Remote RN Care Manager — Care Coordination & UM
Highmark Health
- Remote job
Highmark Inc. is seeking a full-time remote Care Management professional available on weekends (Saturday and Sunday) and three weekdays. This role emphasizes utilization management, reviewing services, applying criteria for resource use, and referrals to Health Coaching or case management. You will educate providers and members, analyze data to enhance provider and member satisfaction, and safeguard privacy in all interactions. RN licensure and clinical care management experience are required. #J-18808-Ljbffr Highmark Health
- Highmark Inc. is seeking a full-time REMOTE RN Case Manager to join our utilization management team... ...of services, criteria application, and coordination with Health Coaching and case... ...experience, RN licensure (PA or eNLC), and UM/CM experience. Strong data analysis and...Remote jobFull timeWeekend workWeekday work
$68.4k - $105.9k
...This is a full-time REMOTE position requiring weekend... ...implements effective utilization management strategies including:... ...of health care services, application of... ...Preferred ~3 years RN experience ~ RN Case Management... ...Management ~ Experience in UM/CM/QA/Managed Care ~...Remote workFull timeFor contractorsWork at officeLocal areaFlexible hoursWeekend workWeekday work- ...Centene Corporation in Missouri is seeking a registered nurse for remote care management focused on pregnant members. You will assess needs, develop and update care plans, and coordinate with providers to address gaps in care. The role emphasizes education for members...Remote workFlexible hours
- ...Molina Healthcare is seeking a registered nurse for a 100% remote care management role on our fast-paced auto-dialer team. This position supports coordinated member care across the continuum to achieve desired outcomes and cost-effective care. Preferred Illinois applicants...Remote work
- Centene is seeking a Registered Nurse to develop and coordinate complex care management for primarily physical needs members in Missouri. The role... ...Monday-Friday schedule, 8am-5pm, and the option to work remotely from home across the state. You will evaluate needs, create...Remote jobWork from homeMonday to Friday
- ...Centene Corp. is seeking a Remote Care Manager (RN) in Kentucky to develop and manage individualized, cost-effective care plans for members with complex needs. You will coordinate with providers, educate families, and monitor progress to ensure high-quality outcomes....Remote work
- ...Registered Nurse to join our care management team serving the Austin... .... This role emphasizes care coordination for clients with complex medical... ...meaningful client interactions. The RN will conduct assessments,... ..., while primarily working remotely. #J-18808-Ljbffr Prestige...Remote jobWork from home
- Centene is seeking a registered nurse care manager to develop, assess, and facilitate complex... ...care plans, educate families, and coordinate with providers to address unmet needs.... ...Macomb counties, with the option to work remotely from home the remaining time. Mon-Fri,...Remote jobLocal areaWork from home
- Molina Healthcare is seeking a registered nurse to support care management and care coordination activities remotely across the continuum of member care. You will work with a multidisciplinary team to ensure quality and cost-effective outcomes, including telephonic, home...Remote job
- Molina Healthcare is seeking a remote RN Care Manager with a preference for candidates in Washington State. The position operates on Pacific... ...transition-of-care activities. The role emphasizes care coordination across disciplines, with no travel, no direct patient care...Remote jobNight shift
- Green Key Resources is seeking experienced remote Care Managers for the New York metro area. This role supports MLTC members by coordinating medical, psychosocial, and functional... ...interdisciplinary team. The ideal candidate is an RN licensed in NY with prior managed care or...Remote job
- Molina Healthcare is seeking a remote RN care manager to support care coordination for high-need members across Wisconsin. This role involves home visits, waiver management, and multidisciplinary collaboration to ensure quality, cost-effective outcomes. Requires an active...Remote job
- Molina Healthcare is seeking an Illinois-licensed RN to join as a Case Manager coordinating care for Medicare members. The role is telephonic with some in-person visits, mainly from home, Monday-Friday 8 AM-5 PM CST. Travel may be required up to 25-40% depending on state...Remote jobWork at officeMonday to Friday
- Molina Healthcare is seeking a remote RN Care Manager to support Medicare members via telephonic case management and transition of care. Washington... ..., no night shifts. You'll assess member needs, develop coordination plans with care teams, and monitor progress while...Remote jobShift work
$38.66 - $58.32 per hour
