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Health care services Remote Jobs

18 fresh jobs found

Transition Specialist
Remote-MO, United States

Centene Corporation

Education materials development Service plan development Member assessment Transition planning Transition of care Training Program Development Healthcare Provider Interaction Health care services Service plan +22

USD 95K+

Tucson Medical Eligibility Specialist
REMOTE OPTIONS, TUCSON

State of Arizona

Heaplus Navajo fluency Health Care Delivery Medical eligibility Caseload management Medicaid programs Basic math Health care services Long Term Care +42

Entry Mid Full Time

USD 51K+

Payment Integrity Clinician - (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Coding criteria Medical Policies Medical Documentation Payment Integrity Health care services Claims analysis Provider education Utilization management Quality improvement +11

Senior Mid Full Time

USD 57K+

Phoenix Medical Eligibility Specialist
REMOTE OPTIONS, PHOENIX, FLAGSTAFF

State of Arizona

Heaplus Navajo fluency Medical eligibility Health Care Delivery Caseload management Medicaid programs Basic math Health care services Long Term Care +41

Entry Mid Full Time

USD 51K+

Public Programs Specialist
Remote-CA, United States

Centene Corporation

Member access Provider network management Clinical Management Grievances Healthcare Collaboration Health care services Service coordination Pharmacy Technician Medical Review +25

Entry Mid Full Time

USD 77K+

CMST Care Manager I-Waiver (Full time Remote Meck area, North Carolina Based)
Charlotte, North Carolina, United States

Alliance Health

Community collaboration Integrated care Emergency Services Documentation standards Health care services Service coordination Social Determinants of Health Screening Interviewing +22

USD 56K+

CMST Care Manager I-Waiver (Full time Remote Wake area, North Carolina Based)
Morrisville, North Carolina, United States

Alliance Health

Community collaboration Integrated care Emergency Services Documentation standards Telephonic Communication Health care services Service coordination Social Determinants of Health Screening +23

USD 56K+

Flagstaff Medical Eligibility Specialist
REMOTE OPTIONS, FLAGSTAFF

State of Arizona

Navajo fluency Medical eligibility Heaplus Health Care Delivery Caseload management Medicaid programs Basic math Health care services Long Term Care +40

Entry Senior Mid Full Time

USD 51K+

Behavioral Health Prior Authorization Manager
REMOTE OPTIONS, PHOENIX

State of Arizona

Medicaid programs Program Planning Health care services Report development Policies and procedures Review Equal Opportunity Provider Relations Eligibility verification +51

USD 83K+

Care Manager RN - (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Medical Policies Health care services Health coaching Clinical Experience Utilization management Quality improvement RN Care management Managed Care +16

USD 50K+

CMST Care Manager I-Non-Waiver (Full time Remote Orange/Durham, North Carolina Based)
Morrisville, North Carolina, United States

Alliance Health

Integrated care Community collaboration Assessment Planning Emergency Services Health care services Documentation standards Service coordination Telephonic Communication Social Determinants of Health +23

USD 56K+

CMST Care Manager I-Non-Waiver (Full time Remote Cumberland/Harnett area, North Carolina Based)
Fayetteville, North Carolina, United States

Alliance Health

Integrated care Community collaboration Person-centered planning Emergency Services Health care services Documentation standards Service coordination Social Determinants of Health Motivational interviewing +22

USD 72K+

Care Manager RN (Delaware) Remote
PA, Working at Home - Pennsylvania, United States

Highmark Health

Medical Policies Health care services Health coaching Clinical Experience Utilization management RN Care management Managed Care Nursing +16

USD 50K+

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+

Payment Integrity Clinician - RN (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Coding criteria Health care services Medical Documentation Payment Integrity Claims analysis Provider education Utilization management RN Managed Care +10

Senior Mid Full Time

USD 57K+

Opioid Case Management Lead Analyst - Evernorth Health Services - Remote
Ohio Work at Home, United States

The Cigna Group

Pain management Cognitive behavioral coaching Telephonic counseling Telephonic support Health care services Treatment plans Health education Substance Use Disorder Goal setting +29

Senior Mid Full Time

USD 65K+

Care Manager RN (Delaware) Weekends - (Remote)
PA, Working at Home - Pennsylvania, United States

Highmark Health

Health care services Health coaching Clinical Experience Utilization management Healthcare services Care management RN Nursing Managed Care +19

USD 50K+

Transition Specialist
Remote-CA, United States

Centene Corporation

Education and training development Communication with healthcare providers Resource Facilitation Transition planning Member assessment Transition management Transition of care Health care services Healthcare Coordination +21

USD 95K+

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