Remote Utilization Care Manager (RN/LPN)
Piper Companies
Piper Companies is seeking an Episodic Care Manager for a fully remote opportunity within the healthcare and managed care industry.
This Episodic Care Manager position is a long-term contract role responsible for conducting utilization reviews, evaluating medical necessity, coordinating clinical determinations, and collaborating with providers and internal healthcare teams to support quality member outcomes.
#J-18808-Ljbffr- ...Molina Healthcare Wisconsin Virtual Hiring Event Molina Healthcare is looking for dedicated Care Managers (RN, LPN, BH licensed) across Wisconsin to provide compassionate, coordinated care to our members. Join a team committed to improving health outcomes and delivering...Remote work
- ...ensuring that patients receive high-quality care while efficiently utilizing medical resources. Reviews patient... ...: ~ Registered Nurse (RN) licensure in the state of practice:... ...communication variances to the on-site care management teams when appropriate. Reviews and analyzes...Remote jobWork experience placement
- ...Gateway Electronic Medical Management Systems, Inc. is seeking a Nurse Care Manager (RN/LPN) for a 100% remote role in Michigan. This Independent Contractor position involves telephonic patient encounters and coordinating chronic care plans for patients with multiple chronic...Remote workFull timeFor contractorsFlexible hours
$68.5k - $80k
...Geriatric Complex Care Manager Bluestone delivers great outcomes... ...administrative colleagues who work remotely or at our corporate offices... ...status. Gaps-in-Care & Utilization Management: Proactively... ...Licensed personnel preferred - LPN, RN, or Social Worker. ~3-5...Remote workFull timeTemporary workWork at officeFlexible hoursWeekend workDay shiftAfternoon shift- Evry Health is seeking an RN Integrated Care Coordinator (UM) to provide comprehensive... ...ensure high-quality care in a remote environment, with rotating weekend utilization review coverage. The candidate... ...have 1-2 years in utilization management, 3-5 years clinical experience,...Remote job
- ...Enlyte is seeking a Telephonic Case Manager (RN/LPN) in New Jersey for a temporary, full-time, work-from-home assignment. The role involves collaborating with physicians, employers, and patients to develop and implement treatment plans aimed at safe, cost-effective recovery...Remote workFull timeTemporary workWork from home
- ...hospitals and a growing network of ambulatory care centers across Orange and Los Angeles... ...is responsible for implementing the utilization management process for patients admitted to the... ...communication skills in EnglishCurrent RN LicenseComputer literacy and proficiencyAll...Remote jobDaily paidWork at officeMonday to Friday
$77.91k - $116.86k
## Delegation Oversight Auditor Utilization/Case Management (LVN/RN Required) RemoteApply: Fully Remote: Anywhere in the U.S.: Full time: Posted Today: End Date: October... ...is breaking the mold in conventional health care, committed to serving seniors and those who need...Remote jobFull timeWork at office$32.13 - $48.2 per hour
...Registered Nurse (RN) The Registered Nurse (RN) will utilize the nursing process of... ...ensure quality-nursing care and to maximize the... ...oversight of LPN assessments (as assigned... ...strategically and conceptually, manage multiple projects... ...and verbal Remote Type: On-site...Remote workFlexible hoursShift work- ...in the NY area is seeking experienced REMOTE Care Managers CANDIDATES MUST RESIDE IN THE METROPOLITAN... ...s representatives, and specialis ts.Utilizes benefit structure and community-based... ...workflows Background RN, State of NY Previous Care Management...Remote work
- ...and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities... ...in clinical practice and knowledge of Utilization Review Guidelines. The position offers...Remote work
$32.13 - $48.2 per hour
...Responsibilities: Provide care by professional... ...for assigned patients. Utilize best practices and evidence... ...: Registered Nurse (RN): Holds full accountability... ...plans. Supervises LPN and nursing assistant... ...as appropriate. Remote Type Salary Range:...Remote workRelocation packageShift work- ...RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital – Albuquerque... ...skills. *Inpatient *Outpatient *Utilization Management *SRMC Care Management *... ...patient interaction. · Primarily a remote work from home position once applicant...Remote workFull timePart timeReliefWork from homeRelocation packageMonday to FridayNight shiftDay shiftAfternoon shiftWeekday work
- ...RN Care Manager *F/T Variable* Santa Monica, California Full Time RN Care Manager with our Care Management Team at our Cedars-... ...years' Experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions in Practice...Remote workFull timeContract workShift workWeekend work
- ...Longitudinal Care ManagerThe Longitudinal Care Manager provides ongoing care coordination and... ..., and appropriate utilization of services. This role supports... ...Qualifications:Current NYS RN licenseExperience in case... ...care management or remote patient monitoring.Familiarity...Remote work
