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Medical management Remote Jobs

32 fresh jobs found

Oncology Nurse (RN) Case Management Lead Analyst - Evernorth Health Services - Remote
Pennsylvania Work at Home

The Cigna Group

Oncology Nursing Disease Prevention Shared Decision Making Digital Messaging Health promotion Internet Research Clinical Acumen Behavior Change Medical management +30

Senior Mid Full Time

USD 75K+

RN- Maternity Nurse Case Manager-Remote
Pennsylvania Work at Home

The Cigna Group

Disease Prevention Shared Decision Making Digital Messaging Health promotion Internet Research Behavior Change Clinical Acumen Medical management Cultural Sensitivity +27

USD 75K+

Personal Health Nurse - Remote
United States

Tenet Healthcare

Email proficiency Personal health management Healthcare industry expertise Cost Containment Medical management Utilization Review Utilization management Health care Prioritization +16

USD 64K+

Patient Care Coordinator - Remote
United States

Tenet Healthcare

Cultural Competence Healthcare industry expertise Medical management Utilization management Managed Care Health care Coordination Case Management Medicare +18

Entry Mid Full Time

USD 51K+

Oncology Nurse (RN) Case Management Lead Analyst -Evernorth Health Services - Remote
Pennsylvania Work at Home

The Cigna Group

Disease Prevention Oncology Nursing Shared Decision Making Digital Messaging Health promotion Telephonic Communication Internet Research Behavior Change Clinical Acumen +31

Senior Mid Full Time

USD 75K+

Short Term Disability (STD)/Absence Claims Manager I
Remote - United States

Disability claims Contract Interpretation Windows applications Plan Design Disability Insurance Medical management Leadership Development Claims management Outlook +17

USD 40K+

Medical Only Adjuster
Florida, US | Home Based, US

Davies North America Remote-first

Workers' compensation law Independent Claims investigation Proactive Medical management Subrogation Workers Compensation Medical terminology Litigation +22

USD 44K+

RN SNP Nurse Case Management Sr. Analyst - Work from Home, Southeast Region-5
Arizona Work at Home

The Cigna Group

Health advocacy Internet Research Medical management Clinical assessment Clinical Care Conflict Management RN MS Word Clinical knowledge +28

Senior Mid Full Time

USD 68K+

Workers Compensation Claims Examiner | Remote | NE Jurisdictional Knowledge
Recruiting Only - Telecommuter

Jurisdiction knowledge Medical management Adjudication Growth Workers Compensation Disability Negotiating Claims management Discretion +15

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+

Medical Director - National Medicare Team
Remote US

Commercial health insurance Project team participation Managed Care Knowledge Clinical Standards Clinical group practice management Humana policies Medical interpretation Medical background National Guidelines +42

Exec Senior Full Time

USD 199K+

Sr. Workers Comp Claims Rep (Hybrid/Remote)
Remote, United States; Charlotte, North Carolina, United States

Selective Insurance

Claims investigation Litigation management Medical management Casualty insurance Financial Performance Coverage Workers Compensation Litigation Investigation +9

Senior Mid Full Time

USD 25K+

Medicare National Value-Based Partnerships Senior Analyst - Cigna Healthcare - Remote
Tennessee Work at Home

The Cigna Group

Value-based contracting Organizational agility Network Operations Medical management Operational processes Credentialing Agility Contracting Financial +24

Senior Mid Full Time

USD 58K+

RN- Nurse Case Manager-Chronic Kidney Disease- Remote
Pennsylvania Work at Home

The Cigna Group

Shared Decision Making Digital Messaging Health promotion Behavior Change Internet Research Clinical Acumen Medical management Cultural Sensitivity Health Services +27

USD 75K+

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+

LIability Complex Claims Examiner | Commercial Claims Experience | Remote
Telecommuter NJ

Claims coding Liability Claims Strategic vendor partnerships Social Security Insurance principles Liability Cost Containment Litigation management Rehabilitation +30

