Remote Med Management Nurse — Case Review & Training
The Elevance Health Companies, Inc.
- Remote job
The Elevance Health Companies, Inc. is seeking a Med Mgmt Nurse to manage complex cases and determine medical necessity while collaborating with healthcare providers. This role offers remote work with in-person training and requires a minimum of 4 years of care management experience. A current RN license is necessary, and candidates with multi-state licensure will be prioritized. Join a company dedicated to equal employment opportunities, where diverse backgrounds and experiences are valued. #J-18808-Ljbffr The Elevance Health Companies, Inc.
- ...integrator of professional, technological and management solutions services. Founded in 1998,... ...Heroes? Avosys is seeking a Surgical Case Nurse Reviewer to provide review services at Nellis... ...program information is at TRAINING REQUIREMENTS: The SCNR shall...Remote workTrainingFull timeFor contractorsWork at officeLocal areaMonday to FridayShift work
- ...is hiring a Registered Nurse (RN) at Norfolk General... ...Recognition in the Specialty of Med-Surg). Our unit is... ...talkies, including the management team. We are ALL... ...consistently enhancing our training, advancement tracks,... ...that are available as remote work, Sentara Health...Remote workTrainingFull timeTemporary workLive outRelocation packageShift workNight shift
- ...RN Case Manager (Home Health) FT Job Category: Nursing Requisition Number: RNCAS002444 Full-Time... ...profession of nursing. Engage in training or research activities... ...ENVIRONMENT Primary or Remote office and occasional... ...information, please review the Know Your Rights notice...Remote workTrainingFull timeWork at officeWork from home
- ...RN Case Manager (Home Health) Job Category: Nursing Requisition Number: RNCAS002432 Full-Time... ...profession of nursing. Engage in training or research activities... ...ENVIRONMENT Primary or Remote office and occasional... ...information, please review the Know Your Rights notice...Remote workTrainingFull timeWork at officeWork from home
$90k - $99k
...DRG Nurse Reviewer Appeals and Hearings- Remote Date: Jan 9, 2026 Location: Any city, FL, US, 99999... ...properly and accurately; prepare case files and case summaries for hearings... ...Medical Director. Assists management with training new reviewers to include daily monitoring...Remote workTrainingFull timeWork from homeFlexible hours- ...Summary Concurrent Review Nurse is responsible for... ...utilization management activities to ensure... ...standards. Identify cases requiring escalation... ...experience (e.g., med-surg, critical... ...Work Environment Remote Equal Opportunity... ...compensation, benefits, training, and...Remote workTrainingApprenticeshipLocal area
- ...Part-time RN Case Manager - Franklin, IN and Surrounding Area Ready... ...seeking a Part-time Registered Nurse Case Manager to support... ...aides and provide guidance and training to caregivers to ensure the highest... ...case management/utilization review experience preferred. ·...Remote workTrainingPart timeLive outLive in
- ...Nurse Case Manager I Location: The ideal candidate would reside within the state of Texas.... ...occasional office attendance for meetings or training. This approach ensures flexibility,... ...Job Level: Non-Management Exempt Workshift: Job Family: MED Licensed Nurse...Remote workTrainingWork at office
$76.2k - $158.8k
...Angeles, CA, USA Onsite or Remote Fixed Hybrid... ...The Clinical Operations Lead/Nurse Case Manager for the IMPACT Program provides... ...years of related experience or training • Public Health case... ...Current/former UC employees are subject to a personnel file review.Remote workTrainingContract workMonday to FridayFlexible hours$85k
...of programs including remote patient monitoring, behavioral health management, and chronic care management... ...Hospice Registered Nurse Case Manager. Work within and... ...nursing staff to review problems or unique issues... ...orientation and in‑service training programs for...Remote workTrainingFull timeTemporary workWork experience placementWork at officeFlexible hours- ...HealthPartners is hiring an RN Case Manager. This position exists... ...This is a primarily remote position that includes... ...and seeks appropriate training under guidance of... ..., active Minnesota nursing licensure. May maintain... ...relevant utilization review, discharge planning,...Remote workTrainingLocal area
$85k - $105.34k
...UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 303... ...PURPOSE The Utilization Management Nurse evaluates clinical service... ...necessity Escalate complex cases to Medical Directors and... ...improvement initiatives Provide training and mentorship on UM...Remote workTrainingFull timeWork at officeLocal areaImmediate startMonday to Friday- ...Nurse Case Managers are licensed nursing professionals responsible for coordinating... ...findings for PCP to review; evaluate patients for eligibility... ...programs. Assist in training new Nurse Case Managers and... ...which may be in understaffed/remote areas, in the presence of pets...Remote workTrainingWork at office
$90k
...Hospice RN Case Manager (Loudon County, VA) Loudoun County... ...programs including, remote patient monitoring,... ...time Hospice Registered Nurse Case Manager to work... ...Hospice nursing staff to review problems or unique... ...orientation and in-service training programs for...Remote workTrainingFull timeTemporary workWork experience placementWork at officeVisa sponsorshipFlexible hours- ...Case Manager - Utilization Review Specialist - Remote Job Category: Utilization Management Requisition Number: CASEM... ...criteria and confers with medical and nursing personnel and other professional... ...duties as assigned. Education/Training & Experience: Current state-...Remote jobTrainingFull timeWork at office
