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RN Remote Jobs

220 fresh jobs found

Utilization Review Nurse, RN
Remote, United States

Personify Health

NCCN Medscape MCG guidelines Medical Policies Hcpcs coding Medical claims Utilization Review HCPCS ICD-10 +14

Entry Mid Full Time

USD 72K+

Case Manager- Milwaukee, WI
Work at Home - Wisconsin, United States

Health and Wellness Coordination Social service care management Family Care Community integration Prevention Health and wellness Human services Driver safety program Health benefits +42

USD 53K+

Utilization Management Coordinator - OK
Tulsa Oklahoma HQ (1400 S. Boston Avenue), United States

Health Care Service Corporation

Clinical Data Collection Registered Nurse Clinical Experience Care Coordination Utilization management Medical terminology RN Wellness Health care +8

USD 60K+

Registered Nurse - Patient Educator (PRN) Immediate Openings - Lafayette, IN
United States of America : Remote

Healthcare Training Patient Training Smart Device Proficiency Anticoagulation Management Website Troubleshooting Homecare Heart failure Health education Registered Nurse +19

Entry Mid Part Time

USD 44K+

Therapeutic Nutrition Sales Specialist - Indiana and Kentucky
United States of America : Remote

Sales initiatives Healthcare Landscape Nutrition Products Hospital Setting Market Share Clinical Studies Nutrition Clinical Experience Verification +23

USD 60K+

Clinical Specialist I, CPT - Phoenix, AZ
United States of America : Remote

Chronic Pain Therapies Clinical Setting Interventional Pain Therapy Implantable devices Programming assistance Competitor Analysis Operating procedures Technical certification Mobile technology +37

USD 60K+

Director, Utilization Management
Remote-OH, United States

Centene Corporation

Ncqa standards Provider experience Healthcare Management NCQA Utilization Medical management Performance Improvement Health Services Training and Development +27

Exec Senior Full Time

USD 124K+

Quality Improvement Specialist
Remote-IL, United States

Centene Corporation

Intervention Development Performance data analysis RN licensure URAC Member education Internal Auditing Focus Groups Member Outreach Provider education +40

USD 55K+

Clinical Sales Specialist, Structural Heart, TAVI (Philadelphia, Delaware & Eastern PA)
United States of America : Remote

Echocardiography CT Valve Sizing 3mensio CT Program TAVI products Valve sizing analysis Internal training CT Imaging Training & Education Commercial case support +54

USD 75K+

Market Clinical Quality Specialist II
Florida WFH, United States

Microsoft Access Accreditation Utilization Review Clinical Experience Certification Visio Quality improvement RN Technical Writing +27

USD 70K+

Clinical Sales Specialist, Structural Heart, TAVI (South Carolina)
United States of America : Remote

Echo Imaging TAVI products 3mensio CT Program Valve sizing analysis CT Valve Sizing Internal training CT Imaging Training & Education Clinical trial support +52

USD 75K+

Medical Policy Analyst
Remote-MO, United States

Centene Corporation

Medical literature research Abuse management Medical policy development Clinical Practice Guidelines Technology assessments Waste management Evidence-based medicine Fraud Management Payment Integrity +18

Entry Mid Full Time

USD 68K+

Clinical Referral RN, Hospice, Work From Home
4255 Lake Park Boulevard, United States

Referral management ICD-10 Coding Federal regulations Electronic Medical Records Hospice care EMR RN Nursing Data Entry +10

USD 91K+

Group Health Operations Manager (RN/LPN)
United States - Remote

Staffing Management Peer review LPN Computer literacy Insurance Claims Utilization Review Claims management Typing RN +12

USD 75K+

Clinical Sales Specialist, Structural Heart, TAVI (San Francisco)
United States of America : Remote

Echo Imaging CT Valve Sizing TAVI products Valve sizing analysis 3mensio CT Program CT Imaging Training & Education Internal training Commercial case support +52

