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Featured Companies are employers who have come directly to FlexJobs, been approved by our staff, and have directly posted their jobs to the FlexJobs site.
- 100% Remote Work
- Full-Time
- Employee
- 58,300 - 114,300 USD Annually
- US National
Perform initial and concurrent review of inpatient cases applying evidenced-based criteria (InterQual criteria) .Discuss cases with facility healthcare professionals to obtain plans-of-care
- 100% Remote Work
- Full-Time
- Employee
- Glendale, AZ
Provide exceptional home health care, including medication administration, wound care, treatments, client assessments, patient education, and accurate documentation. Requires graduation from an accredited nursing program and current nursing license.
- Hybrid Remote Work
- Full-Time
- Employee
- Lebanon, NH
Assigns staff to patients per current clinic workload. Participates in performance management of staff members. Addresses conflicts and assists in maintaining smooth operations of the clinic. Facilitates orientation and training for employees.
- 100% Remote Work
- Alternative Schedule
- Employee
- 70,200 - 137,800 USD Annually
- Denver, CO
Effectively manages resources, develops strategic partnerships, collects data, and ensures compliance with regulatory standards as a subject matter expert in clinical compliance.
- 100% Remote Work
- Alternative Schedule
- Employee
- Girard, OH, TRUMBULL, MAHONING, COLUMBIANA
Provide quality home care services to a group of patients, including education of patients/families and staff, collaboration with physicians, and total coordination of patient care. Possess strong clinical skills and a knowledge base in a specialized..
- 100% Remote Work
- Full-Time
- Employee
- 58,300 - 114,300 USD Annually
- US National
Makes outbound calls to assess members' current health status, case manages members in the pre-operative and post-operative phases, identifies gaps or barriers in treatment plans, provides patient education to assist with self-management.
- Hybrid Remote Work
- Full-Time
- Employee
- 32.50 - 45.70 USD Hourly
- Syracuse, NY, Fayetteville, NY
Assist the RN Scheduling Coordinator with surgery scheduling and patient management. Provide medical record documentation, telephone triage, patient/family support, and referral/specialty appointment scheduling.
- 100% Remote Work
- Full-Time
- Employee
- 58,240 - 74,880 USD Annually
- US National
Utilization Management (UM) Nurse Clinical Reviewer needed to review medical records, determine medical appropriateness, maintain accuracy and timeliness of review cases, and serve as a resource for nurse reviewers.
- 100% Remote Work
- Full-Time
- Employee
- 60,000 - 85,000 USD Annually
- Atlanta, GA
Independently review cases for accurate ICD-10-CM risk-adjusted coding and clinical documentation. Stay updated on changes in the Risk Adjustment field and maintain high proficiency through continuing education. Must have minimum of 3 years of clinical...
- 100% Remote Work
- Full-Time
- Employee
- NC
Review Musculoskeletal care requests for medical necessity, assess customer needs, determine medical appropriateness, and maintain contact with parties involved. Must have an active RN license in NC and proficiency in computer applications. Prior aut..
- Hybrid Remote Work
- Full-Time
- Employee
- San Antonio, TX
Conduct audits to ensure compliance with CMS, NCQA, and Health Plan guidelines. Prepare reports on departmental functions and trends. Participate in the development and execution of auditing processes. Manage and perform tasks related to annual audit..
- 100% Remote Work
- Full-Time
- Employee
- MA
Perform pre-service/prior authorization clinical coverage review of Home Health Services and Day Habilitation. Review and interpret clinical/medical records from providers. Answer provider inquiries/encounters. Determine appropriateness of community ..
- 100% Remote Work
- Full-Time/Part-Time
- Employee
- Joplin, MO
Provide hospice nursing care, administer medication, wound care, treatments, and procedures, perform client assessments, and report changes to Clinical or Client Services Manager. Full-time position with flexible schedules, clinical support, and...
- 100% Remote Work
- Full-Time
- Employee
- 58,300 - 114,300 USD Annually
- US National
Perform telephonic outreach to members, gather clinical information, assist with urgent needs, provide patient education, and attend team meetings. Bilingual Spanish/English RN with 3+ years of clinical experience required.
- Hybrid Remote Work
- Full-Time
- Temporary
- 46.50 - 53.00 USD Hourly
- CA
Timely completion of prior authorization requests using evidence-based standards. Requires knowledge of Milliman Care Guidelines, Medi-Cal policies, utilization management, case management, critical thinking skills, Bachelor's degree in Nursing, and..
- 100% Remote Work
- Full-Time
- Employee
- 33.75 - 66.25 USD Hourly
- US National
Assist managers and supervisors with escalated issues. Develop training materials and act as a subject matter expert. Field questions and serve as a resource for clinicians and non-clinicians. Review and update job aids to maximize quality and produc..
