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Discharge planning Remote Jobs

50 fresh jobs found

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+

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

Health Care Service Corporation

Wellness education Coordination of care Milliman guidelines UM Medical Management Policies CM Database experience Condition Management PC Proficiency +29

USD 58K+

EAP WorkLife Analyst - Medicare Team
Work At Home-Texas

Elder care Resource needs assessment Spanish Speaking Community service Health education EAP Phone Social services Referrals +25

Entry Mid Full Time

USD 42K+

EAP Worklife Analyst - Medicare Team
Work At Home-Texas

Elder care Spanish Speaking Psychosocial assessments Community service EAP Health education Phone Social services Call Center Experience +24

Entry Mid Full Time

USD 42K+

Behavior Health Utilization Management Care Coordinator (Remote)
Virginia Premier Health Plan Richmond

Transitions of care Cmhrs services Behavioral health care coordination Dmas protocols Arts services Bh services Managed care contracting Continuity of care Health Plan +16

USD 62K+

Care Coordinator UM/CM I
Albuquerque New Mexico HQ (5701 Balloon Fiesta Parkway)

Health Care Service Corporation

UM CM Software utilization Discharge planning Clinical Practice Registered Nurse RN Nursing Case Management +7

USD 58K+

Analyst, EAP WorkLife
Work At Home-Texas

Resource needs assessment Community service Spanish Speaking Health education EAP Phone Social services Community Resources Discharge planning +23

Entry Mid Full Time

USD 42K+

Clinical Reviewer-Immediate Advocacy Discharge Assistance, RN (Remote)
United States - Remote

Medical record abstracting Action plans Internet navigation Disease Processes Medical Record Review Healthcare Delivery Discharge planning Medical Records Utilization Review +27

USD 44K+

Medical Director - Gulf South
Remote US

Health claims review Commercial health insurance Outpatient services Grievance and appeals processes Social determinants Hospitalist Clinical group practice management Clinical reference materials Inpatient rehabilitation +81

Exec Senior Full Time

USD 199K+

Primary Nurse Case Administrator I
Richardson Texas HQ (1001 E. Lookout Drive)

Health Care Service Corporation

Wellness education UM Milliman guidelines Lotus Notes Medical Management Policies CM Coordination of care Database experience Condition Management +31

USD 58K+

Utilization Management Manager - Denial Appeals and Audit
Working Virtually

MultiCare Health System

Medical necessity Discharge planning Cost Management Quality Standards Utilization management Supervisory Nursing Health care Audit +10

Senior Mid Full Time

USD 168K+

Utilization Review Nurse - Remote (Select States)
Sentara Health Plans Community Care

Retrospective review Inpatient review Concurrent review Milliman NCQA InterQual Accreditation RN licensure Acute care +20

USD 77K+

Medical Director - Grievances and Appeals
Remote US

Health claims review Rehab Hospitalist Geriatrics Medical background Family practice Medical interpretation Internal Medicine Medical Director +42

Exec Senior Full Time

USD 241K+

Utilization Management Nurse Consultant
Work At Home-Pennsylvania

Benefit utilization Coverage determination Benefit management Telephonic Communication Medical necessity Clinical Criteria Acute care Discharge planning Utilization Review +20

USD 58K+

Utilization Management Nurse Consultant
Work At Home-Ohio

Benefit utilization Coverage determination Benefit management Long Term Care Telephonic Communication Clinical Criteria Medical necessity Home Health Discharge planning +30

USD 52K+

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

Health Care Service Corporation

Wellness education Milliman guidelines UM CM Coordination of care Lotus Notes Medical Management Policies Database experience Condition Management +31

USD 58K+

Case Manager RN
Work At Home-Arizona

Telephonic Communication RN license Clinical Tools Data Review Policies and procedures RN licensure Acute care Member engagement Discharge planning +20

USD 54K+

Utilization Manager Nurse Consultant
Work At Home-Texas

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

USD 58K+

Clinical Reviewer-Immediate Advocacy (RN/LCSW)-Remote
United States - Remote

Medical record organization Web navigation Healthcare Technologies Disease Processes Rehabilitation Discharge planning Utilization Review Medical Records Clinical assessment +24

USD 44K+

Case Manager RN
Work At Home-New York

Healthcare programs Data-driven methods Telephonic case management RN license RN licensure Health Literacy Member engagement Discharge planning Referrals +27

USD 66K+

Case Management Coordinator II (NICU/Infertility/Mother Baby)
Richardson Texas HQ (1001 E. Lookout Drive)

Health Care Service Corporation

CM Medical Management Policies Database experience PC Proficiency Medical management Discharge planning PC Disease Management Clinical Care +22

USD 58K+

Transition of Care Nurse - RN
Work At Home-Virginia

Clinical Assistance Goal Attainment Home health care coordination Home health care Emergency department Proprietary applications Navigating multiple systems RN license Keyboarding +34

