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Online Retail Jobs in Greenville, SC

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Senior Care Manager (RN) Centene Management Company

Washington

Remote

Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.

30+ days ago

Care Manager (RN) Centene Management Company

Washington

Remote

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families. Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs.

13 days ago

Registered Nurse (RN) - Day Triage Runner (Not Remote) Capital Caring

Washington, District of Columbia

Remote

Triage RN's who experience technical issues not caused by the company equipment or network (i.e. offsite power outage, personal internet outage) are required to report the situation to leadership immediately, and have 30 minutes to resolve the technical issue. Clients include current and prospective patients, friends, or family members, Powers of Attorney, care providers, physicians, nursing staff, nursing homes and Assisted Living Facilities (ALFs), hospital staff, and others, as appropriate.

30+ days ago

Utilization Management Reviewer AmeriHealth Caritas

Washington, DC

Remote

$86,000–$117,300 / hour

Minimum of 3 years of diverse independent clinical practice experience as a Registered Nurse in outpatient surgery, Medical-Surgical, Critical Care, Skilled Nursing Facility (SNF), Rehabilitation, or Long-Term Acute Care (LTAC) settings. Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs.

5 days ago

Mental Health Clinical Nursing Instructor (PT) Covista Inc

Arlington, VA

Remote

With more than 135 years of history in healthcare education and as the largest nursing school in the country, Chamberlain University is committed to delivering a high-value education that prepares students to thrive as healthcare professionals. We are presently accepting applications to meet potential future need in the following areas of specialization: Mental Health Psych Nursing: Students will be demonstrating nursing skills and procedures in an inpatient healthcare center.

30+ days ago

Director of Nursing - Remote Option Care Health Inc

Annapolis, MD

Remote

$126,505.85–$210,858.08 / year

Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets). Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting, and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures, and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).

20 days ago

RN Health Care Facility Surveyor Impact Recruiting Solutions

Washington, District of Columbia

Remote

$75,000–$90,000
Quick Apply

The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.

28 days ago

Clinical Claims Reviewer/ RN Sentara Healthcare Inc

Remote

$93,350.40–$132,433.60 / year

RN Clinician is responsible for reviewing provider post-payment inquiries and claim reconsiderations to ensure accurate coding in accordance with established coding guidelines, CMS guidelines, Health Plan Coding Payment Policy, and Claim Payment Policy. Ensures compliance with health plan policy and other regulatory agencies such as Bureau of Insurance (BOI), National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), and Virginia Department of Medical Assistance Services (DMAS).

24 days ago

Certified Medical Assistant Sentara Healthcare Inc

Remote

$21.69–$32.14 / hour

Perform patient care related tasks and procedures based on training, education, and competency evaluation, and as delegated by and under the direction/supervision of the Physician, Nurse Practitioner/Physician Assistant (NP/PA), Registered Nurse (RN), or Licensed Practical Nurse (LPN) Perform administrative duties, as appropriate. Additional compensation may be available for this role, such as shift differentials, on-call pay, overtime, shift premiums, extra-shift incentives, or bonus opportunities.

10 days ago

RN Health Care Facility Surveyor Greenlife Healthcare Staffing

Washington, DC

Remote

$75,000–$90,000 / year

30+ days ago

DRG Appeals Nurse (RN) CorroHealth Inc

Remote

Validates that all ICD-10-CM/PCS, discharge disposition codes, and Hospital Acquired Condition (HAC), Present on Admission (POA) indicators impacting payment are documented, clinically supported, and assigned following Official Coding Guidelines, compliant query practices and current clinical validation criteria. Possess regulatory ICD-10-CM/PCS coding expertise coupled with subject matter expertise in MS/APR DRG payment methodologies, including Hospital Acquired Conditions (HACs), POA assignment, and Discharge Disposition codes.

13 days ago

Utilization Review Clinician - Behavioral Health Centene Management Company

Washington

Remote

You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day.

13 days ago

Utilization Review Nurse - Managed Care Johns Hopkins Hospital

Hanover, MD

Remote

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization review, and verbal/written communication skills to make a difference in our members' lives.

