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RN Remote Jobs

79 fresh jobs found

Care Manager RN
Work At Home-Arizona

High-Speed Internet RN license Clinical Tools Acute care RN licensure Telephonic Communication Data Review Policies and procedures Member engagement +21

USD 54K+

Case Manager RN
Work At Home-Arizona

High-Speed Internet RN license Clinical Tools Acute care RN licensure Telephonic Communication Data Review Policies and procedures Member engagement +21

USD 54K+

Social Work Case Manager - Medford, WI
Work at Home - Wisconsin

Community Resource Coordination Housing support Health and Wellness Coordination Employment support Social service care management Community integration Health and wellness Family Care Human services +37

USD 47K+

Utilization Management Nurse Consultant- Oncology and Transplant
Work At Home-Arizona

Clinical call center Transplant Acute clinical experience Clinical Judgement Phone Benefit utilization Benefit management Clinical Criteria Prior authorization +17

USD 52K+

RN Clinical Program Senior Advisor - Work from Home, Anywhere, USA
Connecticut Work at Home

The Cigna Group

Evidence-based development Medical coverage policies Healthcare assessment Data synthesis Health Services Analytic RN Clinical Experience Policy Development +16

Senior Mid Full Time

USD 116K+

Primary Nurse CA Specialty - ONCOLOGY CERTIFICATION (HAS)
Richardson Texas HQ (1001 E. Lookout Drive)

Health Care Service Corporation

Health coping Medical Management Policies Database experience Lotus Notes Coordination of care PC Proficiency Goal setting Clinical Practice Clinical Care +26

USD 67K+

RN - Remote Utilization Management Nurse - Medicare - SE Region (Compact license preferred)
Work at Home - Georgia

Independent decision making Health Plan Experience Interpreting Criteria Clinical Nursing Milliman Medical Services MCG Acute care Rehabilitation +42

USD 69K+

Telephonic Care Manager, RN
Remote US

Clinical acute care Telephonic care Microsoft Office Word Acute care Rehabilitation Discharge planning Registered Nurse Travel RN +36

Entry Mid Full Time

USD 31K+

Bilingual Spanish Care Coordinator, Special Needs Program
Remote-US, California, United States

Alignment Health

Managed Care Knowledge Health Care Management Authorization management Proficient Computer Medical Records Management Medi-Cal Referral management Managed Care Plans Medical Assistant +18

Entry Mid Full Time

USD 39K+

Utilization Management Coordinator (HAS)
Richardson Texas HQ (1001 E. Lookout Drive)

Health Care Service Corporation

Clinical Data Collection MCG Certification Registered Nurse Care Coordination Clinical Experience Utilization management RN Medical terminology Health care +6

USD 58K+

Utilization Management Nurse Consultant
Work At Home-Washington

Coverage determination Benefit utilization Benefit management Long Term Care Clinical Criteria Telephonic Communication Medical necessity Utilization Review Discharge planning +29

USD 64K+

Case Management RN Lead
Oregon, United States - Remote

Healthcare Delivery Patient advocacy Public Sector Care Coordination Clinical Experience RN Clinical knowledge Care management Clinical expertise +24

USD 61K+

Case Manager RN (Remote)
Work At Home-South Carolina

Proprietary applications Home healthcare Telework Healthcare Coordination Navigating multiple systems Clinical Tools Holistic approach Clinical resources RN licensure +34

USD 54K+

Director - Occupational Health Services - Evernorth - Remote
Arizona Work at Home

The Cigna Group

Infectious Disease Management Medical Surveillance DMAIC Occupational Health Clinical processes Health coaching RFP Communication Strategies Credentialing +51

Exec Senior Full Time

USD 116K+

Bilingual 24/7 Clinical Navigation and Support Care Manager - Evernorth Health Services - Remote
Minnesota Work at Home

The Cigna Group

Therapeutic Modalities ASAM CALOCUS Behavioral Consultation Telephonic Consultation Crisis Risk Assessment LOCUS Clinical navigation MCG +28

Senior Mid Full Time

USD 65K+

Virtual Triage RN - Hawaii Licensure
Remote, United States

Cultural education Multidisciplinary care Phone assessments Clinical triage Geriatrics Clinical Care Population health Urgent care RN +9

