Remote Precertification Nurse Case Manager
CVS Health
CVS Health is seeking a Precertification Nurse Case Manager to support remote operations while meeting a 40-hour work week. You will review records to assess medical necessity, coordinate with care teams, and communicate decisions to providers and members as part of a high-quality, cost-conscious care program.
Requires active RN license, 3+ years of clinical practice, and the ability to work across time zones from home with occasional on-site requirements near New Albany, OH, Chandler, AZ or
#J-18808-Ljbffr- ...CVS Health is hiring a Precertification Nurse Case Manager to review medical records and determine medical necessity for elective procedures. You will communicate determinations to providers and members and guide members through the health care system with our care management...Remote workLocal areaAfternoon shift
- ...Indiana. Location: Hybrid or Remote working options. Corporate... ...position. Job Summary The Case Manager will evaluate medical necessity... ...systems. Prepare precertification and/or case management reports... ...Qualifications Current and active Nursing license - Registered Nurse....Remote workCasual workH1bWork at officeRelocation
$3,138 per week
...Registered Nurse (RN) | Case Manager Location: San Francisco, CA Agency: Cynet Health Pay: $3,138 per week Shift Information:... ...primary work will be virtual. Two days on-site and three days remote each week. BLS and CA RN licenses are required....Remote workFull timeContract workShift work3 days per week$37.45 - $57.29 per hour
...a compassionate hospice team where your nursing expertise helps patients experience comfort... ...clinical judgment to assess symptoms, manage care, provide education and emotional support... ...and expectations. If applying for a remote or hybrid role, this includes remote work...Remote workHourly payFull timeWork experience placementMonday to Friday$2,224 per week
...Registered Nurse (RN) | Case Manager Location: Everett, WA Agency: Atlas MedStaff Pay: $2,224 per week Shift Information: Days... ...we’re not either since a lot of our team has been working remote since the pandemic), but you are part of the Atlas Community...Remote workHourly payFull timeContract workWork at officeShift workWeekend work- ...Registered Nurse (RN) | Case Manager Location: Florida Agency: Lifelink Healthtech LLC Pay: Competitive weekly pay (inquire for details... ...# Job Title: RNUtilization Review # Location: REMOTE # Contract Duration: 13 Weeks # Start Date: 10/26/2026...Remote workWeekly payPermanent employmentFull timeContract workWork experience placementImmediate startMonday to FridayShift work
$2,716 per week
...Registered Nurse (RN) | Case Manager Location: Bethel, AK Agency: Revolution Healthcare Services Pay: $2,716 per week Shift Information... ...Full-time, 40 hours per week. Position requires travel to remote villages to provide on-site services and training. Variable...Remote workFull timeContract workWork at officeShift work- Working as a Nurse Case Manager at Cunningham Childrens Home means youll be part of team that is dedicated to supporting youth in critical need... ...in a rotating on-call schedule, primarily providing remote phone consultations, ensuring accessibility without the need...Remote workTemporary workRelocationRelocation packageFlexible hours
$25 - $32 per hour
...HealthWorks Medical is seeking an experienced RN or LPN Nurse Case Manager to join our Marine Medical Management team. The role offers a Monday–Friday, 8 AM–5 PM schedule with a path to fully remote work after onsite training. Compensation ranges from $25 to $32 per hour...Remote workHourly payMonday to Friday$74.5k - $104.3k
...the chance to make a real difference in people’s lives. As a Nurse Case Manager, you will serve as a medical resource and educator, helping manage... ...an office setting, either on business premises or other remote location, using standard office equipment such as computers,...Remote workFull timeTemporary workWork at officeLocal areaFlexible hours- ...Remote Case ManagerAre you a licensed nurse with a passion for helping patients navigate their healthcare journey? Join our dedicated team at CareCore Health as a Remote Case Manager and make a difference in the lives of residents and families in our Long Term Care Communities...Remote work
- ...To support injured workers remotely, the full-time Registered Nurse Case Manager will create case management strategies, perform clinical assessments via telephone, and advocate for effective medical treatment while collaborating with various stakeholders. Key responsibilities...Remote workFull timeWork experience placement
- ...Elevance Health is seeking a Nurse Case Manager II in Kentucky to manage care plans, coordinate services, and optimize member outcomes. This remote role requires in-person training sessions and KY residency, with a hybrid/work-from-home structure and weekly onsite expectations...Remote workWork from home
$70k - $80k