$68.4k - $100.4k
...looking for a Full-Time RN Case Manager (RN) to join us in... ...Care Registered Nurse (RN) Case Manager you... ...Through medical record review and consultation, you... ...Location: Hybrid-Remote. Work from home (telehealth... ...Through our commitment to training, growth and quality we...Remote workTrainingMinimum wageFull timeWork from homeHome officeMonday to FridayFlexible hours$72k
...experience a career well lived. Nurse Case Manager $72,000/year + $3,000 Sign-... ...that balance fieldwork with remote flexibility. Flexible... ...goals or outcomes. Routinely review medical data to evaluate service... ...are properly oriented and trained to meet individual needs in...Remote workTrainingImmediate startRelocation packageFlexible hoursRotating shift$54.1k - $155.54k
...Summary This is a remote work from home... ...the US with virtual training. American... ...AHH) is a medical management company that is a... ...URAC accredited in Case Management, Disease... ...medical necessity reviews. Required Qualifications... ...as a Registered Nurse with at least 1...Remote workTrainingHourly payFull timeLocal areaWork from homeFlexible hours$52.66k - $96.29k
...RN Case Manager – Hartford, CT Region Now Hiring: RN... ...Responsibilities Reviews case records and reports... ...work/certification in Nursing is required; BSN... ...and mental wellness Training programs that promote... ...Hartford, CT, 06114, US (Remote) Pay Range/Salary $...Remote workTrainingFull timeWork at officeLocal areaImmediate start$72k
...experience a career well lived. Nurse Case Manager $72,000/year + $3,000 Sign... ...that balance fieldwork with remote flexibility. Flexible... ...or outcomes Routinely review medical data to evaluate service... ...are properly oriented and trained to meet individual needs in...Remote workTrainingFull timeImmediate startRelocation packageFlexible hoursShift workRotating shift$75k - $88k
...Details Berkley Medical Management Solutions (BMMS)... ...workers' compensation cases. To get it right, we started... ...technology takes medical bill-review services and clinical... ...As a Telephonic Nurse Case Manager, you will... ...the skills, education, training, credentials and experience...Remote workTrainingFull timeFlexible hours- ...currently seeking a full-time Case Manager (Registered Nurse) to work from home Monday... ...plan. Obtaining and reviewing Medical records and diagnostics... ...internal and external training and workshops. Other... ...m., CST. This position is remote but may require in-office...Remote workTrainingFull timeTemporary workWork at officeImmediate startWork from homeMonday to FridayDay shiftAfternoon shift
$80k - $90k
...Responsibilities*** Performs clinical reviews on medical records to... ...as assigned by management.* Monitors, tracks, and... ...to content in required training as assigned that... ...application reporting tools, and case management system/tools... ...work independently in remote setting with minimum...Remote workTrainingFlexible hours- ...seeking a Quality Assurance Nurse to oversee case management quality assurance, mentor... ...consistent services. This remote role involves developing... ...processes while providing training and support to management... ...and facilitating quality reviews. Candidates should have strong...Remote jobTraining
$35.29 - $47.37 per hour
...work-life balance ~ Remote work options and Flexible... ...quality of care, managing costs, and honoring diversity... ...REMOTE Utilization Review Nurse . If you are a... ...of care. Prepares any case that does not meet medical... ...Suite and Windows OS Training in or awareness of...Remote workTrainingHourly payPart timeCurrently hiringWork at officeLocal areaWork from homeMonday to FridayFlexible hours$35 per hour
...- $35.00/hr Medical Review Nurse Location: Phoenix, AZ 85034 (Remote) 3+ Months Day Shift... ...practice, medical case management protocols, quality management... ...may go onsite for training 1-2 times for training... ...Registered Nurse (RN) - Med Surg - $34-44 per hour...Remote workTrainingHourly payContract workTemporary workPart timeFor contractorsWork at officeShift workDay shift- ...Job Description Case Manager RN Job Code: CM1082... ...Associate's Degree in Nursing required. 4 Year/Bachelor... ...to the Life Support Training Policy for additional... ...data on patients. Reviews patient records. Interprets... ...campus buildings, remote facilities, and out of...Remote workTrainingWork at officeLocal areaWeekend work
$41.36 - $100 per hour
...Case Management Nurse Site: Brigham and Women's Faulkner Hospital, Inc.... ...Massachusetts. ~3 year of Utilization Review and Case Management... ...treatments around the globe to training the next generation of... ...employees call it home. Remote Type Onsite Work Location...Remote workTrainingHourly payFull timeShift work- ...TOP Case Management Program Manager At International SOS... ...Ability to work within a remote team to actively drive... ...of the TOP CMP. Review all referred cases from... ...ad hoc role specific training. Ensure TOP CMP cases... ...Director/s and Nurses. To present and participate...Remote workTrainingContract workFor subcontractorWork at officeWorldwideOverseasFlexible hours
- ...Hospital is hiring an Inpatient Case Manager RN to work full-time 40 hours... ...: ~12 months nursing experience ~ Registered Nurse... ...to consistently enhancing our training, advancement tracks, work-life... ...positions that are available as remote work, Sentara Health...Remote workTrainingFull timeTemporary workRelocation packageShift work
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