Remote Healthcare Jobs in United States

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Remote Healthcare Jobs in United States (10,027)

Remote in = United States Job category = Healthcare
CVS Health is hiring for remote Medical Director - Medicaid (IL)

Medical Director - Medicaid (IL)

CVS Health · Full Time · 32 Weeks Ago
CVS Health
🌎 United States 💵 $174K - $374K per year ⭐ 5-10 yrs exp 💼 Healthcare Medical Director
The UM Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review.
CVS Health is hiring for remote Medical Director - West Virginia Medicaid

Medical Director - West Virginia Medicaid

CVS Health · Full Time · 32 Weeks Ago
CVS Health
🌎 United States 💵 $174K - $374K per year ⭐ 5-10 yrs exp 💼 Healthcare Medical Director
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and pre-certification as well as concurrent review.
CVS Health is hiring for remote Medical Director-Medicaid (ABH TX)

Medical Director-Medicaid (ABH TX)

CVS Health · Full Time · 32 Weeks Ago
CVS Health
🌎 United States 💵 $174K - $374K per year ⭐ 5-10 yrs exp 💼 Healthcare Medical Director
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and concurrent review.
CVS Health is hiring for remote Medical Director-Medicaid (ABH TX)

Medical Director-Medicaid (ABH TX)

CVS Health · Full Time · 32 Weeks Ago
CVS Health
🌎 United States 💵 $174K - $374K per year ⭐ 5-10 yrs exp 💼 Healthcare Medical Director
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and precertification as well as concurrent review.

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CVS Health is hiring for remote Case Manager – Registered Nurse – Field – Southwest Michigan + Bonus Available

Case Manager – Registered Nurse – Field – Southwest Michigan + Bonus Available 30 APPLICANTS

CVS Health · Full Time · 32 Weeks Ago
CVS Health
🌎 United States 💵 $60522 - $129K per year ⭐ 5-10 yrs exp 💼 Healthcare
The Case Manager is responsible for assessing, planning, implementing, and coordinating case management activities to evaluate the medical needs of members. They develop proactive care plans and collaborate with various stakeholders to enhance member wellness and address health and social challenges.
CVS Health is hiring for remote Case Manager Registered Nurse- San Antonio, TX

Case Manager Registered Nurse- San Antonio, TX 35 APPLICANTS

CVS Health · Full Time · 32 Weeks Ago
CVS Health
🌎 United States 💵 $60522 - $129K per year ⭐ 5-10 yrs exp 💼 Healthcare
The Case Manager RN is responsible for assessing, planning, implementing, and coordinating case management activities with members to evaluate their medical needs. This role involves developing proactive strategies to enhance members' overall wellness and facilitate smooth transitions to Aetna programs and plans.
Centene Corporation is hiring for remote Care Coordinator II

Care Coordinator II

Centene Corporation · Full Time · 32 Weeks Ago
Centene Corporation
🌎 United States 💵 $17.5 - $27.5 per hour ⭐ 0-2 yrs exp 💼 Healthcare
Supports care management activities and ensures services are delivered by healthcare providers. Engages members through outreach to discuss care plans and coordinates care activities as needed.
Abbott is hiring for remote Clinical Specialist - San Diego, CA

Clinical Specialist - San Diego, CA

Abbott · Full Time · 32 Weeks Ago
Abbott
🌎 United States 💵 $60000 - $120K per year ⭐ 2-5 yrs exp 💼 Healthcare
The Clinical Specialist provides comprehensive engineering, sales, educational, and technical support for Cardiac Rhythm Management products. This role acts as a clinical interface between the medical community and the business, responding to inquiries and facilitating training sessions for healthcare professionals.

Part-Time Weekend Medical Director (Remote) 20 APPLICANTS

Highmark Health · Full Time · 32 Weeks Ago
Highmark Health
🌎 United States 💵 $170K - $352K per year ⭐ 5-10 yrs exp 💼 Healthcare Medical Director
The Medical Director ensures that utilization management responsibilities are performed according to clinical standards by reviewing escalated cases and determining medical necessity. They also participate in multidisciplinary teams for case and disease management, advising on high-risk cases and managing special projects.

RN Case Manager-ONCOLOGY (REMOTE) 135 APPLICANTS

Horizon Blue Cross Blue Shield of New Jersey · Full Time · 32 Weeks Ago
Horizon Blue Cross Blue Shield of New Jersey
🌎 United States 💵 $77900 - $104K per year ⭐ 2-5 yrs exp 💼 Healthcare
The RN Case Manager is responsible for assessing patients' clinical needs and coordinating care to ensure appropriate levels of care. This role includes monitoring services, advocating for members, and collaborating with multidisciplinary teams.
🌎 United States 💵 $80000 - $120K per year ⭐ 5-10 yrs exp 💼 Healthcare
The Clinical Consultant III provides clinical, technical, and product knowledge support to customers while building and maintaining solid relationships. Responsibilities include technical support during procedures, customer training, and collaboration with sales teams to identify new users for technology-enabled procedures.

