55 Results for

Remote Healthcare Jobs in Burtonsville, MD

Jobs

Remote

p>Population, Care Nurse, Registered Nurse, BSN, ADN, Nursing, Managed Care, MCO, Health Plan, Health Insurance, Virginia, RN, VA, Medicaid, chronic conditions, immunization, chronic disease preventative care, cancer screening, medication follow up, wellness visits, health education, case management, coordination of services, health disparities. Additionally, the nurse is involved in preventative care, health education, case management, and coordination of services to ensure individuals within the population receive comprehensive care, with a focus on reducing hospital readmissions, managing chronic illnesses and addressing health disparities.

8 days ago

Remote

$71,100–$97,800 / year

p>Work-at-Home Information:

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.

30+ days ago

Remote

$54,095–$155,538 / year

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.

30+ days ago

Remote

Managed Care, MCO, Health Plan, Healthcare, Masters, Social Work, Counseling Field, BSN, Nursing, Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Registered Nurse License (RN), Clinical, behavioral health, care coordination, discharge planning, continuity of care, transitions of care, Remote, Virginia, Weekends, Days, North Carolina, Utilization Management, UM, Community Based, CSB, Mental Health. Registered Nurse (RN) Single State - Nursing License - Virginia Department of Health Professionals (VADHP) OR Registered Nurse (RN) Single State - Nursing License - North Carolina Board of Nursing (NCBON) OR Registered Nurse (RN) Multi State - Nursing License - Virginia Department of Health Professionals (VADHP) OR Registered Nurse (RN) Multi State - Nursing License - North Carolina Board of Nursing (NCBON).

20 days ago

Baltimore, MD

Remote

$25–$28 / hour
Full time
Part time

We’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.

30+ days ago

Remote

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Assists in developing focused and/or specialized studies based on high volume, high risk, high cost, and/or problem prone areas, and periodically monitors and evaluates related performance goals.

Quality Improvement Coordinator, Registered Nurse, RN, Nursing, Remote, Health Plan, Healthcare, MCO, Managed Care, Health Insurance, Quality Improvement, Regulation, Accreditation, DMAS, CMS.

22 days ago

Baltimore, MD

Remote

$72,216–$143,429 / year

The Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. Federal Disclosure Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

30+ days ago

Remote

This individual owns the quality assurance process for all medical record reviews, manages inter-reviewer reliability to ensure consistent and defensible clinical decisions across the review team, and serves as the primary point of contact with CMS on medical review operations. Maintain current working knowledge of Medicare coverage rules, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), Medicare payment policy, and applicable CMS program integrity guidance.

30+ days ago

Washington, DC

Remote

In this dynamic role, you will provide high-quality, compassionate care while working closely with a dedicated team of healthcare professionals. Our commitment to quality care and patient satisfaction has earned us a loyal clientele and a supportive work environment where employees thrive and grow.

30+ days ago

Washington, DC

Remote

$55–$70 / hour

Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.

24 days ago

Silver Spring, MD

Remote

$55–$70 / hour

24 days ago

Columbia, MD

Remote

$55–$70 / hour

24 days ago

Baltimore, MD

Remote

24 days ago

Washington, DC

Remote

24 days ago

Baltimore, MD

Remote

$55–$70 / hour

24 days ago

Baltimore, MD

Remote

$55–$70 / hour

BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.

24 days ago

Washington, DC
Remote

Private practice with no doors and no overhead..

24 days ago

Washington, DC

Remote

Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor).Experience counseling adults, couples, and/or teens..

Private practice with no doors and no overhead..

24 days ago

Baltimore, MD

Remote

24 days ago

Baltimore, MD

Remote

$55–$70 / hour

BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.

24 days ago

Baltimore, MD
Remote
$72,216–$143,429 / year
The Care Manager partners closely with members and the interdisciplinary care team to develop and implement person-centered plans of care that promote a positive member experience, improved health outcomes, and cost-effective service delivery. The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
30+ days ago

DC
Remote
$26.01–$74.78 / hour
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
30+ days ago

VA
Remote
Keywords: Care Coordination, Case Management, RN, Case Manager, Registered Nurse, BSN, ADN, Nursing, Managed Care, MCO, Health Plan, high-risk pregnant members, Maternal Health, Perinatal, OB-GYN, Labor and Delivery, Mother-Baby, Postpartum, Maternity, L&D, Winchester, Shenandoah, Frederick, Rockingham, VA, Virginia, Member Engagement, Discharge Planning. Experience working with low and high risk pregnant population (Maternal Health / Perinatal / OB-GYN /Labor and Delivery / Mother-Baby / Postpartum) experience highly preferred.
9 days ago

