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Discharge planning Remote Jobs

49 fresh jobs found

Medical Director - Post-Acute Care - Evernorth Home-based Care - Remote
Tennessee Work at Home, United States

The Cigna Group

Case conferences Medical care management Board certification Educational training Ncqa standards Peer-to-peer discussions Medical Review Quality of care Federal Laws +21

Exec Senior Full Time

USD 203K+

Behavioral Health Inpatient Care Manager - Initial Clinical Examiner Team- Evernorth Health Services- Remote
California Work at Home, United States

The Cigna Group

Technology navigation Technology systems Treatment plans Mental Health Counseling Medical necessity Behavioral healthcare Utilization Review Discharge planning Health Services +25

USD 65K+

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

Health Care Service Corporation

Wellness education Milliman guidelines Coordination of care Lotus Notes Medical Management Policies UM CM Database experience Condition Management +34

USD 60K+

Sr Episodic Care Manager - Behavioral Health
Full Time Remote - North Carolina, United States

Project testing Medical reviews Clinical evaluation Process documentation Discharge planning Care Coordination Utilization management Team Management Mentorship

Senior Mid Full Time

USD 69K+

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

Centene Corporation

Health management Health management systems Medicaid regulations Clinical Review Medical necessity Acute care Discharge planning Health Services Medical Records +15

USD 52K+

Behavioral Health Services Navigator
Valley Center Tower, United States

Intermountain Health

Patient Navigation Resource Coordination Discharge planning Bilingual (Spanish) Behavioral health Interpersonal Communication

USD 38K+

Care Support - Remote CA
Remote CA San Diego 92103, United States

Magellan Health Remote-first

Health plan benefits Community research Psychiatric terminology Recordkeeping Logistics support Member engagement Call center Operations Care Planning Discharge planning +16

USD 37K+

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

Health Care Service Corporation

Wellness education Lotus Notes Coordination of care Milliman guidelines Medical Management Policies UM CM Database experience Condition Management +33

USD 60K+

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

Centene Corporation

Medicaid regulations Clinical Review Medical necessity Acute care Discharge planning Health Services Medical management Clinical knowledge Utilization management +9

USD 93K+

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+

Transition of Care, Discharge Planning Liaison (RN or SW), Mostly Remote
220 East 42nd Street, United States

Clinical determinations SW Interdisciplinary Care Healthcare Policies Medical Services Record keeping Social Determinants of Health Discharge planning Community Resources +10

USD 96K+

Clinical Case Manager Behavioral Health
Work At Home-Texas, United States

Community resource identification Provider coordination Bilingual Spanish and English Clinical Tools RN license Data Review Care Planning Telephonic Communication Crisis Intervention +32

USD 60K+

Behavioral Health Utilization Management Clinician I - MHP or SUDP
Seattle, Washington, United States

Community Health Plan of Washington

Workflow systems Clinical Guidelines Patient advocacy Utilization Review Discharge planning Care Coordination Utilization management Care management Clinical Experience +9

USD 73K+

Utilization Management Nurse Consultant
Work At Home-Florida, United States

Medical Necessity Review Coverage determination Benefit management Benefit utilization Clinical Criteria Telephonic Communication Medical necessity Acute care Clinical Judgment +21

USD 52K+

Behavioral Health Clinical Liaison, Central Region - VA - Remote
Work At Home-Virginia, United States

Clinical coordination Behavioral health services Addiction recovery Psychiatric care Interdisciplinary Teamwork Navigating multiple systems Mental health services Training and education Clinical Leadership +36

Senior Mid Full Time

USD 80K+

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

Centene Corporation

Medical appropriateness Healthcare Collaboration Treatment plans Substance abuse Provider education Clinical Review Utilization Review Discharge planning Treatment Planning +18

USD 52K+

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

Health Care Service Corporation

Wellness education Milliman guidelines Coordination of care Lotus Notes Medical Management Policies UM CM Database experience Condition Management +34