...Training & development We’re Hiring! RN Case Manager/Operations – Northern Cali Location: Northern Cali (Hybrid – Part Remote, Part In-Person) Type: Full-Time... ...Case Management is looking for a Registered Nurse Leader (RN) to join our team! You'll be helping...Remote workFull timeLocal areaWork from homeMonday to FridayFlexible hoursShift workAfternoon shift- ...Logistics (AGL) is seeking a skilled Registered Nurse to support medical clearance processes for... .... The role centers on assessment, case management, scheduling, and coordination with medical providers, with options for remote work. Ideal candidates hold an active RN license...Remote work
$71k - $104k
...Workers' Compensation Telephonic Nurse Case ManagerThe Workers' Compensation Telephonic Nurse Case Manager is responsible for evaluating and expediting appropriate, cost... ...component of the position. This is a full-time remote position.Knowledge and SkillsExcellent verbal...Remote workFull time$90k - $110k
...Nurse Care ManagerServes as a member of the Coordinated Whole Health... ...Health Plan, the Nurse Care Manager conducts telephonic care disease... ...team when appropriateReview cases with medical directors on challenging... ...$90,000 to $110,000 annually.Remote TypeHybridWork Location399...Remote workFull timeWork at officeMonday to Friday- ...Logistics (AGL) seeks an experienced registered nurse to join a multidisciplinary team and... ...medical knowledge to care plans. This remote role requires an active RN license and a... ...clinical nursing experience focused on case management. CCM or ACM certification may substitute...Remote work
- ...TRIUNE Health Group is seeking a Nurse Case Manager to coordinate resources and create flexible, cost-effective options for catastrophically or chronically ill or injured individuals, enabling timely return to work when appropriate. The role involves case management across...Remote workFlexible hours
$65k - $70k
...Nurse Case Manager – Workers' CompensationLocation: Maitland, FL Work Arrangement: Hybrid preferred, remote considered Schedule: Monday–Friday, 8:00 AM–4:30 PM ET Salary: $65,000-$70,000 annually Licensing Requirement: Active RN license requiredBuild Your Career With Purpose...Remote workWork at officeMonday to Friday- ...Help Injured Workers Recover. Make a Meaningful Impact with Great West Casualty Company. Nurse Case Manager Hybrid Schedule: 3 days in office, 2 days remote upon successful completion of training. At Great West, we are committed to helping our customers and...Remote workWork at office
- ...Elevance Health in the United States seeks a Telephonic Nurse Case Manager II to oversee care management for members with complex and chronic care needs, focusing on assessing, developing, implementing, coordinating, monitoring, and evaluating care plans in a flexible...Remote workFlexible hours
- ...Nurse Case Managers are licensed nursing professional responsible for coordinating continuum of care and discharge planning activities, developing... ..., or patient's home which may be in understaffed/remote areas, in the presence of pets, or members/family members that...Remote workWork at office
$96k - $105k
...Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. Brief summary of purpose: The Assessment Nurse Case Manager completes face-to-face home visits for new enrollees within 30 days of enrollment to onboard and completes regulatory...Remote workContract workLocal areaHome office- ...Elevance Health is seeking a Nurse Case Manager II to manage care plans telephonically for members with complex and chronic needs. The role requires assessing, developing, coordinating, and monitoring care plans to optimize health outcomes. Requires a BA/BS in a health...Remote work
- ...Elevance Health is seeking a Telephonic Nurse Case Manager I to assess, develop, implement, coordinate, monitor, and evaluate care plans for members with complex needs. The role operates telephonically with occasional in-person onboarding as required. Requires BA/BS in...Remote work
- ...Elevance Health seeks a Telephonic Nurse Case Manager II to oversee care management for members with complex chronic needs. The role is performed... ...vary by location (e.g., NY/VA) with a comprehensive benefits package and a hybrid/remote work arrangement. #J-18808-LjbffrRemote workWork at office
- ...Elevance Health is seeking a Nurse Case Manager I for a fully remote, full-time role. The position supports care management for members with complex and chronic needs, via phone or on-site discharge planning, with mandatory in-person training sessions as required.Minimum...Remote workFull time
- ...Integrated Nurse Case ManagerSentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VA. This is a Full Time position with day shift hours... ....For positions that are available as remote work, Sentara Health employs associates in...Remote workFull timeTemporary workCurrently hiringDay shift
- ...Elevance Health seeks a Telephonic Nurse Case Manager II to manage complex patient care telephonically from California with multi-state licensure. The role requires RN licensure in California and 5+ years of clinical experience, plus the ability to assess and coordinate...Remote work
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