$40 - $42 per hour
...from IMCS Group Dedicated Manager Leading Service... ...Clinical - LTSS Service Care Manager Duration: 6 months... ...will include 80% travel. Remote role. Will require a... ...medical health records • RN and/or LCSW – (Physical... ...Health, Care Management, Utilization Mgt, Home Health – all...Remote workContract workWork at officeShift workNight shift$41.2 - $62.17 per hour
Job Description: The RN Hospital Care Manager I delivers comprehensive care management services to... ...Demonstrated experience in case management, utilization review, value-based care, and/or... ...and expectations. If applying for a remote or hybrid role, this includes remote...Remote workHourly pay- ...delivering exceptional patient care. As our practice... ...role is ideal for an RN or LPN who enjoys patient education... ...office-based and utilizes the electronic medical... ...skills. Ability to manage multiple priorities in... ...afternoons off! Hybrid remote work may be available following...Remote workFull timePrivate practiceWork at officeMonday to FridayFlexible hours
- ...Position Title: Care Manager RN Work Location: Remote - FL Assignment Duration: 3 Months Potential to extend or conversion Work Schedule... ...and interventions, maintaining compliant records, and utilizing care management platforms, EMRs, and Microsoft Office...Remote workWork at officeMonday to Friday
$41.2 - $62.17 per hour
...R176241 Job Description: The RN Hospital Care Manager I delivers comprehensive care management... ...Demonstrated experience in case management, utilization review, value-based care, and/or... ...and expectations. If applying for a remote or hybrid role, this includes remote...Remote workHourly payFull time- ## Nurse Care Manager (RN or LPN)Apply: Independence, MO: Full time: Posted Today: R - 26624**Job Description:****Job Title:** Nurse Care Manager... ...chronic diseases.* Facilitate health education groups utilizing advanced knowledge of complex medical conditions.* Manage the...Full timeLocal area
- ...CVS Health Corporation seeks an experienced Registered Nurse (RN) to support 24/7 Utilization Management operations. You will review cases, assess medical necessity, coordinate care, and ensure members receive appropriate, high-quality healthcare services. Join a dynamic...Remote workWork from home
- ...Opportunity Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready... ...of independence and collaboration allows you to fully utilize your clinical expertise while continuing to grow professionally...Remote workWork at officeWork from homeFlexible hours
$62.66k - $84.17k
...United States to confidently care for their loved ones at home... ...of in-person home visits, remote coaching and our proprietary... ...The Registered Nurse (RN) Care Manager or Licensed Social Worker (LSW... ...coaching to drive effective utilization of established best practices...Remote workFlexible hours$83.2k
...Job Title: Virtual Care Nurses (RN, LPN/LVN) Location: 100% Remote - United States Employment Type: Full-Time W2 Hourly Compensation: RN $40... ...accurate, timely, and confidential patient records. · Utilize electronic health record systems (CT360, RXNT, Zoom)...Remote workHourly payFull timeWork from homeHome officeFlexible hours- ...Care Manager RN The Care Manager RN leads the coordination of a multidisciplinary team to... ...exemplary computer skills and be able to utilize multiple systems when interacting with... ...Insurance Company Locations 500 Renaissance Ctr, Detroit, MI, 48243, US (Remote)...Remote work
$41.2 - $62.17 per hour
...R185441 Job Description: The RN Ambulatory Care Manager I delivers comprehensive ambulatory care... ...or case conferences when necessary. Utilizes team-based care approach referring and... ...and expectations. If applying for a remote or hybrid role, this includes remote...Remote workHourly payFull timeWork at officeShift workDay shift$60.2k - $107.4k
...global organization that delivers care, aided by technology to help... ...forward. As a Telephone Case Manager RN with UnitedHealth Group, you'... ...the flexibility to work remotely from anywhere within the U.S.... ...discharge planning Experience in utilization review, concurrent review, or...Remote workMinimum wageFull timeWork experience placementLocal areaMonday to Friday- Elevance Health is seeking a Wound Care Utilization Management RN to work primarily virtually with periodic in-person training sessions. The role requires an active RN license, WOCN or CWS certification, and at least 3 years in diverse health care settings. The RN will...Remote jobWork from home
$81.1k - $116.48k
...Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote Join to apply for the... ...& Grievances (A&G) unit manages member complaints,... ...grievances, claims processing, utilization review, or case... ...systems; experience with care management systems like CCMS...Remote jobFull timeMonday to FridayShift work
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