Remote LVN: Utilization & Care Coordination Specialist
SHPCA SCAN Health Plan
SHPCA SCAN Health Plan is seeking a Medical Management Specialist‑LVN to promote the quality and effectiveness of care based on regulatory guidelines. This role is remote and requires a California Licensed Vocational Nurse. The ideal candidate will have a strong background in medical/surgical nursing and utilization management, with proficiency in maintaining documentation and managing complex cases. Benefits include a competitive salary range, remote work options, and a robust wellness program. #J-18808-Ljbffr
$107.95k
Hackensack Meridian Health is seeking a Care Coordinator in Edison, NJ to manage patient care and coordinate treatment plans. Your role will involve collaborating with healthcare teams, performing utilization reviews, and ensuring compliance with regulations. This position...Suggested$22.4 - $48.67 per hour
Mass Digital Health in Quincy, Massachusetts, seeks a Licensed Practical Nurse to coordinate, document, and communicate medical services effectively. The role requires a strong ability to navigate diverse clinical settings and manage sensitive information responsibly....Remote jobHourly pay- Navitus Health Solutions is seeking an RN, Utilization Case Manager to coordinate care between physicians, patients, and pharmacies in Earth City, MO. The ideal candidate will have strong utilization and case management experience, ensuring timely delivery of specialty...Suggested
$26.35 - $39.53 per hour
...NeueHealth is seeking a Concurrent Utilization Review Nurse responsible for real-time clinical reviews to ensure the medical necessity... ...healthcare services. The role includes conducting assessments, coordinating with providers, and collaborating with the Medical Director...Remote workHourly pay$26.35 - $39.53 per hour
...are entitled to high-quality, coordinated care. By uniquely aligning the... ...Job Summary The Concurrent Utilization Review (UR) Nurse is responsible... ...Vocational/Practical Nurse (LVN/LPN) with an active,... ...Corporate office preferred / remote may be considered. Collaborative...Remote workHourly payWork at office- ...seeks a Medical Management Specialist-LVN to ensure quality care for members. The role involves... ...medical cases and applying utilization management principles to support care coordination. To be successful,... ...communication skills. This remote position provides competitive...Remote job
- ...is seeking a licensed Practical Nurse (LPN/LVN) experienced in managed care UM to perform pre-service and post-service utilization reviews and appeals for DMEPOS, working... ...review benefit and medical necessity criteria, coordinate with clinical and non-clinical staff, and...Remote job
- ...that connects comprehensive care with a modern payment... ...Health is seeking a dedicated Utilization Management (UM) LVN. The UM LVN supports prior... ...authorization processes, coordinate clinical information, support... ...This position is fully remote Monday-Friday 8am - 5pm with...Remote jobLocal areaMonday to FridayShift work
- ...Molina Healthcare is seeking a remote field-based Care Coordinator to support LTSS care management. You will conduct member assessments, develop and monitor care plans, and collaborate with interdisciplinary teams to coordinate services and improve outcomes for high-need...Remote workWork at office
- ...Intermountain Health McKay-Dee Hospital in Ogden, Utah seeks a Care Management Assistant to coordinate patient care, communicate with doctors and families,... ...full-time, with a 40-hour work week, Monday through Friday, 8:00–16:30, and is partially remote. #J-18808-Ljbffr...Remote workFull timeMonday to Friday
- ...A company is looking for a Remote Care Coordination Representative. Key Responsibilities Process tasks related to Care Coordination services with a focus on accuracy and compliance Evaluate and electronically file medical documents into patient charts Provide exemplary...Remote workWork at office
$19.47 - $38.08 per hour
Optum in San Diego is seeking a Utilization Management Licensed... ...candidate will hold an active LVN license in California and have... ...clinical experience. You will coordinate services, communicate with health... ...providers to ensure quality care. Offering a competitive hourly...Hourly pay- ...Summary This role is responsible for managing the care coordination process surrounding specialist referrals for patients, ensuring that appropriate... ...Working conditions This job operates in a remote location from your home location. This role requires...Remote workWork at office
- Bracane Company, located in Dallas, Texas, is seeking a Client Care Coordination Specialist. This role is essential for coordinating patient intake... ...clinical staff. Work may include both office-based and remote tasks, with a focus on timely communication with patients...Remote workWork at office