24 days ago

Lead Devsecops Engineer ICF International, Inc

Reston, VA

Remote

$119,323–$202,850 / year

Experience collaborating with Cloud Data Architects, Security Leads, RMF/ATO personnel, Agile Delivery Managers, SRE teams, QA teams, and Government stakeholders to ensure secure, auditable, and supportable platform operations. Experience leading Site Reliability Engineering (SRE) practices including observability, monitoring, incident response, operational readiness, service-level objectives (SLOs), service-level indicators (SLIs), reliability engineering, and production support models.

6 days ago

Lead DevSecOps Engineer ICF International Inc

Reston, VA

Remote

$119,323–$202,850 / year

6 days ago

EPIC Protocol Content Administrator (Remote) - Oncology Washington University in St Louis

Washington

Remote

The Protocol Content Administrator will use comprehensive knowledge of therapeutic clinical research studies to develop clear, timely and comprehensive protocol-specific content, (including but not limited to, detailed delivery instructions for all required pre-medications, supportive therapy, scans, labs and investigational drugs) for all assigned research studies in support of the EPIC Beacon/Willow build teams. Cellular Therapies, Clinical Research, Communication, Computer Usage, Cross-Departmental Collaboration, Epic Beacon, Epic EHR, Group Problem Solving, Microsoft Office, Multitasking, Negotiation, Organizing, Patient Care, Professional Etiquette, Project Administration, Self-Starter, Task Execution, Writing Grade .

6 days ago

Behavioral Health Utilization Management Reviewer AmeriHealth Caritas

Washington, DC

Remote

$77,700–$105,900 / year

Using clinical knowledge and experience, the clinician reviews provider requests for inpatient and outpatient services, working closely with members and providers to collect all information necessary to perform a thorough medical necessity review. The BH UM Reviewer will use professional judgment to evaluate the request to ensure that appropriate services are approved and recognize care coordination opportunities and refer those cases to integrated care management as needed.

30+ days ago

Medical Policy Review Nurse General Dynamics Corp

Falls Church, VA

Remote

$85,093–$115,000 / year

Drive high-quality clinical and coding outcomes by performing code validations, identifying incorrect or inconsistent usage, recommending prior authorization requirements, supporting audits, and advising on emerging procedures, technologies, and regulatory changes. Collaborate with Medical Directors, Utilization Management staff, coding/compliance teams, product teams, and policy analysts to ensure coding and coverage logic remain clinically appropriate, operationally feasible, and compliant.

20 days ago

Women's Health Nurse Practitioner (WHNP) - Menopause (Remote) Advantia Health

Arlington, VA

Remote

Develop and implement personalized, evidence‑based menopause care plans—including hormone therapy, non-hormonal options, supplementation, lifestyle interventions, and wellness strategies. You'll join a multidisciplinary team to support women transitioning through perimenopause and menopause virtually providing expert guidance, treatment, and empathetic support.

30+ days ago

Senior Security Consultant Kratos Defense & Security Solutions Inc

Herndon, VA

Remote

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30+ days ago

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Online Retail Jobs in Greenville, SC

Senior Care Manager (RN) Centene Management Company

Care Manager (RN) Centene Management Company

Registered Nurse (RN) - Day Triage Runner (Not Remote) Capital Caring

Utilization Management Reviewer AmeriHealth Caritas

Mental Health Clinical Nursing Instructor (PT) Covista Inc

Director of Nursing - Remote Option Care Health Inc

RN Health Care Facility Surveyor Impact Recruiting Solutions

Clinical Claims Reviewer/ RN Sentara Healthcare Inc

Certified Medical Assistant Sentara Healthcare Inc

RN Health Care Facility Surveyor Greenlife Healthcare Staffing

DRG Appeals Nurse (RN) CorroHealth Inc

Utilization Review Clinician - Behavioral Health Centene Management Company

Utilization Review Nurse - Managed Care Johns Hopkins Hospital

Lead Devsecops Engineer ICF International, Inc

Lead DevSecOps Engineer ICF International Inc

EPIC Protocol Content Administrator (Remote) - Oncology Washington University in St Louis

Behavioral Health Utilization Management Reviewer AmeriHealth Caritas

Medical Policy Review Nurse General Dynamics Corp

Women's Health Nurse Practitioner (WHNP) - Menopause (Remote) Advantia Health

Senior Security Consultant Kratos Defense & Security Solutions Inc

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