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Clinical Standards Remote Jobs

16 fresh jobs found

Medical Director - Mid West Region
Remote US, United States

Computer-Based Review Community Groups Outpatient services Grievance and appeals processes Inpatient rehabilitation Commercial health insurance Clinical group practice management Post-acute care Humana policies +83

Exec Senior Full Time

USD 223K+

Medical Director - Gulf South
Remote US, United States

Post-acute services Grievance and appeals processes Community Groups Outpatient services Clinical group practice management Commercial health insurance Inpatient rehabilitation Post-acute care Humana policies +88

Exec Senior Full Time

USD 223K+

Medical Director - Pacific SW
Remote US, United States

Health claims review Community Groups Outpatient services Grievance and appeals processes Clinical group practice management Commercial health insurance Inpatient rehabilitation Post-acute care Humana policies +84

Exec Senior Full Time

USD 223K+

Maternity Clinical Practice Advisor
Remote-NV, United States

Centene Corporation

Maternal care Utilization metrics Clinical Practice Guidelines RN licensure Community partnerships Clinical Initiatives Quality performance Billing practices Clinical Standards +43

USD 68K+

Medical Director- South Central
Remote US, United States

Community Groups Outpatient services Grievance and appeals processes Post-acute services Clinical group practice management Inpatient rehabilitation Post-acute care Commercial health insurance Humana policies +86

Exec Senior Full Time

USD 223K+

Medical Director - Northeast Region
Remote US, United States

Community Groups Outpatient services Post-acute services Grievance and appeals processes Clinical group practice management Commercial health insurance Post-acute care Inpatient rehabilitation CMS policies +88

Exec Senior Full Time

USD 223K+

Utilization Review Clinician - ABA
Remote-AZ, United States

Centene Corporation

Autism spectrum disorder Healthcare Provider Interaction Medical appropriateness Clinical Standards Applied Behavior Analysis Treatment plans Behavioral Analysis ABA Clinical Review +25

USD 95K+

Medical Director - Southeast Region
Remote US, United States

Health claims review Community Groups Outpatient services Post-acute services Grievance and appeals processes Clinical group practice management Commercial health insurance Inpatient rehabilitation Humana policies +84

Exec Senior Full Time

USD 223K+

Medical Director - South Central
Remote US, United States

Community Groups Grievance and appeals processes Outpatient services Post-acute services Clinical group practice management Commercial health insurance Inpatient rehabilitation Post-acute care Social determinants +85

Exec Senior Full Time

USD 223K+

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

LSW Psychosocial Assessments Person-centered planning Healthcare Resource Utilization Clinical Standards Interdisciplinary Team Collaboration Critical Listening Health Equity NCQA +30

USD 55K+

Transition of Care Managers - RN and LSW - Must live in Mississippi
Mississippi WFH, United States

LSW Inter-disciplinary teamwork Person-centered planning Clinical Standards Critical Listening NCQA Health Equity Health Assessments Trauma-Informed Care +29

USD 55K+

Care Manager-Mom & Baby Beginnings-Must reside in Mississippi
Mississippi WFH, United States

Person-centered planning Healthcare Resource Utilization Clinical Standards Interdisciplinary Team Collaboration Critical Listening NCQA Health Equity Cultural Competence Health Assessments +29

USD 55K+

Medical Director - Mid West Region
Remote US, United States

Clinical guidelines knowledge Managed Care Knowledge Medicare Knowledge Commercial health insurance Clinical group practice management Inpatient rehabilitation Clinical Decision Making Social determinants Grievance and appeals +78

Exec Senior Full Time

USD 223K+

National Medicaid Medial Director - Long Term Services & Supports (LTSS)
Remote US, United States

Medical Authorization Community Groups Health Care Facilities Long Term Services & Supports Therapy Services Social determinants Post-acute care Clinical reference materials Medical background +73

Exec Senior Full Time

USD 223K+

Medical Director- South Central
Remote US, United States

Post-acute services Clinical group practice management Commercial health insurance Outpatient services Grievance and appeals processes Clinical Decision Making Post-acute care Inpatient rehabilitation Social determinants +83

Exec Senior Full Time

USD 223K+

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+

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