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Discharge planning Remote Jobs

62 fresh jobs found

Oncology Nurse Navigator
Remote or Houston, TX

Provider referrals Symptom Management Oncology nursing Healthcare Collaboration Documentation standards Clinical assessment Clinical assessments Care Navigation Discharge planning +8

Senior Mid Full Time

USD 79K+

Oncology Nurse Navigator
Remote or Milwaukee, WI

Case conferencing Provider referrals Symptom Management Oncology nursing Healthcare Collaboration Documentation standards Clinical assessment Clinical assessments Care Navigation +8

USD 79K+

Oncology Nurse Navigator
Remote or Phoenix, AZ

Case conferencing Provider referrals Symptom Management Oncology nursing Healthcare Collaboration Documentation standards Clinical assessment Clinical assessments Care Navigation +8

USD 79K+

Clinical Integration Liaison - Licensed/Remote in CA
Remote CA San Diego 92101, United States

Magellan Health Remote-first

Utilization Analysis Clinical Practice Guidelines Substance abuse Provider Relations Security Controls Discharge planning Community Resources Referrals Presentations +14

Exec Mid Full Time

USD 58K+

Integrated Nurse Case Manager
Virginia Premier Health Plan Richmond, United States

RN license Clinical assessments Discharge planning Health Plan Care Coordination RN Care management Nursing Managed Care +10

USD 66K+

Utilization Review Nurse-Weekends-Remote
Sentara Park 1330, United States

Concurrent review Inpatient review RN license Retrospective review Milliman InterQual NCQA Discharge planning Health Plan +16

USD 60K+

Medical Director--Claims Management
Remote US, United States

Inpatient care Clinical patient care Computer-Based Review Outpatient services Home health services Grievance and appeals processes Clinical reference materials CMS policies Post-acute care +87

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+

Case Manager
Full Time Remote - North Carolina, United States

Health coaching Comprehensive assessments Medical necessity Discharge planning Treatment Planning Community Resources Care Coordination Referrals Policy Development +9

USD 68K+

Utilization Management Clinical Care Reviewer II - MUST be Multi-State Licensed
Dayton WFH, United States

Change resiliency Clinical care review Registered Nursing Proper grammar usage Medical Necessity Review Phone Etiquette Discharge planning Clinical Care Accreditation +35

USD 61K+

Sr Onsite Clinical Care Navigator--Mission Hospital Asheville
Full Time Remote - North Carolina, United States

Clinical reviews Comprehensive assessments Healthcare Coordination Medical necessity Discharge planning Clinical Care Community Resources Referrals Utilization management +7

Senior Mid Full Time

USD 75K+

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+

UM Coordinator
Work From Home (HB), United States

Health Care Service Corporation

Medical claims review Ancillary services UM Medical Necessity Review Medical claims Healthcare Management Report Preparation Medical necessity Registered Nurse +20

USD 56K+

Clinical Review Nurse - Concurrent Review
Remote-NY, United States

Centene Corporation

Health management systems Health management Medicaid regulations Guidelines Medical necessity Clinical Review Discharge planning Utilization Acute care +20

USD 95K+

Remote Oncology Nurse Navigator
Remote or Houston, TX

Provider referrals Symptom Management Case conferencing Oncology nursing Healthcare Collaboration Clinical assessment Clinical assessments Care Navigation Discharge planning +7

Senior Mid Full Time

USD 79K+

Remote Oncology Nurse Navigator (11:30am-8pm ET Shift)
Remote or Tacoma, WA

Provider referrals Symptom Management Oncology nursing Patient Navigation Documentation standards Clinical assessment Clinical assessments Care Navigation Discharge planning +6

Senior Mid Full Time

USD 79K+

Clinical Review Nurse - Concurrent Review
Remote-CA, United States

Centene Corporation

Health management systems Health management Medicaid regulations Guidelines Clinical Review Medical necessity Discharge planning Utilization Acute care +20

USD 95K+

Care Manager, BH - Remote in PA
Remote PA Newtown 18940, United States

Magellan Health Remote-first

Telephone triage DSM V Clinical reviews Substance abuse Discharge planning Outpatient Care Crisis Intervention Tracking Triage +18

USD 58K+

Manager, Utilization Management Registered Nurse
Remote US, United States

Interpreting Criteria Medicaid Experience Tactical Operations Microsoft Office Word Health Plan Experience Clinical Nursing Medical Services Rehabilitation LESS +56

USD 94K+

Case Manager I (RN/MSW) - Medicare/DSNP team
Yakima, Washington, United States; Seattle, Washington, United States

Community Health Plan of Washington

Workflow systems Telephonic case management Medicaid regulations Clinical assessment Home Health Discharge planning Community Health Social Work Clinical Experience +19

USD 77K+

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+

Clinical Review Nurse - Concurrent Review
Remote-FL, United States

Centene Corporation

TruCare Health management systems InterQual Guidelines Health management Medicaid regulations Clinical Review Medical necessity Discharge planning +22

USD 52K+

Nurse Liaison - Post Acute Care - Jacksonville, FL - Sign on Bonus
Remote

Quality Assessment Patient Care Coordination Discharge planning Registered Nurse Operational processes Utilization Review Resource Management Clinical expertise Patient Education +10

USD 80K+

Utilization Nurse Reviewer (Remote), Day Shift, Utilization Management
Support Center, United States

