Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Senior Medical Management Clinician — Remote RN/LPN

Elevance Health, Inc.

Salem, OR
  • Remote job

Elevance Health is seeking a Medical Management Clinician Senior to ensure appropriate administration of plan benefits by reviewing clinical information and assessing medical necessity under guidelines and policies. The role may collaborate with providers and serves as a resource for junior clinicians. The position is located in Virginia with virtual full-time work and required in-person training sessions. Schedule is Monday–Friday, 8am–5pm EST, with overtime opportunities. #J-18808-Ljbffr Elevance Health, Inc.

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Senior Medical Management Clinician — Remote RN/LPN in Salem, OR vacancy
  • Elevance Health is seeking a Medical Management Clinician Senior to manage complex utilization reviews and clinical decisions within Virginia. The role...  ...or utilization review experience, hold an active RN/LPN license, and may #J-18808-Ljbffr The Elevance Health Companies... 
    Remote job
    Senior

    The Elevance Health Companies, Inc.

    Norfolk, VA
    5 days ago
  • Elevance Health, Inc. is seeking a Medical Management Clinician Senior to ensure accurate administration of plan benefits by reviewing clinical information...  ...also serves as a resource for junior clinicians. Remote-friendly with in-person training sessions; schedule is Monday... 
    Remote work
    Senior
    Monday to Friday

    Elevance Health, Inc.

    Richmond, VA
    2 days ago
  • $5,000 per month

     ...Status: Part-Time Is Remote Position: No PayRate...  ...Ensures that Medication Aides are maintaining...  ...quality resident care Manages shift coverage when staff...  ...Requirements: Current state LPN/LVN or RN License if required by...  ...Us: As a Sinceri Senior Living company, we are... 
    Remote work
    Senior
    Hourly pay
    Part time
    Shift work
    Weekend work

    Hcshiring

    Louisville, KY
    1 day ago
  • $60.2k - $107.4k

     ...State of Texas. The chosen Senior Clinical Administrative RN would be responsible for...  ...benefits, contracts, and medical policy Review denial...  ...experience, including utilization management, medical necessity review...  ...with Medical Directors, clinicians, or cross‑functional... 
    Remote job
    Senior
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    UnitedHealthcare

    Houston, TX
    2 days ago
  •  ...registered nurse to enhance frail seniors' ability to age in place by...  ...care and educate members to manage chronic conditions, reducing hospital...  .... Ideal candidates have CA RN licensure, ASN, and 3+ years...  .... This role offers mostly remote work from the LA area with occasional... 
    Remote job
    Senior

    SCAN

    Los Angeles, CA
    4 days ago
  • UnitedHealth Group is seeking a Senior Clinical Administrative RN to support Texas remote reviews of appeals and fair hearings. The role emphasizes clinical review, chart audits, and collaboration with cross-functional teams to ensure accurate determinations and compliance... 
    Remote job
    Senior

    UnitedHealth Group

    Houston, TX
    5 days ago
  • Dilkon Medical Center in Dilkon, AZ is seeking an experienced RN Case Manager to coordinate mental health services for pediatric to geriatric patients. You will work with...  ..., quality care across WIHCC sites, including remote duties as needed. The role emphasizes adherence... 
    Remote job
    Senior

    Dilkon Medical Center | Winslow Indian Health Care Career Pa...

    Phoenix, AZ
    5 days ago
  •  ...Occupational Health Registered Nurse for a 100% remote role supporting the USPIS contract. The RN will lead national Occupational Medical and Health Services programs, including...  ..., wellness initiatives, and medical case management. Occasional travel to training sites is... 
    Remote job
    Senior
    Hourly pay
    Contract work

    Cape Fox Corp

    New York, NY
    5 days ago
  •  ...quality, accuracy and regulatory alignment. RN/LPN/LVN license required, with a strong eye...  ...evidence-based rationales, proper medical citations, and professional report presentation...  ...supporting QA improvements and client satisfaction in a 100% remote setting. #J-18808-Ljbffr
    Remote work

