Remote RN Care Manager | Utilization & Health Coaching
Highmark Health Company
Manchester, NH
- Remote job
Highmark Inc. is seeking a full-time REMOTE Care Management professional with weekend availability to coordinate utilization management and health coaching. You will review services for appropriateness, apply criteria, analyze data, and educate providers and members to improve outcomes and satisfaction. Required 3 years of progressive clinical experience; RN licensure in PA or multi-state licensure, and a Bachelor’s Degree in Nursing is preferred. #J-18808-Ljbffr Highmark Health Company
Vacancy posted 4 hours ago
Similar jobs that could be interesting for youBased on the Remote RN Care Manager | Utilization & Health Coaching in Manchester, NH vacancy
- ...Inc. is seeking a full-time remote Care Management professional available on weekends... ...the appropriateness of health care services, applying utilization criteria, and identifying referrals to Health Coach/case management. The job requires RN licensure and clinical...Remote jobFull timeWeekend workWeekday work
- Archimedes is seeking a Telehealth RN Case Manager to enhance member health through remote nursing support and clinical outreach programs. The role focuses on tele-pharmacy, adherence improvement, and cost-effective formulary options, with oversight of clinical resources...Remote jobWork at office
- Navitus Health Solutions seeks an RN Case Manager for Telehealth to improve members health through tele-pharmacy and outreach programs. You will support... ...adherence to HIPAA and regulatory standards. The role offers remote engagement with members and prescribers, with potential...Remote job
- 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
- Highmark Inc. seeks a full-time remote RN with case management and utilization management expertise to support healthcare quality... ...required. The role involves reviewing care appropriateness, applying criteria, referring to Health Coaching, and addressing quality issues while...Remote jobFull timeWeekend workWeekday work
- Aetna is seeking a Care Manager for a remote, full-time role with responsibilities spanning telephonic... ...and clinical judgment to assess health needs and arrange suitable care plans... ...multidisciplinary teams to optimize outcomes and utilization of benefits. #J-18808-Ljbffr...Remote jobFull time
$113.73k - $170.46k
...Sacramento, the Adventist Health corporate headquarters have... ...patients receive high-quality care while efficiently utilizing medical resources. Reviews... ...~ Registered Nurse (RN) licensure in the state of... ...variances to the on-site care management teams when appropriate. Reviews...Remote workFull timeWork experience placement$85.7k - $129.31k
...Job Description: The RN Utilization Review Care Management I leverages clinical expertise and critical... ...planning, managed care, health promotion, health coaching, behavioral health, or Patient... ...working successfully working in a remote environment or using Advanced Microsoft...Remote workHourly payReliefWork at officeFlexible hoursShift workWeekend work2 days per week- 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
- Independence Blue Cross seeks a Health Coach to provide nursing-led coaching and case management across the health continuum. You... ...and promote self-management in a remote-capable role serving the Tri-... ...You will ensure evidence-based care, coordinate services, and maintain...Remote job
- Highmark Health is seeking a full-time Remote Utilization Management/Case Management RN. The role reviews care appropriateness, applies criteria for resource use, refers to Health Coach/case management when needed, and analyzes data to improve provider and member satisfaction...Remote jobFull timeWeekend workWeekday work
- Highmark Inc. is seeking a Remote Care Manager with full-time commitment,... ...weekdays. You will implement utilization management strategies,... ...care, and coordinate with Health Coaching and case management to improve... ...member outcomes. Requires RN licensure, 3 years of clinical...Remote jobFull timeWeekend workWeekday work
- Highmark Inc. is seeking a full-time remote Health Care Manager to implement effective utilization management strategies, review care appropriateness, and identify opportunities for Health Coach/case management referrals. This role requires weekend availability (Saturday...Remote jobFull timeWeekend workWeekday work
- Highmark Health is seeking a full-time remote RN Care Manager to implement utilization management strategies and oversee care management reviews. The role includes collaborating with providers, coaching members, and improving provider and member satisfaction. Weekend availability...Remote jobFull timeShift workWeekend workWeekday work
- Highmark Health is seeking a full-time, remote Care Manager with weekend availability to support utilization management and care coordination across Saturday... ...referrals to Health Coaching and case management, and resolving... ...quality issues. Required RN licensure (PA or multi-...Remote jobFull timeWeekend workWeekday work
- ...United States is seeking a full-time RN care manager for a remote position requiring weekend... ...three weekdays. The role focuses on utilization management, reviewing care appropriateness... ...criteria, and guiding referrals to Health Coaching and case management....Remote jobFull timeWeekend workWeekday work
- ...Position Description: Telehealth RN Location: Remote (Telehealth) – Must hold an... ...aging and address mental health challenges by making high-... ...organization dedicated to older adult care, we use evidence-based... ...Behavioral Health Care Manager (Telehealth) Position Overview...Remote workFull timeLocal areaMonday to FridayFlexible hoursWeekend workAfternoon shift
Total Life Inc.
