Remote RN Behavioral Health Utilization & Care Coordination
HealthEdge Software, Inc.
- Remote job
HealthEdge Software, Inc. seeks a Registered Nurse to coordinate and manage utilization management for behavioral health services across remote settings in the US. The role emphasizes medical necessity reviews, discharge planning, and care coordination. The position requires RN license, 2+ years acute clinical experience, and familiarity with managed care and NCQA accreditation standards. It also involves collaboration with providers to ensure appropriate care levels and service utilization. #J-18808-Ljbffr HealthEdge Software, Inc.
- ...Overview: Sentara Health Plans is hiring a Inpatient Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN - Remote in VA and NC! Status:... ...including specialists, primary care physicians and... ...behavioral health, care coordination, discharge planning, continuity...Remote workPermanent employmentFull timeTemporary workFlexible hoursShift workDay shift
- Sentara Health in Virginia seeks a Behavior Health Utilization Management Care Coordinator. The role blends in-person and remote assessments for medically and behaviorally complex members, with... ...state license (LCSW/LPC/LMFT/LSTAP or RN variants). Experience: 2 years...Remote work
- ...Behavior Health Utilization Management Care Coordinator Sentara Health is looking to hire a Behavior Health Utilization... ...person/face-to-face assessments and remote telephonic assessments for members... ...Professionals (VADHP) Registered Nurse (RN) Single State - Nursing License -...Remote workTemporary workMonday to Friday
- ...Admissions Coordinator The focus of the Admissions Coordinator is to act as liaison... ...goal is to increase patient access to behavioral health services. Works to simplify the admission... ...: ~ Position is Patient Facing Remote Work Guidelines: Workspace is a...Remote workRelief
$42.19 - $72.88 per hour
...we support patient care, research,... ...Nurse directs and coordinates all nursing care for... ...outcomes. The Behavioral Health Nurse is a Registered... ...how to utilize the milieu to meet... ...Registered Nurse [RN - Massachusetts] -... ...Franklin counties. Remote Type Onsite...Remote workHourly payWork from homeShift workNight shift- ...Behavioral Health Case Manager Responsible for providing... ...of services utilizing established mental... ...to provide quality care appropriate to clinical... ...resources to coordinate transport for face... ...full-time, fully remote (work from home) and... ...clinical license (RN, LMSW, LP, LPC, or...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
- ...Tennessee seeks a Licensed Field Care Coordinator to coordinate care for medically complex... ..., and advocacy. This field-based, remote role requires strong clinical... ...collaborate with Case Management, Utilization Review, and Behavioral Health teams, travel up to 75%, and work...Remote work
$87k - $97k
Overview: RN Psych / Registered Nurse, Home Health Office Location:... ...Full Time Remote/Virtual Position... ...providing nursing care requiring... ...physician's orders utilizing nursing theory,... ...of care, care coordination, recertifications... ...resume of the Behavioral Health/Psychiatric...Remote workFull timeWork at officeFlexible hours- ...the Unit: The Behavioral Health Unit (BHU) at Sentara... ...in the patient care. We provide group... ...for any RN with less than 12... ...implementation, coordination of care- teaching... ...evaluation, resource utilization, and environmental... ...are available as remote work, Sentara Health...Remote workFull timeTemporary workRelocation packageNight shift
- UnitedHealth Group is seeking a Care Coordinator (RN) to apply clinical knowledge in coordinating... ...with the flexibility to work remotely as a field-based role; strong teamwork with Case Management, Utilization Review, and Behavioral Health is essential for success. #J-1880...Remote job
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- ...Registered Nurse (RN) On-Demand Clinic... ...patient-centered care exclusively through... ...focus on addressing behavioral health needs and acute... ...serving as a primary remote access point for... ...patients in need of care coordination, assessment, and... ...Management : Utilize de-escalation techniques...Remote workContract workTemporary work
$40 - $45 per hour
...need for a talented RN Care Management Coordinator . This is a 03... ...term potential and is Remote , but the candidate... ...benefits include health insurance, 401(k) plan... ...knowledge to cases, utilizing specified resources... ...plan. Utilize the behavioral health criteria of...Remote workContract workLocal areaImmediate start- ...Community Health Choice, Inc. (Community... ...non-profit managed care organization (MCO),... ...JOB SUMMARY: Behavioral Health Utilization Manager will perform... ...Assists in the coordination of care of hospitalized... ...systems Work Schedule: Remote Other Requirements...Remote workContract workWork experience placement