    MCMC

    Atlanta, GA
    5 days ago
  • American Senior Communities seeks a Unit Manager for Rosewalk Village Indy in Indianapolis. The role is full-time days and requires RN or LPN licensure. The Unit Manager oversees nursing care on the unit, supervising licensed staff and ensuring compliance with professional... 
    Senior
    Full time

    Anew Care

    Indianapolis, IN
    17 hours ago
  •  ...Unit Manager (RN or LPN)Location: Clay County Health and RehabilitationJob...  ...Planning - Conduct comprehensive medical assessments, implement...  ...LMS offers free courses for senior care, health and human services...  ...telemedicine services and remote health monitoring to advanced... 
    Remote work
    Local area
    Shift work
    Night shift
    Day shift
    Afternoon shift

    Avardis Health

    Hayesville, NC
    2 days ago
  • Lansdowne Village in Missouri seeks a Unit Manager (LPN or RN) to lead nursing care for residents in a supportive, team-based environment. The role includes administering medications, creating care plans, and ensuring documentation meets regulatory standards. Qualified... 
    Senior
    Full time

    MGM Healthcare

    Saint Louis, MO
    1 day ago
  •  ...MES Solutions is seeking a self-driven RN or LPN to join our remote Clinical Quality Assurance team. You will oversee peer review reports, ensure alignment with client agreements and regulatory standards, and maintain high-quality documentation while protecting confidentiality... 
    Remote work
    Monday to Friday

    MES Solutions

    New York, NY
    2 days ago
  • Elevance Health, Inc. seeks a Medical Management Clinician based in Florida to support virtual work with required in-person training sessions. This...  ..., 4+ years clinical/utilization review experience, and active RN/LPN license with #J-18808-Ljbffr Elevance Health, Inc.
    Remote job

    Elevance Health, Inc.

    Tampa, FL
    5 days ago
  • LanceSoft is seeking a Healthcare - Care Review Clinician II for a remote role in the United States. The position involves medical necessity reviews and prior authorization work...  ...plan or IPA prior authorization and a CA RN or LVN license. Travel to client offices or hospitals... 
    Remote job
    Shift work

    Lancesoft

    Long Beach, CA
    3 days ago
  • $70k

     ...Are you an RN or LPN looking for an opportunity in focused wound care...  ...is full time, and is fully remote. Candidates must reside in the...  ...States. Assistant to the Medical Director - RN or LPN ~ Full...  ...coordinate corrective actions, and manage risk ~#IND102... 
    Remote work
    Full time
    For contractors
    Work at office

    Integrated Wound Care LLC

    Greenville, NC
    4 days ago
  •  ...MES Solutions is seeking a self-driven RN or LPN to join our remote Clinical Quality Assurance team. You will review peer review reports, ensure evidence-based rationales, and maintain compliance with client specifications, regulatory standards, and federal/state mandates... 
    Remote work
    Monday to Friday
    Afternoon shift

    MES Solutions

    New York, NY
    4 days ago
  •  ...Precertification Nurse - LPN/RN Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration...  ...: Monday to Friday Location: Remote. Will need to be in Hamilton NJ...  ...- Preferred InterQual/Review Manager/CERME CPT and ICD-9/ICD-10... 
    Remote job
    Full time
    Work at office
    Monday to Friday

    Medlogix

    Trenton, NJ
    1 day ago
  • Elevance Health seeks a Medical Management Clinician Associate in Florida. The role supports virtual work with in-person training sessions, requiring residence in Florida and compliance with hybrid/virtual work policies. License and licensure in-state are required, with... 
    Remote job

    Elevance Health (Anthem)

    Tampa, FL
    2 days ago
  • $80k - $85k

    About LakeHouse Senior Living LakeHouse Senior Living operates...  ...of licensed nurses, care managers, and support staff to...  ...wellness checks, medication management, and service plan...  ...Qualifications: Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in good standing... 
    Senior
    Full time
    Work at office
    Local area

