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Medical Services Remote Jobs

32 fresh jobs found

Senior LTSS Service Care Manager (RN)
Austin-13620 FM 620 Building C Suite 300 (11121), United States

Centene Corporation

Medicaid health assessments Personalized care plan Member advocacy Service authorization Continuum of care Service plan Quality care Long Term Care Health Assessments +38

Senior Full Time

USD 127K+

BH Care Coach
Work at Home - Virginia, United States

Transitions of Care Advanced Computer Electronic Information Applications Peer support Prevention Social service agencies Health promotion Provider engagement Substance use +65

USD 53K+

Senior LTSS Service Care Manager (RN)
Remote-TX, United States

Centene Corporation

Long-term care planning Medicaid health assessments Community Resource Coordination Personalized care plan Member advocacy Service authorization Service plan Continuum of care Quality care +39

Senior Full Time

USD 127K+

Senior LTSS Service Care Manager (RN)
Corpus Christi - 711 N. Carancahua St., Ste 600 (Superior) (10086), United States

Centene Corporation

Rehab Personalized care plan Member advocacy ICU Service authorization Service plan Continuum of care Long Term Care Service coordination +44

Senior Full Time

USD 70K+

Utilization Management Registered Nurse
Remote US, United States

Medicaid Experience Interpreting Criteria Health Plan Experience Microsoft Office Word Clinical Nursing Medical Services Rehabilitation LESS Registered Nurse +49

USD 71K+

Utilization Management Behavioral Health Professional
Remote US, United States

Interpreting Criteria Microsoft Office Word Social service agencies Health promotion Medical Services LESS Registered Nurse Community Health Utilization Review +51

USD 65K+

Remote Medical Director - Texas
Remote-TX, United States

Centene Corporation

Culturally diverse care Medical management programs Health care quality Health financing Provider network development Government programs Clinical quality improvement Health administration Accreditation Standards +41

Exec Senior Full Time

USD 231K+

Care Manager Transition of Care
Remote-UT, United States

Centene Corporation

Post-discharge assessments Care/service planning Transition support Medication review Transition of care Continuum of care Treatment plans Quality of care Medical Services +23

USD 55K+

Manager, Utilization Management Behavioral Health
Remote US, United States

Rehabilitative Counseling Interpreting Criteria Tactical Operations Microsoft Office Word Personnel management Medical Services LESS Registered Nurse Clinical Experience +45

USD 86K+

Manager, Utilization Management Registered Nurse
Remote US, United States

Interpreting Criteria Medicaid Experience Tactical Operations Microsoft Office Word Health Plan Experience Clinical Nursing Medical Services Rehabilitation LESS +56

USD 94K+

ARTS Care Coach
Work at Home - Virginia, United States

Transitions of Care Substance use services Advanced Computer Electronic Information Applications Social service agencies Peer support Prevention Health promotion Human services +65

USD 53K+

Field Care Manager, Behavioral Health
Work at Home - Kentucky, United States

Microsoft Office Word Social service agencies Health promotion Social determinants Medical Services Rating Driver safety program Bilingual English/Spanish Community Health +56

USD 59K+

Remote Medical Director
Remote-MO, United States

Centene Corporation

Claims review Health financing Medical management programs Provider network development Health care quality Government programs Clinical quality improvement Health administration Personnel management +40

Exec Mid Full Time

USD 231K+

Remote Marketplace Medical Director
Remote-MO, United States

Centene Corporation

Claims review Medical management programs Provider network development Government programs Health care quality Health financing Clinical quality improvement Personnel management Health administration +39

Exec Mid Full Time

USD 231K+

Field Care Manager Nurse - ARTS
Work at Home - Virginia, United States

Face-to-face assessments Advanced Computer Peer support Electronic Information Applications Social service agencies Substance Use Disorder Care Planning Medical Services Provider engagement +58

USD 71K+

Field Care Manager, ARTS
Work at Home - Virginia, United States

Face-to-face assessments Substance use services Advanced Computer Peer support Electronic Information Applications Social service agencies Substance Use Disorder Care Planning Medical Services +58