USD 75K+

Care Manager (RN)
Remote-NY, United States

Centene Corporation

Resource Coordination Service plan Complex Care Management Personalized care plans Resource support Social determinants Foster care Service Assessment Healthcare outcomes +26

USD 55K+

Registered Nurse - Patient Educator (PRN) Immediate Openings - Delta, CO
United States of America : Remote

Patient Training Website Troubleshooting Anticoagulation Management Smart Device Proficiency Homecare Heart failure Health education Registered Nurse Clinical Experience +18

Entry Mid Part Time

USD 44K+

Clinical Sales Specialist, Structural Heart, TAVI (Chicago)
United States of America : Remote

Echo Imaging TAVI products 3mensio CT Program Valve sizing analysis CT Valve Sizing CT Imaging Training & Education Internal training Commercial case support +52

USD 75K+

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+

Care Manager (RN)
Remote-WI, United States

Centene Corporation

Service plan Resource Coordination Complex Care Management Personalized care plans Resource support Foster care Social determinants Service Assessment Healthcare outcomes +26

USD 55K+

Compliance Analyst III
Dayton WFH, United States

Corrective action management Proper grammar usage Government programs Healthcare operations Gap Analysis Training and education Healthcare Compliance Analytic Certification +45

Senior Mid Full Time

USD 81K+

Senior Clinical Review Nurse - Prior Authorization
Remote-NY, United States

Centene Corporation

Service authorization Medical appropriateness Authorization requests Health management systems Clinical reviews Health management Medicaid regulations Clinical Information Clinical Review +25

Senior Mid Full Time

USD 60K+

Clinical Documentation Specialist, Second Reviewer
IL-REMOTE WI PLAN, United States

Clinical documentation integrity Mortality reviews Health records Evidence-based practice Patient Safety Risk Adjustment Clinical Documentation RN Nursing +6

USD 73K+

Clinical Lead Manager, Structural Heart, TAVI (Eastern Time Zone)
United States of America : Remote

Process alignment Proctoring Market Share Growth Clinical Competency Clinical Orientation Imaging Modalities TAVI Echo Cardiac surgery +46

Senior Mid Full Time

USD 97K+

Utilization Management Clinical Care Reviewer II - MUST be Multi-State Licensed
Dayton WFH, United States

Change resiliency Clinical care review Registered Nursing Proper grammar usage Medical Necessity Review Phone Etiquette Discharge planning Clinical Care Accreditation +35

USD 61K+

Clinical Sales Specialist, Structural Heart - TEER (Atlanta, GA)
United States of America : Remote

Surgical Coverage Echo cardiology Procedure Coverage Medical training Clinical Orientation Cardiac surgery Market Data Echo Technical Discussions +35

USD 66K+

Care Manager (RN) (State)
Remote-CA, United States

Centene Corporation

Digital Outreach Service plan Personalized care plans Complex Care Management Resource support Social determinants Foster care Service Assessment Healthcare outcomes +25

USD 95K+

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+

Registered Nurse - Patient Educator (PRN) Immediate Openings - Philadelphia, PA
United States of America : Remote

Patient Training Website Troubleshooting Smart Device Proficiency Anticoagulation Management Homecare Heart failure Health education Registered Nurse Clinical Experience +17

Entry Mid Part Time

USD 44K+

RN Clinical Review Clinician_Appeals
Remote-CA, United States

Centene Corporation

Appeals processes Interdepartmental Collaboration Ncqa standards Clinical reviews Medicaid regulations Researching NCQA Clinical Review Guidelines +27

USD 95K+

Care Manager (RN) OB
Remote-MO, United States

Centene Corporation

Service plan Digital Outreach Personalized care plans Complex Care Management Resource support Social determinants Telephonic Outreach Foster care Service Assessment +26

USD 55K+

RN Day/ Evening Refills
Allina Commons, United States

Anticoagulation Anti-coagulation Outcomes identification Health Assessment Evidence-based practice Home Care Diagnosis Triage Care Coordination +11

USD 103K+

Remote Hospice Triage RN- PT 1 shift 6p-12a + rotating Sat & Sun 3:30-12a
New Orleans, Louisiana, United States - Remote

