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

Remote RN Care Manager - Utilization & Health Coaching

Highmark Health

Highmark Inc. is seeking a full-time remote Care Manager responsible for utilization management, reviewing care appropriateness, and identifying opportunities for Health Coaching interventions. The role involves utilizing data to improve member and provider outcomes and collaborating across teams.The position requires regulatory knowledge, strong communication, and the ability to manage multiple tasks in a fast-paced environment, with weekend availability as needed.J-18808-Ljbffr

Vacancy posted 12 hours ago
Similar jobs that could be interesting for youBased on the Remote RN Care Manager - Utilization & Health Coaching in Juneau, AK vacancy
  •  ...Highmark Health is seeking a full-time RN Care Manager for a remote role requiring weekend availability and three weekdays. The role focuses on utilization management, applying criteria for appropriate...  ...opportunities for referral to Health Coaching and case management.You will... 
    Remote work
    Full time
    Weekend work
    Weekday work

    Highmark Health

    Oklahoma City, OK
    2 days ago
  •  ...Highmark Health is seeking a full-time RN for a remote role requiring weekend availability (Saturday and Sunday) and three weekdays. The position focuses on utilization management, care management reviews, and improving provider and member satisfaction. Responsibilities... 
    Remote work
    Full time
    Weekend work
    Weekday work

    Highmark Health

    Honolulu, HI
    2 days ago
  • Highmark Inc. is seeking a full-time REMOTE Care Management professional with weekend availability to coordinate utilization management and health coaching. You will review services for appropriateness...  ...of progressive clinical experience; RN licensure in PA or multi-state... 
    Remote job
    Full time
    Weekend work

    Highmark Health

    Manchester, NH
    2 days ago
  • $68.4k - $105.9k

     ...Highmark Health is seeking a remote Care Management professional to implement utilization review processes and improve member outcomes. The...  ...review and referral to health coaching while ensuring privacy and...  ...range $68,400.00–$105,900.00 and RN licensure requirements.J-1880... 
    Remote work
    Weekend work
    Weekday work

    Highmark Health

    Clayton, NC
    10 hours ago
  •  ...Highmark Health is seeking a full-time RN Case Manager for a remote role requiring weekend availability and...  ...weekdays. You will implement utilization management strategies, review care appropriateness, and...  ...coordinate referrals to Health Coaching and case management.You... 
    Remote work
    Full time
    Weekend work
    Weekday work

    Highmark Health

    Nashville, TN
    2 days ago
  •  ...Humana Inc. is seeking a Telephonic Nurse 2 Care Manager to assess and plan care for members over the phone, coordinating with families and...  ...navigating multiple systems. The position requires an Illinois RN license, a Bachelor’s degree, and at least 3 years of acute care... 
    Remote work
    Work at office

    Humana

    United States
    2 days ago
  •  ...Highmark Inc. is seeking a full-time RN-based Care Management professional for a REMOTE role requiring weekend work (Sat/Sun) and three weekdays. The...  ..., applying criteria, and coordinating with Health Coaching and case management to improve provider and member... 
    Remote work
    Full time
    Weekend work
    Weekday work

    Highmark Health

    United States
    4 days ago
  •  ...Archimedes is seeking an RN Case Manager, Telehealth to improve members’ health via tele-pharmacy and to develop clinical outreach programs that enhance...  ...cost-effective formulary options. You will coach members remotely, support leadership with clinical resources, and... 
    Remote work

    Archimedes

    United States
    4 days ago
  •  ...Archimedes is seeking a Telehealth RN Case Manager to enhance member health through tele-pharmacy coordination and outreach. You will support program development, provide remote clinical coaching, and lead in compliance and resource creation for staff and clients.The... 
    Remote work

    Archimedes

    Richmond, VA
    11 hours ago
  •  ...Archimedes is seeking a Telehealth RN Case Manager to enhance member health through remote nursing support and clinical outreach programs. The role focuses on tele-pharmacy, adherence improvement, and cost-effective formulary options, with oversight of clinical resources... 
    Remote work
    Work at office

    Archimedes

    United States
    4 days ago
  •  ...Highmark Inc. seeks a full-time remote RN with case management and utilization management expertise to support healthcare...  ...required. The role involves reviewing care appropriateness, applying criteria, referring to Health Coaching, and addressing quality issues while... 
    Remote work
    Full time
    Weekend work
    Weekday work

    Highmark Health

    United States
    2 days ago
  •  ...Highmark Health is seeking a full-time RN Care Manager for a REMOTE role requiring weekend availability (Saturday and Sunday) and three weekdays. The position focuses on utilization management, coordinating care, and improving provider and member satisfaction through... 
    Remote work
    Full time
    Weekend work
    Weekday work

    Highmark Health

    Phoenix, AZ
    8 hours ago
  •  ...Trinity Health MI Allendale is seeking a dedicated RN Care Manager to coordinate care for patients with chronic conditions...  ...role includes one day per week of remote work and a supportive, mission-...  ...improve health equity and reduce unnecessary care utilization. #J-18808-Ljbffr... 
    Remote work
    1 day per week

    Trinity Health MI

    Allendale, MI
    5 days ago
  •  ...authentic experience! Reporting to Health Access Enhanced Care Management Department Leadership, this position...  ...individual in this position is to utilize their clinical expertise to support...  ...and unencumbered Registered Nurse (RN) license issued by the California BRN... 
    Remote work
    Temporary work
    Flexible hours

