Conduct initial evaluations and develop collaborative treatment plans involving medication and therapy for clients. Provide ongoing monthly follow-ups to assess intervention efficacy and ensure treatment goals are achieved.
Remote Healthcare Jobs in United States (10,087)
Remote in = United States
Job category = Healthcare
Medical Plan Building Analyst
Allied Benefit Systems
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Full Time
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3 Days Ago
Allied Benefit Systems
The analyst is responsible for analyzing plan documents to accurately build and maintain group set-ups within the Qiclink System. This includes coding self-funded and fully insured groups, auditing tasks, and ensuring compliance with privacy laws like HIPAA.
Nurse Practitioner, Bilingual (100% Virtual) - CareBridge
Elevance Health
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Full Time
·
3 Days Ago
Elevance Health
Collaborate with physicians and families to develop and implement complex clinical plans of care for adult patients with chronic conditions. Provide primary and urgent healthcare via telephone and video modalities while coordinating resources and maintaining medical records.
The Pharmacy Technician provides medication counseling and acts as a Pharmacy Navigator to eliminate barriers to therapy and ensure proper medication adherence. They collaborate with pharmacists and providers to facilitate access to medications and document delivered care.
Oversee clinical trial management teams to ensure the delivery of project objectives regarding speed, quality, and cost. Act as the primary point of contact for clients while managing operational aspects, recruitment metrics, and data integrity.
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Health Navigator
BlueCross BlueShield of Tennessee
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Full Time
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3 Days Ago
BlueCross BlueShield of Tennessee
Serve as a key point of contact for members to help them navigate healthcare needs and access appropriate services. Responsibilities include conducting educational calls, completing health assessments, and managing system work queues to identify gaps in care.
Application Analyst III, Perioperative Applications - Clinical Applications/Information Solutions
Medical University of South Carolina
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Full Time
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3 Days Ago
Medical University of South Carolina
The Application Analyst III provides expertise in resolving complex technical issues and serves as a subject matter expert for perioperative clinical applications. They lead projects, maintain system updates, and create educational plans to facilitate organizational change.
The Triage Nurse monitors and responds to patient communications, assessing symptoms and side effects to coordinate appropriate care. They collaborate with physicians and scheduling teams to manage patient needs and prevent unnecessary hospitalizations.
Acts as a clinical expert leading the implementation of WellSky solutions by bridging the gap between clinical workflows and software functionality. Responsibilities include gathering requirements, providing client training, and ensuring regulatory compliance within blood management settings.
Establish evaluation strategies and compile clinical evidence to ensure the safety and performance of medical devices. The role involves performing complex literature queries and designing Post Market Clinical Follow Up activities.
Senior Clinical Quality Analyst - Remote
UnitedHealth Group
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Full Time
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3 Days Ago
UnitedHealth Group
Responsible for directing clinical quality improvement programs related to CMS Stars, HEDIS, and CAHPS/HOS. The role involves analyzing quality data, developing improvement plans, and presenting actionable insights to stakeholders via professional slide decks.
Case Managers serve as advocates for clients on CADI/BI and DD waivers, helping them access community resources and services. Responsibilities include care coordination, monitoring health and safety needs, and resolving service gaps to meet client goals.
Provide client-centered case management and advocacy for individuals receiving CADI/BI and DD waiver services. Connect clients to community resources and services while maintaining detailed documentation and case notes.
Provide client-centered case management and advocacy for individuals receiving CADI/BI and DD waiver services. Connect clients to community resources and services while maintaining detailed documentation and case notes.
Provide patient-centered clinical care to pediatric patients through assessment and triage via chat, telephone, and video. Responsibilities include reducing care gaps, monitoring diagnostic results, and educating patients on remote health equipment.
The Pharmacy Technician supports pharmacists in a medication therapy management program by preparing comprehensive medication reviews and reconciling medication lists. They also coordinate with providers and pharmacies to ensure member access to medications and improve health outcomes.
The Pharmacy Technician supports pharmacists in a medication therapy management program by preparing comprehensive medication reviews and reconciling medication lists. They also coordinate with providers and pharmacies to ensure member access to medications and improve health outcomes.
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RN- Care Review Clinician- Utilization Review (Remote- CA License Req)
Molina Healthcare
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Full Time
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3 Days Ago
Molina Healthcare
Responsible for verifying that clinical services are medically necessary and align with established guidelines and insurance policies. The role involves analyzing service requests, processing prior authorizations, and collaborating with multidisciplinary teams to ensure cost-effective member care.
The Care Management Recovery Advocate manages and communicates clinically-based appeals between the healthcare organization and outside payers. The role focuses on patient advocacy to ensure proper reimbursement for services provided within the ministry.
The analyst identifies and implements solutions to improve the accuracy and integrity of claims payments to reduce unnecessary spending. This involves scoping payment integrity initiatives, analyzing claims data, and collaborating with stakeholders to optimize payment processes.
The Pharmacy Patient Advocate manages the enrollment process for Patient Assistance Programs (PAP) through inbound and outbound telephone support. They coordinate between patients and healthcare providers to ensure medication coverage and maintain strict patient confidentiality.
The Pharmacy Patient Advocate manages the enrollment process for Patient Assistance Programs (PAP) through inbound and outbound telephone support. They coordinate between patients and healthcare providers to ensure medication coverage and maintain strict patient confidentiality.
Clinical Systems Analyst II, RN - REMOTE
DOCUMENT STORAGE SYSTEMS INC
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Full Time
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3 Days Ago
DOCUMENT STORAGE SYSTEMS INC
Acts as a clinical user advocate to optimize EHR products by analyzing operational workflows and collaborating with product teams. Leads cross-functional engagements to guide the design, development, and testing of healthcare software solutions.
The Enteral Technician manages administrative and technical functions for enteral nutrition services, including insurance eligibility and chart compliance. They coordinate the dispensing of formulas and supplies while ensuring continuity of care through documentation and patient support.
The CRA II is responsible for conducting site qualification, initiation, monitoring, and close-out visits for clinical trials. They ensure protocol compliance and data integrity while collaborating with investigators to maintain high-quality clinical data.
Accountable for the oversight of assigned clinical studies within the country, ensuring adherence to quality, timelines, and budgets. Responsible for building relationships with key institutions and driving the inclusion of underrepresented populations in clinical trials.
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The role involves coordinating the setup and monitoring of clinical trials, ensuring accurate study status reports and documentation. It also requires maintaining collaborative relationships with investigators and ensuring strict compliance with regulatory requirements and patient safety.
Clinical Research Lead - Immunology, Investigator Engagement (West Coast)
Eli Lilly and Company
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Full Time
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3 Days Ago
Eli Lilly and Company
The Clinical Research Lead drives the execution of clinical trials through strategic investigator engagement and site performance management. They serve as a scientific ambassador to ensure protocol understanding and co-develop enrollment strategies to optimize trial delivery.
Manage telephonic case management for workers' compensation claims, coordinating care between medical providers, employers, and injured workers. Facilitate recovery outcomes and return-to-work planning while maintaining compliant documentation.
The nurse provides telephonic triage, assesses patient needs, and facilitates bed placement and transfers within the health system. They are responsible for implementing care advice according to protocols and maintaining accurate HIPAA-compliant documentation.
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49
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31902
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2691
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2326
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1889
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