USD 60K+

Case Manager RN (Remote, OH)
Work At Home-Ohio

Telephonic assessment Clinical resources Clinical Tools Holistic approach Data Review Policies and procedures RN licensure Care Planning Network management +21

USD 54K+

Utilization Management Nurse Consultant
Work At Home-Texas

Benefit utilization Coverage determination Benefit management Long Term Care Telephonic Communication Medical necessity Clinical Criteria RN licensure Home Health +32

USD 58K+

Behavioral Health Case Management Coordinator
Richardson Texas HQ (1001 E. Lookout Drive)

Health Care Service Corporation

Database experience Discharge planning PC Clinical Care Clinical Practice Registered Nurse Database Utilization management Clinical Experience +15

USD 58K+

Case Management Coordinator II
Richardson Texas HQ (1001 E. Lookout Drive)

Health Care Service Corporation

Medical Management Policies CM Database experience PC Proficiency Discharge planning Medical management Disease Management PC Clinical Care +22

USD 58K+

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

Mount Sinai Health System

Nursing research Nursing quality Nursing theory Nursing process Clinical competence Discharge planning Clinical Practice Surgery Cultural Sensitivity +21

USD 72K+

UM Nurse Consultant - Prior Authorization
Work At Home-Ohio

Benefit utilization Coverage determination Benefit management Navigating multiple systems Medical necessity Clinical Criteria Keyboarding RN licensure Discharge planning +27

USD 52K+

Temp Nurse Case Manager at $47.25/hour- Remote in Virginia!
Virginia Remote

Telephonic assessments Health Plan Chronic Condition Management Clinical assessments Discharge planning Verification Healthcare systems Judgment RN +14

USD 94K+

Case Manager RN- Pennsylvania
Work At Home-Pennsylvania

Emergency department Long Term Care Clinical resources Clinical Tools Holistic approach Data Review Policies and procedures RN licensure Discharge planning +23

USD 60K+

Case Manager RN
Work At Home-North Carolina

Healthcare programs Data-driven methods Telephonic case management RN license Discharge planning Member engagement Acute care Health Literacy Referrals +21

USD 54K+

RN-Cardiology-Greenlawn, Long Island-Full Time-Day-Offsite
United States

Mount Sinai Health System

Role modeling Nursing research Nursing quality Nursing process Nursing theory Clinical competence Discharge planning Surgery Clinical Practice +14

Entry Senior Mid Full Time

USD 108K+

Transition of Care Nurse - RN
Work At Home-Connecticut

Home health care coordination Clinical Assistance Goal Attainment Emergency department Proprietary applications Navigating multiple systems Clinical resources Keyboarding Holistic approach +32

USD 66K+

Utilization Managment Nurse Consultant
Work At Home-California

Benefit management Benefit utilization Coverage determination Long Term Care Clinical Criteria Medical necessity Telephonic Communication RN licensure Utilization Review +29

Entry Mid Full Time

USD 64K+

Clinical Case Manager Behavioral Health DSNP
Work At Home-Pennsylvania

Provider coordination Substance abuse Technological Clinical Tools Data Review Care Planning Crisis Intervention Utilization Review Discharge planning +19

USD 60K+

Medical Director - Northeast Region
Remote US

Commercial health insurance Post-acute services Grievance and appeals processes Outpatient services Coding practices Clinical group practice management Judgement Inpatient rehabilitation Hospitalist +80

Exec Senior Full Time

USD 199K+

State Hospital Liaison
Spokane, Washington, United States

Community Health Plan of Washington

Substance use disorder treatment Workflow systems Care management workflow systems Chemical dependency Community Resources Discharge planning Psychology Social Work Care Coordination +14

Senior Mid Full Time

USD 83K+

Registered Nurse - Staten Island - Full Time - Days - OFFSITE
United States

Mount Sinai Health System

Nursing process Nursing theory Clinical competence Clinical Practice Surgery Cultural Sensitivity Discharge planning Performance Improvement Care Coordination +17

Entry Mid Full Time

USD 120K+

Medical Director- South Central
Remote US

Post-acute services Clinical group practice management Clinical Standards Grievance and appeals processes Outpatient services Coding practices Inpatient rehabilitation Medical background Clinical reference materials +78

Exec Senior Full Time

USD 199K+

State Hospital Liaison
Seattle, Washington, United States

Community Health Plan of Washington

Substance use disorder treatment Chemical dependency Care management workflow systems Workflow systems Community Resources Discharge planning Psychology Social Work Care Coordination +14

Senior Mid Full Time

USD 83K+

Clinical Case Manager Behavioral Health DSNP
Work At Home - Utah

Behavioral health consultation Provider coordination Clinical Case Management Community Resource Coordination Appeals Care Planning Clinical Practice Utilization Review Crisis Intervention +23

USD 54K+

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