28 Results for

Remote Healthcare Jobs in Seatac, WA

Jobs

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

Renton, WA

Remote

Full time

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. The RN Care Coord-Qual Med Mgmt will provide administration of medical management programs that include: prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy development and medical claims audits.

30+ days ago

Seattle, WA

Remote

Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

29 days ago

Remote

Requsition ID: 437237 Company: Providence Jobs Job Category: Revenue Cycle Operations Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4001 SS RC REV INTEGRITY Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: On-site Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.

29 days ago

Tacoma, WA

Remote

Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.

30+ days ago

Olympia, WA

Remote

Use your skills to make an impact** **Required Qualifications:** + **You must be a transitioning service member eligible to participate in the DOW SkillBridge or a military spouse eligible to participate in the military spouse fellowship** · + Active Registered Nurse, RN, in the state of Kentucky or an enhanced Compact, (eNLC) license without restrictions or disciplinary action.· + **Minimum two, (2) years of clinical behavioral health experience.** + Proficiency in healthcare software and electronic medical records (EMR) systems. **Workstyle:** Remote Work at Home **Location:** Must reside in a state that participates in the enhanced compact license, (eNLC) **Work Schedule:** Weekdays 8:00 AM to 4:30 PM Central Time **Travel:** None **Additional Information** **Work At Home Requirements** + WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office.

30+ days ago

Lakewood, WA

Remote

$39–$41

Care Coordination: Work closely with interdisciplinary teams, including physicians, case managers, social workers, and other healthcare professionals, to develop and implement individualized care plans for patients. This role involves assessing, monitoring, educating, and supporting patients in managing their diseases to improve overall health and quality of life while reducing unnecessary hospitalizations and emergency care.

10 days ago

Federal Way, WA

Remote

$87,400–$116,000 / year

Our more than 600 dedicated nurses, care coordinators, nurse practitioners (NPs) and business professionals integrate and manage care for more than 20,000 patients with late-stage chronic kidney disease (CKD) and end stage renal disease (ESRD) across the US each month. DaVita Integrated Kidney Care (DaVita IKC) is an the integrated care division of DaVita Inc. working on DaVita's vision to provide integrated care to all ESRD patients, who are some of the most medically complex and vulnerable patient populations in the US.

30+ days ago

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

Federal Way, WA

Remote

$87,400–$116,000 / year

19 days ago

Seattle, WA

Remote

$55,480–$86,393 / year

GS-04: Six months of qualifying experience as an LPN or LVN; OR Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) and one year of experience that involved nursing care work in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures; OR Graduation from an approved school of at least 24 months duration. Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patients condition before, during, and following the procedure.

30+ days ago

Seattle, WA

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

Tacoma, Washington

Remote

$113,210.97–$138,368.97 / hour

The Staff Nurse directs CHHAs and CNAs in patient care tasks, performs patient assessments, develops patient care plans, evaluates the plan effectiveness, modifies it as appropriate and documents all patient care provided. The position combines the activities of direct and indirect patient care and provides direct care to pediatric, adolescent, adult, and geriatric patients.

14 days ago

Seattle, WA

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

Remote

$29.10–$62.32 / hour

Coordinate, monitor, and assess healthcare service options to help ensure Medicare Integrated/dually eligible members receive appropriate, cost-effective care. Utilizes clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program for Medicare Integrated/dually eligible member populations.

9 days ago

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.

20 days ago

Olympia, WA

Remote

Direct reports include:** **VP, Physician Leadership** **Clinical contracting, physician review, quality improvement, legal MDs** **Director, Physician Leadership** **MD vendors, grievance and appeals** **AVP, UM Nursing** **UM RNs (transplant, behavioral health, appeals, etc.)** **Lead Dental Director** **Dental MD/RN review, bid season benefit review** **Director, Strategy Advancement** **Market liaison, provider/facility relationships** **AVP, UM Administration** **UM intake, vendor management, administrative support** **Role Impact:** - Drive the formation, execution, and sustainability of Humana's Utilization Management strategy. This executive role is responsible for integrating and overseeing all Outpatient and Inpatient based MDs and RNs and non-clinical support for UM functions in Medicaid and Medicare, with a focus on streamlining processes, ensuring consistent clinical practices, driving trend savings, improving Star Ratings, and enhancing operational efficiency.

