Oversees the daily operations and performance of Nurse Audit staff to prevent revenue loss and ensure compliance. Responsible for implementing audit workplans, monitoring productivity, and coordinating client site visits for education and training.
Remote Nurse Jobs (1,627)
Search = nurse
Nurse Practitioner 100% Virtual, CareBridge
Elevance Health
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Full Time
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3 Weeks Ago
Elevance Health
Collaborate with physicians and families to develop and implement complex clinical care plans for adult patients with chronic conditions. Provide urgent healthcare via telephone and video modalities while maintaining detailed medical records and coordinating with inter-disciplinary teams.
Deliver holistic, evidence-based patient care through a remote technology platform for patients aged 18 months and older. Responsibilities include assessment, diagnosis, treatment, and documentation of encounters using Epic EHR.
Denials Management Registered Nurse (RN)
Community Health Network
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Full Time
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3 Weeks Ago
Community Health Network
The role involves researching, analyzing, and documenting third-party payer denials related to clinical issues or medical necessity. The nurse is responsible for filing appeals to recover denied claims while maintaining productivity standards.
Denials Management Registered Nurse (RN)
Community Health Network
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Full Time
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3 Weeks Ago
Community Health Network
The role involves researching, analyzing, and documenting third-party payer denials related to clinical issues or medical necessity. The nurse is responsible for filing appeals to recover denied claims while maintaining productivity standards.
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Provide virtual clinical assessments and ongoing oversight for Medicare patients with complex medical and behavioral needs. Collaborate with a multidisciplinary team to manage chronic conditions and improve care delivery workflows.
Evaluate patient documentation against structured coverage criteria for durable medical equipment using internal AI software. Produce standardized review outputs and collaborate with the product team to refine software efficiency.
Family Nurse Practitioner - Remote (OH Licensed)
Sprinter Health
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Full Time
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3 Weeks Ago
Sprinter Health
Conduct virtual wellness visits, health assessments, and medication reviews for adult and pediatric patients. Coordinate with in-home clinical teams to manage vital signs, blood draws, and preventive care interventions.
ASG Bilingual Virtual Care Nurse Practitioner (NP) ASG Bilingual Virtual Care Nurse Practitioner (NP)
Foundever®
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Full Time
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3 Weeks Ago
Foundever®
Provide remote primary care and clinical symptom assessments via phone, messaging, and video for patients. Manage urgent health concerns, order diagnostic tests, and prescribe treatments while collaborating with a multidisciplinary medical team.
Supervisor, Clinical Review Nurse (Remote) 25 APPLICANTS
TurningPoint Healthcare
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Full Time
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3 Weeks Ago
TurningPoint Healthcare
Supervise the Utilization Management and Prior Authorization clinical teams to ensure quality healthcare delivery. Review pre-authorization requests and develop departmental guidelines and procedures.
Conduct comprehensive wellness exams and assessments for complex patients in home and virtual environments. Coordinate care with providers and specialists while developing and implementing evidence-based treatment plans to improve patient outcomes.
Perform competent nursing care using the nursing process, including assessment, diagnosis, planning, and evaluation. Coordinate care, provide teaching, and maintain professional performance standards to improve patient health.
Women’s Health Specialist - Certified Nurse Midwife credential
Sword Health
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Full Time
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3 Weeks Ago
Sword Health
Provide personalized guidance on physical and emotional aspects of pregnancy, birth, and postpartum recovery within an AI-powered platform. Contribute to program protocols, AI development, and quality reviews to scale high-quality women's health care.
Provide high-quality advanced nursing care, including patient evaluations, assessments, and the development of comprehensive care plans. Coordinate multidisciplinary care and perform clinical interventions across various specialties such as oncology, cardiology, and urgent care.
Provide real-time behavioral health assessments, virtual rounding, and consultations for emergency departments and inpatient units. Manage treatment plans including medication management and psychotherapy for patients of all ages.
Provide telemedical clinical support for the patient intake process under the guidance of a supervising Emergency Room Physician. Manage approximately 36 patient-facing hours per week, including a variable weekend rotation.
