Top 24 Rn work from home Jobs in Potomac Md

Clinical Program Consultant - Remote in Western Washington State
UnitedHealthcare —Washington, DC
- $72,800 - $130,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Up to 50% travel
Clinical Data Audit Consultant
Health Net —Washington, DC
- $33.71 - $60.67 an hour
- Full-time
- Remote
- Nursing
- RN License
- Bachelor of Science
- Paid holidays
- Health insurance
9d
Workers Compensation - Telephonic Nurse Case Manager (Remote)
Berkley —Manassas, VA
- $75,000 - $88,000 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Profit sharing
- Health insurance
Contingent UR/LTSS Registered Nurse
iMPROve Health (MICHIGAN PEER REVIEW ORGANIZATION) —Washington, DC
- $36 - $42 an hour
- Weekends as needed
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Quality Practice Liaison (Must be licensed in Arizona or Multi-State)
CVS Health —Washington, DC
- $54,095 - $155,538 a year
- Full-time
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quality Improvement Coordinator II
Coordinated Care —Washington, DC
- $33.71 - $60.67 an hour
- Full-time
- Remote
- Nursing
- LVN
- RN License
- Paid holidays
- Health insurance
10d
Transition of Care RN
CINQCARE —Washington, DC
- $76,794 - $94,000 a year
- Full-time
- Remote
- Nursing
- Skilled nursing facility
- RN License
- Mileage reimbursement
- Commuter assistance
Quick Apply
Senior Care Manager (RN)
Coordinated Care —Washington, DC
- $75,300 - $135,400 a year
- Full-time
- Remote
- Nursing
- RN License
- Bachelor's degree
- Paid holidays
- Health insurance
4d
Registered Nurse - PRN
AlphaCare Home Health —Vienna, VA
- Part-time
- Remote
- RN License
- Home Health
- Reliable transportation
Clinical Informatics III
Gritter Francona —Washington, DC
- Full-time
- Remote
- Computer Science
- System design
- Master's degree
- AD&D insurance
- Disability insurance
Quick Apply
Registered Nurse - SUD/Psych - PRN
Gaudenzia —Washington, DC
- $44.00 - $49.50 an hour
- Weekends as needed
- Remote
- CPR Certification
- Nursing
- RN License
- Tuition reimbursement
- On-the-job training
Quick Apply
Camp Nurse - PRN - RN/LPN - Lake Geneva, WI
Jill's House Inc —Vienna, VA
- Part-time
- Remote
- CPR Certification
- Nursing
- RN License
Quick Apply
Integrated Care Manager/ Registered Nurse (RN) LTSS Waiver Members/Medicaid - Remote in NOVA (Fairfax, Springfield and Alexandria, VA)
Sentara Health Administration, Inc. —Fairfax, VA
- Full-time
- Remote
- Nursing
- RN License
- BLS Certification
- 403(b) matching
- Paid parental leave
Quick Apply
Lead Terminologist
Gritter Francona —Washington, DC
- Full-time
- Remote
- Nursing
- Master's degree
- Mentoring
- AD&D insurance
- Disability insurance
Quick Apply

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rn work from home jobs near potomac md

Clinical Program Consultant - Remote in Western Washington State

UnitedHealthcare -
Washington, DC

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Job Details

Full-time
$72,800 - $130,000 a year

Qualifications

Microsoft Outlook
Regulatory compliance
Windows
Driver's License
Desktop applications
Technical Proficiency

Full Job Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

The Clinical Practice Consultant is a direct, provider-facing role, focused on improving clinical quality outcomes through measure specific initiatives and provider engagement. This role partners with providers and internal teams to support continuous quality improvement, including provider education, quality performance monitoring, medical record review, and collaboration across clinical and operational teams to improve outcomes and meet contractual and regulatory requirements.

This position specializes in preventive health and condition management, working with providers and Health Plan staff to improve member health outcomes, close care gaps, and increase performance on state specific quality measures. The Clinical Practice Consultant supports the Medicaid adult population by coordinating, tracking, and improving compliance with quality and regulatory requirements in alignment with Washington State Medicaid (Apple Health) and federal guidelines.