26 days ago

Seattle, WA

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

Seattle, WA

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

Shoreline, WA

Remote

$130,000–$150,000 / year

A BSN degree from a nursing education program accredited by a national nursing education accrediting body recognized by the United States department of Education and a graduate degree, OR a graduate degree from a nursing education program accredited by a national nursing education accrediting body recognized by the United States Department of Education. Establishes partnerships with communities of interest and professional organizations to promote excellence, enhance the profession, and benefit the community, including but not limited to the programs Nursing Advisory Committee, the Council on Nursing Education in Washington State (CNEWS), and organizations such as the Washington State Nurses Association (WSNA).

30+ days ago

Seattle, WA

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

Seattle, WA

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

Seattle, WA

Remote

The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). If you are applying to perform work for Medtronic, Inc. ("Medtronic") in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.

30+ days ago

Remote

Additional requirements include completing a post-discharge medication reconciliation, placing appropriate orders (prescriptions, labs, imaging, referrals, home health, DME), providing appropriate disease education, communicating contingency plans for worsening symptoms, and comprehensively assessing a patient's medical conditions. 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.

30+ days ago

Seattle, WA

Remote

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To learn about Science 37's privacy practices including compliance with applicable privacy laws, please click here. With interest/expertise in Science 37's decentralized model of care delivery, the Field Nursing Operations Manager is responsible for the operational oversight, implementation and daily management of all nursing activities for clinical research studies within their region at Science 37.

7 days ago

Seattle, WA

Remote

li>Have a minimum of three (3) years clinical experience in an acute care or public health setting, AND a minimum of three (3) years as a case manager in a Accountable Care Organization (ACO), Managed Care Organization (MCO) , or Behavioral Health Organization (BHO) required, AND three (3) years supervisory or leadership experience in a healthcare or managed care setting preferred. Responsible for direct daily oversight of both medical and behavioral health clinicians and non-clinical staff in the delivery of care management services to identified Plan members with a range of physical health, behavioral health, and social service needs.

24 days ago

Remote

27 days ago

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Remote Healthcare Jobs in Seatac, WA

Utilization Management Registered Nurse Humana Inc

Case Manager, Registered Nurse - Fully Remote CVS Health Corp

Utilization Review RN - Remote Providence St. Joseph Health

Revenue Cycle Auditor RN - Full time, Day, Remote Providence St. Joseph Health

Revenue Cycle Auditor RN - Full time, Day, Remote Providence Health & Services

Director, Healthcare Services - REMOTE Molina Healthcare Inc

UM BH Registered Nurse Humana

RN Case Manager – Managed Care REMOTE TEEMA Group

RN Case Manager- IKC National Flex Team- Remote DaVita Inc

Utilization Management Nurse Consultant - Fully Remote CVS Health Corp

RN Case Manager (IKC) DaVita Inc

Licensed Practical Nurse U.S. Department of Veterans Affairs

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

Registered Nurse / RN, Home Health PRN AccentCare, Inc.

Director, Medical Document Optimization TriWest Healthcare Alliance

Utilization Management Nurse Consultant CVS Health Corp

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

VP, Physician Review and Market Insights Humana

Clinical Quality Reviewer TriWest Healthcare Alliance

Clinical Quality Study Analyst TriWest Healthcare Alliance

Associate Dean - Nursing (E) SHORELINE COMMUNITY COLLEGE

Clinical Quality Review Team Lead TriWest Healthcare Alliance

Clinical Education Training Specialist TriWest Healthcare Alliance

Clinical Sales Specialist, ENT - Northwest (Seattle / Salt Lake City) Medtronic Plc

Bilingual (Spanish/English) Transitions of Care Advanced Practice Provider (APP) Devoted Health Inc

Field Nursing Operations Manager (West Coast) Science 37

Supervisor Case Management Community Health Plan of Washington

Transitions of Care Advanced Practice Provider (APP) Devoted Health Inc

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