Top 108 Remote nurse Jobs in Texas

Clinical Quality Consultant NP
Elevance Health —Grand Prairie, TX
- Full-time
- Remote
- Nursing
- Current TB test
- RN License
- Employee stock purchase plan
- Paid holidays
UM Reviewer LVN (Texas applicants with active California licenses only)
Calibrated Healthcare —Texas
- $24 - $35 an hour
- Full-time
- Remote
- Microsoft Outlook
- LVN
- Computer literacy
- 401(k)
- Paid time off
Quick Apply
4d
Clinical Claims Review Nurse
CVS Health —Texas
- $26.01 - $68.55 an hour
- Full-time
- Remote
- Nursing
- RN License
- Customer service
- Health insurance
- Dental insurance
2d
Primary Nurse Case Admin 1 - Work From Home
Health Care Service Corporation —Richardson, TX
- $61,500 - $136,100 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Work from home
Registered Nurse - Freelance AI Trainer Project
Meridial —Austin, TX
- $6 - $65 an hour
- Remote
- Nursing
- Medication administration
- RN License
- Health insurance
Utilization Management Registered Nurse
Humana —Texas
- $71,100 - $97,800 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
Utilization Review Nurse
Cobalt Benefits Group LLC —Dallas, TX
- $90,000 - $98,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
9d
Clinical Intake/Triage Nurse- Remote
Ria Health —Dallas, TX
- Weekends as needed
- Remote
- Nursing
- Addiction Medicine
- RN License
- COVID-19 protective measures
- Health insurance
Quick Apply
5d
Case Manager Registered Nurse
CVS Health —Texas
- $60,522 - $129,615 a year
- Full-time
- Remote
- Nursing
- RN License
- Residential
- Health insurance
- Dental insurance
5d
Virtual Care Nurse
St Luke's Sugar Land Hospital —Houston, TX
- $44 an hour
- PRN
- Remote
- Nursing
- RN License
- BLS Certification
7d
Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)
3:15 —Houston, TX
- $55,000 - $65,000 a year
- Full-time
- Remote
- Background check
- RN License
- Computer literacy
- AD&D insurance
- Health insurance
Quick Apply
Telephonic Case Manager
Enlyte —Texas
- $74,000 - $86,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health savings account
- AD&D insurance
Care Manager
MD Anderson —Houston, TX
- $48.55 - $73.07 an hour
- Overtime
- Remote
- Microsoft Word
- Spanish
- Nursing
- Health savings account
- AD&D insurance
3d
Compact RN Care Coach - Remote | High Performance
CircleLink Health —Texas
- Email
- Remote
- Nursing
- RN License
- Mid-level
Quick Apply
RN - Patient Care, Remote - Kelsey-Seybold Clinic
Optum —Pearland, TX
- $29 - $52 an hour
- Full-time
- Remote
- Nursing
- RN License
- PALS Certification
Quick Apply
8d
LPN Intake Specialist Remote
Mays Home Health —Paris, TX
- Full-time
- Remote
- LVN
- Mid-level
- Home Health
- Health savings account
- Disability insurance
Quick Apply
Telephonic Nurse Care Manager
Advanced Monitored Caregiving Inc. —Austin, TX
- $78,000 - $90,000 a year
- Full-time
- Remote
- 3 years
- Home Health
- Ability to sit for extended periods
LPN Patient Monitoring - Vitals and RPM/CCM Program
HD Medical Management —Houston, TX
- $20 - $24 an hour
- Part-time
- Remote
- BLS Certification
- HIPAA
- Mid-level
Quick Apply
4d
Utilization Review Nurse
Bracane Co —Plano, TX
- Full-time
- Remote
- RN License
- Mid-level
- 3 years
Quick Apply
Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift
CareHarmony —Houston, TX
- $43,000 - $58,000 a year
- Full-time
- Remote
- Bilingual
- Mid-level
- 3 years
- Paid holidays
- Health insurance
Quick Apply

I want to receive the latest job alert for remote nurse in texas

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Clinical Quality Consultant NP

Elevance Health -
Grand Prairie, TX

Apply Now

Job Details

Full-time

Benefits

Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Nursing
RN License
Nurse Practitioner (NP)
Healthcare diagnosis
Nursing

Full Job Description

Location: Virtual: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Responsible for quality documentation, coding and value capture.

How You'll Make a Difference:

Primary duties may include, but are not limited to: Focus on chart reviews by supplying clinical expertise to ensure full accurate and appropriate diagnosis, documentation, coding and care.
Will review all provider visit medical encounters and apply most appropriate diagnosis codes.
Overall accountability for the HCC/Risk Adjustment of goals and workflows to support value capture initiatives and high-quality clinical documentation.
Chart reviews for closing HEDIS care opportunities.
Liaison to coding team.
Chart reviews for closing HEDIS care opportunities to ensure practice and health plan success.
Participate in peer review of medical documentation for completed visit notes and patient profile information in EMR.
Reviews and corrects any ICD-10 codes that have been assigned in charts.
Provide feedback to the provider for improved documentation to support specific codes.

Minimum Requirements:

Requires an MS in Nursing and minimum of 3 years experience in applying appropriate diagnosis in the Medicare HCC model and/or CMS Risk Adjustment Model; or any combination of education and experience, which would provide an equivalent background.
Requires a current, active, valid and unrestricted RN license and NP license in applicable state(s).
Multi-state licensure is required if this individual is providing services in multiple states.
For Carelon Health, satisfactory completion of a Tuberculosis test is a requirement for this position.
Travels to worksite and other locations as necessary.

Preferred skills, qualifications and experiences:

Prefer AAPC Certified Risk Adjustment Coder

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $114,608 to $199.056

Locations: Minnesota

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

remote nurse jobs in texas

Clinical Quality Consultant NP

UM Reviewer LVN (Texas applicants with active California licenses only)

Clinical Claims Review Nurse

Primary Nurse Case Admin 1 - Work From Home

Registered Nurse - Freelance AI Trainer Project

Utilization Management Registered Nurse

Utilization Review Nurse

Clinical Intake/Triage Nurse- Remote

Case Manager Registered Nurse

Virtual Care Nurse

Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)

Telephonic Case Manager

Care Manager

Compact RN Care Coach - Remote | High Performance

RN - Patient Care, Remote - Kelsey-Seybold Clinic

LPN Intake Specialist Remote

Telephonic Nurse Care Manager

LPN Patient Monitoring - Vitals and RPM/CCM Program

Utilization Review Nurse

Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift

I want to receive the latest job alert for remote nurse in texas

Explore jobs in more locations

Responsible for quality documentation, coding and value capture.

Job Seeker Tools

Employer Tools

Browse

Stay Connected