Remote Healthcare Jobs in United States

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Remote Healthcare Jobs in United States (10,032)

Remote in = United States Job category = Healthcare

Sr Analyst, Medical Economics, Stars and Risk Adjustment

Monogram Health · Full Time · 12 Weeks Ago
Monogram Health
🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare
The Senior Analyst will develop and maintain standardized Stars and Risk Adjustment reporting using internal data sources and CMS files within Databricks and Power BI, while also serving as a subject matter expert on Risk Adjustment data sources. This role involves analyzing data to identify trends and performance opportunities, presenting findings to stakeholders, and collaborating with internal teams to influence underwriting, contracting, and operations.

Pharmacist - Appalachia

Monogram Health · Full Time · 12 Weeks Ago
Monogram Health
🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare
The POD Pharmacist is responsible for developing and implementing the medication therapy management (MTM) program, performing comprehensive medication reviews, and creating drug therapy action plans for all members. This role involves communicating these plans to clinical staff and providers, conducting necessary telephonic consultations, and integrating medication management into the overall care model.

Pharmacist - Texas

Monogram Health · Full Time · 12 Weeks Ago
Monogram Health
🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare
The POD Pharmacist is responsible for developing and implementing the medication therapy management (MTM) program, performing comprehensive medication reviews, and creating drug therapy action plans for all members. This role involves conducting telephonic consultations with providers and members, and integrating medication management into the overall care model.

Pharmacist - Mississippi

Monogram Health · Full Time · 12 Weeks Ago
Monogram Health
🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare
The POD Pharmacist is responsible for developing and implementing the medication therapy management (MTM) program, performing comprehensive medication reviews, and communicating action plans to providers. This role involves conducting telephonic consultations, integrating medication management into the overall care model, and serving as a resource for field clinicians regarding medication use.

Culinary Informatics – Dietitian 14 APPLICANTS

Thomas Cuisine · Full Time · 12 Weeks Ago
Thomas Cuisine
🌎 United States 💵 $75000 - $80000 per year ⭐ 0-2 yrs exp 💼 Healthcare
This role involves applying clinical nutrition knowledge and IT expertise to enhance the quality and usability of nutrition data systems, focusing on strengthening patient care and foodservice operations. Key duties include managing, organizing, and maintaining nutrition-related data like recipes and allergens across various platforms while ensuring data consistency and regulatory compliance.

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Pharmacy Network Consultant - Remote

Dragonfly Health · Full Time · 12 Weeks Ago
Dragonfly Health
🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare
The role involves conducting quality and service level management with external pharmacy providers to ensure contractual alignment, executing pharmacy network strategy, and managing provider costs, including COGS reduction. Responsibilities also include ensuring consistent service to clients, overseeing network planning for provider viability, and facilitating database maintenance and compliance efforts.

Pharmacy Network Consultant - Remote

Dragonfly Health · Full Time · 12 Weeks Ago
Dragonfly Health
🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare
This role involves conducting quality and service level management with external pharmacy providers to ensure contractual alignment, executing pharmacy network strategy, and managing provider costs, focusing heavily on Cost of Goods Sold reduction. Responsibilities also include ensuring consistent service to clients, vetting provider viability, and facilitating database maintenance for preferred pharmacies.

Clinical Affairs Manager | Remote | Colorado or Texas

Pima Medical Institute · Full Time · 12 Weeks Ago
Pima Medical Institute
🌎 United States 💵 $70935 - $88670 per year ⭐ 0-2 yrs exp 💼 Healthcare
The Clinical Affairs Manager will cultivate and grow a network of clinical education and externship sites, serving as the primary liaison between the organization and regional healthcare employers while negotiating affiliation agreements. This role also involves collaborating with program directors to ensure students access quality clinical experiences and assisting in developing best practice training for faculty and students.

Part Time Remote Licensed Talk Therapist - Fee For Service

Thriveworks · Full Time · 12 Weeks Ago
Thriveworks
🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare Therapist
Licensed Clinicians are sought to provide telehealth sessions to clients in Rhode Island, focusing on delivering exceptional mental health care. Responsibilities include managing a caseload of 15-21 sessions per week and potentially engaging in clinical leadership or supervisory roles.