Adventist HealthCare

Typing 50+ WPM Clinical Chart Review Milliman Resource Utilization CMS guidelines InterQual Windows Environment Discharge planning Utilization Review +9

USD 77K+

Utilization Review Clinician - Behavioral Health
Remote-FL, United States

Centene Corporation

Guidelines Medical appropriateness Healthcare Collaboration Treatment plans Substance abuse Clinical Review Discharge planning Utilization Utilization Review +21

USD 52K+

Registered Nurse-Multispecialty-Scarsdale, NY-Part Time-Day-Offsite
United States

Mount Sinai Health System

Nursing process Clinical competence Cultural Sensitivity Surgery Clinical Practice Discharge planning Counseling Performance Improvement Cardiology +15

Entry Part Time

USD 107K+

Discharge Planner
Nashville, TN

Referral Coordination Mental health treatment Individual therapy Family therapy Evidence-based treatment Discharge planning Database Management Case Management Mental Health +9

Entry Mid Full Time

USD 52K+

Continuing Care Coordinator
Remote, United States

Referral Coordination Mental health treatment Individual therapy Family therapy Evidence-based treatment Discharge planning Database Management Case Management Mental Health +9

USD 52K+

Discharge Planner
Remote, United States

Referral Coordination Mental health treatment Individual therapy Family therapy Evidence-based treatment Discharge planning Client Support Case Management Mental Health +8

Entry Mid Full Time

USD 52K+

Continuing Care Coordinator
Nashville, TN

Referral management Client Coordination Mental health treatment Individual therapy Family therapy Evidence-based treatment Discharge planning Case Management Mental Health +8

USD 52K+

Transition of Care Specialist - Remote
Remote HI Honolulu 96813, United States

Magellan Health Remote-first

Transitional care Member engagement Substance abuse Discharge planning KPI Management Medication management Community Resources Medical terminology Care management +11

USD 45K+

Utilization Review Clinician-Behavioral Health
Remote-IL, United States

Centene Corporation

Education provision Outpatient Medical appropriateness Healthcare Collaboration Treatment plans Substance abuse Utilization Clinical Review Discharge planning +23

USD 52K+

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+

Complex Discharge Planner
Remote-FL, United States

Centene Corporation

Prior authorizations Health management systems Health management Medicaid regulations Utilization Discharge planning Needs Assessment Utilization Review Acute care +19

USD 95K+

Clinical Care Reviewer II BH - MUST HAVE a BH UM Background
Mississippi WFH, United States

Registered Nursing Medical Necessity Review Proper grammar usage Phone Etiquette Provider engagement Clinical Care Discharge planning Customer Care Accreditation +33

USD 55K+

Clinical Review Nurse - Concurrent Review
Remote-AZ, United States

Centene Corporation

Health management systems Health management Medicaid regulations Utilization Medical necessity Clinical Review Discharge planning Acute care Medical Records +20

USD 52K+

Manager, Transition Care Management
Work at Home - Virginia, United States

Interpreting Data Tactical Operations Inpatient rehabilitation Prevention Operational Leadership Interdisciplinary Collaboration Human services Health promotion Business Consulting +66

USD 25K+

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+

Medical Director - Southeast Region
Remote US, United States

Computer-Based Review Health claims review Post-acute services Grievance and appeals processes Outpatient services Inpatient rehabilitation Post-acute care Clinical group practice management Commercial health insurance +87

Exec Senior Full Time

USD 223K+

Utilization Review Clinician - Behavioral Health
Remote-NC, United States

Centene Corporation

Education provision Healthcare Collaboration Medical appropriateness Utilization Treatment plans Substance abuse Clinical Review Discharge planning Utilization Review +21

USD 52K+

Community Based Care Managers - Native American Focus - Must live in Mississippi
Mississippi WFH, United States

Person-Centered Care Planning Community Resource Education Behavioral health assessment Healthcare Resource Utilization Interdisciplinary Team Collaboration Ncqa standards Trauma-Informed Care Clinical Standards Health Equity +35

USD 55K+

Care Management Support Professional
TRIL TAMPA, United States

Non-clinical Assessment Social determinants Chronic Condition Management Clinical programs Driver safety program Social services Health education Community Health Acute care +53

USD 25K+

Care Management Support Professional
Miami - FL, United States

Non-clinical Assessment Social determinants Chronic Condition Management Clinical programs Driver safety program Social services Health education Community Health Acute care +53

USD 25K+

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+

Utilization Management Clinical Care Reviewer II - MUST be Multi-State Licensed
Mississippi WFH, United States

Clinical care review Proper grammar usage Medical Necessity Review Registered Nursing Phone Etiquette Provider engagement Discharge planning Accreditation Certification +33

USD 55K+

HMSA Intake Precert Care Manager - Remote Hawaii
Remote HI Honolulu 96813, United States

Magellan Health Remote-first

DSM V Telephone triage Clinical reviews Substance abuse Discharge planning Outpatient Care Triage Tracking Crisis Intervention +17

USD 58K+

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 - 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+

Payer Solutions Inpatient UM Case Management Lead Analyst - Evernorth Health Services - Remote
Minnesota Work at Home, United States

The Cigna Group

Chemical dependency Health care services Technology systems Treatment plans Medical necessity Discharge planning Behavioral healthcare Utilization Review Conflict Management +25

Senior Mid Full Time

USD 65K+

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+

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