USD 92K+

Virtual Triage RN - Colorado Licensure
Remote, United States

Urgent care processes Chronic disease knowledge High acuity environments Cultural education Phone assessments Multidisciplinary care Clinical triage Multidisciplinary collaboration Geriatrics +16

USD 92K+

OVERNIGHT - Virtual Triage RN
Remote, United States

Multidisciplinary care Chronic disease knowledge High acuity experience Cultural education Phone assessments Clinical triage Multidisciplinary collaboration Geriatrics Patient Communication +19

USD 92K+

Case Manager RN
Work At Home-Pennsylvania

Telephonic assessment Clinical Tools Holistic approach Clinical resources RN licensure Data Review Policies and procedures Care Planning Member engagement +17

USD 60K+

Clinical Reviewer-Immediate Advocacy Discharge Assistance, RN (Remote)
United States - Remote

Medical record organization Action plans Medical record abstracting Disease Processes Healthcare Regulations Clinical assessment Medical Records Public Sector RN +15

USD 44K+

Community Resource Coordinator- Columbia County
Work at Home - Wisconsin

Health and Wellness Coordination Housing support Employment support Social service care management Community integration Health and wellness Family Care Human services Prevention +35

USD 47K+

Case Manager - Green/Lafayette Counties, WI
Work at Home - Wisconsin

Health and Wellness Coordination Social service care management Community integration Health and wellness Care Plan Development Family Care Social services Human services Prevention +37

USD 47K+

Nurse Auditor 2
Remote US

CMS regulations Lab billing Genetics billing Lab results interpretation Diagnosis coding Clinical Audit Medical record documentation Medical Documentation CPT coding +36

USD 69K+

Case Manager RN
Work At Home-New York

RN license RN licensure Member engagement Clinical assessment Discharge planning Health Literacy Motivational interviewing Referrals Care Coordination +24

USD 66K+

Clinical Case Manager BH (Remote VA)
Work At Home-Virginia

Substance abuse Clinical Case Management Resource Coordination Electronic Medical Records Medication management RN Effective Communication Medical terminology Digital Literacy +15

USD 60K+

Case Manager RN (Remote)
Work At Home-Virginia

Home health care coordination Proprietary applications Telework Navigating multiple systems Clinical Tools Holistic approach Clinical resources RN licensure Data Review +36

USD 60K+

Case Manager
Work At Home-Georgia

Telework Clinical Tools RN license Holistic approach Clinical resources RN licensure Telephonic Communication Data Review Home Health +22

USD 54K+

Behavioral Health Care Coordinator (NM, TX, OK, MT, IL) – TELECOMMUTER/REMOTE
Richardson Texas HQ (1001 E. Lookout Drive)

Health Care Service Corporation

PC experience Database experience Medical necessity Clinical Review Utilization Review Registered Nurse PC Clinical Experience RN +8

USD 58K+

Care Manager RN
Work At Home-Colorado

High-Speed Internet Clinical Tools RN license RN licensure Acute care Telephonic Communication Data Review Policies and procedures Member engagement +21

USD 60K+

Case Management Coordinator II (FEP) – TELECOMMUTER TX/OK/NM
Richardson Texas HQ (1001 E. Lookout Drive)

Health Care Service Corporation

Medical Management Policies Database experience PC Proficiency Disease Management Discharge planning Clinical Care PC Clinical Experience RN +20

USD 58K+

Case Manager - Dodgeville
Work at Home - Wisconsin

Social service care management Community integration Healthcare Coordination Health and wellness Family Care Social services Human services Prevention Enrollment +36

USD 47K+

Utilization Management Clinician RN -Behavioral Health Night Shift 4 days
Work At Home - Utah

Substance abuse disorders Substance abuse Clinical Practice Guidelines Benefit management Health Services Evidence-Based Care Clinical Practice Mental health services Psychology +12

USD 54K+

Telehealth Primary Care Physician - Remote - Evernorth Workplace Care
Florida Work at Home

The Cigna Group

Virtual urgent care Health and wellness education Biometric screening Diagnostic services Therapeutic services Patient referrals Occupational Health Chronic Condition Management Evidence-Based Guidelines +28