- CareOregon is seeking an Intake Specialist for Hospice to receive and process new patient referrals... ...to clinicians, with a Tue-Sat schedule and remote work options. Responsibilities include maintaining EMR records, coordinating with billing for verification, and ensuring...Remote workWork at office
- Community Care of North Carolina is seeking a Care Management Support Coordinator to assist the Care Management Team. This non-clinical role involves scheduling, gathering documents, and supporting members in health care navigation. The ideal candidate should have a high...Remote job
$21.1 - $36.78 per hour
4062 Aetna Resources, LLC is seeking a Care Coordinator to join our Aetna care management team in Louisiana. This role offers the opportunity to make a life-changing impact on dual eligible populations by collaborating with members and healthcare professionals to coordinate...Remote jobHourly payFull timeWork at office- Case Management Society of America (CMSA) ® is looking for a Scheduling Coordinator who will facilitate appointment scheduling services primarily for patients and physician offices. Preferred candidates should live within 60 miles of Danville, PA or Pittston, PA. Responsibilities...Remote jobRotating shiftAfternoon shift
- Elevance Health is seeking an Outreach Care Specialist II to support virtual member care programs... .... The role emphasizes flexible, remote work with required in-person training,... ...quality metrics. Responsibilities include coordinating follow-up care, assessing compliance via...Remote jobFlexible hours
- The Coordinating Center employs around 300 highly qualified coworkers, including Registered Nurses, Licensed Social Workers, Support Planners... ..., and many more with vast experience in community-based care coordination. If you’re looking to work for an innovative nonprofit...Remote jobWork at officeFlexible hours
- ...Travel Planning Careers is looking for a reliable and service-focused Customer Care Coordinator. This remote role centers on providing timely support, managing client inquiries, and ensuring a smooth experience throughout the process. The ideal candidate will possess strong...Remote work
$40 - $60 per hour
...Remote Utility Support Assistant / Billing Coordination Clerk Remote position Position: Remote Utility Support Assistant / Billing Coordination Clerk Company Overview: Evolution Sports Group is a leading sports management company that specializes in providing...Remote workFull timePart timeWork at officeWork from homeHome officeFlexible hoursDay shiftAfternoon shift$18 - $24 per hour
A healthcare company is seeking a Remote Care Coordinator to assist clients with their healthcare and community needs. This role involves developing care plans, advocating for clients, and ensuring necessary resources are accessible. The ideal candidate will have a Bachelor...Remote workHourly payFlexible hours- ...is the largest chronic care management (CCM) service... ...an LPN Personal Care Coordinator is to care for patients... ...full-time, full-benefits remote role. All necessary... ...Maintaining proper utilization. Achieving a scheduled... ...Required Education: ~ LPN/LVN degree from an accredited...Remote workFull timeWork at officeMonday to FridayDay shift
- ...assist patients and families with long‑term care and community resources while patients... ...services through the TCHATT program. Remote work is available, but employees may be... ...position emphasizes education of staff, coordination of care, and documentation of outcomes....Remote jobWork at office
- MedicalOne Health LLC in California seeks an LVN‑based administrative professional to support home health operations. You will manage medical records, coordinate admissions, and ensure regulatory compliance while maintaining patient confidentiality in a fast‑paced environment...
- ...seeking a full-time Licensed RN to support high-quality care delivery. This remote role involves assessments for PCA and MDC services while... ..., and be proficient in MS Office. This position requires coordination with multidisciplinary teams and accurate documentation of...Remote jobFull time
$28 - $30 per hour
...Job Description Job Description LVN Admissions Coordinator Location: Ontario / Rancho Cucamonga... ...Coordinator Job ID: 75804 Remote/Virtual Position: NO Coverage Area:... ...Reimagine Your Career in Hospice Caring for others is more than what you do —...Remote workWork at officeFlexible hours- Medium is seeking a reliable Customer Care Coordinator to support client communications and coordination tasks. The role focuses on providing... ...support and ensuring a positive client experience, fully remote and designed for organized individuals. Key responsibilities...Remote job
- ...fastest-growing in the Bay Area. Today, we care for more than 4,000 patients across San... ...field visiting patients in their homes. Remote/work-from-home positions are not... ...specifically noted. Weekend Clinical Intake Coordinator (LVN / RN) Full-Time Role; Saturday -...Remote workFull timeTemporary workWork at officeLocal areaWork from homeFlexible hoursWeekend workWeekday work
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