    LakeHouse Senior Living

    Chippewa Falls, WI
    3 days ago
  •  ...Solutions is seeking a Clinical Quality Assurance Coordinator to review peer reports remotely and ensure accuracy, citations, and regulatory compliance. The role requires an active RN or LPN license and at least two years of clinical experience. You will verify client... 
    Remote job
    Monday to Friday

    MES Solutions

    Norwood, MA
    3 days ago
  •  ...Clinical Coordinator - LPN or RN role at Paradigm 2...  ...accountable specialty care management organization focused...  ...seeking a full-time remote Clinical Coordinator (...  ...and manage a range of medical and health care related...  ...protected class. Seniority level ~ Seniority level... 
    Remote work
    Full time
    Part time
    For contractors
    Relief
    Live in
    Local area
    Monday to Friday
    Flexible hours
    Weekend work

    Paradigm

    Orlando, FL
    4 days ago
  • Maximus is seeking a Lead Coordinator - Clinical Review, an LPN or RN, to support the California Independent Medical Review (CA IMR) team. This fully remote, non-bedside role involves reviewing medical records, extracting key clinical information, and preparing clear summaries... 
    Remote job

    Maximus

    New York, NY
    2 days ago
  • $60.2k - $107.4k

     ...and support of members about management of their health and well-being...  ...the flexibility to work remotely from anywhere within the U.S....  ...customer service setting addressing medical/health questions Own...  ...~ Current and unrestricted RN compact license ~4+ years of... 
    Remote job
    Senior
    Minimum wage
    Full time
    Work experience placement
    Local area
    Monday to Friday

    UnitedHealth Group

    Omaha, NE
    2 days ago
  •  ...Summary Provides education to medical providers as warranted....  ...Location: This a full-time remote position . You will work an 8-...  ...: Required Education: If LPN, graduate of accredited School...  ...Licensed Vocational Nursing; If RN, graduate of approved School of... 
    Remote work
    Senior
    Full time
    For contractors
    Work experience placement
    Work at office
    Local area
    Shift work

    BlueCross BlueShield of South Carolina

    South Carolina
    3 days ago
  •  ...and logging of chronic care management activities, and provider and...  ...area as well as working from remote depending on training and productivity...  ...Review and organize patient medical records in preparation for...  ...CMA) or licensed nurse (i.e. LPN or RN). Must be licensed in the... 
    Remote work
    Full time
    Monday to Friday
    Flexible hours

    Your Health

    Atlanta, GA
    1 day ago
  •  ...specialized healthcare organization is seeking a dedicated Assistant to the Medical Director, requiring an active RN or LPN license and significant wound care knowledge. This full-time remote role involves supporting the Clinical Director through administrative and clinical... 
    Remote job
    Full time

    Integrated Wound Care

    Greenville, NC
    3 days ago
  • $725 per month

     ...Health and Wellness Director Bench - LPN or RN at Brookdale Senior Living, Chandler, AZ. Through on‑the...  ...Director role, including people management, clinical management, quality care and...  ...electronic documentation. Benefits Medical, dental, vision insurance. 401(k) with... 
    Senior
    Hourly pay
    Temporary work
    Work at office
    Flexible hours

    Brookdale Senior Living

    Chandler, AZ
    2 days ago
  • ArchWell Health in Tampa, FL is seeking a Nurse Care Manager to coordinate and evaluate care for patients with acute and chronic conditions across the care continuum. You will work closely with the care team to develop and execute individualized care plans, ensuring regulatory... 
    Remote job
    Senior

    ArchWell Health

    Tampa, FL
    4 days ago
  • $160k - $180k

     ...About the Role: The Senior Director of Clinical...  ...every workflow it asks clinicians to follow is protocol-based...  ...Planned Parenthood's medical leadership across the...  ...themselves. This role is remote, with periodic travel...  ...clinical background (RN, NP, PA, or equivalent)... 
    Remote work
    Senior
    Local area
    Work from home

    Planned Parenthood of Orange and San Bernardino Counties

    United States
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Medical Management Clinician — Remote RN/LPN. Be the first to apply!