Utilization Review Nurse - Remote 337 APPLICANTS

Martin’s Point Health Care · Full Time · 32 Weeks Ago
Martin’s Point Health Care
🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare
The Utilization Review Nurse ensures high-quality, cost-efficient medical outcomes for enrollees needing inpatient/outpatient authorizations. Responsibilities include reviewing prior authorization requests, coordinating transitions of care, and managing health care within compliance regulations.

Care Transitions Nurse - Atrium Remote PT Weekends 8a-8:30p

American Addiction Centers · Full Time · 32 Weeks Ago
American Addiction Centers
🌎 United States 💵 $37.5 - $56.25 per hour ⭐ 5-10 yrs exp 💼 Healthcare
The Care Transitions Nurse facilitates a proactive partnership with patients to manage their health-related needs. They assess, plan, coordinate, and evaluate services to empower individuals and their families in accessing resources and adopting healthy lifestyles.

Health Educator Associate (Remote in Wisconsin) 13 APPLICANTS

Marshfield Clinic Health System · Full Time · 32 Weeks Ago
Marshfield Clinic Health System
🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare
The Health Educator Associate assists professional staff by developing, conducting, and delivering health education interventions. This role promotes, maintains, and improves individual and community health by helping individuals and communities adopt healthy behaviors.
Centene Corporation is hiring for remote RN Clinical Review Nurse - Concurrent Review

RN Clinical Review Nurse - Concurrent Review

Centene Corporation · Full Time · 32 Weeks Ago
Centene Corporation
🌎 United States 💵 $26.5 - $47.59 per hour ⭐ 2-5 yrs exp 💼 Healthcare
The RN Clinical Review Nurse performs concurrent reviews to evaluate the necessity and appropriateness of care being delivered to members. This includes collaborating with healthcare providers and contributing to discharge planning according to established guidelines.

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Biostatistician 2 or Biostatistician 3 42 APPLICANTS

Oregon Health & Science University · Full Time · 32 Weeks Ago
Oregon Health & Science University
🌎 United States 💵 $81619 - $130K per year ⭐ 5-10 yrs exp 💼 Healthcare
Manage, validate, and analyze large health insurance claims datasets using appropriate statistical methods. Work closely with interdisciplinary investigators to contribute to academic manuscripts and written reports.

Social Worker

Aflac, Incorporated · Full Time · 32 Weeks Ago
Aflac, Incorporated
🌎 United States 💵 $70000 - $90000 per year ⭐ 2-5 yrs exp 💼 Healthcare
The Social Worker serves as an advocate for claimants, providing access to community services and developing programs to improve patient care. They handle complex issues, provide emotional support, and maintain accurate records of client interactions.

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Intake Coordinator, Clinical (M-F 12p-9p PT) 230 APPLICANTS

Amedisys, Inc. · Full Time · 32 Weeks Ago
Amedisys, Inc.
🌎 United States 💵 $23 - $25 per hour ⭐ 2-5 yrs exp 💼 Healthcare
As an Intake Coordinator - Clinical, you will be responsible for the timely and accurate entry of home health referrals and communication with care center and business development staff. You will also utilize clinician’s state license to obtain orders for admissions when appropriate.

Behav Health Clinician Rev

Aflac, Incorporated · Full Time · 32 Weeks Ago
Aflac, Incorporated
🌎 United States 💵 $75000 - $90000 per year ⭐ 2-5 yrs exp 💼 Healthcare
The clinician serves as a clinical co-manager on behavioral health claims, providing expertise in analyzing clinical information and negotiating return-to-work plans. They also review and evaluate disability claims to determine the level of functioning based on behavioral health conditions.
Backpack Healthcare is hiring for remote Clinical Services and Operations Manager

Clinical Services and Operations Manager

Backpack Healthcare · Full Time · 32 Weeks Ago
Backpack Healthcare
🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare Operations Manager
The Manager of Clinical Services and Operations provides operational leadership for clinical teams, ensuring high-quality and compliant care. This role involves overseeing program implementation, monitoring KPIs, and driving continuous improvement initiatives.
Humana is hiring for remote Pharmacy Contracting Professional

Pharmacy Contracting Professional

Humana · Full Time · 32 Weeks Ago
Humana
🌎 United States 💵 $65000 - $88600 per year ⭐ 2-5 yrs exp 💼 Healthcare
The Pharmacy Contracting Professional 2 ensures all published materials support the contracting process and may perform analysis regarding pharmacy claims and purchasing data. They draft communications for stakeholder review and coordinate with various departments to publish communications.

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