Remote Medical Management Nurse — Complex Case Specialist
Elevance Health
- Remote job
Elevance Health is seeking a Medical Management Nurse to review complex cases and apply nursing judgment to determine medical necessity. This role allows for virtual work but requires multi-state licensure as the position services members across different states. Qualified candidates must have at least an associate's degree in nursing and relevant experience in care management or clinical settings. The position emphasizes critical thinking and collaboration with healthcare providers for optimal patient outcomes. #J-18808-Ljbffr Elevance Health
- ...RN Specialist Utilizing key principles of case management, the RN Specialist will research and analyze... ...with high cost, complex medical conditions and telephonically... ...~ Registered nurse with current MN license... ...is working full time remote. Hybrid is a minimum of...Remote workFull timeFor contractors
- Elevance Health is seeking a Medical Management Nurse responsible for reviewing complex cases and determining service necessity. The role promotes quality outcomes... ...requires a flexible work schedule and allows for remote work, contingent on an effective connection with...Remote jobWork at officeFlexible hours
- Highmark Health is seeking a Complex Case Manager RN for a remote role focusing on health management needs of members in Pennsylvania. This position... ...clinical experience, and ideally a Bachelor’s Degree in Nursing. Strong organizational and interpersonal skills are essential...Remote job
$60.3k - $133.4k
...functions of Utilization Management (UM), Case Management (CM) and... ...care. The Primary Nurse Coordinator performs... ...Experience in managing complex or catastrophic health... ...Knowledge of medical management policies and... ...This is a Telecommute (Remote) role: Must reside within...Remote workTemporary workWork at officeLocal areaImmediate start- ...coordinate effective cross-system support for people with complex and dual-diagnosis needs to find hope, growth,... ...! In this County Intellectual Disabilities Program Specialist 1 position, you will serve as a Complex Case Coordinator for Dual Diagnosis and Cross-System...Remote workFull timePart timeCasual workWork at officeWork from homeMonday to FridayWeekend work3 days per week
$57.7k - $107.8k
...national healthcare organization is seeking a Case Manager to oversee a panel of members in need of... ...requirements. A Bachelor's Degree in Nursing and a minimum of 7 years of relevant... ...00 depending on experience. Please note, remote work may be considered. #J-18808-LjbffrRemote work- ...Integrated Nurse Case Manager/Registered Nurse/RN for Chronic/Complex Condition Sentara Health Plans... ...permissible Interfaces with Medical Directors, Physician... ...network, including specialists, primary care physicians... ...that are available as remote work, Sentara Health employs...Remote workPermanent employmentFull timeTemporary workWork from home
$52 per hour
...position is responsible for conducting medical management and health education programs for... ...Job Qualifications Registered Nurse (RN), with 3 years direct clinical... ...experience. ~ Experience in managing complex or catastrophic cases. ~ Certification in Case...Remote workPermanent employmentWork from home$54.1k - $155.54k
...Position Summary This is a remote work from home role... ..., Inc (AHH) is a medical management company that is a division... ...is URAC accredited in Case Management, Disease... ...barriers and address complex health and social indicators... ...as a Registered Nurse with at least 1 year of...Remote workHourly payFull timeLocal areaWork from homeFlexible hours- ...Services, LLC is seeking a compassionate Registered Nurse in Sanford, FL to fill a full-time field position focused on case management for injured workers. You will collaborate... ...receive optimal care. The role offers remote flexibility and a competitive annual salary of...Remote workFull time
$83.25k - $104.06k
Elevance Health is seeking a Transplant Nurse II to provide case and medical management for members receiving transplant services. This role enables virtual full-time work with occasional in-person training, promoting flexibility and productivity. The ideal candidate will...Remote jobFull time$72.7k - $116.6k
Highmark Health is seeking a Clinical Case Manager in Annapolis, Maryland, to oversee a panel of members with varying health needs. The role... ...goals. Preferred candidates will have a Bachelor's Degree in Nursing, strong clinical judgment skills, and experience managing...Remote job$72.7k
...clinical needs. The incumbent assesses health management needs of the assigned member panel and,... ...resources and manages an active case load of members enrolled in case management... ...GED Preferred : Bachelor's Degree in Nursing Experience Required : 7 years of clinical...Remote workTemporary workWork at officeLocal area- UnitedHealth Group is seeking a Complex Care Manager, RN to manage complex members' care. In this role, you will facilitate and... ...in Virginia and have substantial experience in case management. This position is remote with occasional travel required within Virginia. #J...Remote work
$72.7k
