Remote RN Clinical Leader — Care Management & Utilization
Comagine Health
- Remote job
Comagine Health is seeking a Clinical Manager, Care Management to lead a team in utilization management from a fully remote position in the U.S. The ideal candidate will have extensive experience in clinical settings and will be responsible for clinical quality, operational performance, and staff development. This role offers a collaborative work environment, competitive compensation, comprehensive benefits including medical coverage, 401(k) matching, and generous paid time off. Join Comagine Health to enhance healthcare quality nationwide. #J-18808-Ljbffr Comagine Health
- Comagine Health is seeking a Clinical Manager for Care Management with a passion for clinical leadership. This fully remote role focuses on driving operational... ...will possess an active RN license, extensive experience in utilization management, and strong team leadership...Remote job
- The Council of State and Territorial Epidemiologists is seeking a Clinical Utilization Review Nurse (RN) to conduct utilization management reviews remotely. Candidates must hold a BA/BS in Nursing, possess a current RN license, and have a minimum of 3 years of clinical...Remote jobFull time
- ...COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) to conduct utilization management reviews. This full-time role supports high-quality care delivery while ensuring compliance with... ...experience. The position is remote, allowing work from any location...Remote workFull time
$71.1k - $97.8k
...healthcare company based in Arizona seeks a Utilization Management Registered Nurse to interpret and... ...making benefit determinations based on clinical criteria and communicating with providers... ...qualifications include a valid RN license and over a year of clinical nursing...Remote job$77.91k - $116.86k
Alignment Health is seeking a Utilization Management Clinical Trainer to onboard and develop clinical staff. This remote role focuses on ensuring compliance and quality in utilization review services while working collaboratively with clinical teams. The ideal candidate...Remote job- Comagine Health is seeking an experienced Clinical Manager to lead care management operations. In this role, you... ...and compliance while managing a team of utilization management clinicians remotely. Ideal candidates should hold an RN license and have a strong background in...Remote job
- ...Health is a strategic care transformation partner... ...proactive care delivery, our clinical experts use our AI-... ...Clinical Operations Manager. This role requires... ...triage. This position is remote and offers health... ...as a liaison for payer utilization management, interpreting...Remote workFull timeMonday to FridayFlexible hours
- ...Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a great...Remote workFull time
$125.4k - $179.3k
...Lead, Clinical Support & Care Services page is loaded## Lead, Clinical... ...transitions, symptom management, and medication management support.This leader ensures that patients... ...—reducing avoidable utilization, closing gaps, and... ...field* Registered Nurse (RN)* 5+ years’...Local areaHome office$34 - $35 per hour
...Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical... ...appropriate continuity of care Meet regulatory timelines... ...reliability reviews Qualifications RN license in an eNLC (... ...Nurse- Prior Authorization Remote Registered Nurse (Remote...Remote workFull timeWork at officeWork from homeNight shift- A healthcare provider in Phoenix, Arizona is seeking a Care Team Manager (RN) to lead and support Medical Assistants in delivering high-quality... .... Candidates should possess an active RN license, relevant clinical experience, and leadership skills. Benefits include a...Remote job
- ...provider in Chicago is hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant... ...offers the flexibility of remote work while supporting professional...Remote work
$40k - $70k
Vheda Health is hiring a Clinical Support Specialist to improve care for underserved populations. This full-time remote role involves contacting individuals about their health and... ...resources. Responsibilities include managing mobile care devices, identifying risks, and...Remote jobFull time- Ethos is looking for an RN Home Care Supervisor in the City of White Plains, NY. This role involves conducting comprehensive assessments... ...Nurse (RN) license in New York, a BSN, and at least 3 years of clinical experience. The position offers an excellent benefits package,...Remote jobFlexible hours
- ...Wayne Mental Health Authority is seeking a Clinical Specialist to provide utilization management services. This role involves coordinating care across various providers and... ...healthcare. The position offers flexibility with remote work possibilities under supervisory approval...Remote job
$38.5 - $55 per hour
...seniors with a commitment to quality care and service in a Christian... ...Job Summary The Clinical Care Leader (CCL) is responsible for utilizing the nursing process (assessment, diagnosis... ...Currently holds an unencumbered RN license with the State Board of Nursing...Full timePart timeRelocation packageShift workNight shiftWeekend work$35.87 - $58.37 per hour
Overview As a member of the Utilization Management team, provides concurrent and retrospective clinical review of inpatient/observation... ...evaluate the utilization of acute care services. The goal of... ...Registered Professional Nurse (RN) - Illinois Department of Financial...Full timeWork experience placementWork at officeLocal areaShift workWeekend work- COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) for a full-time remote position, focused on medical necessity assessments in healthcare. Applicants... ...InterQual Criteria. It supports cost-effective care while ensuring compliance with standards and...Remote jobFull timeContract workWork from home
- 4004 Aetna Medicaid Administrators is seeking a Utilization Management Nurse Consultant for a crucial role in a 24/7 operation based... ...to reside in Florida. The ideal candidate will have clinical experience, an active RN license, and a commitment to high-quality healthcare...Remote workWork from home
- Memorial Hermann Health System in Houston is seeking a Clinical Expert Nurse to manage comprehensive patient care. In this role, you will utilize your nursing expertise to enhance patient outcomes while ensuring efficient departmental operations. The ideal candidate will...
$29 - $52 per hour
...RN Clinical Care Coordinator At UnitedHealthcare, we're simplifying the... ...will be the primary care manager for a panel of members with... ...needs to promote appropriate utilization of services and improved quality... ...the flexibility to work remotely* as you take on some tough challenges...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal area- Phamily is seeking a Clinical Care Lead RN to work in a hybrid capacity, supporting patients through digital communication tools. This role involves managing a digital patient panel, developing personalized care plans, and leading a clinical team. Ideal candidates will...Remote job
- ...Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part of the DOW SkillBridge Internship and... ...military spouses. Interns will conduct clinical reviews, communicate with providers, and...Remote workInternship
- ...seeking a Peer-to-Peer Utilization Review Nurse to... ...Utilization Management team. This role involves... ...Advisors and Care Management teams.... ...Science in Nursing, an RN license, and... ...extensive experience in clinical nursing and... ...position offers a remote work model with a...Remote workFlexible hours
$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... ...requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate will work...Remote workWeekend work- ...opportunities as a Progressive Care Clinical Nurse Coordinator RN you want in your current... ...other members of the management team, the CNC directs,... ...~Triages the patient utilizing age, developmentally appropriate... ...matter experts and other leaders to create an environment...Hourly payTemporary workImmediate startWork from homeFlexible hoursShift work
- ...organization is looking for a Utilization Management Registered Nurse to work remotely in Cheyenne, Wyoming. You will utilize your clinical nursing skills to... ...services and ensure appropriate care levels. The ideal candidate will hold a Compact RN license and have over one...Remote work
$71.1k - $97.8k
...solutions company is looking for a Utilization Management Registered Nurse to... ...medical services. This fully remote position requires a Compact RN license and over a year of clinical experience. The role focuses... ...criteria and collaborating with care providers. The position...Remote work- ...healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of... ...per diem position involves crucial utilization management activities, ensuring compliance... ...RN license along with 3 years of clinical experience. The role offers...Remote workHourly payDaily paidDay shift
- ...hiring an Integrated Nurse Case Manager/Registered Nurse (RN) for Inpatient and Outpatient Clinical Appeals- Remote in Virginia! Status: Full-... .../knowledge in Rev Cycle, Utilization Review (UR) and Case... ...integrated, not-for-profit health care delivery system, celebrates...Remote workPermanent employmentFull timeTemporary workShift work
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