Baltimore, MD
Remote
$72,360–$143,715 / year
PURPOSE: The Post- Acute Care Clinical Navigator (RN) manages the timely and smooth transition from inpatient care to home or other levels of care utilizing experience and skills in both care management and utilization management including proficiency in established MCG guidelines to determine medical necessity, appropriate level of care, and case management to engage members/enrollees, their families and other support systems in discharge planning. The role will function as a liaison telephonically (occasional weekend work may be required) with the hospital care team including case managers, social workers and discharge planners to ensure CareFirst members/enrollees receive the appropriate level of care and partner to address any potential barriers to discharge.
30+ days ago

Washington DC, District of Columbia
Remote
Our clients include academic medical centers, health systems, physician practice groups, post- and sub-acute providers, health plans, pharmacies, and pharmacy benefit management companies, as well as pharmaceutical and medical device manufacturers. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations.
30+ days ago

Baltimore, MD
Remote
Full time
Technical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
30+ days ago

Baltimore, Maryland
Remote
Overview: Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Operating at competent level with, but not limited to: Microsoft Office Suite, web-browsers,email, electronic health records, online collaboration software, virtual meeting applications.
30+ days ago

Baltimore, MD
Remote
Full time
Leadership: Ability to set strategic direction and translate organizational goals into operational plans; successfully leads and develops staff across varying styles and levels; provides clear expectations, effective coaching, and timely feedback; leads through a subordinate manager and drives accountability at all levels of the department. Problem Solving / Analysis: Ability to solve complex operational and systems-related problems through systematic analysis of data, workflows, and processes; exercises sound judgment in ambiguous or high-stakes situations; identifies root causes and implements durable solutions with a realistic understanding of organizational constraints.
30+ days ago

Hanover, MD
Remote
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. Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine, one of the premier health delivery, academic, and research institutions in the United States.
27 days ago

Washington
Remote
That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
22 days ago

VA
Remote
$123,800–$170,300 / year
Ability to coach, mentor and engage with Branch Directors and Weekend Managers 60- 90 branch in person touchpoints per year Travel approximately 50% Education: Bachelor's degree in clinical (nursing, therapy), healthcare administration, business or related field required; including 3 years in Branch Director role generally required Licenses/Certification: RN and/or Clinician licensure, preferred. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
30+ days ago

Baltimore, MD
Remote
RHIT.RHIA: Requires successful completion of the academic requirements for the Registered Health Information Technician (RHIT) certification or Registered Health Information Administrator (RHIA) certification accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) and be a Certified Coding Specialist (CCS). 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.
30+ days ago

Baltimore, MD
Remote
Full time
o Bachelor's in Nursing or Certified Professional in Healthcare Quality (CPHQ) o 1 or more years team lead or supervisory experience o 1 year experience in Quality Management o 1 year experience with data analysis and reporting o Experience with InterQual or similar criteria sets o General knowledge of Medicare, Veterans Administration, or other government health care programs. Technical Skills: General knowledge of Medicare, Veterans Administration, or other government health care programs; knowledge in the application of clinical criteria: InterQual, Milliman, PAS-LOS, ICD-9-CM, DSM, CPT-4, and HCPCs; Proficient with Microsoft Word and Excel.
30+ days ago

New
Washington, DC
Remote
$92,200–$125,600 / year
Manages activities related to plan accreditation, preventive health improvement, business analysis, and clinical and service quality improvement, including state withholds, Healthcare Effectiveness Data and Information Set (HEDIS), and Consumer Assessment of Healthcare Providers and Systems (CAHPS). The Senior Clinical Quality Performance Specialist is responsible for overseeing, designing, and implementing quality initiatives, identifying root causes, establishing and executing work plans to implement effective interventions.
3 days ago

New
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. Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine, one of the premier health delivery, academic, and research institutions in the United States.
2 days ago

Baltimore, MD
Remote
Full time
Technical Skills: General knowledge of Medicare, Veteran's Administration, TRICARE, or other government health care programs; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.
30+ days ago

Baltimore, MD
Remote
From individual professor support and student-led study groups to diverse clinical and career networking opportunities, the institution"s community shares a common goal: to give each other the care we need to succeed and make a difference by transforming healthcare.
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.
30+ days ago

MD
Remote
In this role, you'll deliver virtual comprehensive care to patients of all ages across a wide range of conditions, while working closely with our provider and support teams. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care.
22 days ago

Fairfax, VA
Remote
This role is well suited for an experienced Nurse Practitioner who is comfortable practicing autonomously within a collaborative, hybrid virtual–in-home care model and values flexible, part-time virtual work with predictable base pay. The NP reviews RN-collected clinical data, performs virtual medical assessments, develops treatment plans, and provides medical decision-making and prescriptions in real time.
30+ days ago

Baltimore, MD
Remote
Full time
The team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
30+ days ago

Baltimore, MD
Remote
We are seeking an experienced Utilization Management Nurse Specialist to support care management and utilization review activities for Medicare, Medicaid, and other government healthcare programs. This role requires an independent, detail-oriented nursing professional who can effectively collaborate with interdisciplinary teams while ensuring appropriate utilization of healthcare services and adherence to clinical and regulatory requirements.
10 days ago