- 100% Remote Work
- Full-Time
- Employee
- 28.03 - 54.95 USD Hourly
- NJ
Perform pre-service clinical coverage review, interpret state and federal mandates, communicate benefit determinations, and make decisions that impact members. Must have an RN license in New Jersey and experience in utilization review.
- Hybrid Remote Work
- Full-Time
- Employee
- Worcester, MA
Provides comprehensive case management and care coordination for a diverse panel of patients. "Coaches" patients to improve their health behavior and educates them on medication protocols. Works closely with clinical pharmacist to manage disease and ..
- 100% Remote Work
- Full-Time
- Employee
- 120,000 - 130,000 USD Annually
- ME
Assess and treat patients with opioid use disorder via telemedicine, manage continuity of care, address co-occurring mental health conditions, collaborate with care team, participate in clinical team meetings, and utilize web-based EMR platform. Vali..
- 100% Remote Work
- Alternative Schedule
- Employee
- 120,000 - 120,000 USD Annually
- US National
Provide virtual telehealth services, manage a panel of primary care patients, and collaborate with a supervising physician. Must maintain average patient satisfaction ratings within practice expectations.
- 100% Remote Work
- Full-Time
- Employee
- 47.74 - 57.29 USD Hourly
- Pasadena, CA
Conduct home health nursing assessments and develop care plans. Deliver and document nursing interventions, educate participants and caregivers, and collaborate with the interdisciplinary team for smooth care transitions.
- Full-Time
- Employee
- St Marys Medical Center
Responsible for organizing and providing nursing care to patients through assessment, planning, intervention, and evaluation. Delegates care to other nursing personnel. Contributes to meeting facility goals and regulatory requirements.
- Part-Time
- Temporary
- PA
Teach graduate nurse practitioner clinical sections in the nurse practitioner program. Requirements include a Master's degree in Nursing, current National Certification as a Nurse Practitioner, and Pennsylvania RN and CRNP license.
- Hybrid Remote Work
- Alternative Schedule
- Employee
- 125,000 - 140,000 USD Annually
- Langhorne, PA
Efficiently provide psychiatric evaluations, assessments, diagnosis, and medication management to children, adolescents, and young adults. Create treatment plans, provide patient education, and collaborate with healthcare professionals and families.
- 100% Remote Work
- Part-Time
- Employee
- US National
Reviews child/adolescent psychiatry cases with psychiatrist, provides treatment and support to kids and teens and their families, works collaboratively with the patient's care team, comfortable with virtual tele-psychiatry sessions.
- Hybrid Remote Work
- Freelance
- 100.00 - 125.00 USD Hourly
- Honolulu, HI
Conduct ADHD evaluations and provide ongoing patient management. Must be a PMHNP with board certification and experience in diagnosing and treating patients with ADHD. Excellent communication and computer skills required.
- 100% Remote Work
- Full-Time
- Employee
- 120,000 - 140,000 USD Annually
- US National
Provide comprehensive and integrative care via telemedicine, triage, diagnose, and treat patients remotely. Collaborate with product and engineering teams to improve technology tools. Active NP license for California required.
- 100% Remote Work
- Full-Time
- Employee
- 85,000 - 101,000 USD Annually
- US National
Plan, conduct and monitor remote patient evaluations, recognize clinical scenarios requiring escalation, communicate with members to achieve care management goals, update care plans and support caregivers/families to improve care quality and reduce costs.
- 100% Remote Work
- Full-Time
- Employee
- 85,000 - 101,000 USD Annually
- US National
Plan and evaluate interventions, respond to alerts, recognize clinical scenarios requiring escalation, develop chronic care management goals, update care plans, and monitor caregiver/family support.
- Hybrid Remote Work
- Full-Time
- Employee
- Chattanooga, TN
Take full ownership of the patient experience. Travel to patient homes and administer IV infusion medications autonomously, providing response management and follow-up care.
- 100% Remote Work
- Alternative Schedule
- Employee
- 50.00 - 50.00 USD Hourly
- Oklahoma City, OK
Evaluate patient health status, prioritize care requirements, and provide interventions according to plan of care. Safely administer vaccines and medications, handle biological waste, and maintain accurate patient records.
- 100% Remote Work
- Part-Time
- Employee
- US National
Lead strategic nursing research program, manage multiple studies and projects, act as primary investigator, provide data analysis and evidence support for practice changes, disseminate research findings through publication and presentations.
- Alternative Schedule
- Employee
- DE, Germany, Newark, DE
Provide skilled nursing care and treatments, participate in interdisciplinary team meetings, communicate and counsel participants and families, complete participant assessments. Full-time RN position with sign-on bonus, on-call rotation, and occasion..
