropriateness Clinical Standards Applied Behavioral Analysis Behavioral Analysis Healthcare Provider Interaction Applied Behavior Analysis Treatment plans +28

USD 52K+

Medical Director - Home Health - OneHome/Home Solutions
Remote US, United States

CMS Medicare Collaborative relationships LCD NCD Inpatient care Clinical patient care Team culture CMS policies Clinical reference materials +50

Exec Senior Full Time

USD 223K+

Medical Director - Florida
Remote US, United States

Clinical patient care Health claims Managed Care Knowledge Post-acute services Home health services Family practice Inpatient rehabilitation Hospitalist National Guidelines +73

Exec Senior Full Time

USD 223K+

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+

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+

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+

Care Manager NICU - Must be LSW (Must live in Mississippi) WFH
Mississippi WFH, United States

Community Resource Education LSW Person-centered planning Healthcare Resource Utilization Interdisciplinary Team Collaboration Ncqa standards Clinical Standards Trauma-Informed Care Health Equity +36

USD 55K+

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