35 remote care manager jobs at 19 companies in Winter Haven, FL
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Registered Nurse Care Manager -Value Based Care (Must Reside in FL)
Orlando or Florida
RemoteFull Time
Cardiovascular Associates of America: Operates a national network of cardiovascular medical practices.
3+ YOEActive unrestricted RN license, 3–5 years clinical nursing experience (cardiology or care management preferred), experience with value-based care, strong clinical assessment/triage, leadership, documentation in care management system and EMR; remote work in Florida required.
Care Management system, Electronic Medical Record (EMR)
LifeCare Home Health Family: Provide Medicare-certified home health and hospice care services.
2+ YOEActive unencumbered RN or LPN/LVN license, 2–3 years clinical nursing experience, strong triage and clinical decision-making skills, de-escalation ability, and EVV or care management software experience preferred.
Miami or Jacksonville or St Petersburg or Orlando or Tampa
RemoteFull Time
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
2+ YOERN with at least 2 years in hospital acute care, inpatient review, prior authorization, managed care or equivalent; active RN license in state of practice; strong communication and time-management skills.
Imagine Pediatrics: Virtual and in-home care for children with complex needs
2+ YOEMaster's in social work/community services or related, LMSW/CCMC/C-SWCM preferred, 2+ years postgrad case management experience, 1+ year pediatric experience, motivational interviewing, telehealth experience, bilingual Spanish preferred.
Nurse Practitioner: Remote Telehealth Provider- Urgent Care
Tampa or United States
RemoteFull Time
Belle: Provides in-home medical foot care and chronic care coordination.
3+ YOEActive unrestricted NP license and national certification, 3+ years clinical experience (primary care/urgent care/geriatrics preferred), telehealth experience, experience managing chronic conditions, strong assessment and communication skills, familiarity with eClinicalWorks or similar EMRs.
Corporate Director, Care Management and Ambulatory Nursing
Tampa, Florida, United States
$130k-$195k/yrRemoteFull Time
Shriners Children's: Provides specialized pediatric medical care regardless of financial ability.
5+ MgmtBSN and active RN license required; 5+ years nursing leadership; case management certification (or obtain within 6 months); experience leading care management, utilization management, CDI, and ambulatory nursing programs.
Cypress or Chicago or Phoenix or Houston or Boston or Tampa
$249k-$373k/yrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOEMD or DO with active unrestricted medical license and board certification; 5+ years clinical practice; 2+ years quality management; managed care proficiency; strong communication, project management, and data analysis skills.
Staff Psychiatric Mental Health Nurse Practitioner (PMHNP) — Remote | Telehealth | Full-Time or Part-Time | Florida
United States or Miami or Tampa or St. Petersburg or Port St. Lucie or Cape Coral or Orlando or Tallahassee or Jacksonville or Hialeah or Fort Lauderdale or Texas or Austin
$150k-$300k/yrRemoteFull Time, Part Time
Legion Health: Provides AI-enabled telepsychiatry and medication management services covered by insurance.
Active unrestricted PMHNP authority in at least one U.S. jurisdiction, strong psychiatric assessment and medication-management skills, excellent communication, remote-care and EHR proficiency, and commitment to evidence-based care.
Salvo Health: Virtual clinic for chronic gastrointestinal and metabolic healthcare.
2+ YOE2+ years as an RN with patient-facing experience; compact state license required; strong communication, medical terminology knowledge, telehealth experience preferred.
Remote Patient Monitoring (RPM), Slack, Coda, Google Workspace
Florida or Orlando or Clearwater or West Palm Beach or Miami or Tampa or Hollywood or Fort Myers or Sarasota or North Fort Myers or Clearwater Beach or Naples or Fort Lauderdale or Fort Myers Beach or Pompano Beach or Saint Petersburg or Kissimmee
$60k-$133k/yrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
5+ YOE5+ years related experience with managed care negotiations, 3+ years provider relations, Florida residency required, Microsoft Office proficiency, bachelor’s degree preferred.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook
AdventHealth: Non-profit healthcare system providing comprehensive hospital and medical services.
5+ YOE5+ MgmtBachelor's degree, 5+ years of payer/provider contract negotiations and managed care leadership, Epic credential, financial analysis, spreadsheet, contract management, and Microsoft Office expertise required.
Epic, Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Access, Microsoft Outlook, Windows
Indianapolis or Iselin or Tampa or Miami or Wilmington or Cincinnati or St. Louis or Walnut Creek or Las Vegas or Woburn or Grand Prairie or Chicago or California or Illinois or Massachusetts or Nevada or New Jersey
$39-$56/hrRemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOERequires an associate degree in nursing or equivalent background, 3+ years of healthcare experience, active unrestricted RN license, and wound-care certification such as WOCN or CWS.
Heraeus: Global technology group providing precious metals and medical products.
5+ YOEBS/BA or equivalent, 5+ years medical sales experience (wound care preferred), O.R./Surgical/VAC submission experience required, skin substitute experience preferred, startup/medium company experience preferred.
Avalon Healthcare Solutions: Manages diagnostic laboratory testing for healthcare payers and providers.
3+ YOE3+ years IT/EDI experience, 2+ years in health plan/managed care, bachelor’s degree or equivalent experience, strong client management, negotiation, organizational skills, familiarity with cloud and claims platforms.
Tampa General Hospital: Provides specialized medical care and academic hospital services.
3+ YOEDoctorate in pharmacy, Florida or compact-state pharmacist license, pharmacy residency, fellowship, or equivalent experience, and at least 3 years of relevant pharmacy experience.
TapestryHealth: Technology-enabled clinical care for post-acute and assisted living communities.
Licensed nurse practitioner required; experience with chronic care management, remote patient monitoring, or behavioral health integration preferred; strong communication and ability to travel to multiple facilities.
AlconNYSE: ALC: Manufactures ophthalmic surgical equipment and vision care products.
2+ YOEBachelor's or equivalent, 2 years proven experience, English fluency, driving license (category B), sales/account management and eye-care experience preferred.
AdventHealth: Non-profit health care system providing hospital and medical services.
3+ YOERequires high school diploma or equivalent and 3+ years of hospital credentialing, managed care credentialing, or provider enrollment experience; bachelor's, MD Staff, CPCS, and CPMSM preferred.
Paradigm: Specialty care management for complex and catastrophic injuries.
3+ YOEActive RN license and 3–5 years of workers’ compensation or complex case management experience required; catastrophic cases, DME, EMRs, care platforms, and Microsoft Office preferred.