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-LjbffrVacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Care Manager (RN/LPN) in United States vacancy
- Blue Cross NC is seeking an Episodic Care Manager to join the Commercial Clinical Utilization Management team. You will perform clinical reviews to assess... ..., cost-effective care. The role requires RN with 3 years or LPN with 5 years, plus an active clinical license (...Remote job
- ...Cross NC is seeking an Episodic Care Manager to join the Commercial Clinical Utilization Management team. You will... ...internal staff. The role requires an RN with 3 years or an LPN with 5 years of clinical... ...experience is preferred. Hybrid/Remote work options available. #J-18...Remote job
$28.44 - $42.67 per hour
...Elevance Health is seeking a Medical Management Clinician Associate to ensure... ...necessity under guidelines. This remote role supports virtual work with in... ...diploma, 2 years of clinical or utilization review experience, and an active RN/LPN license with multi-state eligibility...Remote workHourly payElevance Health
Latham, NY2 days ago- ...Carolina is hiring an Episodic Care Manager to join the Commercial Clinical Utilization Management (UM) Team. This role... ...with in-person collaboration and remote work options, and requires an RN with 3 years of clinical experience or an LPN #J-18808-Ljbffr Blue Cross and...Remote job
- ...and Blue Shield of North Carolina is seeking an Episodic Care Manager to perform clinical reviews and coordinate care for members... ...within a hybrid work model. The ideal candidate has an RN with 3 years or an LPN with 5 years of experience and an active NC or multi-state...Remote workFlexible hours
Blue Cross and Blue Shield of North Carolina
Austin, TX3 days ago - ...Blue Cross NC is seeking an Episodic Care Manager to join the Commercial Clinical Utilization Management (UM) Team. You will review cases for medical necessity... ...license. The role offers Hybrid Flex work options relative to our Durham footprint and remote #J-18808-Ljbffr...Remote workFlexible hours
Blue Cross and Blue Shield of North Carolina
New York, NY3 days ago $59.23 - $81.24 per hour
...ensuring that patients receive high-quality care while efficiently utilizing medical resources. Reviews patient... .../Certifications Registered Nurse (RN) licensure in the state of practice:... ...communication variances to the on-site care management teams when appropriate. Reviews and...Remote jobFull timePart timeWork experience placementShift workDay shift- ...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
Gateway Electronic Medical Management Systems, Inc. in
Lansing, MI1 day ago - ...staffing firm is seeking a professional to provide weekly in-person care management for clients in Kentucky. This includes conducting visits,... .... Applicants need at least 1 year of experience as an RN, LPN, or Social Worker, along with an active professional license....Remote jobWork from homeFlexible hours
$68.5k - $80k
...Geriatric Care Manager Bluestone delivers great outcomes by bringing... ...colleagues who work remotely or at our corporate offices... ...evolving status. Gaps-in-Care & Utilization Management: Proactively identify... ...personnel preferred - LPN, RN, or Social Worker. Strong...Remote workFull timeTemporary workWork at officeFlexible hoursWeekend workDay shiftAfternoon shift$68.5k - $80k
Geriatric Care Manager (LPN, RN, or Social Worker) Forest Lake, Minnesota, United States Bluestone... ...administrative colleagues who work remotely or at our corporate offices in... ...patient’s evolving status. Gaps-in-Care & Utilization Management: Proactively identify and...Remote workFull timeContract workTemporary workFor contractorsFor subcontractorWork at officeFlexible hoursWeekend workDay shiftAfternoon shift$72.5k - $90.6k
...Quartz is seeking a Utilization Management RN Case Manager to review prior authorization requests, coordinate... ...staff to ensure optimal patient care. The role is salaried, Monday–Friday... ...holidays, with in-person, hybrid, or remote options and a pay range of $72,500–$90...Remote workMonday to FridayQuartz
Madison, WI3 days ago- ...CorVel is seeking a Utilization Review Case Manager to gather demographic and clinical data for in-patient and outpatient reviews, certify... ...supporting the Case Management department’s goals. This remote role requires RN licensure and 4+ years of clinical experience. The...Remote work
CorVel Brand
Folsom, CA3 hours ago - ...OU Health is seeking a Case Manager, RN - Utilization Review (PRN) to evaluate medical necessity and appropriate care, securing authorizations and coordinating with payors, patients, and interdisciplinary teams. This role emphasizes HIPAA compliance and strong communication...Remote workRelief
