Remote Nurse Jobs

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Remote Nurse Jobs (1,655)

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Nurse Reviewer Appeals and Hearings- Remote

Gainwell Technologies LLC · Full Time · 2 Weeks Ago
Gainwell Technologies LLC
🌎 United States 💵 $80000 - $99200 per year ⭐ 5-10 yrs exp 💼 Healthcare
Coordinate and perform appeal-related duties by analyzing provider appeals and reviewing documentation against clinical and coding guidelines. Prepare case files and summaries for hearings and participate in virtual or on-site proceedings alongside the Medical Director.
PointClickCare is hiring for remote (Canada) Clinical AI Nurse SME - 3 Month Contract

(Canada) Clinical AI Nurse SME - 3 Month Contract

PointClickCare · Full Time · 2 Weeks Ago
PointClickCare
🌎 Canada 💵 33 - 36.5 per hour ⭐ 5-10 yrs exp 💼 Software Development
The role primarily involves labeling clinical notes to train AI models and providing clinical feedback based on nursing expertise in Senior Living/SNF records. The SME will collaborate with a quality review team to improve AI product outcomes.
PointClickCare is hiring for remote (US) Clinical AI Nurse SME - 3 Month Contract

(US) Clinical AI Nurse SME - 3 Month Contract

PointClickCare · Full Time · 2 Weeks Ago
PointClickCare
🌎 United States 💵 $37.5 - $40.4 per hour ⭐ 5-10 yrs exp 💼 Software Development
The role primarily involves labeling clinical notes to train AI models and providing clinical feedback based on nursing expertise in Senior Living/SNF environments. The SME will collaborate with a team to perform quality reviews of AI products and align with labeling rules.

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GEHA Health is hiring for remote Nurse Consultant II

Nurse Consultant II

GEHA Health · Full Time · 2 Weeks Ago
GEHA Health
🌎 United States 💵 $75025 - $105K per year ⭐ 5-10 yrs exp 💼 Healthcare
The Nurse Consultant II provides professional nursing care by supporting members through assessment, planning, and evidence-based practice to ensure cost-effective services. The role involves managing member populations, evaluating clinical issues, and implementing UM/CM initiatives to improve health outcomes.
CVS Health is hiring for remote Case Manager - Registered Nurse (CST)

Case Manager - Registered Nurse (CST)

CVS Health · Full Time · 2 Weeks Ago
CVS Health
🌎 United States 💵 $54095 - $116K per year ⭐ 5-10 yrs exp 💼 Healthcare
Facilitate the delivery of healthcare benefits and information to determine eligibility while promoting member wellness. Develop and implement health strategies and policies to ensure successful return-to-work and overall member health.

Family Nurse Practitioner (PMHNP) Site Visitor - IN, MI, IL, OH, KY, IN

Indiana Wesleyan University · Full Time · 2 Weeks Ago
Indiana Wesleyan University
🌎 Canada ⭐ 5-10 yrs exp 💼 Healthcare Nurse Practitioner
The Family Nurse Practitioner (FNP) Site Visitor will evaluate students and preceptors within clinical settings by conducting faculty site visits and assessing student performance. Responsibilities include consulting with preceptors, submitting evaluations, and completing faculty evaluation forms.

Utilization Management Nurse

IntusCare · Full Time · 2 Weeks Ago
IntusCare
🌎 United States 💵 $80000 - $95000 per year ⭐ 2-5 yrs exp 💼 Healthcare
The Utilization Management Nurse reviews service utilization and hospital admissions to ensure care is medically necessary and compliant with PACE regulations. They collaborate with interdisciplinary teams and medical directors to manage transitions of care and lead the provider appeals process.
Panera Bread is hiring for remote Manager, Telephonic Nurse Case Management

Manager, Telephonic Nurse Case Management

Panera Bread · Full Time · 2 Weeks Ago
Panera Bread
🌎 United States 💵 $87753 - $103K per year ⭐ 5-10 yrs exp 💼 Healthcare
Provide telephonic nurse case management for workers' compensation claims to facilitate medical treatment and return-to-work planning. Collaborate with physicians, TPAs, and HR to optimize clinical outcomes and contain medical costs.
Westside Family Healthcare Inc is hiring for remote Nurse, Virtual RN *$5000 Signing Bonus*

Nurse, Virtual RN *$5000 Signing Bonus* 14 APPLICANTS

Westside Family Healthcare Inc · Full Time · 2 Weeks Ago
Westside Family Healthcare Inc
🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare
The Virtual RN provides telephonic clinical assessments, triage, and health education to patients in an ambulatory community-based setting. Responsibilities include care coordination, managing prior authorizations, and utilizing clinical decision support tools to ensure timely patient follow-up.
Opus Medical is hiring for remote Field Nurse Case Manager - Trenton, New Jersey

Field Nurse Case Manager - Trenton, New Jersey

Opus Medical · Full Time · 2 Weeks Ago
Opus Medical
🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare
Coordinates care and communicates medical information between injured workers, insured parties, and carriers to facilitate rehabilitation and return to work. Attends physician appointments and monitors treatment plans to ensure cost-effective and efficient recovery.