The role works closely with providers, clinical teams, quality, analytics, and community partners to identify gaps in care, monitor performance, and address barriers to care. This position integrates clinical knowledge, data review, and collaborative problem solving to improve health outcomes for members in Washington State.

Up to 50% anticipated travel throughout Washington State. If you are located in Washington, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

Educates providers and office staff on proper clinical documentation, state-mandated quality metrics specifications, provider profiling and pay for performance measurement, and medical record review criteria, to drive quality improvement
Supports effective deployment of program at the practice level through strategic partnerships with participating practitioners and practice staff while assessing trends in quality measures and identifying opportunities for quality improvement
Serves as subject matter expert (SME) for assigned HEDIS/State Measures, preventive health topics, leads efforts with clinical team to research and design educational materials for use in practitioner offices; serves as liaison with key vendors supporting HEDIS/State Measures; consults with vendors to design and implement initiatives to innovate and then improve HEDIS/State Measure rates
Participates, coordinates, and/or represents the Health Plan at community-based organization events, clinic days, health department meetings, and other outreach events focused on quality improvement, member health education, and disparity programs as assigned
Identifies population-based member barriers to care, identify local level strategies to overcome barriers and close clinical gaps in care
Investigates gaps in clinical documentation where system variation has impact on rate calculation, provides feedback to appropriate team members where issues are verified, and monitors resolution to conclusion
Works with providers on standards of care, and advises providers on established clinical practice guidelines, and appropriate documentation consistent with state specific measures and technical specifications
Performs population data assessment and disease management using a continuous quality improvement approach and approved clinical practice and disease management guidelines for the pediatric population
Supports health equity and disparity reduction strategies, including culturally responsive outreach and coordination with community-based organizations
Assist in resolving barriers to care such as access, scheduling, or follow-up needs

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

2+ years of experience in Medicaid, managed care, care coordination, or clinical quality
1+ years of experience working with healthcare data (claims, registries, care gaps, or reports)
Intermediate level of knowledge of one or more of: clinical standards of care, preventive health standards, HEDIS, NCQA, governing and regulatory agency requirements
Intermediate level of proficiency using a PC in a Windows environment, including Microsoft Outlook, Word, Excel, and PowerPoint
Willing and able to travel to physician offices locally up to 50% of the time throughout the state of Washington
Access to reliable transportation and & valid US driver's license

Preferred Qualifications:

Current unrestricted RN or Clinical background such as RN, LPN, MA, or equivalent experience
Experience in quality process improvement (lean, six sigma, etc)
Experience with Washington State Medicaid (Apple Health)
Experience supporting provider alignment with state Medicaid quality requirements
Experience supporting provider education or quality initiatives
Familiarity with HEDIS measures (e.g. CBP, CHL, FUA,)
Proven comfort working in fast-paced, evolving environments
Proven ability to interpret and translate health policy, guidance, and measure specifications into actionable provider education
Proven solid communication, organizational, and follow-up skills
Proven ability to communicate effectively with broad audience: practice-level executive leadership, physicians, nurses, non-clinical office staff, and across the Health Plan
Proven background in preventive health and condition management
Reside in Pierce, King or Thurston
All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range $72,800 to $130,000 per hour based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #GREEN

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Refine Your Search

rn work from home jobs in potomac md

Clinical Program Consultant - Remote in Western Washington State

Clinical Data Audit Consultant

Workers Compensation - Telephonic Nurse Case Manager (Remote)

Contingent UR/LTSS Registered Nurse

Quality Practice Liaison (Must be licensed in Arizona or Multi-State)

Quality Improvement Coordinator II

Transition of Care RN

Senior Care Manager (RN)

Registered Nurse - PRN

Clinical Informatics III

Registered Nurse - SUD/Psych - PRN

Camp Nurse - PRN - RN/LPN - Lake Geneva, WI

Integrated Care Manager/ Registered Nurse (RN) LTSS Waiver Members/Medicaid - Remote in NOVA (Fairfax, Springfield and Alexandria, VA)

Lead Terminologist

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