Conduct initial evaluations and develop collaborative treatment plans involving medication and therapy for clients. Provide ongoing monthly follow-ups and various modalities of talk therapy to achieve treatment goals.
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Remote Registered Nurse (RN) – Principal Care Management (PCM)
Elaya Health
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Full Time
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3 Weeks Ago
Elaya Health
The RN will review patient charts and coordinate care between providers, pharmacies, and families for nursing home residents. They are responsible for documenting interactions and managing chronic conditions in compliance with CMS guidelines.
Remote Registered Nurse (RN) – Principal Care Management (PCM)
Elaya Health
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Full Time
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3 Weeks Ago
Elaya Health
The RN will review patient charts and coordinate care between providers, pharmacies, and families for nursing home residents. They are responsible for documenting interactions and managing chronic conditions in compliance with CMS guidelines.
Remote Registered Nurse (RN) – Principal Care Management (PCM)
Elaya Health
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Full Time
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3 Weeks Ago
Elaya Health
The RN will review patient charts and coordinate care between providers, pharmacies, and families for nursing home residents. They are responsible for documenting interactions and managing chronic conditions in compliance with CMS guidelines.
California Workers Compensation - Telephonic Nurse Case Manager (Remote)
Berkley
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Full Time
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3 Weeks Ago
Berkley
Assess, plan, and coordinate medical care and return-to-work outcomes for injured workers. Communicate with employers, adjusters, and physicians to ensure cost-effective, quality care and timely case closure.
Registered Nurse, PAT (Remote)
Townsen Memorial Hospital
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Full Time
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3 Weeks Ago
Townsen Memorial Hospital
Coordinate and complete pre-operative assessments for surgical patients via telephone or telehealth. Collaborate with surgeons and anesthesiologists to identify risks and ensure patient readiness and safety prior to procedures.
Remote Care Management Nurse
Cambia Health Solutions
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Full Time
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3 Weeks Ago
Cambia Health Solutions
Conduct comprehensive case management activities including assessment, planning, and monitoring to meet member healthcare needs. Collaborate with physician advisors and internal departments to resolve claims and improve quality of care outcomes.
Psychiatric Mental Health Nurse Practitioner
NATIVE AMERICAN MENTAL HEALTH SERVICES CORPORATION
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Full Time
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3 Weeks Ago
NATIVE AMERICAN MENTAL HEALTH SERVICES CORPORATION
The PMHNP provides evidence-based psychiatric care, including evaluations, diagnosis, and medication management for a diverse patient population. They collaborate with an interdisciplinary team to ensure holistic care and maintain accurate documentation in the EHR system.
Nurse Manager w/ AWS & WFM Calabrio Experience - Remote (RN Compact License Required)
Call 4 Health
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Full Time
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3 Weeks Ago
Call 4 Health
Provide clinical and operational leadership for a high-volume remote nurse triage call center, focusing on workforce efficiency and service-level performance. Manage a team of approximately 30 Registered Nurses while ensuring clinical quality and adherence to triage protocols.
Treat patients via telehealth visits, including video appointments, telephonic triage, and email follow-ups. Collaborate with virtual and in-office teammates while participating in weekly clinical rounds for continuous learning.
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Conduct comprehensive wellness exams and develop treatment plans for patients with complex chronic conditions in home and virtual settings. Coordinate care with primary providers and specialists to reduce hospitalizations and improve patient quality of life.
Conduct comprehensive wellness exams and develop treatment plans for patients with complex chronic conditions, primarily CKD and ESRD. Coordinate care with primary providers and specialists to reduce hospitalizations and improve patient quality of life.
Deliver personalized, evidence-based medical care to patients with CKD and ESRD/ESKD through home and virtual visits. Coordinate care with primary providers and specialists while maintaining accurate patient records to improve quality of life and reduce hospitalizations.
Conduct comprehensive wellness exams and develop treatment plans for patients with chronic kidney disease in home and virtual settings. Coordinate care with primary providers and specialists to reduce hospitalizations and improve patient quality of life.
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