Responsible for the timely and accurate submission of Medicare and Medicaid hospice claims, including NOE filing and denial resolution. The role involves managing accounts receivable, auditing patient files, and ensuring compliance with CMS regulations.
Remote Healthcare Jobs in United States (10,027)
Remote in = United States
Job category = Healthcare
The Medical Director serves as a Cardiology Subject Matter Expert leading utilization review, quality assurance, and case management. They act as a clinical liaison to network providers and handle predetermination and claim reviews.
Serve as a Subject Matter Expert in Orthopedics to lead utilization review, quality assurance, and case management. Act as a clinical liaison to network providers and facilities to support medical services programs and claim determinations.
Acts as a Subject Matter Expert in Otolaryngology to lead utilization review, quality assurance, and case management. Provides clinical expertise and business direction to support medical management programs and serves as a liaison to network providers.
The ROE Pharmacist manages drug therapy protocols and evaluates medication orders to prevent and resolve drug-related problems. They provide drug information to medical staff and patients while documenting interventions for quality improvement.
New remote healthcare jobs delivered to your inbox
We'll notify you when new positions matching this search are posted
The specialist plans, designs, and implements clinical research projects while managing study sites to ensure protocol compliance. They collaborate cross-functionally with regulatory, medical, and R&D departments to maintain high-quality study data.
Virtual Functional Medicine Physician (DCs)
Aligned Modern Health
·
Full Time
·
2 Weeks Ago
Aligned Modern Health
Conduct thorough patient assessments and develop personalized treatment plans using functional and integrative medicine. Collaborate with healthcare professionals and provide patient education on disease prevention and healthy lifestyle choices.
Coordinate care navigation for oncology members by facilitating guideline-aligned treatments, symptom tracking, and member re-education. Collaborate with interdisciplinary teams to manage referrals, authorizations, and clinical trial participation while maintaining a member caseload.
The Patient Advocate Specialist screens patients for state and federal assistance program eligibility to resolve medical account balances. They guide patients through the application process and maintain detailed documentation in the CUBS system.
Manager, Caregiver Engagement Operations
Imagine Pediatrics
·
Full Time
·
2 Weeks Ago
Imagine Pediatrics
The manager is responsible for designing and improving the caregiver experience and driving Net Promoter Score (NPS) performance. They lead the Patient Family Advocacy Council and translate caregiver feedback into operational standards and workflows.
Provide behavioral health and psychiatric assessment, diagnosis, and treatment for patients within a correctional setting. Work as part of a multi-disciplinary team to deliver comprehensive health services.
The Sleep Medicine Physician Lead will diagnose sleep-related conditions via telemedicine and establish evidence-based treatment plans. They will also lead clinical quality initiatives, develop provider standards, and scale the sleep medicine provider network.
Perform pre-verification of prescriptions and provide clinical counseling to RedBox Rx patients via phone, chat, and email. Manage patient profiles and ensure all pharmacy operations adhere to state and federal statutes.
Licensed Behavioral Health Clinician Case Manager - Work at Home
CVS Health
·
Full Time
·
2 Weeks Ago
CVS Health
The role involves conducting comprehensive behavioral health assessments and developing personalized care plans for members. The clinician will coordinate with providers and provide crisis intervention to ensure optimal health outcomes.
Telephonic Nurse Practitioner (Part-Time) - OH, MO, WI or IN License Required
UnitedHealth Group
·
Full Time
·
2 Weeks Ago
UnitedHealth Group
Provide telephonic and virtual urgent care to patients, caregivers, and facility staff across multiple markets. Coordinate care transitions and manage acute and chronic medical and behavioral conditions in collaboration with physicians.
Consultative Pharmacist 2 - Remote (TN or PA)
Dragonfly Health
·
Full Time
·
2 Weeks Ago
Dragonfly Health
Provide clinical review and consultation on medication requests, prior authorizations, and benefit determinations. Collaborate with providers to ensure therapy appropriateness and improve medication safety and cost-effectiveness.
Provide professional mental health therapy to adults, couples, or teens via an online platform. Focus on direct client care while maintaining autonomy over clinical decisions.
New remote healthcare jobs delivered to your inbox
We'll notify you when new positions matching this search are posted
Telehealth Occupational Therapist - Visit Based Earning - SC and NC
Upstream Rehabilitation
·
Full Time
·
2 Weeks Ago
Upstream Rehabilitation
Provide remote occupational therapy services to a diverse patient population using a visit-based earning model. Manage a caseload focusing on upper extremity ortho and cognitive conditions while maintaining efficient documentation.
Own the end-to-end email and SMS strategy and execution across a portfolio of health and wellness brands to drive revenue and LTV. Focus on building optimized lifecycle flows, managing subscription retention, and utilizing customer data for advanced segmentation.