USD 59K+

Field Care Manager - LTSS/BH
Work at Home - Virginia, United States

Face-to-face assessments Advanced Computer Peer support Electronic Information Applications Social service agencies Human services Care Planning Medical Services Provider engagement +66

USD 59K+

Remote Medical Director (PRN) - Missouri
Remote-MO, United States

Centene Corporation

Education Development Claims review Medical management programs Provider network development Government programs Health care quality Clinical quality improvement Health financing Personnel management +41

Exec Mid Part Time

USD 212K+

Senior LTSS Service Care Manager, RN
Remote-TX, United States

Centene Corporation

Medicaid Assessments Quality care Rehab ICU Continuum of care Service authorization Service coordination Long Term Care Healthcare Education +39

Senior Full Time

USD 70K+

Care Manager Transition of Care (State)
Remote-CA, United States

Centene Corporation

Post-discharge assessments Wellness promotion Medication review Transition support Care/service planning Continuum of care Transition of care Treatment plans Medical Services +24

USD 95K+

Clinical Evaluation Manager, Utilization Management (mostly remote)
220 East 42nd Street, United States

Patient care planning Healthcare Policies Clinical evaluation Medical Services Medical necessity Prior authorization Care Coordination Utilization management Care management +12

USD 106K+

Utilization Management Review Nurse 2
Remote US, United States

Interpreting Criteria Health Plan Experience Clinical Nursing Medical Services Rehabilitation Acute care Consumer Experiences Health outcomes Registered Nurse +47

USD 71K+

LTSS Service Care Manager
Remote-TX, United States

Centene Corporation

Large databases Psychosocial services Holistic care Resiliency Health Assessments Home visits Quality of care Medical Services Resource support +38

USD 95K+

Medical Director
Remote-OH, United States

Centene Corporation

Substance Use Disorders Medical management programs Clinical quality improvement Health care quality Utilization Provider network development Government programs Health financing Accreditation Standards +45

Exec Senior Full Time

USD 221K+

Remote Medical Director - South Carolina
Remote-SC, United States

Centene Corporation

Utilization Medical management programs Clinical quality improvement Health care quality Government programs Provider network development Health financing Personnel management Accreditation Standards +39

Exec Mid Full Time

USD 221K+

Counsel - Health Plan Contracting
Remote US, United States

Healthcare law Legal writing Medical Services Legal analysis Contract drafting Legal advice Analyzing Risk Negotiating +33

USD 138K+

Remote Child / Adolescent Medical Director - Florida
Remote-FL, United States

Centene Corporation

Utilization Claims review Clinical quality improvement Medical management programs Health care quality Provider network development Health financing Personnel management Accreditation Standards +39

Exec Senior Full Time

USD 231K+

Remote Beahvioral Medical Director - Kentucky
Remote-KY, United States

Centene Corporation

Culturally diverse care Clinical quality improvement Health care quality Medical management programs Health financing Provider network development Government programs Clinical Quality Medical Review +39

Exec Mid Full Time

USD 231K+

Telephonic Nurse Case Manager
HGB SCA Remote PA, United States

Holistic approach Tricare MCG Evidence-based medicine Clinical Nursing Medical Services Accreditation Motivational interviewing Utilization Review +45

USD 71K+

Associate Director, UM Nursing
Remote US, United States

Interpreting Criteria Clinical Nursing Medical Services Prior authorization Registered Nurse Clinical knowledge Utilization management Authorization RN +45

USD 115K+

Non-Emergent Medical Transportation Manager
Remote-IN, United States

Centene Corporation

Transportation strategy Health administration Health Plan Medical Services Audits Network Auditing Nursing Medicare +14

USD 68K+

Medical Director - Kansas
Remote-KS, United States

Centene Corporation

Clinical quality improvement Provider network development Medical management programs Government programs Health care quality Health financing Personnel management Medical Review Accreditation Standards +38

Exec Senior Full Time

USD 221K+

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