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Medicaid regulations Remote Jobs

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11 fresh jobs found
Clinical Review Nurse - Concurrent Review (RN)
Remote-TX, United States Centene Corporation logo Centene Corporation
NICU experience Health management systems Health management Medicaid regulations Clinical Review Acute care Discharge planning Medical necessity Medical Records +16
Mid Full Time
USD 95K+
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Clinical Review Clinician - Appeals (RN)
Remote-TX, United States Centene Corporation logo Centene Corporation
Clinical data analysis Appeals processing Interdepartmental Collaboration Clinical reviews Ncqa standards Medicaid regulations Clinical Review Appeals Medical necessity +18
Mid Full Time
USD 95K+
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Clinical Review Nurse - Prior Authorization
Getzville-105 Crosspoint Pkwy (11106), United States Centene Corporation logo Centene Corporation
Clinical reviews Authorization requests Health management Health management systems Medical appropriateness Medicaid regulations Clinical Review Medical necessity Acute care +18
Mid Full Time
USD 95K+
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Clinical Review Nurse - Concurrent Review
Remote-NY, United States Centene Corporation logo Centene Corporation
Health management Health management systems Medicaid regulations Clinical Review Medical necessity Acute care Discharge planning Health Services Medical Records +15
Mid Full Time
USD 52K+
Preview Apply
Clinical Review Nurse - Prior Authorization
Remote-TX, United States Centene Corporation logo Centene Corporation
Clinical reviews Health management Authorization requests Medical appropriateness Health management systems Medicaid regulations Clinical Review Medical necessity Prior authorization +17
Mid Full Time
USD 95K+
Preview Apply
RN Clinical Review Nurse - Concurrent Review
Remote-CA, United States Centene Corporation logo Centene Corporation
Medicaid regulations Clinical Review Medical necessity Acute care Discharge planning Health Services Medical management Clinical knowledge Utilization management +9
Mid Full Time
USD 93K+
Preview Apply
Clinical Review Clinician - Appeals
Remote-NY, United States Centene Corporation logo Centene Corporation
Clinical reviews Appeals processing Clinical data analysis Interdepartmental Collaboration Ncqa standards Medicaid regulations Appeals Clinical Review Medical necessity +19
Mid Full Time
USD 52K+
Preview Apply
Case Manager I (RN) - Medicare/DSNP team
Wenatchee, Washington, United States; Seattle, Washington, United States Community Health Plan of Washington logo 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
Mid Full Time
USD 70K+
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Assistant General Counsel
Remote-MO, United States Centene Corporation logo Centene Corporation
Government contract law HMO regulations Provider network contracting Preventative law Health law Medicare regulations Medicaid regulations Arbitration Healthcare Policies +14
Mid Full Time
USD 142K+
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Public Health Nursing Consultant
REMOTE OPTIONS, PHOENIX State of Arizona logo State of Arizona
Health care services Operational reviews Federal and State Statutes Review Medicaid regulations Quality of care Healthcare quality Hybrid Policies and procedures +47
Mid Full Time
USD 72K+
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Director, Health Policy
Remote-MO, United States Centene Corporation logo Centene Corporation
Medicaid regulations Legislative analysis Insurance Regulations Lobbying Government relations Health policy Public Policy Health Insurance Managed Care +7
Exec Senior Full Time
USD 113K+
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