Remote Medical Management Nurse (RN) - Complex Case Expert
The Elevance Health Companies, Inc.
Indianapolis, IN
- Remote job
Elevance Health is seeking a Medical Management Nurse (RN) to review complex cases and determine medical necessity with nursing judgment. The role involves collaboration with healthcare providers, consultation with the Medical Director, and supporting clinicians in assessing and improving member care. Position supports virtual work with required in-person training sessions; travel or alternate locations may be considered within commuting distance and subject to policy. #J-18808-Ljbffr The Elevance Health Companies, Inc.
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Medical Management Nurse (RN) - Complex Case Expert in Indianapolis, IN vacancy
- ...communicate resolutions. You will handle complex cases, coordinate with legal professionals,... ...arbitrations, or hearings as needed. This remote-friendly role supports flexible... ...professional growth. With five years of claims management experience and a preferred bachelor's...Remote jobFlexible hours
- ...Blue Corporation seeks a Senior PB Coder to code complex professional billing encounters and serve as an expert on coding compliance and accuracy. You will support... ...education, feedback, and resolution of difficult cases, ensuring adherence to regulations and internal policies...Remote job
- Addison Group is seeking an experienced Inpatient Coder to support a 900+ bed academic medical center. This remote role emphasizes accurate sequencing and audit-ready charts across diverse inpatient specialties. The ideal candidate will have 1+ year inpatient coding experience...Remote jobFull timeFlexible hours
- ...regional health system to hire experienced Inpatient Medical Coders for a fully remote contract opportunity. This role supports a high-acuity... ...is ideal for coders with strong experience handling complex inpatient cases. The role requires at least three years of inpatient...Remote jobContract workWork from home
- ...regional health system to hire experienced Inpatient Medical Coders for a fully remote 6-month contract. This role supports high-acuity, multi-specialty cases and is ideal for coders with strong experience handling complex inpatient cases. Primary duties include inpatient...Remote jobContract workWork from home
$29 - $52 per hour
...RN Case Manager Optum NY, is seeking an RN Case Manager... ...clinical operations and medical management activities... ...requiring a Registered Nurse (RN) qualification.... ...the flexibility to work remotely from anywhere within the... ...plan case management, complex and disease case...Remote jobHourly payMinimum wageFull timeWork experience placementWork at officeLocal area$89.54k - $136.47k
...Health Plansis hiring an Integrated Nurse Case Manager/Registered Nurse/RN for Chronic/Complex Condition in Fredericksburg,... ...as permissible Interfaces with Medical Directors, Physician Advisors and... ...Fredericksburg, Spotsylvania, VA, Remote, Virginia We provide market-...Remote workPermanent employmentFull timeTemporary workShift workVirginia
Fredericksburg, VA27 days ago- WPS—A health solutions company in the United States is seeking a Case Management RN to coordinate care for members with complex health needs. You will develop and monitor a member-centric plan of care and educate families on plans of care, acting as a liaison among members...Remote job
- Elevance Health is seeking a Medical Management Nurse in Indianapolis, IN. The role requires reviewing complex cases to determine medical necessity, using nursing judgement and... ...clinical/utilization review, and an active RN license with multi-state licensure. The position...Full time
- A leading health organization is seeking a Facility Coding Inpatient Complex Coder. In this remote role, you will review and code inpatient records, ensuring compliance with healthcare coding standards. Candidates should hold a CCS certification and have at least three...Remote jobFlexible hours
- Aurora Health Care in Wisconsin seeks an experienced medical coder to handle complex professional fee coding for physician services in office and hospital settings. You will also perform facility coding for outpatient and basic inpatient encounters, ensure compliance with...Remote jobWork at office
- ...Examiner for Workers Compensation to analyze complex claims and determine benefits due. The... ...requires at least 5 years of claims management experience and strong skills in negotiation... ...'s degree is preferred. This is a remote position with a duration of over 3 months...Remote job
- ...regional health system to hire experienced Inpatient Medical Coders for a fully remote contract opportunity. This role supports a high-acuity... ...is ideal for coders with strong experience handling complex inpatient cases. Responsibilities include accurate inpatient coding across...Remote jobContract work
- ...regional health system to hire experienced Inpatient Medical Coders for a fully remote contract opportunity. This role supports a high-acuity... ...is ideal for coders with strong experience handling complex inpatient cases. The role requires at least three years of inpatient...Remote jobContract work
- Vibra Healthcare, LLC. in Fargo, ND seeks a Temp, Registered Nurse - Case Manager for a 13-week assignment. The role is available in both Full... ...Fargo, a 31-bed Critical Care facility. You will coordinate complex patient care across the continuum, ensure quality outcomes,...Full timeTemporary workPart timeMonday to FridayDay shift
