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.
Remote Healthcare Jobs (12,282)
Job category = 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.
The Clinical Trial Liaison supports clinical trials by providing scientific and clinical support to investigators and site staff. They also function as recruitment specialists to develop and optimize strategies for successful patient enrollment.
Part-Time Weekend Medical Director (Remote) 20 APPLICANTS
Highmark Health
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Full Time
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32 Weeks Ago
Highmark Health
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.
Madiro Talent Roster - Digital Health Engineers & Specialists (En/Fr) 52 APPLICANTS
Madiro
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Full Time
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32 Weeks Ago
Madiro
Join a curated network to work on open-source digital health solutions. Contribute to projects that enhance healthcare technology and improve patient care.
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RN Case Manager-ONCOLOGY (REMOTE) 135 APPLICANTS
Horizon Blue Cross Blue Shield of New Jersey
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Full Time
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32 Weeks Ago
Horizon Blue Cross Blue Shield of New Jersey
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.
Clinical Consultant III, Enabling Technologies - Dallas / Fort Worth, TX
Medtronic
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Full Time
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32 Weeks Ago
Medtronic
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 341 APPLICANTS
Martin’s Point Health Care
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Full Time
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32 Weeks Ago
Martin’s Point Health Care
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
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Full Time
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32 Weeks Ago
American Addiction Centers
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.
Nurse Practitioner - Digital Front Door (Virtual) 67 APPLICANTS
Stonehenge Therapeutic Community
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Full Time
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32 Weeks Ago
Stonehenge Therapeutic Community
The Nurse Practitioner will perform comprehensive care using advanced health assessment and therapeutic management for patients with addictions and co-existing health conditions. They will provide recovery-oriented, trauma-informed care and act as a resource for clinical advice related to substance use.
Provide online treatment and ongoing care for patients with a focus on weight management. Utilize the Felix platform to deliver healthcare services remotely.
EAP Clinical Counsellor (French Speaking)
Workplace Options
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Full Time
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32 Weeks Ago
Workplace Options
EAP Counsellors provide telephonic and video counselling, offering in-the-moment support and crisis management. They assess clients for appropriateness for short-term counselling and develop treatment plans while maintaining client confidentiality.
Health Educator Associate (Remote in Wisconsin) 13 APPLICANTS
Marshfield Clinic Health System
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Full Time
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32 Weeks Ago
Marshfield Clinic Health System
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.
RN Clinical Review Nurse - Concurrent Review
Centene Corporation
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Full Time
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32 Weeks Ago
Centene Corporation
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.
FT Telehealth Registered Dietitian | Texas License
Allara Health
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Full Time
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32 Weeks Ago
Allara Health
Analyze intake assessments and conduct diet and lifestyle counseling sessions via video. Collaborate with medical professionals and maintain accurate patient records.
FT Telehealth Registered Dietitian | Pennsylvania License
Allara Health
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Full Time
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32 Weeks Ago
Allara Health
Analyze intake assessments and conduct diet and lifestyle counseling sessions via video. Collaborate with medical professionals and maintain accurate patient records.
FT Telehealth Registered Dietitian | New York License
Allara Health
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Full Time
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32 Weeks Ago
Allara Health
Analyze intake assessments and conduct diet and lifestyle counseling sessions via video. Collaborate with medical professionals and maintain accurate patient records.
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FT Telehealth Registered Dietitian | Massachusetts License
Allara Health
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Full Time
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32 Weeks Ago
Allara Health
Analyze intake assessments and conduct diet and lifestyle counseling sessions via video. Collaborate with medical professionals and maintain accurate patient records.
FT Telehealth Registered Dietitian | Illinois License
Allara Health
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Full Time
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32 Weeks Ago
Allara Health
Analyze intake assessments and conduct diet and lifestyle counseling sessions via video. Collaborate with medical professionals and maintain accurate patient records.
FT Telehealth Registered Dietitian | Georgia License
Allara Health
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Full Time
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32 Weeks Ago
Allara Health
Analyze intake assessments and conduct diet and lifestyle counseling sessions via video. Collaborate with medical professionals and maintain accurate patient records.
FT Telehealth Registered Dietitian | Florida License
Allara Health
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Full Time
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32 Weeks Ago
Allara Health
Analyze intake assessments and conduct diet and lifestyle counseling sessions via video. Collaborate with medical professionals and maintain accurate patient records.
Case Manager - Critical Escalations, Trust and Safety
Thumbtack
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Full Time
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32 Weeks Ago
Thumbtack
Independently assess and recommend actions on trust and safety concerns while mitigating organizational risk. Collaborate with cross-functional teams and manage sensitive information to uphold marketplace standards.
Biostatistician 2 or Biostatistician 3 42 APPLICANTS
Oregon Health & Science University
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Full Time
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32 Weeks Ago
Oregon Health & Science University
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.
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.
Intake Coordinator, Clinical (M-F 12p-9p PT) 232 APPLICANTS
Amedisys, Inc.
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Full Time
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32 Weeks Ago
Amedisys, Inc.
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.
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.
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Clinical Services and Operations Manager
Backpack Healthcare
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Full Time
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32 Weeks Ago
Backpack Healthcare
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.
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.
The Senior Pharmacy Contracting Professional conducts all aspects of pharmaceutical contracting and pricing, including development, implementation, and maintenance. They oversee relationships with Humana pharmacy partners and support pharmacies throughout the contracting process.
Clinical Document Integrity Specialist
The University of Kansas Health System
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Full Time
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33 Weeks Ago
The University of Kansas Health System
The Clinical Document Integrity Specialist will review inpatient medical records for completeness and accuracy, ensuring effective communication with healthcare providers to suggest necessary documentation improvements. They will collaborate with various healthcare professionals to facilitate accurate documentation that reflects the patient's clinical status.
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