Senior Mid Full Time

USD 66K+

Medical Director - Home Health - OneHome/Home Solutions
Remote US

Dynamic Environment Interpretative CMS Medicare Clinical Standards Inpatient Care Clinical reference materials Humana policies Medical interpretation CMS policies +44

Exec Senior Full Time

USD 199K+

RN Case Manager- NICU- Remote
Pennsylvania Work at Home

The Cigna Group

Digital Messaging Shared Decision Making Behavior Change Health promotion Internet Research Clinical Acumen Medical management Cultural Sensitivity Health Services +27

USD 75K+

Disability Case Manager
CA-BC-British Columbia-Virtual

Alight Solutions

HR communication Occupational interventions Disability case management Medical management Case Management Assessment Benefits Compensation Management +4

Senior Mid Full Time

CAD 40K+

Return-to-Work Specialist -Medical/Vocational Field Case Manager
Remote, US

Davies North America Remote-first

Productivity documentation Transitional work plans Labor market surveys Job analyses Vocational services Light duty placement Drivers license Client Liaison Medical guidelines +16

USD 80K+

RN-Oncology Nurse Case Manager- Remote
Arizona Work at Home

The Cigna Group

Digital Messaging Shared Decision Making Behavior Change Health promotion Internet Research Medical management Clinical Acumen Telephonic Communication Motivational interviewing +25

USD 75K+

RN- Complex Nurse Case Manager- Remote
Pennsylvania Work at Home

The Cigna Group

Digital Messaging Shared Decision Making Behavior Change Health promotion Internet Research Medical management Clinical Acumen Cultural Sensitivity Health Services +27

USD 75K+

Senior Claims Specialist - Professional Liability
Telecommuter CA

Recovery Claims coding Professional liability Medical Malpractice Insurance Settlement strategies Medical malpractice Long Term Care Strategic vendor partnerships Social Security +32

Senior Full Time

USD 100K+

Corporate Medical Director, REMOTE
United States

Blue Cross Blue Shield of Michigan

Medical consulting Medical policy development Clinical Management Cost Containment Medical management Program development Predictive Modeling Workers Compensation Data & Analytics +8

Exec Senior Full Time

USD 187K+

Workers Compensation Claims Examiner - Hybrid Schedule
Telecommuter CA

Strategic vendor partnerships Insurance principles Social Security Cost Containment Claims analysis Rehabilitation Medical management Litigation management Interpretive +26

Senior Mid Full Time

USD 75K+

Claims Adjuster - Liability (HYBRID - Concord or Roseville, CA)
Telecommuter CA

Liability Claims Insurance principles Liability Social Security Cost Containment Medical management Interpretive Adjudication PC literate +23

USD 90K+

Claims Examiner
Recruiting Only - Telecommuter

Liability Claims Strategic vendor partnerships Insurance principles Liability Social Security Cost Containment Rehabilitation Medical management Litigation management +26

Senior Mid Full Time

USD 65K+

Disability Representative
Telecommuter CA

Disability case management Claim determination Social Security Medical Documentation Performance competencies Medical management Interpretive Growth Disability +23

Entry Mid Full Time

USD 38K+

Claims Adjuster Workers Compensation - (Telecommuter/Remote)
Long Beach, CA - Kilroy Airport

Social Security Medical management Interpretive PC literate Adjudication Microsoft Office products Utilization Review Subrogation Disability +19

USD 65K+

Workers Compensation Claims Adjuster - (Telecommuter/Remote)
Long Beach, CA - Kilroy Airport

Medical management Interpretive PC literate Adjudication Microsoft Office products Utilization Review Subrogation Disability Claims management +17

USD 55K+

Claims Adjuster, Workers Compensation (TX and IL)
United States

Claim adjudication Medical management Litigation management G Suite Claims management Workers Compensation Slack Regulatory Compliance Problem-solving +2

USD 70K+

Sr. Claims Specialist - Professional Liability
Recruiting Only - Telecommuter

Legal Coordination Medical malpractice Liability Insurance principles Cost Containment Performance competencies Medical management Interpretive PC literate +27

Senior Full Time

USD 100K+

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