...RN Care Coordinator Partnering for a stronger, healthier world. At CommonSpirit... ...ID: 2026-493468 Remote: No Weekly Schedule: Saturday... ...with utilization management, nursing, physicians, ancillary... ...Accredited Case Manager (ACMRN), or UM Certification Where You...Remote workFull timeRelocation packageShift workWeekend workWeekday work- Molina Healthcare is seeking a remote field-based RN Care Manager to support care management and coordination for high-need members. This role requires travel within the greater Cook County area and collaboration with a multidisciplinary team to ensure integrated, quality...Remote job
- Highmark Health is seeking a remote Care Manager RN to support utilization management and care coordination. The role requires weekend availability (Saturday and Sunday) plus three weekdays, focusing on reviewing services, applying criteria, and improving member outcomes...Remote jobWeekend workWeekday work
- Highmark Health is seeking a full-time, remote Care Manager with weekend availability to support utilization management and care coordination across Saturday, Sunday and three weekdays... ..., and resolving quality issues. Required RN licensure (PA or multi-state via eNLC) and...Remote jobFull timeWeekend workWeekday work
- Cardiac Care Alliance is seeking experienced Registered Nurse (RN) Care Managers to support high-acuity cardiac patients. This is a full-time, remote, hourly contract role focused on clinical triage... ...by proactive outreach, care coordination, and patient-centered engagement...Remote jobHourly payFull timeContract work
- Molina Healthcare is seeking an RN to support care management and care coordination across the continuum in a 100% remote role. Collaboration with a multidisciplinary team and occasional in-person or telephonic visits are included, with 25-40% travel as required by state...Remote job
- Highmark Inc. is seeking a full-time RN with utilization management expertise for a remote role requiring weekend availability (Saturday... .... The position focuses on reviewing care appropriateness, applying criteria, and coordinating with Health Coach/case management to...Remote jobFull timeWeekend workWeekday work
$45 per hour
...Description Job Description Utilization Management Nurse Coordinator (RN or LVN) needed for a temp 6+ month, remote contract opportunity with Yoh’s managed care health plan client based out of... ...remote managed care setting. The UM RN Nurse Coordinator reviews outpatient...Remote workContract workTemporary workMonday to FridayWeekend work- Advocate Health is seeking an RN to join the Ambulatory Care Coordination and Management team in Charlotte. The role supports population health across primary care and related settings, with a remote work option. Local NC residency is required. Requirements include an active...Remote jobLocal area
- Humana's Inclusa division seeks a RN Care Manager to support Wisconsin Family Care members with care coordination, education, and connection to providers. The role is remote from home with travel about 40% to visit members in Lincoln, Langlade, Oneida, Forest and Vilas...Remote jobNight shiftWeekend work
- Highmark Health is seeking a full-time RN Care Manager for a REMOTE role requiring weekend availability (Saturday and Sunday) and three weekdays. The position focuses on utilization management, coordinating care, and improving provider and member satisfaction through data...Remote jobFull timeWeekend workWeekday work
- Fidelis Care - New Jersey seeks an experienced remote Care Manager (RN) to support members in Bergen and Hudson counties. The role includes ~50% travel, Monday... ...requirements. The position emphasizes development and coordination of personalized care plans, collaboration with...Remote jobMonday to Friday
$41.71 - $105.65 per hour
...RN Care Coordinator (Case Manager) BWH Care Continuum Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business... ...(if applicable) Shift: 40hr variable rotation Remote Type Onsite Work Location 45 Francis Street Scheduled...Remote workHourly payWork at officeFlexible hoursShift work$42 - $45 per hour
...Job Description Job Description Title: Care Management Coordinator/RN Location: 100% Remote Duration: 3+ Months (FT conversion) This is a UM/Discharge Planning PART TIME RN position - the manager is looking for a candidate to work every Saturday 9-5, with potential...Remote jobHourly payFull timeTemporary workPart time$100k - $120k
...Nurse Care Coordinator Manager (RN) Clarity Pediatrics is reimagining pediatric chronic care, starting with ADHD. After successfully launching... ...assistants, and community health workers. Note this is a fully remote position. Key Responsibilities: Leadership...Remote jobFull time$42 - $45 per hour
...Job Description Job Description Title: Care Management Coordinator/RN Location: 100% Remote Duration: 3+ Months (FT conversion) This is a Utilization... ...of the Medical Affairs Utilization Management (UM) Department to use InterQual (IQ) criteria for the case...Remote jobHourly payFull timeTemporary workPart timeFlexible hoursWeekend work2 days per week
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