USD 60K+

Utilization Management Nurse Consultant
Work At Home-New York, United States

Healthcare services coordination Keyboarding Coverage determination Benefit management Benefit utilization Clinical Criteria Computer Systems RN licensure Telephonic Communication +25

USD 64K+

Case Manager RN (Remote)
Work At Home-Florida, United States

Home healthcare Clinical models Proprietary applications Navigating multiple systems Telework Clinical resources Holistic approach Keyboarding Clinical Tools +38

USD 54K+

Clinical Case Manager Behavioral Health DSNP- Spanish Speaking
Work At Home - Utah, United States

Substance abuse knowledge Clinical Case Management Substance abuse disorders Provider coordination Concurrent review Bilingual Spanish and English Spanish Speaking Community Resource Coordination Substance abuse +32

USD 54K+

Case Manager RN- Pennsylvania
Work At Home-Pennsylvania, United States

Emergency department Integrative functions Clinical resources Long Term Care Holistic approach Clinical Tools Data Review Member engagement RN licensure +24

USD 60K+

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

Centene Corporation

Education provision Medical appropriateness Healthcare Collaboration Treatment plans Substance abuse Clinical Review Utilization Review Discharge planning Health Services +17

USD 52K+

Utilization Management Clinician Behavioral Health
Work At Home-Pennsylvania, United States

Navigating systems Clinical Practice Guidelines Navigating multiple systems Keyboarding Coverage determination Benefit management Benefit utilization Mental health services Evidence-Based Care +23

USD 60K+

Medicare Grievances and Appeals Corporate Medical Director
Remote US, United States

Rehab Health claims review Hospitalist Medical background Medical interpretation Family practice Geriatrics Medical Director Patient interaction +42

Exec Senior Full Time

USD 246K+

EAP Worklife Analyst - Medicare Team Afternoon Shift
Work At Home-Texas, United States

Broadband internet Elder care Resource needs assessment Spanish Speaking Community service EAP Phone Social services Call Center Experience +27

Entry Mid Full Time

USD 42K+

Clinical Case Manager Behavioral Health DSNP
Work At Home-Pennsylvania, United States

Provider coordination Substance abuse disorders Licensed Clinical Professional Counselor Licensed Mental Health Counselor Technological Clinical Tools Substance abuse Data Review Licensed Marriage and Family Therapist +26

USD 60K+

Utilization Management Nurse Consultant
Work At Home-Pennsylvania, United States

Keyboarding Coverage determination Healthcare Coordination Benefit utilization Benefit management Computer Systems Clinical Criteria Telephonic Communication RN licensure +25

USD 58K+

Utilization Management Nurse Consultant
Work At Home-Ohio, United States

Medical Necessity Review Coverage determination Benefit management Benefit utilization Clinical Criteria Telephonic Communication Medical necessity Acute care Clinical Judgment +30

USD 52K+

Clinical Case Manager Behavioral Health
Work At Home-Illinois, United States

Psychosocial services Provider coordination Telephonic assessment Navigating multiple systems Holistic approach Clinical Tools Data Review Clinical Guidelines Care Planning +42

USD 66K+

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

Community Health Plan of Washington

Family therapy Care management software Workflow systems Medicaid regulations Mental Health Counseling Home Health Discharge planning Community Resources Care Coordination +17

USD 70K+

Nurse Case Manager (RN/LPN)
Remote

Symphony Care Network

Nurse Case Management Interqual Guidelines Milliman care guidelines Patient Assessment Pre-certification Data Systems Electronic Medical Records Discharge planning Managed Care +6

USD 65K+

Utilization Manager Nurse Consultant
Work At Home-Texas, United States

Inpatient utilization Med/surg Coverage determination Benefit utilization Benefit management Clinical Criteria RN licensure Medical necessity Discharge planning +22

USD 58K+

Complex Case Manager (Remote with field travel in Greater Columbia region)
Kennewick, Washington, United States; Yakima, Washington, United States; Seattle, Washington, United States

Community Health Plan of Washington

Care management software Workflow systems Ncqa standards Community Resources Discharge planning Care Coordination Social Work Software Applications Utilization management +16