United States2 days ago - Highmark Inc. is seeking a full-time remote care manager in California to support utilization management across weekends and weekdays. The role reviews care... ...to optimize resource use, coordinates with Health Coaching and case management, and helps improve provider and...Remote jobFull timeWeekend workWeekday work
- Highmark Health is seeking a Remote Nurse Care Manager to implement utilization management strategies across care settings. The role requires weekend availability (Saturday... ...criteria, and coordinating referrals to Health Coaching and case management. The position emphasizes...Remote jobWeekend workWeekday work
- Banner Health is seeking a Behavioral Health Utilization Care Manager to oversee utilization reviews and authorize services across inpatient, residential, and outpatient settings. You will collaborate with hospitals, providers, and care teams to ensure medical necessity...Remote job
$23 - $51 per hour
Molina Healthcare, Inc. is seeking a Care Manager (RN) to support care management and coordination... ...a strong focus on improving member health outcomes and maintaining cost-effective... ...make a meaningful impact. The position is remote (US-based) with a full-time schedule...Remote jobHourly payFull time- ...by delivering person-centered care telephonically. You will develop... ...of care and educate members to manage chronic conditions, reducing hospital... .... Ideal candidates have CA RN licensure, ASN, and 3+ years in... .... This role offers mostly remote work from the LA area with occasional...Remote job
- Author Health, LLC is seeking a Care Manager (RN) to coordinate care for adults with behavioral health needs in a fully remote role. You will partner with interdisciplinary teams to improve health outcomes, reduce readmissions, and ensure smooth transitions from facility...Remote job
- Author Health, LLC is seeking a Care Manager (RN) to coordinate care for adults with behavioral health needs in a fully remote role across the United States. You will assess patients, remove barriers to care, develop personalized plans, and ensure safe transitions from...Remote job
- ...Texas-licensed RNs to work telephonically with Medicaid members across the state. Two tracks require 2+ years in behavioral health or addiction care; three require 2+ years in ICU/CCU/ED settings. Work mostly by phone with occasional in-person meetings; travel 25-40% as...Remote job
$28.28 - $47.13 per hour
Department Name: Behavioral Health Work Shift: Day Job Category: Clinical Care The future is full of possibilities... .... As a Behavioral Health Utilization Care Manager , you will be assigned to... ...work location will be entirely remote . This position does require Arizona...Remote workWork experience placementWork at officeMonday to FridayShift work$69.5k - $101k
WellSense Health Plan is a nonprofit health insurance... ...Summary The Clinical Care Manager provides holistic... ...and ensure appropriate utilization of healthcare services... ...unrestricted Registered Nurse (RN) license in the state... ...may be performed in a remote or community-based...Remote workTemporary workWork at officeFlexible hours- ...organization is seeking a Registered Nurse Care Manager to join a dynamic team focused... ...care for patients with complex health challenges. This role will... ...in a hybrid model that includes remote work. Ideal candidates will have a valid MA RN license, 3-5 years of nursing...Remote work
$140.8k - $202.4k
...Omada Health is on a mission to bend the curve of... ...The Senior Program Manager, Health Coaching reports to the VP, Operational... ...Health Coaching, Care Delivery, Clinical,... ...measurements. Utilize strong written and oral... ...plan (ESPP) ~ Remote first work from home...Remote workFull timeLocal areaWork from homeFlexible hours$90k
...affordable, improve the health of patients, and... ...remotely-embedded Healthguides... ...and a centralized Managed Service Organization... ...navigating the health care system as a collaborative... ...care team. As an RN Case Manager, the... ...Management. Knowledge of utilization review, quality...Remote jobBi-weekly payFull timeTemporary workFor contractorsWork experience placementWork from homeHome officeWeekend work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN Care Manager | Utilization & Health Coaching. Be the first to apply!
Related searches
- outpatient rn Manchester, NH
- sedation rn Manchester, NH
- ed rn Manchester, NH
- registered nurse office Manchester, NH
- labor & delivery rn Manchester, NH
- registered nurse remote Manchester, NH
- mother baby postpartum rn registered nurse Manchester, NH
- gastroenterology rn Manchester, NH
- rn iv therapy Manchester, NH
- registered nurse healthcare Manchester, NH