- Full-Time
- Employee
- 35.00 - 40.00 USD Hourly
- Oklahoma City, OK
Provide safe and quality patient care in a variety of remote or clinic settings. Utilize nursing process to implement patient care, evaluate health status, and provide health screenings. Administer vaccines and medications per protocols.
- 100% Remote Work
- Full-Time
- Employee
- Sioux Falls, SD
Provide virtual care to patients in acute, short and long-term care settings. Assess patients, treat injuries and ailments, prescribe medications, and maintain detailed records. Collaborate with providers and analyze patient information to develop ap..
- 100% Remote Work
- Alternative Schedule
- Employee
- 45,000 - 70,000 USD Annually
- West Palm Beach, FL
Conduct medical service assessments, evaluate patient records, provide clinical expertise, manage clinical details, and stay updated with regulations. Communicate effectively with management teams and physicians to improve patient care.
- Alternative Schedule
- Employee
- Duluth, MN
Organize and provide nursing care to patients, delegate care to other nursing personnel, coordinate lactation education and support, meet regulatory requirements. BSN or ADN degree and nursing licensure required. Full-time with benefits.
- 100% Remote Work
- Full-Time
- Employee
- 80,198 USD Annually
- NC
Perform advanced consultative work for public health, utilization review, and healthcare delivery systems. Conduct reviews and assessments in assigned regions, facilities, or central offices. Provide expert analysis and recommendations to enhance hea..
- 100% Remote Work
- Alternative Schedule
- Employee
- 23.00 - 23.00 USD Hourly
- Tampa, FL
Provide remote hospice triage nursing care to patients in a fast-paced environment. Utilize client-customized protocols for patient-centered, compassionate care. Must have experience in hospice, palliative, end-of-life care and high-speed internet.
- Hybrid Remote Work
- Full-Time
- Employee
- Worcester, MA
Evaluates patient health status, performs interventions, and provides patient education. Monitors safety and effectiveness of environment and equipment. Administers vaccines and handles biological waste.
- Hybrid Remote Work
- Full-Time
- Employee
- Maitland, FL
Provide clinical call center services to patients, including education on product and self-administration technique. Answer clinical questions, document calls, and provide support to healthcare providers.
- 100% Remote Work
- Full-Time
- Freelance
- 110.00 - 150.00 USD Hourly
- US National
Perform psychiatric evaluations for our patients, following Spring Health's initial screening. Provide medication management, as needed. Evaluate for general medical health and make referrals for medical follow-up, as needed. Maintain up-to-date...
- 100% Remote Work
- Full-Time
- Employee
- 64,285 - 102,855 USD Annually
- CA
Responsible for assessing, planning, and coordinating care and services. Develops goals and outcomes, manages case load, and facilitates communication within an interdisciplinary team. Maintains accurate documentation and supports quality improvement..
- Hybrid Remote Work
- Full-Time
- Employee
- 45,100 USD Annually
- Buffalo, NY
Assess, plan, implement, and evaluate care for patients. Prepare patients for physician visits, collect and record health information findings, assist and accept telephone calls from patients, perform diagnostic tests, and assist with administrative...
- Hybrid Remote Work
- Full-Time
- Employee
- Washington, DC
Assess, plan, and establish individual member goals. Coordinate care and services with various healthcare providers. Provide medication management and support medication adherence. Implement actions to address member issues and document progress towa..
- Hybrid Remote Work
- Alternative Schedule
- Employee
- 55.00 - 58.00 USD Hourly
- Bronx, NY, Queens, NY, New York, NY
Assess long-term care services and supports, review completed assessments, provide clinical and educational assistance, and travel throughout the assigned region. Bachelor's degree preferred. Full county coverage required. $55-$58/hr.
- 100% Remote Work
- Full-Time
- Employee
- FL
Directly cares for patients by managing medications, conducting diagnostic evaluations and medical assessments, educating patients on medication risks, benefits and expectations, and collaborating with support staff and treatment teams.
- 100% Remote Work
- Full-Time
- Employee
- PA
Provides direct patient care for medication management, diagnostic evaluations, and medical assessments. Educates patients on medications, risks, benefits, and expectations. Collaborates with support staff for effective communication and follow-up.
- 100% Remote Work
- Full-Time/Part-Time
- Freelance
- AZ
Directly cares for patients by managing medications, conducting diagnostic evaluations and medical assessments, educating patients on medication risks and benefits, and collaborating with support staff for effective communication and follow-up.
- Full-Time
- Employee
- McMinnville, OR
Responsible for overseeing and leading the Utilization Management (UM) and Care Management (CM) programs. Develops policies and procedures, collaborates with internal and external partners, and ensures compliance with regulatory requirements and cont..
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