USD 83K+

Utilization Management Nurse Consultant
Work At Home-Arizona, United States

Medical Necessity Review Coverage determination Benefit utilization Benefit management Clinical Criteria Telephonic Communication Medical necessity Acute care Discharge planning +30

USD 52K+

HMSA Care Manager - BH, UM Reviewer - Remote Hawaii
Remote HI Honolulu 96813, United States

Magellan Health Remote-first

Telephone triage DSM V Substance abuse Crisis Intervention Community Resources Discharge planning Care Coordination Quality improvement Utilization management +5

USD 58K+

Utilization Management Nurse Consultant
Work At Home-Texas, United States

Medical Necessity Review Coverage determination Benefit utilization Benefit management Clinical Criteria Telephonic Communication Medical necessity Acute care Discharge planning +30

USD 58K+

Offsite Registered Nurse-Ambulatory-Full Time-Day-Mount Sinai Queens
United States

Mount Sinai Health System

Nursing judgment Nursing process Nursing quality Nursing theory Nursing research Clinical competence Cultural Sensitivity Discharge planning Clinical Practice +20

USD 72K+

Pre-Authorization Registered Nurse
Remote US, United States

MHK CGX Medical management systems MAccess Rehab Health Plan Experience MCG InterQual Medical necessity +49

USD 71K+

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

Magellan Health Remote-first

Clinical Practice Guidelines Quality oversight Substance abuse Community Resources Discharge planning Auditing Behavioral health Mental Health Time Management +5

Exec Mid Full Time

USD 58K+

Medical Director - Florida
Remote US

Home health services Health claims review Grievance and appeals processes Outpatient services Commercial health insurance Inpatient rehabilitation Post-acute care Clinical group practice management Hospitalist +81

Exec Senior Full Time

USD 223K+

Care Coordinator UM/CM I
Downers Grove (3500 Lacey Road)

Health Care Service Corporation

Health Needs Assessment Software utilization UM CM Discharge planning Clinical Practice Registered Nurse RN Nursing +8

USD 58K+

RN Care Manager
Remote - USA

Clover Health Remote-first

Telephonic Care Coordination Chronic Illness Management Intermediate Computer Healthcare reimbursement Care Plan Development Geriatrics Bilingual (English Electronic Medical Records Discharge planning +11

USD 68K+

Care Manager RN
Work At Home-Colorado

High-Speed Internet Clinical Tools RN license Data Review Telephonic Communication Member engagement Policies and procedures RN licensure Acute care +18

USD 60K+

RN - Rheumatology/Infusion-Greenlawn, Long Island-Full Time, Day-Offsite
United States

Mount Sinai Health System

Chemotherapy Infusion Nursing research Nursing quality Nursing process Nursing theory Clinical competence Discharge planning Surgery +15

USD 118K+

Utilization Management Nurse Consultant
Work At Home-Washington

Med/surg Coverage determination Long Term Care Benefit utilization Benefit management Clinical Criteria Telephonic Communication Medical necessity Telemetry +30

Senior Mid Full Time

USD 64K+

Reviewing Medical Director
Remote US

Grievance processes Care facilitation Post-acute services Health claims review Grievance and appeals processes Outpatient services Commercial health insurance Post-acute care Inpatient rehabilitation +93

Exec Senior Full Time

USD 199K+

Transition Coordinator II (Primary Remote/Hybrid, North Carolina Based)
Morrisville, North Carolina, United States

Alliance Health

Clinical handoffs Care team support Community services Transitional care management Health education Clinical Documentation Medication management Discharge planning Population health +24

USD 66K+

Medical Director - Southeast Region
Remote US

Health claims review Post-acute services Grievance and appeals processes Outpatient services Social determinants Inpatient rehabilitation Commercial health insurance Post-acute care Coding practices +80

Exec Senior Full Time

USD 199K+

Care Management Specialist
Springfield - St. John's Hospital

Hospital Sisters Health System

Clerical experience Clerical Discharge planning Utilization Review Medical terminology Education

Entry Mid Full Time

USD 36K+

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