OU Health
United States4 days ago - ...Description Join our team as a remote (Oklahoma City) full time days and every other weekend RN Case Manager -Utilization Review at INTEGRIS Health, Oklahoma City, OK. Get to Know... ...timely transfers to appropriate levels of care as indicated by clinical needs and...Remote workFull timeWork at officeWeekend work
INTEGRIS Health
New York, NY2 hours ago - ...Harris is seeking a Remote Chronic Care Coordinator to conduct telephonic encounters, develop care plans, and support patients with two or more chronic conditions. This Independent 1099 contractor role offers flexible hours and potential transition to full-time W2 with...Remote workFull timeFor contractorsWork at officeFlexible hours
Harris
United States2 days ago - ...seeking a Registered Nurse Case Manager for a 13-week assignment... ...TX. This role focuses on utilization review, discharge planning... ...requiring 2+ years acute care UM experience and a TX RN license. Proficiency with... ...insurers is a plus. Remote work experience is noted....Remote jobWork experience placement
$72.5k - $90.6k
...Overview Are you a licensed RN who is interested in using your clinical... ...optimal types and levels of care? If so, please consider joining Quartz as a Utilization Management Registered Nurse (RN) Case... ...to work in-person, hybrid, or remote available Compensation pay range...Remote workFor contractorsMonday to FridayQuartz
Madison, WI3 days ago- CorVel Corporation is seeking a Utilization Review Case Manager for a remote role. The ideal candidate holds an RN license and has 4+ years of clinical experience with utilization review, CPT/ICD coding knowledge, and strong communication skills. Responsibilities include...Remote job
- ...an experienced Registered Nurse (RN) to join our Utilization Review team in a remote capacity. The role evaluates medical necessity, reviews levels of care, and supports denial prevention and... ...collaborate with physicians, care managers, and payers to promote appropriate...Remote job
$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 payIntermountain Health
Billings, MT8 hours ago- ...for the standard of nursing care delivery in the clinic setting... ...effectiveness. Effectively manages completion of routine clinic... ...consistent with guidelines, and utilizes approved abbreviations.... .... Has the ability to work remotely at the discretion of the supervisor...Remote work
ERDA
United States2 days ago - ...HealthCommunity Health is a primary care network that provides... ...counties.About The RoleThe Care Manager will collaborate with patients... ...requires a face-to-face visit.Utilize an identified schedule to follow... ...For SuccessCurrent Vermont RN/LPN license.CPR Certification.Prior...
Community Health Centers of the Rutland Region
Pawlet, VT2 days ago $75k - $88k
.... Clinical Reviewer RN - Alabama Alabama, US... ...has engaged in health care quality consulting and... ...outcomes. Our talented remote workforce spans the... ...are seeking Clinical Utilization Review Nurses (RN) based... ...retrospective utilization management reviews. This full-...Remote workFull timeContract workComagine
United States4 days ago- ...UCI Health Case Manager UCI Health is one of California's largest... ...growing network of ambulatory care centers across Orange and Los... ...Monitors and coordinates resource utilization throughout the health system... ...skills in English Current RN License Computer literacy and...Remote jobWork at officeMonday to Friday
- ...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
Green Key Resources
New York, NY3 days ago $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 workHebrew SeniorLife
Boston, MA1 day ago- ...The Care Manager (CM) collaborates and communicates with patients, families, and other JHC... ...hospital and emergency department (ED) utilization.Essential Duties and Responsibilities:1... ...State Board of Nursing with a current RN or LPN license in good standing. 2. Experience...Work at office
Johnson Health Center
Lynchburg, VA1 day ago $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 workHebrew SeniorLife
Framingham, MA12 hours ago- ...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
Healthfirst
United States23 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Care Manager (RN/LPN). Be the first to apply!
Related searches
- health care project manager United States
- social services director United States
- care operations manager United States
- resident care supervisor United States
- field care supervisor United States
- director of managed care United States
- care project manager United States
- resident care manager United States
- ambulatory care manager United States
- patient care manager United States