- ...regional health system to hire experienced Inpatient Medical Coders for a fully remote contract opportunity. This role supports a high-acuity... ...is ideal for coders with strong experience handling complex inpatient cases. Ideal candidates have 3+ years inpatient coding experience...Remote jobContract workImmediate start
- ...regional health system to hire experienced Inpatient Medical Coders for a fully remote contract opportunity. This role supports a high-acuity... ...is ideal for coders with strong experience handling complex inpatient cases. You will perform accurate inpatient coding across a...Remote jobContract work
- Vibra Hospital of Fargo, part of Vibra Healthcare, seeks a TEMP, Registered Nurse - Case Manager for a 13-week assignment. The role supports coordination of clinically complex patient care, discharge planning, and collaboration with the care team on a day-shift schedule...Full timeTemporary workPart timeMonday to FridayDay shift
- WPS—A health solutions company is seeking an Appeals Nurse (RN) to review medical records and claims for first-level appeal cases to determine medical necessity under Medicare guidelines. The role collaborates with Appeals Examiners to ensure timely redeterminations. In...Remote job
$82.99k - $110.24k
...patients where they are. Nursing that meets you where... ...Continuum Home Health Case Manager RN, you serve as the... ...care to home or managing complex conditions in their own... ...patient requiring complex medication reconciliation,... ...including telehealth and remote monitoring initiatives...Remote workWork experience placementLive inLocal areaImmediate startShift work- Gonzaba Medical Group inSan Antonio, TX is seeking a dedicated RN Case Manager to coordinate care for high‑risk patients and guide them through complex treatment plans alongside GMG providers and services... ..., and collaborate with PCPs, nurses, and social workers to...Full time
- ...looking for exceptional domain experts, researchers, and PhDs to... ...creating and evaluating high-complexity scientific and technical problems... ...Contract Work Mode - Remote Locations - Inda (CST & EST preferred... ..., constraints, edge cases, and other details required for...Remote workContract workFreelance
- Elevance Health is seeking an experienced nurse to review complex cases for medical necessity, applying clinical guidelines and nursing judgment. The role involves collaboration with physicians, case managers, and Medical Directors to optimize member outcomes. Ideal candidates...Remote job
$175 per hour
...healthcare organization is seeking a Radiologist for a remote role at $175 to $375/hr. The ideal candidate will analyze AI capabilities by creating complex radiology questions and provide comprehensive solutions to challenging cases. Collaboration with leading AI research teams...Remote workContract workFlexible hoursCrossing Hurdles
United States1 day ago$52 per hour
...Medical Management And Health Education Program RepresentativeThe position is work from... ...members.JOB QUALIFICATIONS:Registered Nurse (RN), with 3 years direct clinical care... ...experience.Experience in managing complex or catastrophic cases.Certification in Case Management, Training...Remote workPermanent employmentWork from homeHireOps Staffing LLC
Aurora, IL21 hours ago$38 - $43 per hour
The Registered Nurse will provide in... ...issues such as complexity of patient/family... ...to pain management, symptom control... ...and the Hospice Medical Director keeping... ...Registered Nurse is a Case Manager of the... ...needs; The RN Case Manager... ...Range $38-$43 Remote Position No Location...Remote workWork from home- CVS Health Corporation is seeking a Case Management Coordinator in Illinois to support Aetna members. The role focuses on coordinating care,... ...substantial travel within East Central Illinois. The position requires RN licensure in Illinois and 3-5 years of clinical experience....Remote jobWork from home
- Elevance Health is seeking a Medical Management Nurse to review complex cases and determine medical necessity using nursing judgment... ...clinical guidelines. The role is remote with occasional in-person training, requiring an active RN license, multi-state licensure where...Remote jobMonday to FridayShift work
$54.1k - $155.54k
...Summary This is a remote work from home... ...Holding, Inc (AHH) is a medical management company that is a... ...accredited in Case Management, Disease... ...and address complex health and social... ...experience as a Registered Nurse with at least 1... ...setting. ~ The AHH RN Case manager...Remote workHourly payFull timeLocal areaWork from homeFlexible hoursCVS Health
Salem, OR21 hours ago- Crawford & Company is seeking an RN Case Manager for the Colorado Springs area. The role offers remote work with extensive local travel to homes, healthcare providers, and work sites to manage workers’ compensation cases. The position requires an RN license, 1-3 years of...Remote jobLocal areaWork from home
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Management Nurse (RN) - Complex Case Expert. Be the first to apply!
Related searches
- outpatient rn Indianapolis, IN
- sedation rn Indianapolis, IN
- ed rn Indianapolis, IN
- registered nurse office Indianapolis, IN
- rn visa sponsorship Indianapolis, IN
- labor & delivery rn Indianapolis, IN
- registered nurse remote Indianapolis, IN
- mother baby postpartum rn registered nurse Indianapolis, IN
- injection rn Indianapolis, IN
- gastroenterology rn Indianapolis, IN