Hospital Bill Audit Nurse I

CERIS · Full Time · 12 Weeks Ago
CERIS
🌎 United States 💵 $62306 - $93123 per year ⭐ 5-10 yrs exp 💼 Healthcare
The Hospital Bill Audit Nurse conducts hospital bill charge audits by reviewing medical records to verify services provided and charges are appropriate based on documentation and guidelines, covering areas like inpatient, outpatient, NICU, and hospice. This role involves identifying overcharges, undercharges, and unbundled items per payor contract and industry standards, requiring independent scheduling and travel to provider locations.

Itemization Review Nurse I

CERIS · Full Time · 12 Weeks Ago
CERIS
🌎 United States 💵 $51807 - $83551 per year ⭐ 5-10 yrs exp 💼 Healthcare
The Itemization Review Nurse analyzes charges on a UBIB submitted by a medical facility to determine the accuracy of billed charges by collecting and reviewing supporting data. This role requires documenting work and final conclusions in a designated computer program while maintaining an understanding of surgical implants.

Market Physician Executive - South New Jersey

Monogram Health · Full Time · 12 Weeks Ago
Monogram Health
🌎 United States ⭐ 10+ yrs exp 💼 Healthcare
The Market Physician Executive leads the in-home multi-specialty polychronic care model, overseeing daily clinical and business operations, and is responsible for developing and executing clinical strategies, policies, and protocols to drive improved patient health outcomes within the market. This role involves direct patient care, reviewing and approving care plans for advanced practice providers, and collaborating with community partners on patient care decisions.

Medical Case Manager II

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $65436 - $98982 per year ⭐ 2-5 yrs exp 💼 Healthcare
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and medical necessity, attending provider visits, and developing long-term care strategies.

Medical Case Manager I (RN)

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $62306 - $93123 per year ⭐ 2-5 yrs exp 💼 Healthcare
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and medical necessity, attending provider visits, and conducting home evaluations.

Medical Case Manager II

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $65436 - $98982 per year ⭐ 2-5 yrs exp 💼 Healthcare
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and medical necessity, attending provider visits, and implementing care strategies like negotiating equipment delivery.

Medical Case Manager I

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $62306 - $93123 per year ⭐ 2-5 yrs exp 💼 Healthcare
The Medical Case Manager provides in-person and telephonic case management to injured workers, involving coordination with patients, physicians, providers, and employers. Responsibilities include assessing, planning, implementing, and evaluating the patient's progress while ensuring treatment plans are appropriate, medically necessary, and cost-effective.

Medical Case Manager I (RN)

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $62306 - $93123 per year ⭐ 2-5 yrs exp 💼 Healthcare
The Medical Case Manager will provide case management to injured workers through in-person and telephonic communications, utilizing nursing knowledge to discuss and evaluate treatment plans for appropriateness and medical necessity. Responsibilities also include attending provider visits, facility discharge planning, and negotiating the delivery of necessary care services.

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CA Medical Case Manager I - RN

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $29.95 - $44.77 per hour ⭐ 2-5 yrs exp 💼 Healthcare
The Medical Case Manager will provide in-person and telephonic case management to injured workers, collaborating with patients, physicians, and employers to facilitate recovery. Responsibilities include assessing, planning, implementing, and evaluating treatment plans for appropriateness, medical necessity, and cost effectiveness.

Case Management Supervisor RN

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $76207 - $117K per year ⭐ 2-5 yrs exp 💼 Healthcare
The Case Management Supervisor directs the operations of their designated department, overseeing employees, ensuring quality of service, and handling human resources matters for the supervised department. Responsibilities may also include reviewing various reports, limited sales activities, and potentially overseeing clinical case management activities depending on RN status.