Baltimore, MD
Remote
Full time
Assist with training department-specific needs, such as, maintaining required training documentation, maintaining both clinical and non-clinical training and orientation curriculum, participating in clinical operations leadership meetings, process improvement meetings, and other duties as appropriate and requested. In addition, this position requires designing, developing and presenting synchronous training courses relating to clinical and operational topics, and includes content, visual aides, exercises for the student and examinations.
30+ days ago

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. From individual professor support and student-led study groups to diverse clinical and career networking opportunities, the institution"s community shares a common goal: to give each other the care we need to succeed and make a difference by transforming healthcare.
30 days ago

Bethesda, MD
Remote
$87,755.20–$116,714.42 / year
The Clinical Learning Educator II utilizes skilled communication and true collaboration to partner with clinical leadership across Baptist Health to establish and sustain a cohesive network aimed at assessing individual entity and system needs, developing, planning, coordinating, implementing, and facilitating educational programs or initiatives, and evaluating the outcomes and implications. Baptist Health is the region''s largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties.
17 days ago

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

Arlington, VA
Remote
Our College of Nursing offers a Bachelor of Science in Nursing (BSN) degree program at 23 locations and online post-licensure degree programs and certificates including RN to BSN, RN to MSN, a Master of Science in Nursing (MSN) with six Specialty Tracks, and a Doctor of Nursing Practice (DNP). Chamberlain Visiting Professor Position - Online: In support of the pay transparency laws enacted across the country, the expected compensation rate for this position is between $715/Earned Credit Hour to $1,950/Earned Credit Hour, depending on the candidate's education and experience.
30+ days ago

Maryland
Remote
Also, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world’s largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
21 days ago

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Remote Healthcare Jobs in Burtonsville, MD

Population Care Nurse / Registered Nurse (RN)- Remote in Virginia Sentara Healthcare Inc

Utilization Management Registered Nurse Humana Inc

Case Manager, Registered Nurse - Fully Remote CVS Health Corp

Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN - Community Based - Flexible Weekend Dayshift - Remote in VA and NC Sentara Healthcare Inc

Remote Registered Nurse RN Rylem

Quality Improvement Coordinator /Registered Nurse (RN) - Remote in Virginia Sentara Healthcare Inc

Care Manager - RN (Remote) Blue Cross and Blue Shield Association

Medical Review Manager - Federal Health (CMS) DOMA Technologies

Field Registered Nurse (RN) Wellness Health Services

Licensed Clinical Social Worker - Remote BetterHelp

Licensed Mental Health Therapist - Remote BetterHelp

Licensed Mental Health Counselor - Remote BetterHelp

Mental Health Therapist - Remote BetterHelp

Licensed Independent Clinical Social Worker - Remote BetterHelp

Licensed Clinical Professional Counselor - Remote BetterHelp

Licensed Marriage and Family Therapist - Remote BetterHelp

Licensed Professional Counselor - Remote BetterHelp

Licensed Psychologist - Remote BetterHelp

Licensed Certified Social Worker - Remote BetterHelp

Licensed Clinical Marriage and Family Therapist - Remote BetterHelp

Care Manager (Remote) Blue Cross and Blue Shield Association

Utilization Management Nurse Consultant - Fully Remote CVS Health Corp

Supervisor, Integrated Care Management/ Registered RN (RN) for Partners in Pregnancy & Member Engagement Teams for Commercial Health Plan - Remote in Virginia Sentara Healthcare Inc

Clinical Navigator (Remote) Blue Cross and Blue Shield Association

Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder Ankura Consulting Group

Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare Alliance

Clinical Documentation Specialist RN Johns Hopkins Medical Management Corporation

Director, Medical Document Optimization TriWest Healthcare Alliance

Utilization Review Nurse - Managed Care Johns Hopkins Hospital

Primary Care Advanced Practice Provider (NP OR PA) Devoted Health Services

Market Executive of Operations Humana Inc

Clinical Documentation Specialist II Johns Hopkins Hospital

Clinical Quality Reviewer TriWest Healthcare Alliance

Clinical Quality Performance Specialist Senior AmeriHealth Caritas

CASE MANAGER LCSW-C Johns Hopkins Hospital

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Pediatric Clinical Nursing Faculty Covista Inc

Urgent Care Nurse Practitioner Included Health Inc

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Utilization Management Nurse Specialist Lumen Solutions Group, Inc.

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Adult/Complex Health Clinical Faculty (Part-Time) Covista Inc

Clinical Learning Educator 2, Hybrid BETH & BOCA, Clinical Learning, FT, 08A-4:30P Baptist Health South Florida Inc

Mental Health Clinical Nursing Instructor (PT) Covista Inc

Maternal Child Clinical Nursing Instructor (PT) Covista Inc

Licensed Mental Health Counselor BetterHelp

Licensed Clinical Social Worker BetterHelp

Licensed Certified Social Worker BetterHelp

Licensed Psychologist BetterHelp

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