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Remote Clinical Nurse Consultant jobs

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UTILIZATION MANAGEMENT CLINICAL NURSE CONSULTANT

3+ years clinical practice experience required.. Must have a active and unrestricted RN Licensure in the state of Arizona or Compact RN licensure. Utilization management experience preferred.. Acute care setting experience preferr...

CompanyCvs Health
AddressPhoenix, AZ
CategoryAccounting/Finance
Date Posted 2 weeks ago See detail

Utilization Management Clinical Nurse Consultant

Cvs Health

Phoenix, AZ

3+ years clinical practice experience required.. Must have a active and unrestricted RN Licensure in the state of Arizona or Compact RN licensure. Utilization management experience preferred.. Acute care setting experience preferr...

2 weeks ago seen See more...

Clinical Practice Consultant - Remote in New Mexico

Unitedhealthcare

Albuquerque, NM

$106K - $134K a year

Provider and Practice Education, Quality Oriented health Topics. Targeted Quality Improvement Gaps in Care Closure. Relationship Management, Internal and External. Supports effective deployment of program at the practice level thr...

2 weeks ago seen See more...

Remote Clinical Denials and Appeals Nurse

Aspirion Health Resources Llc

Remote

From $68,000 a year

Manages complex and robust queue according to Aspirion and client needs. Queue size varies weekly. Reviews insurance denials, including but not limited to, medical necessity denials, patient status denials (i.e., Inpatient vs. Out...

a month ago seen See more...

Clinical Concierge Nurse Consultant

Gallagher

Phoenix, AZ

Perform risk assessment via an empathetic interview of the injured worker over the phone. Provides outstanding claimant service and builds trust with the injured worker. Sets the direction in terms of what level of clinical oversi...

a month ago seen See more...

Nurse Consultant (Clinical Application Coordinator)

Indian Health Service

Phoenix, AZ

Education: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on C...

a month ago seen See more...

Account Manager Pharmacist Clinical Consultant - Remote in Vermont

Optum

Winooski, VT

$90.3K - $114K a year

Provide superior clinical consultation and clinical account management with a focus on client satisfaction, client retention, and trend management. Collaborate with the client to establish achievable but aggressive clinical progra...

2 months ago seen See more...

Care Management Nurse Consultant, RN (Remote Option)

Partners Health Management

Hickory, NC

$63.6K - $80.5K a year

Annual incentive bonus plan Medical, dental, and vision insurance with low deductible/low cost health plan Generous vacation and sick time accrual 12 paid holidays State Retirement (pension plan) 401(k) Plan with employer match Co...

2 months ago seen See more...

RN Clinical Coding Nurse Consultant WellMed San Antonio Texas

Optum

San Antonio, TX

$92.1K - $117K a year

Develop and implement market business plans to motivate providers to engage in improving Risk Adjustment metrics. Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio, Disagree a...

2 months ago seen See more...

*REMOTE* Clinical Support Nurse LPN/RN - ILLINOIS

The Alden Network

Hoffman Estates, IL

JOB SUMMARY To provide assistance with the timely and accurate completion of nursing documentation processes. B. Collaborates with appropriate personnel (nurses, CNAs, restorative aides, wound techs, and others), regarding the res...

2 months ago seen See more...

*REMOTE* Clinical Support Nurse LPN/RN

The Alden Network

Hoffman Estates, IL

JOB SUMMARY To provide assistance with the timely and accurate completion of nursing documentation processes. B. Collaborates with appropriate personnel (nurses, CNAs, restorative aides, wound techs, and others), regarding the res...

2 months ago seen See more...

RN Clinical Coding Nurse Consultant WellMed

Optum

Las Cruces, NM

$86.5K - $110K a year

Develop and implement market business plans to motivate providers to engage in improving Risk Adjustment metrics. Provide analytical interpretation of Risk Adjustment reporting including, Executive Summaries, HCC Ratio, Disagree a...

2 months ago seen See more...

Nurse Practitioner (NP) Director of Clinical Quality (REMOTE)

Vesta Healthcare

Dallas, TX

Develop, design, revise, and execute our comprehensive Clinical Quality program and educate the team on continuous quality improvements. Collaborate extensively with Nurse Practitioners, collaborating physicians, nursing staff, ot...

a month ago seen See more...

Clinical Appeals Nurse (Remote)

Carefirst Bluecross Blueshield

Owings Mills, MD

$65,808 - $130,702 a year

Investigates, interprets, and analyzes written appeals and reconsideration requests from multiple sources including applicants, subscribers, attorneys, group administrators, internal stake holders and any other initiators. Respond...

a month ago seen See more...

Registered Nurse - Anticoagulation Clinic- REMOTE

Ssm Health

Madison, WI

Implements and monitors patient care plans. Monitors, records and communicates patient condition as appropriate. Serves as a primary coordinator of all disciplines for well-coordinated patient care. Notes and carries out physician...

a month ago seen See more...

Nurse-Clinical Document Specialist - Remote

Trinity Health

Dubuque, IA

Facilitates the overall quality, completeness, accuracy, and integrity of medical record documentation through extensive record review.Through extensive interaction with physicians and other members of the healthcare team, achieve...

2 months ago seen See more...

Registered Nurse Surgery Scheduler - SL Pain Management Clinic (remote)

St. Luke's Health System

Meridian, ID

$59.3K - $75.1K a year

Identifies patient needs and determines priorities for care through assessment, planning, intervention, and evaluation. Develops, implements and coordinates individualized plan of care for patients assigned through initial and on-...

2 months ago seen See more...

Senior Consultant Clinical Variation - Remote

Unitedhealth Group

Eden Prairie, MN

Collect, analyze and synthesize, and interpret qualitative and quantitative data to inform client recommendations. Oversee and/or perform detailed data analytics and financial projections (e.g., Excel, Power BI) and translate find...

2 months ago seen See more...

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