Advocacy 24/7 Triage Nurse

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $24.91 - $40.17 per hour ⭐ 2-5 yrs exp 💼 Healthcare
The Advocacy 24/7 Triage Nurse provides telephonic first aid and assessment to injured workers based on national standards to facilitate treatment goals. This involves recommending appropriate providers, educating callers on self-care, communicating the care plan, and documenting clinical assessments concisely.

CA Telephonic Case Manager II

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $31.46 - $47.59 per hour ⭐ 2-5 yrs exp 💼 Healthcare
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals, aiming to support quality treatment and timely return to work. This involves assessing treatment plan appropriateness, communicating with physicians, and explaining conditions and plans to patients, family members, and adjusters.

Medical Case Manager I

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $62306 - $93123 per year ⭐ 2-5 yrs exp 💼 Healthcare
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and necessity, attending provider visits, and coordinating long-term care strategies.

Telephonic Case Manager I

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $63739 - $95264 per year ⭐ 2-5 yrs exp 💼 Healthcare
The Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals to support quality treatment and timely return to work. This involves assessing treatment plans, communicating with physicians, and coordinating care delivery such as negotiating durable medical equipment.

Nurse Practitioner

Monogram Health · Full Time · 12 Weeks Ago
Monogram Health
🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare Nurse Practitioner
The Nurse Practitioner will conduct comprehensive annual wellness exams for patients both in-home and virtually, delivering personalized, compassionate medical care primarily to individuals with CKD and/or ESRD/ESKD. Responsibilities also include documenting patient information, coordinating care with other providers, prescribing medications, ordering tests, and ensuring timely completion of all required paperwork.

CA Medical Case Manager II

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $32.18 - $48.68 per hour ⭐ 2-5 yrs exp 💼 Healthcare
The Medical Case Manager provides in-person and telephonic case management to injured workers, involving various stakeholders to facilitate recovery. Responsibilities include assessing treatment plans for appropriateness and necessity, attending provider visits, and coordinating care elements like durable medical equipment.

Nurse Practitioner - Scottsdale, AZ

Monogram Health · Full Time · 12 Weeks Ago
Monogram Health
🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare Nurse Practitioner
The Advanced Practitioner will deliver personalized, compassionate medical care primarily to individuals with CKD and/or ESRD/ESKD, conducting comprehensive annual wellness exams both in-home and virtually. Responsibilities also include coordinating care with other providers, maintaining accurate patient records, and participating in integrated care team meetings to improve patient outcomes and quality of life.

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Medical Case Manager II

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $66941 - $101K per year ⭐ 2-5 yrs exp 💼 Healthcare
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include assessing, planning, implementing, and evaluating patient progress while ensuring treatment plans are appropriate, medically necessary, and cost-effective.

Medical Case Manager I

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $63739 - $95264 per year ⭐ 2-5 yrs exp 💼 Healthcare
The Medical Case Manager provides in-person and telephonic case management to injured workers, involving various stakeholders like physicians and employers, utilizing nursing knowledge to discuss and evaluate treatment plans for appropriateness and cost-effectiveness. Responsibilities also include attending provider visits, facility discharge planning, conducting home evaluations, and negotiating care implementation such as durable medical equipment.

Medical Case Manager II

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $66941 - $101K per year ⭐ 2-5 yrs exp 💼 Healthcare
The Medical Case Manager provides in-person and telephonic case management to injured workers, collaborating with patients, providers, and employers to facilitate recovery. Responsibilities include utilizing nursing knowledge to discuss and evaluate treatment plans for appropriateness, medical necessity, and cost-effectiveness, often requiring significant local travel.

Medical Case Manager I

CorVel Corporation · Full Time · 12 Weeks Ago
CorVel Corporation
🌎 United States 💵 $63739 - $95264 per year ⭐ 2-5 yrs exp 💼 Healthcare
The Medical Case Manager provides in-person and telephonic case management to injured workers, involving various stakeholders to facilitate recovery. Responsibilities include assessing, planning, implementing, and evaluating patient progress while discussing and evaluating treatment plans for appropriateness and cost-effectiveness.

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