Remote Medical Management Nurse RN Case Expert
Elevance Health
Miami, FL
- Remote job
Elevance Health's AmeriBen unit seeks a Medical Management Nurse to review complex cases and determine medical necessity, coordinating with healthcare providers to ensure appropriate care and outcomes. The role supports in-person training within a hybrid/remote model and requires an active RN license with multi-state eligibility. It emphasizes nursing judgment, collaboration, and ongoing policy improvement across the organization. #J-18808-Ljbffr Elevance Health
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Medical Management Nurse RN Case Expert in Miami, FL vacancy
$82.99k - $112.63k
...meets patients where they are. Nursing that meets you where you... ...As a Continuum Home Health Case Manager RN, you serve as the clinical anchor... ...patient requiring complex medication reconciliation, followed by... ...models, including telehealth and remote monitoring initiatives...Remote workTemporary workWork experience placementLive inLocal areaImmediate startFlexible hoursShift workUVA Health
Charlottesville, VA3 hours ago$59.5k - $116.6k
UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote jobWeekend work- Working as a Nurse Case Manager at Cunningham Childrens Home means youll be part of team that is... ...residential services programs through: Medical case management Screening... ...on-call schedule, primarily providing remote phone consultations, ensuring accessibility...Remote workTemporary workRelocationRelocation packageFlexible hours
Cunningham Children's Home
Chicago Ridge, IL1 day ago $72k - $81k
MedWatch is seeking a Registered Nurse Case Manager to manage an individual caseload remotely, coordinating services, reviewing treatment plans for medical necessity, and maintaining active communication with the health care team. This home-based role emphasizes URAC-aligned...Remote jobWork from home- ...Registered Nurse: Review and EvaluationAre you a registered... ...through compliance management. Here, you'll champion... ...judgment to analyze medical records, documentation,... ...unrestricted Registered Nurse (RN) licenseStrong clinical... ...in utilization review, case management, quality...Remote workWork from home
The CKHobbie Group
Harrisburg, PA4 days ago - ...Are you a registered nurse ready to take your... ...through compliance management. Here, you'll... ...judgment to analyze medical records, documentation... ...Registered Nurse (RN) license Strong... ...utilization review, case management, quality... ...vulnerable populations Remote work - enjoy the...Remote workFull timeTemporary workWork at officeWork from home
The CKHobbie Group
Pittsburgh, PA2 days ago $2,098 per week
...Registered Nurse (RN) Case Manager Home Health/Hospice This RN Case Manager role focuses on coordinating... ...care or hospice plans. Manage medications, pain control, and symptom relief in... ...locations and coordination with remote team members. Emphasizes compassionate...Remote work$78k - $85k
...leading specialty risk manager for self-insured... ...teams, and expert support. We invest... ...a hybrid role of nurse case management and utilization... ...cases. The Medical Case Management... ...and good standing RN license in the state... ...disability status. #LI-Remote #LI-AJ1...Remote workLocal areaAvonRisk
Rocklin, CA2 days ago- ...Are you a registered nurse ready to take your... ...through compliance management. Here, you'll... ...judgment to analyze medical records, documentation... ...Registered Nurse (RN) license Strong... ...utilization review, case management, quality... ...vulnerable populations Remote work - enjoy the...Remote workFull timeTemporary workWork at office
The CKHobbie Group
Harrisburg, PA2 days ago - CorVel Corporation in Washington is hiring a registered nurse to serve as Medical Case Manager in the Tacoma/Olympia area. This role involves local travel and work from home, collaborating with injured workers, families and providers to manage caseloads in workers’ compensation...Remote jobLocal areaWork from home
- ...Telephonic Case Manager We are seeking a full-time, benefitted Telephonic Case Manager with compact RN license to work Monday – Friday in Eastern time zone. As a Telephonic... ...Case Manager (TCM), you will provide remote medical case management services to injured individuals...Remote workFull timeMonday to Friday
Paradigm
United States1 day ago - ...Immediate Hire for Hospice RN Case Manager Immediate hire for Hospice RN Case Manager to join our Hospice Team! We provide high-quality,... ...in the comfort and security of our patient homes. The Hospice Nurse Case Manager plans and delivers care to patients utilizing the...Remote workImmediate start
Silver Spring Healthcare Services
United States17 hours ago $100 per hour
...a Sr. Clinical Recruiter to join their Medical Consultant panel as an Expert Medical Independent Reviewer. This remote position requires Nurse Practitioners with at least 20 hours of... ...specialty. The pay ranges from $100 to $200 per case, depending on task duration, and...Remote workMAXIMUS
United States2 days ago- ...experienced Inpatient Coder to accurately code and abstract inpatient cases using ICD-CM, ICD-PCS, CPT and HCPCS. The role covers OBS, HAS,... ...compliance.Must reside in Northern California and work in a remote-capable setting with duties including physician interaction to...Remote work
Kaiser Permanente
