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Quality of care Remote Jobs

27 fresh jobs found
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LTSS Service Care Manager (RN)
Remote-KS, United States

Centene Corporation

Holistic care management Service authorization Hemophilia Holistic care Treatment options Personalized care plans Clinical Guidelines Quality of care Care Planning +31

USD 52K+

LTSS Service Care Manager - Behavioral Health
Remote-TX, United States

Centene Corporation

Mental health assessments Community Resource Coordination Holistic care management Service authorization Holistic care Treatment options Substance use Clinical Guidelines Foster care +41

USD 52K+

Associate, Operations Analytics
Remote

Dashboard enhancement Models Population health Quality of care Risk Adjustment Technology Platform Contract negotiations Analytical tools Visualization +29

USD 88K+

LTSS Service Care Coordinator
Remote-IL, United States

Centene Corporation

Holistic care management Holistic care Community services Home visits Service coordination Resource support Long Term Care Foster care Service Assessment +30

Entry Full Time

USD 44K+

LTSS Service Care Manager
Remote-KS, United States

Centene Corporation

Holistic care management Holistic care Member education Healthcare Provider Interaction Resource support Long Term Care Service plan Foster care Service Assessment +22

USD 52K+

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

Centene Corporation

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

USD 95K+

Medical Director - Post-Acute Care - Evernorth Home-based Care - Remote
Tennessee Work at Home, United States

The Cigna Group

Case conferences Medical licenses Board certifications Peer-to-peer discussions Cigna Ncqa standards Federal Laws Medical Review Clinical Review +21

Exec Senior Full Time

USD 203K+

Quality Improvement Auditor (Clinical)
Remote-NY, United States

Centene Corporation

Case reviews Service utilization Medical record audits Clinical recommendations Clinical Audits Performance Data Quality of care Utilization Performance Measurement +25

USD 55K+

Quality Improvement Specialist
Remote-IL, United States

Centene Corporation

Intervention Development Performance Data RN licensure Member Outreach URAC Member education Internal Auditing Focus Groups Health administration +42

USD 55K+

Public Health Nursing Consultant - Quality Assurance
REMOTE OPTIONS, PHOENIX, TUCSON

State of Arizona

Federal and State Statutes Medicaid regulations Healthcare quality Medicaid programs Policies and procedures Arizona Administrative Code Quality of care Review Performance measures +52

USD 72K+

Public Health Nursing Consultant - Case Management
REMOTE OPTIONS, PHOENIX

State of Arizona

Federal and State Statutes Medicaid regulations Healthcare quality Medicaid programs Data Tracking Policies and procedures Arizona Administrative Code Quality of care Review +53

USD 72K+

Claims Clinical Documentation Reviewer
REMOTE OPTIONS, PHOENIX

State of Arizona

Healthcare laws Prepayment claims review Medical necessity evaluation Audit reporting Service planning Claims review Medicaid programs Stakeholder Coordination Documentation Review +61

USD 68K+

Quality Improvement Coordinator - Behavioral Health
Remote-WA, United States

Centene Corporation

Complaints resolution Appeals management Quality Initiatives CDP Grievances Clinical quality improvement Clinical Nursing Clinical Quality Program Evaluation +28

USD 66K+

LTSS Service Care Manager
Remote-TX, United States

Centene Corporation

Provider information systems Large databases Holistic care Service plan Long Term Care Health Assessments Service coordination Quality of care Resiliency +37

USD 95K+

LTSS Service Care Manager
Remote-PA, United States

Centene Corporation

Member support Holistic care Resource Coordination Service plan Quality of care Resource support Foster care Service Assessment Healthcare outcomes +22

USD 52K+

Care Manager Transition of Care (BH)
Remote-WI, United States

Centene Corporation

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

USD 55K+

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+

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+

Provider Network Recruiter (Network Development)
Remote

Healthcare client management Outreach strategies Provider experience Quality of care Network development Healthcare Consulting Provider Relations Technology Platform Network management +20

USD 84K+

LTSS Assessor RN
Remote-NY, United States

Centene Corporation

Clinical guidelines compliance Service plan Personalized care plan Community resources coordination Member advocacy UAS Healthcare provider collaboration Service authorization Continuum of care +34

USD 70K+

LTSS Service Care Coordinator
Remote-IL, United States

Centene Corporation

Member support Community services Holistic care Resource Coordination Quality of care Resource support Service Assessment Foster care Social services +27

Entry Mid Full Time

USD 44K+

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+

1099 NP/PA, Virtual Urgent Care
Remote

Remote diagnostic tools Home monitoring tools Medical guidelines Spanish Language Healthcare delivery system DNP Spanish fluency Quality of care Healthcare Delivery +12

USD 130K+

NP/PA - Virtual Urgent Care
Remote

Medical guidelines DNP Healthcare delivery system Family Medicine Quality of care Healthcare Delivery Urgent care Efficiency Virtual care +11

USD 130K+

Care Manager Transition of Care
Remote-WA, United States

Centene Corporation

Wellness education Resource Facilitation Medication review Transition support Continuum of care Transition of care Home outreach Compliance Documentation Health Assessments +25

USD 55K+

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+

1099 NP/PA - Virtual Urgent Care (Overnights)
Remote

DNP Healthcare delivery system Family Medicine Quality of care Healthcare Delivery Urgent care Efficiency Primary Care Virtual care +8

USD 140K+

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