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Medical Services Remote Jobs

26 fresh jobs found

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 PRN Medical Director - Missouri
Remote-MO, United States

Centene Corporation

Clinical quality improvement Pediatrics Health financing Clinical programs Personnel management Clinical Quality Medical Review Health administration Medical Services +24

Exec Mid Part Time

USD 212K+

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+

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+

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+

Remote Medical Director (PRN) - California
Remote-CA, United States

Centene Corporation

Clinical quality improvement Clinical programs Health financing Medical Review Clinical Quality Personnel management Health Plan Health administration Medical Services +24

Exec Mid Part Time

USD 222K+

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+

Remote Medical Director
Remote-MO, United States

Centene Corporation

Clinical quality improvement Provider network development Medical management programs Government programs Health care quality Health financing Personnel management Health administration Accreditation Standards +37

Exec Senior Full Time

USD 231K+

Remote Medical Director - Texas
Remote-TX, United States

Centene Corporation

Clinical quality improvement Provider network development Medical management programs Government programs Health care quality Health financing Personnel management Health administration Accreditation Standards +37

Exec Senior Full Time

USD 231K+

Remote Behavioral Medical Director - western region
Remote-CA, United States

Centene Corporation

Clinical practice improvement Clinical quality improvement Medical management programs Provider network development Health care quality Health financing Personnel management Health administration Accreditation Standards +36

Exec Senior Full Time

USD 231K+

Remote Behavioral Medical Director – West Region
Remote-CA, United States

Centene Corporation

Culturally diverse care Clinical quality improvement Medical management programs Provider network development Health care quality Health financing Personnel management Health administration Medical Review +36

Exec Senior Full Time

USD 231K+

Utilization Management Nurse
Work at Home - Florida, United States

CGX Interpreting Criteria MCG Clinical Nursing Medical Services Registered Nurse Clinical knowledge Utilization management BI +38

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+

Remote Child & Adolescent Behavioral Medical Director - Washington
Remote-WA, United States

Centene Corporation

Adverse trend evaluation Clinical quality improvement Medical Necessity Review Provider network development Medical management programs Health care quality Health financing Clinical collaboration Personnel management +36

Exec Mid Full Time

USD 231K+

Remote Medical Director - Arizona
Remote-AZ, United States

Centene Corporation

Health financing Medical management programs Provider network development Health care quality Personnel management Government programs Medical Review Accreditation Standards Health administration +34

Exec Senior Full Time

USD 221K+

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

Centene Corporation

Care/service planning Transition support Medication review Health Assessments Treatment plans Medical Services Quality of care Telephonic Outreach Social Work +18

USD 95K+

Utilization Management Review Nurse
Remote US, United States

Interpreting Criteria Health Plan Experience Clinical Nursing Rehabilitation Medical Services Health outcomes Acute care Consumer Experiences Registered Nurse +46

USD 71K+

Remote Behavioral Medical Director
Remote-IL, United States

Centene Corporation

Clinical practice improvement Health financing Provider network development Medical management programs Health care quality Health administration Personnel management Medical Review Clinical Quality +31

Exec Senior Full Time

USD 231K+

Part-Time Weekend Medical Director
Remote-FL, United States

Centene Corporation

Health financing Government programs Medical management programs Provider network development Health administration Health care quality Personnel management Medical Review Clinical Quality +32

Exec Senior Part Time Full Time

USD 231K+

Utilization Management Behavioral Health Professional
HGB SCA Remote KY, United States

Autism spectrum disorder Interpreting Criteria Tricare Applied Behavioral Analysis Medical Services CPT codes Prevention Productivity Process Management +48

USD 65K+

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

Patient care planning Clinical determinations Clinical evaluation Healthcare Policies Medical Services Medical necessity Prior authorization Care Coordination Utilization management +9

USD 106K+

Transition of Care, Discharge Planning Liaison (RN or SW), Mostly Remote
220 East 42nd Street, United States

Clinical determinations SW Interdisciplinary Care Healthcare Policies Medical Services Record keeping Social Determinants of Health Discharge planning Community Resources +10

USD 96K+

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