USD 191K+

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

The Cigna Group

Shared Decision Making Digital Messaging Healthcare Coordination Health promotion Behavior Change Internet Research Telephonic Communication Medical management Clinical Acumen +28

Senior Mid Full Time

USD 75K+

Care Coordinator UM/CM II
Albuquerque (4411 The 25 Way)

Health Care Service Corporation

Clinical Utilization Management Medical Management Policies PC Proficiency Microsoft Access Disease Management Discharge planning Clinical Practice Cost analysis Registered Nurse +20

USD 58K+

Opioid and Pain Management Case Manager- Evernorth Health Services - Remote
Minnesota Work at Home

The Cigna Group

Cognitive behavioral coaching Telephonic support Pain management Telephonic counseling Software Application Medical management Substance Use Disorder Goal setting Health education +28

USD 65K+

Social Worker Case Manager- Neillsville, WI
Work at Home - Wisconsin

Housing support Employment support Social service care management Community Resource Coordination Community integration Health and wellness Family Care Human services Prevention +36

USD 47K+

Utilization Management Nurse Consultant
Work At Home-Nevada

Clinical Judgement Long Term Care Benefit management Benefit utilization Home Health Clinical Criteria Acute care Prior authorization Call Center Experience +15

USD 58K+

Behavioral Health - Utilization Management Clinical Consultant - KY
Work At Home-Kentucky

Clinical Practice Guidelines Benefit management Benefit utilization Navigating multiple systems Clinical Criteria Utilization Review Evidence-Based Care Keyboarding Clinical Practice +22

USD 52K+

Care Manager - RN
New Albany-7400 West Campus Road

Telephonic assessment Clinical coverage Spanish Speaking RN license Clinical Tools Holistic approach Clinical resources RN licensure Acute care +20

Senior Mid Full Time

USD 60K+

Clinical Reviewer-Immediate Advocacy (RN/LCSW)-Remote
United States - Remote

Medical record abstracting Medical Record Review Rehabilitation Prior authorization Clinical assessment Public Sector Medical Records RN Clinical Experience +16

USD 44K+

UM Nurse Consultant
Work At Home-Texas

Benefit utilization Benefit management Coverage determination RN licensure Navigating multiple systems Clinical Criteria Keyboarding Discharge planning Registered Nurse +16

USD 58K+

Case Manager RN
Work At Home-Minnesota

High-Speed Internet RN license Clinical Tools RN licensure Telephonic Communication Acute care Policies and procedures Data Review Member engagement +21

USD 60K+

Appeals Nurse Consultant (Remote)
Work At Home-Pennsylvania

Pre authorization Appeals Pre-certification RN licensure Medical necessity Computer Systems Utilization management RN Clinical Experience +10

USD 60K+

Registered Nurse - RN - Case Management - Remote
Work At Home-Maryland

Multi-systems navigation Clinical Tools Clinical resources Holistic approach Policies and procedures Member engagement Care Planning Data Review Keyboarding +23

USD 66K+

Transition of Care - LVN/LPN
Work At Home-Texas

Goal Attainment Clinical Assistance Emergency department Community Resource Evaluation Social services Holistic approach Clinical resources Health education Discharge planning +23

USD 44K+

Registered Nurse - RN - Case Management - Diabetes Educator - Remote
Work At Home-Maryland

Multi-systems navigation Diabetes management Clinical Tools Clinical resources Holistic approach Policies and procedures Member engagement Care Planning Data Review +24

USD 66K+

RN Reviewer
United States

MCG Care Guidelines Healthcare programs Clinical Intelligence Accreditation Prior authorization Patient outcomes Clinical Review Medical necessity Agility +13

USD 70K+

Inpatient Review Nurse (RN/LVN) Must have California Licensure
Remote-US, California, United States

Alignment Health

Inpatient review Milliman care guidelines Concurrent review Managed Care Plans LVN California licensure Medicare managed care plans Medicare Managed Care Utilization management +17

USD 74K+

Case Manager - LHB
Work From Home (HB)

Health Care Service Corporation

RN license Condition Management MS Outlook Clinical Care Utilization management RN MS Word MS Excel Nursing +17

USD 55K+

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