    Inland Empire Health Plans

    United States
    4 days ago
  •  ...Highmark Health in the United States seeks a remote RN Case Manager to join its care management team with weekend availability (Sat/Sun) and three weekdays. The role focuses on utilization management, mentor coaching, and proactive member support. Responsibilities include... 
    Remote work
    Weekend work
    Weekday work

    Highmark Health

    United States
    2 days ago
  •  ...Vigilance Health, a REMOTE, full-time opportunity in the United States, seeks a Care Manager to build trust with patients over the phone and drive meaningful health outcomes. You will leverage Motivational Interviewing and clinical best practices to guide conversations... 
    Remote work
    Full time

    Vigilance Health

    Las Vegas, NV
    1 day ago
  •  ...Highmark Health is seeking a remote Care Manager RN to support utilization management and care coordination. The role requires weekend availability (Saturday and Sunday) plus three weekdays, focusing on reviewing services, applying criteria, and improving member outcomes... 
    Remote work
    Weekend work
    Weekday work

    Highmark Health

    United States
    2 days ago
  •  ...Highmark Health is seeking a remote Care Management professional to lead and implement utilization management strategies with weekend and weekday coverage. The role focuses...  ...identifying opportunities for referral to Health Coaching and case management.The position... 
    Remote work
    Weekend work
    Weekday work

    Highmark Health

    Fulton, MS
    2 days ago
  •  ...Highmark Health in the United States is seeking a full-time remote Health Plan Nurse Care Manager with weekend availability (Saturday...  ...This role executes utilization management, reviews...  ...for Health Coaching and case management...  ...is licensed as an RN, has about 3 years... 
    Remote work
    Full time
    Weekend work
    Weekday work

    Highmark Health

    United States
    2 days ago
  •  ...UnitedHealth Group seeks an Inpatient Care Management Nurse to ensure proper utilization of health services. You will assess member needs, identify solutions, and...  ...appropriate levels of care. This role offers remote work flexibility with standard hours of 8:00 a.m.... 
    Remote work
    Local area

    UnitedHealth Group

    United States
    2 days ago
  •  ...Highmark Inc. is seeking a full-time remote Health Care Manager to implement effective utilization management strategies, review care appropriateness, and identify opportunities for Health Coach/case management referrals. This role requires weekend availability (Saturday... 
    Remote work
    Full time
    Weekend work
    Weekday work

    Highmark Health

    Tallahassee, FL
    2 days ago
  •  ...Highmark Health is seeking a full-time remote Utilization Management nurse to implement care management reviews and coordinate care for members. The position requires weekend...  ...of criteria, and referral to Health Coaching as needed. You will educate providers and members... 
    Remote work
    Full time
    Weekend work
    Weekday work

    Highmark Health

    Juneau, AK
    2 days ago
  •  ...Highmark Health is seeking a remote Care Management Nurse/CM Specialist to implement utilization management strategies across weekdays and weekends. The role reviews care appropriateness...  ...for resource use, and refers to Health Coaching or case management as needed. You will... 
    Remote work
    Weekend work
    Weekday work

    Highmark Health

    Madison, WI
    2 days ago
  •  ...Highmark Health is seeking an experienced RN care manager for a remote, full-time role requiring weekend availability. You will implement utilization management strategies, review care appropriateness, and coordinate with Health Coaches to optimize member outcomes. The... 
    Remote work
    Full time
    Weekend work

    Highmark Health

    Boston, MA
    2 days ago
  •  ...Highmark Inc. is seeking a full-time remote RN with 3+ years of clinical experience to drive utilization management and care coordination for members.Weekend availability (Saturday and Sunday) plus three weekdays is required, with duties spanning review of healthcare services... 
    Remote work
    Full time
    Weekend work
    Weekday work

    Highmark Health

    Boston, MA
    2 days ago
  •  ...Highmark Health is seeking a full-time Remote Utilization Management/Case Management RN. The role reviews care appropriateness, applies criteria for resource use, refers to Health Coach/case management when needed, and analyzes data to improve provider and member satisfaction... 
    Remote work
    Full time
    Weekend work
    Weekday work

    Highmark Health

    Austin, TX
    2 days ago
  •  ...Highmark Health in the United States is seeking a full-time RN responsible for utilization management and care coordination. This remote role requires weekend availability (Saturday and Sunday) in...  ...opportunities for referral to Health Coach/case management. Responsibilities... 
    Remote work
    Full time
    Weekend work
    Weekday work

    Highmark Health

    Saint Paul, MN
    2 days ago
  •  ...Highmark Health is seeking a remote Utilization Management Nurse to implement care management review processes and ensure compliant, high-quality health services. This role requires weekend availability (Saturday and Sunday) plus three weekdays, with a focus on educating... 
    Remote work
    Weekend work
    Weekday work

    Highmark Health

    United States
    2 days ago
  •  ...Highmark Health seeks an experienced RN for a full-time remote care management role requiring weekend availability (Sat/Sun) and three weekdays....  ...services, apply criteria for appropriate utilization, and coordinate with Health Coaches and care teams to improve member... 
    Remote work
    Full time
    Weekend work
    Weekday work

    Highmark Health

    Bozeman, MT
    2 days ago
  •  ...Highmark Health is seeking a full-time remote RN-focused Care Manager to implement utilization management strategies and coordinate care across the network. The role requires weekend availability (Saturday and Sunday) plus three weekdays, and emphasizes adherence to privacy... 
    Remote work
    Full time
    Weekend work
    Weekday work

    Highmark Health

    United States
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote RN Care Manager - Utilization & Health Coaching. Be the first to apply!