Oakland, CA2 days ago - ...UnitedHealth Group seeks an Outpatient Medical Coder Edits for full-time remote work in the U.S. The role codes CPT... ...ER, observations, and complex cases, ensuring accuracy per policies and... ...ICD-10 guidelines, analyzing edits, managing Medicare APCs, and providing#J-1880...Remote workFull timeShift work
UnitedHealth Group
Eden Prairie, MN1 day ago $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 Management... ...as a Registered Nurse with at least 1 year of... ...hospital setting. ~ The AHH RN Case manager position...Remote workHourly payFull timeLocal areaWork from homeFlexible hoursCVS Health
Concord, NH4 days ago$52 per hour
...Medical Management And Health Education Program Representative The position is work from home... .... JOB QUALIFICATIONS: Registered Nurse (RN), with 3 years direct clinical care to... ...Experience in managing complex or catastrophic cases. ~ Certification in Case Management,...Remote workPermanent employmentWork from homeHireOps Staffing LLC
Skokie, IL2 days ago- ...Hospice Registered Nurse (RN) Case Manager HealthFlex is seeking a compassionate and experienced... ...nursing procedures. Administers medications and treatments as prescribed by the physician... ...Flexible Schedule Work Remote and Independently Successful Onboarding...Remote workDaily paidFull timePart timeWork at officeFlexible hours
HealthFlex Home Health and Hospice
Vacaville, CA17 hours ago - ...client is seeking a dedicated Case Manager to provide exceptional case... ...accurate documentation in the medical management system. Collaborate... ...of the following: Registered Nurse A minimum of two years of... ...to Hire Location : Remote We have openings available...Remote workFull timeContract work
TEEMA Group
Honolulu, HI28 days ago $41.2 - $62.17 per hour
...Home Health RN Case Manager The RN Home Services Case Manager leads... ...role serves as the primary nurse from admission through discharge... ...needed information, medication preparation, etc. Expected... ...expectations. If applying for a remote or hybrid role, this includes...Remote workHourly payWork from homeIntermountain Healthcare
Provo, UT4 days ago- ...Hospice RN Case Manager Anchor Health, a premier hospice organization, provides expertise, compassion... ..., and body. The Hospice Registered Nurse is an experienced registered... ...updates the plan of care. Performs prescribed medical treatments, including pain management and...Remote workMonday to Friday
Anchor Health
United States3 days ago $150 per hour
...Dorsey . Position: Utilisation Management / Case Management leader (RN/Physician-advisor) Type:... ...: $100–$150/hour Location: Remote Role Responsibilities Lead utilisation... .... Evaluate AI-generated medical necessity determinations, clinical...Remote workContract workSummer workNight shiftMercor
New York, NY6 days ago- ...We are seeking an experienced and compassionate Registered Nurse (RN) Case Manager to join our Hospice team. This role is responsible for managing... ...License (Required) Willingness to travel: ~75% (Required) Work Location: Hybrid remote in Bingham Farms, MI 48025...Remote work
Inhouse Hospice Llc
Franklin, MI8 days ago $175 per hour
...leading healthcare organization is seeking a Radiologist for a remote role at $175 to $375/hr. The ideal candidate will analyze AI capabilities... ...questions and provide comprehensive solutions to challenging cases. Collaboration with leading AI research teams is a key aspect,...Remote workContract workFlexible hoursCrossing Hurdles
United States2 days ago- ...RN, Nurse Case Management, Risk Management - Lakeland | Publix Super Markets, Inc. The purpose of this position is to provide medical evaluation, clinical management, and coordination of medical... ...of Work: 45 Hours Per Week; 1 Remote Work Day Frequency of Pay: Monthly...Remote workPermanent employmentTemporary workH1bWork at office
$49 per hour
...RN Hospice Case Manager We are hiring a full-time RN Hospice Case Manager to join the Athena Home... ...direct hospice care. The professional nurse builds from the resources of the community... ...nursing procedures. Administers medications and treatments as prescribed by the physician...Remote workWeekly payFull timeRelocationMonday to FridayShift workAthena Home Health & Hospice
United States1 day ago- Guidehealth is seeking a Remote RN Case Manager licensed in Illinois to support member management, enhance satisfaction, and navigate the health care system as part of Value Based Care Services. The role focuses on data collection, clinical review, and collaboration with...Remote job
- ...care utilizing basic nursing knowledge,... ...outcomes. Performs care management functions on-site or... ...This is a fully remote role where compact... ...programs and approved by medical management in order... ...: ~ Active RN license in current... ...experience Telephonic case management...Remote workHome officeAfternoon shift
Somatus
Tucson, AZ17 hours ago - Whether you are a Registered Nurse or Allied Health Professional looking for Travel, Long... ...Minimum of recent 2 years combined case management or clinical experience providing direct... ...InterQual, Meditech, Medicare or other medical management guidelines. Knowledge of legislative...Daily paid
- ...HealthPartners is hiring an RN Case Manager. This position exists to provide... ...physicians in addressing medical and social concerns; educate... .... This is a primarily remote position that includes several... ...Maintains current, active Minnesota nursing licensure. May maintain...Remote workLocal area
HealthPartners
Bloomington, MN1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Management Nurse RN Case Expert. Be the first to apply!