...clinical needs. The incumbent assesses health management needs of the assigned member panel and... ..., the incumbent will manage an active case load of members in his/her panel that are... ...Education Preferred ~ Bachelor's Degree in Nursing Experience Required ~7 years of...Remote workTemporary workWork at officeLocal area- RPMGlobal is looking for a Care Manager II to manage and coordinate care for medically fragile members with complex health conditions. This role... ...platforms. This position is remote but requires residence in... ...acuity healthcare settings and case management. #J-18808-Ljbffr...Remote job
$46.76 - $51.76 per hour
...Have ~5+ years Clinical nursing experience. ~2+ years Care Management. ~ Bachelor's Degree... ...Responsibilities Determines medical necessity and... ...services and treatments on a case by case basis.... .... CNS-Clinical Nurse Specialist Preferred. Cynet SystemsRemote jobWork experience placementWork at office$22 - $25 per hour
...a tech‑enabled medical group, we deliver... ...team of nurses, social workers... ...Enhanced Care Management providers in California... ...allows for remote work; however,... ...Community Engagement Specialist with delegated... ...in systematic case reviews and... ...individuals experiencing complex chronic needs,...Remote workFull timeWork experience placementLocal areaWork from homeFlexible hours$22 - $25 per hour
...a tech-enabled medical group, we deliver... ...team of nurses, social workers... ...Enhanced Care Management providers in California... ...allows for remote work; however,... ...Community Engagement Specialist with delegated... ...in systematic case reviews and... ...individuals experiencing complex chronic needs,...Remote workFull timeWork experience placementLocal areaWork from homeFlexible hours$22 - $25 per hour
...a tech-enabled medical group, we deliver... ...team of nurses, social workers... ...Enhanced Care Management providers in California... ...allows for remote work; however,... ...Community Engagement Specialist with delegated... ...in systematic case reviews and... ...individuals experiencing complex chronic needs,...Remote workFull timeWork experience placementLocal areaWork from homeFlexible hours$73k - $75k
Sedgwick in Oklahoma City is seeking a Case Manager to facilitate medical recovery for injured workers through... ...communication. This role combines remote work flexibility with important... ...current RN license and experience in complex medical case management. Compensation...Remote job- ...are seeking an experienced AML/BSA Case Analyst for a temporary, remote assignment supporting our financial... ...audit-ready documentation in case management and AML systems. Stay current on BSA... ...requirements. Demonstrated ability to analyze complex data , identify unusual activity,...Remote workHourly payFull timeContract workTemporary workPart time
- ...CorVel Corporation is looking for a Telephonic Case Manager to coordinate resources and develop personalized care plans for ill or injured individuals. This remote position requires a California RN Nursing License and involves communicating with physicians and assessing...Remote workFull time
- Medical Mutual is looking for a Case Manager II to provide support to members and their healthcare teams. This remote role requires managing complex cases, educating members about their health options, and... ...ideal candidate will have a nursing background with at least 3 years...Remote job
$70k - $105k
Elevance Health is looking for a Nurse Case Manager I based in Latham, New York. The position allows for virtual work with in-person training... ...Case Manager I will handle care management for members with complex needs, coordinating resources and developing care management...Remote job$75k - $88k
...Company Details Berkley Medical Management Solutions (BMMS)... ...workers' compensation cases. To get it right, we... ...Responsibilities As a Telephonic Nurse Case Manager, you... ...physicians and other specialist to ensure cost... ...including the scope, complexity and location of the role...Remote workFull timeFlexible hours- ...Lifesciences Belgium is seeking a Sr Specialist, Clinical Imaging to analyze... .... The role involves training, case planning, and optimizing patient outcomes based on complex imaging data. Located in... ...D.C., the position is open to remote candidates with occasional travel...Remote job
- ## RN Case Coordinator- Oncology BWHApplyremote... ...doctors, nurses, business people,... ...drive groundbreaking medical discoveries and invite... ...Oncology Case Manager/ RN Care Coordinator... .... Experience with complex patient... ...if applicable)****Remote Type**Onsite**Work...Remote workHourly payFull timeWork at officeWork from homeFlexible hoursShift workDay shift
$80k
...Detest Waste & Unnecessary Complexity - We remove friction... ...This Role The RN Case Manager serves as the primary... ...coordination. Collaborate with Medical Directors, Medical... ...Registered Nurse (RN) license. 3+ years... ...Comfortable working in a remote, tech‑enabled environment...Remote work$79.1k - $105.95k
...and length of stay of the patient are medically appropriate for inpatient stay. Evaluates... ...participation and compliance in the case/disease management program efforts. Documents... ..., claims, care coordination and other complex needs through explaining benefits and...Remote jobLocal areaMonday to Friday
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