- Registered Nurse (RN) - Utilization Review Job Description... ...effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization... ...acute hospital or behavioral health patient care... ...Campus (Remote) #J-18808-Ljbffr Oracle...Remote workFull timeWork at officeFlexible hoursShift work
- ...the unit: The Behavioral Health Unit (BHU) at Sentara... ...in the patient care. We provide group... ...for any RN with less than 12... ...implementation, coordination of care- teaching... ...evaluation, resource utilization, and environmental... ...are available as remote work, Sentara Health...Remote workFull timeTemporary workRelocation packageDay shift
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- ...Utilization Review Nurse Position at Vassar... ...largest not-for-profit health system in the... ...physicians. Northwell cares for more than... ...departmental leadership. Coordinates with the care team... ...Nuvance Health Remote Work Program... ...nursing Current NYS RN License. CCM/ACM...Remote workNight shift
$43.84 - $66.84 per hour
...Rochester State: MN Remote: No This position... ...nurses. The RN will primarily serve... ...Psychiatry (General Care). The BERT RN supports... ...Responsible for the daily coordination of behavioral health interventions within... .... Modes of treatment utilized include group therapy...Remote workFlexible hoursShift workNight shiftWeekend workAfternoon shift$71.99k - $91k
...Evaluates, authorizes, and manages behavioral health services to plan members. Interacts with members, family, and care providers to coordinate quality care in clinically appropriate... ...Understands and follows Moda authorization and utilization review processes. # Ensures...Hourly payFull timeWork at officeWork from homeAfternoon shift- ...position is responsible for coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical... ...benefits, and efficient care delivery processes.... ...degree and active NYS RN license required. Bachelors... ...be opportunity for remote work within all jobs...Remote workContract workWork at office
- ...RN Care Coordinator - Sickle Cell Adult and Pediatrics Join... ...site at Main Campus and remote work, though this may... ...team involved. Utilize assessment skills and... ...age-specific, medical, behavioral, pharmacy, social and... ...of prevention and health maintenance tasks....Remote workCasual workShift work
- CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home role... ...management and benefit coordination, requiring an active RN license and hospital experience... ...providers, and ensuring timely care while meeting state and federal...Remote jobWork from home
- Humana is seeking an experienced Utilization Management Nurse 2 to... ...medical necessity reviews, care coordination, and discharge planning for... ...providers and members. The role is remote/work-from-home with weekend... ...annually; requires Kentucky RN license, 2+ years clinical...Remote jobWork at officeWork from homeShift work
- ...demands of hands-on care behind. Instead,... ...a dedicated team, coordinate whole-person medical... ...Nurse to join our Behavioral Health Home (BHH) program... ...Care: Provide remote and in-person consultative... ...Coordination: Utilize our Electronic... ...Registered Nurse (RN) license in the State...Remote workPart timeWork at officeLocal areaImmediate startShift workNight shiftWeekend workAfternoon shift
- ...Care Coordinator UnitedHealth Group is a health care and well-being company that's... ...member's medical, behavioral, and socioeconomic... ...promote appropriate utilization of services and improved... ...to work remotely* as you take on some... ...one of the below: RN, LCSW, LMSW, LSW,...Remote jobMinimum wageFull timeWork experience placementLocal area
- ...powerful: to enhance the health and well-being of... ...of the Manager of Behavioral Health or designee,... ...and other care team members to assess... ...Assessing, referring, and coordinating care for patients... ...as the ability to utilize a Telemedicine cart for remote assessments....Remote workInternshipShift work
- Vaya Health in North Carolina is seeking a Registered Nurse to... ...Facilities to the community. This remote, home-based role requires... ..., and involves assessing, coordinating care, and educating patients and... .... You will collaborate with behavioral health, primary care, and facility...Remote jobWork from home
- ...RN Utilization Review Review patient medical records to assess the appropriateness and medical... ..., continued stays, and services, while coordinating with providers and payers to ensure... ...hospital-based) ~ Skilled experience with remote work Length of assignment: 13...Remote workShift workWeekend work
$36.44 - $58.3 per hour
...Clinical Informatics Coordinator Make your move... ...to elevate your RN informatics skills... ...Exempt with rotating remote Call.... ...clinicians to help define health care information issues... ...for implementing, utilizing and modifying informatics... ...core and leader behaviors each and every day...Remote workHourly payFull timeTemporary workSummer workWork at officeImmediate startRelocation packageShift workNight shift
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