Surgical services Charting End-of-life care Keyboard competence Technology applications Critical care Palliative Care Fast-paced Environment Hospice care +4

Entry Mid Full Time

USD 46K+

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+

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+

Care Manager (RN)
Remote-DE, United States

Centene Corporation

Home outreach Service plan Digital Outreach Personalized care plans Complex Care Management Resource support Social determinants Telephonic Outreach Service Assessment +27

USD 55K+

Registered Nurse - Patient Educator (PRN) Immediate Openings - San Luis Obispo, CA
United States of America : Remote

Patient Training Website Troubleshooting Smart Device Proficiency Anticoagulation Management Homecare Heart failure Health education Registered Nurse Clinical Experience +17

Entry Mid Part Time

USD 44K+

Remote Hospice Triage RN- PT 1-2 shift 3:30p-9:30p + rotating Sat & Sun 3:30-12a
Dallas, Texas, United States - Remote

Surgical services Charting Keyboard competence End-of-life care Technology applications Critical care Palliative Care Fast-paced Environment Hospice care +4

Entry Mid Full Time

USD 46K+

Registered Nurse - Patient Educator (PRN) Immediate Openings - St. George, UT
United States of America : Remote

Healthcare Training Smart Device Proficiency Patient Training Anticoagulation Management Website Troubleshooting Homecare Heart failure Health education Registered Nurse +19

Entry Mid Part Time

USD 44K+

Remote Hospice Triage RN w/ Compact and CA license (Part-time)
Albuquerque, New Mexico, United States - Remote

Surgical services Keyboard competence Charting End-of-life care Technology applications Critical care Palliative Care Fast-paced Environment Hospice care +3

Entry Mid Part Time

USD 46K+

Supervisor, Care Management (RN)
Remote-KY, United States

Centene Corporation

Home outreach Member Outreach Provider experience Digital Outreach Quality care Telephonic Outreach Performance Evaluation RN Care management +16

USD 85K+

Remote Hospice Triage RN- PT 1-2 shift 3:30p-12a + rotating Sat & Sun 7:30-4p
Indianapolis, Indiana, United States - Remote

Surgical services Charting Keyboard competence End-of-life care Technology applications Critical care Palliative Care Fast-paced Environment Hospice care +4

Entry Mid Full Time

USD 46K+

Care Manager (RN) - OB
Remote-WI, United States

Centene Corporation

Home outreach Service plan Digital Outreach Personalized care plans Complex Care Management Resource support Social determinants Telephonic Outreach Service Assessment +26

USD 55K+

Remote Hospice Triage RN- PT 1-2 shift 3:30p-12a + rotating Sat & Sun 7:30-4p
San Antonio, Texas, United States - Remote

Surgical services Keyboard competence Charting End-of-life care Technology applications Critical care Palliative Care Fast-paced Environment Hospice care +3

Entry Mid Full Time

USD 46K+

Lead Care Manager (RN)
Remote-WI, United States

Centene Corporation

Service plan Ncqa standards Quality care Personalized care plans NCQA Telephonic Outreach Training and education Healthcare outcomes Service plans +25

Senior Mid Full Time

USD 85K+

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+

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+

UM Coordinator
Work From Home (HB), United States

Health Care Service Corporation

Medical claims review Ancillary services UM Medical Necessity Review Medical claims Healthcare Management Report Preparation Medical necessity Registered Nurse +20

USD 56K+

Clinical Specialist I, CPT - San Francisco Peninsula/South Bay
United States of America : Remote

Chronic Pain Therapies Clinical Setting Programming assistance Operating procedures Competitor Analysis Interventional Pain Therapy Implantable devices Medical training Patient interaction +37

USD 60K+

Pre-Authorization Registered Nurse
Remote US, United States

Medical management systems Rehab Medicaid Experience Health Plan Experience Microsoft Office Word Clinical Nursing InterQual MCG Rehabilitation +53

USD 71K+

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