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Discharge planning Remote Jobs

55 fresh jobs found

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

Centene Corporation

Health management systems Medicaid regulations Health management Utilization Clinical Review Medical necessity Acute care Discharge planning Medical Records +19

USD 52K+

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+

Behavioral Health Service Mgr-BH Medication Monitoring
Remote-OK, United States

Centene Corporation

Behavioral health services Mental health resources Utilization Data Monitoring Clinical Nursing Quality of care Foster care Evidence-based practices Discharge planning +32

USD 95K+

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

Centene Corporation

Utilization Health management systems Medicaid regulations Health management Medical necessity Clinical Review Acute care Discharge planning Medical Records +19

USD 95K+

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+

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+

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+

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

Centene Corporation

Medical appropriateness Healthcare Collaboration Substance abuse Treatment plans Discharge planning Clinical Review Utilization Review Prior authorization Medical management +20

USD 52K+

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+

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

Health Care Service Corporation

CM Medical Management Policies Standardized Criteria Milliman guidelines Database experience Ancillary services Condition Management UM Coordination of care +35

USD 60K+

Behavioral Health Care Manager Remote, must be Licensed and Reside in California
Remote CA San Diego 92126, United States

Magellan Health Remote-first

Inpatient care DSM-5 DSM V Telephone triage Clinical reviews Substance abuse Discharge planning Outpatient Care Triage +19

USD 58K+

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

Centene Corporation

RN licensure Health management systems UM Medicaid regulations Health management InterQual Acute care Discharge planning Clinical Review +22

USD 52K+

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

Centene Corporation

Healthcare Collaboration Medical appropriateness Substance abuse Treatment plans Provider education Discharge planning Clinical Review Utilization Review Treatment Planning +21

USD 52K+

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+

Care Management Support Professional
HGB TSC Pensacol, United States

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

USD 25K+

Care Management Support Professional
TRIL JACKSONVILLE, United States

Non-clinical Assessment Social determinants Clinical programs Chronic Condition Management Health education Driver safety program Social services Community Health Acute care +54

USD 25K+

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 - Behavioral Health
Remote-GA, United States

Centene Corporation

Education provision Healthcare Collaboration Medical appropriateness Treatment plans Substance abuse Clinical Review Discharge planning Utilization Review Prior authorization +20

USD 52K+

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

Centene Corporation

Clinical licensure Healthcare Collaboration Medical appropriateness Treatment plans Substance abuse Clinical Review Discharge planning Utilization Review Medical management +22

USD 95K+

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

Centene Corporation

Healthcare Collaboration Medical appropriateness Treatment plans Substance abuse Clinical Review Discharge planning Utilization Review Medical management Prior authorization +19

USD 52K+

IP Utilization Review Clinician - Behavioral Health
Remote-LA, United States

Centene Corporation

Healthcare Collaboration Medical appropriateness Treatment plans Substance abuse Clinical Review Discharge planning Utilization Review Medical management Prior authorization +18

USD 52K+

Clinical Manager - UM PAC
Remote

Clinical Management Staff Development Discharge planning Operational processes Performance monitoring Case Management Patient care Regulatory Compliance Team Leadership +1

USD 100K+

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+

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

Centene Corporation

Healthcare Collaboration Medical appropriateness Treatment plans Provider education Substance abuse Clinical Review Discharge planning Treatment Planning Utilization Review +21

USD 52K+

Senior Care Worker - Remote CA
San Diego CA 92108, United States

Magellan Health Remote-first

Community resource linking Mental health knowledge Substance abuse knowledge Substance abuse Tracking Discharge planning Training and Development Care Coordination Process improvements +15

Senior Mid Full Time

USD 45K+

Care Management Support Professional
TRIL CORALSPRINGS, United States

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

USD 25K+

Care Management Support Professional
Work at Home - Florida, United States

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

USD 25K+

Care Management Support Professional
TRIL TAMPA, United States

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

USD 25K+

Care Management Support Professional
Miami - FL, United States

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

USD 25K+

Behavioral Health Care Manager Remote, must be Licensed and Reside in California
United States, United States

Magellan Health Remote-first

DSM-5 DSM V Clinical reviews Telephone triage Substance abuse Tracking Triage Crisis Intervention Discharge planning +17

USD 58K+

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+

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+

Manager, Service Coordination
Work at Home - Virginia, United States

Interpreting Data Health Plan Experience Rating Health promotion Rehabilitation Supervisory experience Driver safety program Multilingual Microsoft Office Applications +54

USD 25K+

RN Care Manager, Telephonic
Work at Home - Wisconsin, United States

Psycho-social Health Management Health Risk Screening Transitions of Care Prevention Healthcare Delivery Acute care Clinical Care Discharge planning Risk +40

USD 71K+

Post-Acute Utilization Management Nurse (Gulf South Region)
Work at Home - Tennessee, United States

Interpreting Criteria Rehab Health Plan Experience CMS guidelines Clinical Nursing Medical Services Consumer Experiences Discharge planning CMS +41

USD 71K+

Utilization Management Nurse (Gulf South Region)
Work at Home - Louisiana, United States

Milliman Interpreting Criteria Health Plan Experience MCG Clinical Nursing Medical Services Acute care Consumer Experiences Discharge planning +46

USD 71K+

Manager, Care Management (LTSS - ABD)
Work at Home - Virginia, United States

Interpreting Data Health Plan Experience Rating Supervisory experience Multilingual Rehabilitation Health promotion Microsoft Office Applications Driver safety program +54

USD 25K+

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+

Case Manager - NICU/Pediatrics
Full Time Remote - North Carolina, United States

Healthcare resources Multidisciplinary collaboration Comprehensive assessments Member education Monitoring and Evaluation Clinical assessment Discharge planning Medical necessity Treatment Planning +11

USD 68K+

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

Centene Corporation

Education provision Medical appropriateness Clinical licensure Healthcare Collaboration Treatment plans Substance abuse Clinical Review Discharge planning Utilization Review +19

USD 95K+

Care Manager (CM - Adult) Field Based
Remote ID Pocatello 83201, United States

Magellan Health Remote-first

DSM V Telephone triage Clinical reviews Substance abuse Tracking Triage Crisis Intervention Discharge planning Care Coordination +16

USD 58K+

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 - 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+

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+

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+

Behavioral Health Case Manager - Medicare Advantage
Full Time Remote - North Carolina, United States

Comprehensive assessments Clinical assessment Discharge planning Medical necessity Referrals Community Resources Utilization management Behavioral health Case Management +10

USD 61K+

Case Manager
Full Time Remote - North Carolina, United States

Comprehensive assessments Health coaching Discharge planning Medical necessity Referrals Care Coordination Community Resources Policy Development Case Management +7

USD 68K+

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