RN Care Nurse Navigator - Home Health/Hospice

American Addiction Centers · Full Time · 2 Weeks Ago
American Addiction Centers
🌎 United States 💵 $41.1 - $61.65 per hour ⭐ 5-10 yrs exp 💼 Healthcare
Ensures continuity of care by navigating patients through diagnosis, treatment, and follow-up across various care settings. Collaborates with multidisciplinary teams to develop individualized interdisciplinary plans of care and provide expert clinical education.

Registered Nurse - Peds Virtual Nurse Observation Unit (VNO) - FT Days

American Addiction Centers · Full Time · 2 Weeks Ago
American Addiction Centers
🌎 United States 💵 $38.2 - $57.3 per hour ⭐ 0-2 yrs exp 💼 Healthcare
The role involves utilizing the nursing process to assess, plan, and evaluate care for pediatric patients via a virtual observation unit. Responsibilities include monitoring patient conditions, collaborating with care teams, and maintaining accurate EHR documentation.

Medical Management Clinician Associate-Licensed Nurse

Elevance Health · Full Time · 2 Weeks Ago
Elevance Health
🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare
The associate ensures consistent administration of plan benefits by reviewing clinical information and assessing medical necessity. They conduct precertification and treatment setting reviews for less complex benefit plans using clinical guidelines and scripted algorithms.

Nurse Practitioner – Canada

HeliosX · Full Time · 2 Weeks Ago
HeliosX
🌎 Canada 💵 80 - 120 per hour ⭐ 2-5 yrs exp 💼 Healthcare Nurse Practitioner
Review and assess asynchronous patient consultations to safely prescribe medications, specifically focusing on GLP-1 and ED treatments. Provide ongoing clinical support, manage patient queries, and collaborate with multidisciplinary teams to improve treatment pathways.

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Registered Nurse - Telehealth - Part Time

Montu · Full Time · 2 Weeks Ago
Montu
🌎 Australia ⭐ 2-5 yrs exp 💼 Healthcare
Conduct high-volume telehealth assessment consultations to gather clinical insights and guide patients through treatment. Document outcomes accurately and collaborate with prescribers to ensure continuity of safe and effective care.
CVS Health is hiring for remote Care Manager – Registered Nurse

Care Manager – Registered Nurse

CVS Health · Full Time · 2 Weeks Ago
CVS Health
🌎 United States 💵 $54095 - $116K per year ⭐ 2-5 yrs exp 💼 Healthcare
Coordinate care for members with chronic medical and behavioral health conditions through comprehensive assessments and individualized care plans. Engage members telephonically to provide disease management education and connect them with community resources.
CVS Health is hiring for remote Care Manager – Registered Nurse

Care Manager – Registered Nurse

CVS Health · Full Time · 2 Weeks Ago
CVS Health
🌎 United States 💵 $54095 - $116K per year ⭐ 2-5 yrs exp 💼 Healthcare
Coordinate care for members with chronic conditions and social determinants of health through comprehensive assessments and individualized care plans. Perform telephonic engagement to provide disease management education and collaborate with interdisciplinary teams for optimal health outcomes.
CVS Health is hiring for remote Care Manager – Registered Nurse

Care Manager – Registered Nurse

CVS Health · Full Time · 2 Weeks Ago
CVS Health
🌎 United States 💵 $54095 - $116K per year ⭐ 2-5 yrs exp 💼 Healthcare
Coordinate care for members with chronic conditions and social determinants of health through comprehensive assessments and individualized care plans. Perform telephonic engagement and collaborate with interdisciplinary teams to ensure optimal health outcomes and regulatory compliance.
🌎 United States 💵 $85696 - $128K per year ⭐ 2-5 yrs exp 💼 Healthcare
The Lead UM Nurse reviews inpatient and prior authorization requests to ensure high-quality medical outcomes at the appropriate level of care. They oversee a team of UM Nurses, providing clinical guidance, coaching, and operational support to maintain program compliance.

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CVS Health is hiring for remote Case Manager - Registered Nurse - Southeast Region

Case Manager - Registered Nurse - Southeast Region

CVS Health · Full Time · 2 Weeks Ago
CVS Health
🌎 United States 💵 $60522 - $129K per year ⭐ 5-10 yrs exp 💼 Healthcare
Acts as a liaison between members, providers, and insurance companies to coordinate care for catastrophic and chronically ill patients. Develops and monitors individualized plans of care to optimize medical outcomes and facilitate a return to optimal functioning.

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