Aesthetics Clinical Trainer - Lasers
Acclaro Corporation
·
Full Time
·
2 Weeks Ago
Acclaro Corporation
Provide hands-on clinical training and education to healthcare providers on the use of UltraClear and AuraLux devices. Support customer success through in-person and virtual training, workshops, and collaboration with the sales team.
The Senior Director is responsible for the protocol development and medical/scientific oversight of clinical research studies for infectious disease drugs. This includes managing Phase 2-3 trials, interpreting study analyses, and providing scientific leadership to internal and external stakeholders.
Executive Medical Director - US Medical - Obesity and Related Conditions
Amgen
·
Full Time
·
2 Weeks Ago
Amgen
Lead the US Medical Affairs strategy for the Obesity and Related Conditions portfolio, focusing on Chronic Weight Management and Obstructive Sleep Apnea. Drive evidence generation, scientific communications, and external engagement while partnering cross-functionally to ensure medical independence and compliance.
Provide telephonic clinical case management for the Medicare population, including comprehensive assessments and individualized care planning. Collaborate with providers and internal partners to coordinate behavioral health resources and psychosocial services.
Deliver high-quality, virtual-first primary care to patients across the US via video, chat, and messaging. Responsibilities include conducting assessments, managing chronic conditions, and serving as a collaborating physician for Nurse Practitioners.
Conduct quantitative analyses on healthcare costs and clinical outcomes to optimize auto-decisioning strategies and product performance. Develop reporting solutions and data visualizations to provide actionable insights for internal stakeholders and clients.
Provide professional mental health therapy to adults, couples, or teens via an online platform. Focus on client care while utilizing the platform's administrative support to manage caseloads.
New remote healthcare jobs delivered to your inbox
We'll notify you when new positions matching this search are posted
Provide professional mental health therapy to adults, couples, or teens via an online platform. Focus on client care while utilizing the platform's administrative support to manage caseloads.
Senior Staff Provider, Member Access (MD/DO)
Groups Recover Together, Inc.
·
Full Time
·
2 Weeks Ago
Groups Recover Together, Inc.
Facilitate medical intakes and provide enhanced support for members in early recovery using telemedicine. Provide longitudinal maintenance care, supervise access staff providers, and support the medical leadership team in deploying new service lines.
Provide professional mental health counseling to adults, couples, or teens via an online platform. Focus on direct client care while utilizing the platform's administrative support to manage caseloads.
Collaborating Family Medicine Physician - Oklahoma
Sprinter Health
·
Full Time
·
2 Weeks Ago
Sprinter Health
Provide clinical guidance and oversight to a Virtual Nurse Practitioner in Oklahoma to ensure high-quality patient care. Responsibilities include reviewing medical records, conducting monthly check-ins, and ensuring compliance with state and federal telemedicine regulations.
Automatically Apply to the Best Remote Jobs
Stop the endless job search. Our AI finds and applies to the best jobs for you.
Healthcare Jobs in Other Countries
Remote Healthcare Jobs in Canada
459
Remote Healthcare Jobs in United Kingdom
242
Remote Healthcare Jobs in Mexico
122
Remote Healthcare Jobs in Germany
117
Remote Healthcare Jobs in Australia
107
Remote Healthcare Jobs in India
97
Remote Healthcare Jobs in Spain
82
Remote Healthcare Jobs in Poland
62
Remote Healthcare Jobs in China
60
Remote Healthcare Jobs in Georgia
59
Remote Healthcare Jobs in Philippines
58
Remote Healthcare Jobs in France
57
Remote Healthcare Jobs in Brazil
51
Remote Healthcare Jobs in Italy
49
Remote Healthcare Jobs in Argentina
46
Other Categories in United States
Remote Other Jobs in United States
31976
Remote Software Development Jobs in United States
23859
Remote Sales Jobs in United States
22817
Remote Finance Jobs in United States
6483
Remote Support Jobs in United States
5499
Remote Product Jobs in United States
4859
Remote Marketing Jobs in United States
3346
Remote Legal Jobs in United States
2693
Remote Teaching Jobs in United States
2327
Remote Recruiter Jobs in United States
1878
Remote Design Jobs in United States
1618
Remote Writing Jobs in United States
1119
Remote Data Entry Jobs in United States
1072
Remote Virtual Assistant Jobs in United States
638
Browse Jobs by Role
Remote Data Analyst Jobs
Remote Management Consultant Jobs
Remote Account Executive Jobs
Remote Call Center Representative Jobs
Remote Graphic Designer Jobs
Remote Social Media Manager Jobs
Remote Proofreader Jobs
Remote Program Manager Jobs
Remote Video Editor Jobs
Remote Translator Jobs
Remote Technical Writer Jobs
Remote Customer Success Manager Jobs
Remote Software Engineer Jobs
Remote Content Creator Jobs
Remote Chief of Staff Jobs
