Remote Senior Healthcare Jobs
3,622 Senior Healthcare jobs available for remote work from home. Apply for positions such as Sr. Manager, Clinical Supply, Medical Review Specialist / RN, Concurrent Review RN - Utilization Management - Remote and more! Discover the best work-from-home or hybrid, full- and part-time jobs.
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The Senior Clinical Supply Manager is responsible for developing drug supply strategies and managing supplies across all phases of clinical trials. They act as the primary point of contact for clients, coordinating cross-functional activities and ensuring adherence to study requirements and timelines.
The Medical Review Specialist conducts utilization reviews to confirm the medical necessity of hospital admissions and outpatient procedures. They also manage clinical data, coordinate with providers, and perform data entry to ensure compliance with URAC and federal guidelines.
The Concurrent Review Case Manager performs telephonic monitoring and documentation of medical treatments to ensure they meet established clinical guidelines. They also collaborate with medical teams to facilitate discharge planning and monitor patient progress toward recovery.
The Care Navigator manages a caseload of kidney health patients, coordinating care and facilitating communication between patients, providers, and support networks. They are responsible for maintaining care plans, performing medication reconciliation, and educating patients on renal replacement therapy options.
The Manager of Utilization Management provides daily oversight for case management teams to ensure high-quality, cost-effective allocation of member services and treatments. They are responsible for monitoring operational efficiency, ensuring regulatory compliance, and serving as a clinical resource for the multi-disciplinary care team.
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Develop and validate inpatient and outpatient coding content, including modifying client records to simulate product use and accounting for variations in documentation terminology. Apply coding expertise to resolve software concerns, recommend alternative coding paths and keywords, and support client experience while meeting deadlines.
Manage clinical research activities at investigative sites from site selection and study start-up through monitoring and closeout, including conducting PSSVs, SIVs, IMVs, and COVs. Train and support site personnel while ensuring protocol adherence, regulatory compliance, participant safety, data quality, and effective site performance.
Direct clinical operations and develop initiatives that improve care coordination, efficiency, and health and quality outcomes while ensuring compliance with NCQA guidelines, state mandates, and government contract requirements. Lead and develop the clinical operations team, oversee program metrics and budgets, and collaborate across departments to improve processes and manage costs.
The Director of Clinical Program Design oversees the research, development, and implementation of clinical programs to ensure compliance with state, federal, and HEDIS requirements. They lead cross-functional teams and collaborate with leadership to design strategies that align with organizational goals and resource allocation.
Provide virtual, trauma-informed therapy and clinical assessments to youth and caregivers, develop collaborative care plans, and maintain continuity through placement or life transitions. Support caregivers and clients during crises, document care according to Medicaid and telehealth standards, and collaborate with care advocates and clinical colleagues.
Provide high-quality clinical diagnosis, evaluation, and treatment services to patients in-person or via telehealth. Collaborate effectively with the healthcare team and maintain professional standards while participating in on-call rotations.
Manage charge capture and reconciliation, monitor denials and work queues, and support accurate fee schedules and timely claims submission. Analyze revenue-cycle reports and trends to identify missed revenue and process improvements, recommend solutions, and educate administrative staff on billing requirements.
Lead clinical audits and analyze outcome metrics to maintain and improve governance standards across contracts. Provide supervision and case management, support discharge and risk processes, assist with referral triage and duty risk cover, deliver training initiatives, and maintain a small clinical caseload.
The Associate Clinical Director serves as a lead clinician and engagement manager, guiding patients through complex medical journeys to optimize care plans. They collaborate with internal teams and external experts to identify advanced diagnostics and treatment options beyond the standard of care.
The consultant will provide clinical pharmacology expertise for regulatory documents and clinical study design while overseeing the analysis and reporting of pharmacokinetic and pharmacodynamic data. They will collaborate with cross-functional teams and manage CRO vendors to ensure project objectives and quality standards are met.
The Senior Manager will collaborate with cross-functional teams to provide GxP compliance advice and ensure quality support for clinical and pre-clinical programs. Responsibilities include managing audits, overseeing CAPA processes, and preparing program teams for health authority inspections.
Lead revenue cycle automation and optimization initiatives from opportunity assessment and process design through implementation, adoption, and ongoing improvement. Coordinate operational, technology, analytics, and vendor partners while developing business cases, measuring results, and advancing scalable automation practices.
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The Forensic Medical Coder performs root cause analysis on coding trends and leads opportunity improvement projects. They also provide coding guidance, support provider education, and ensure compliance with payer guidelines and documentation standards.
You will oversee and manage clinical trial activities to ensure adherence to study protocols, regulatory requirements, and Good Clinical Practice (GCP) standards. Additionally, you will conduct site visits, resolve issues, and collaborate with cross-functional teams to ensure accurate data collection and reporting.
The Senior Manager will lead the operational infrastructure, systems, and processes to support value-based care programs and organizational scalability. They will drive continuous improvement, automation, and cross-functional collaboration to ensure efficient and measurable business outcomes.
The Medical Science Liaison will serve as the primary scientific contact, building relationships with key opinion leaders and regional clinicians to support the company's product portfolio. They will gather medical insights, educate healthcare professionals on research initiatives, and contribute to internal educational and clinical strategies.
The specialist performs concurrent reviews of inpatient medical records to identify opportunities for improving physician documentation quality. They facilitate modifications through interaction with the healthcare team to ensure accurate coding and reflect the severity of illness.
Provide clinical decision support and pre-sales assistance through customer presentations, product demonstrations, training, and support at conferences and workshops. Deliver post-sales customer training and case support, coordinate with sales and clinical teams and industry partners, and share customer feedback with leadership and business teams.
The Physician Recruiter executes and manages physician staffing development plans and recruitment strategies to meet organizational targets. They collaborate with leadership to build candidate pipelines, conduct interviews, and oversee the onboarding process for new physician acquisitions.
Build and maintain peer relationships with key opinion leaders and serve as a scientific resource for healthcare providers, researchers, pharmacists, and decision makers on disease states and products. Support clinical and investigator-initiated research, identify medical insights and educational gaps, communicate scientific data compliantly, and report relevant conference and competitive intelligence to internal partners.
The Medical Science Liaison will engage with healthcare providers and medical experts to advance clinical practice and provide scientific expertise within the cardiovascular therapeutic area. They are responsible for collecting actionable medical insights, supporting clinical trials, and executing territory strategies in alignment with company medical goals.
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The Medical Science Liaison engages with healthcare providers to advance clinical practice and shape medical strategy through scientific exchange. They are responsible for managing territory activities, supporting clinical trials, and capturing actionable medical insights to improve patient outcomes.
The Clinical Reviewer assesses the medical necessity, appropriateness, and quality of healthcare services through prospective, concurrent, and retrospective reviews. They collaborate with physician consultants and internal teams to ensure reviews are completed accurately and in accordance with regulatory requirements.
The Manager will drive the sustainable introduction of AI-enabled medical devices and provide technical support to country teams and ministries of health. They will also manage multifaceted project workstreams, track progress against milestones, and coordinate with global partners to improve maternal and newborn health outcomes.
You will oversee and manage clinical trial activities to ensure adherence to study protocols, regulatory requirements, and Good Clinical Practice standards. Responsibilities include conducting site visits, collaborating with cross-functional teams, and providing training to site staff to ensure successful trial execution.
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