Remote RN Case Manager UM/CM/DM Expert
Health Care Service Corporation
Health Care Service Corp. is seeking a Registered Nurse (RN) for a Remote position responsible for Utilization Management and Case Management functions. This role involves coordinating care, assessing members for wellness education, and providing support to healthcare personnel. The ideal candidate will have a valid RN license in Texas or a Compact Nursing license and at least two years of clinical experience. Strong communication and analytical skills are essential for success in this role. #J-18808-Ljbffr
- ...Summary: Conducts case management program activities... ...relative to the CM functions. Identifies... .... Expert and resource for escalations... .... Active NYS RN or Registered... ...areas (i.e. UM and CM). At this level... ...be opportunity for remote work within all jobs...Remote workCmsWork at officeFlexible hours
- ...Population Health RN Inpatient Case Manager At NorthBay Health, the Population... ...accessed and communicated to UM Manager and Director of Care... ...medical necessity guidelines. Expert knowledge of CPT and HCPC... ...may be approved for hybrid remote work. About Us...Remote workCmsFull timeShift work
$40 - $45 per hour
...Registered Nurse (RN) | Case Manager Location: Charlotte, NC Agency: Mindlance Health... ...member contact and will include 80% travel. Remote role. Will require a driver’s license.... ...management experience preferred. Hospital CM, Home health, discharge planning, or...Remote workCmsHourly payFull timeImmediate start3 days per week$40 - $45 per hour
...Registered Nurse (RN) | Case Manager Location: Charlotte, NC Agency: Mindlance Health... ...member contact and will include 80% travel. Remote role. Will require a driver’s license.... ...management experience preferred. Hospital CM, Home health, discharge planning, or...Remote workCmsHourly payFull timeImmediate start3 days per week$2,386 per week
...Registered Nurse (RN) | Case Manager Location: Jackson, MS Agency: Mindlance Health Pay... ...to the vaccineFINGERPRINT REQUIREMENT - Remote process must allow 10 days, In Person... ...facility orientation)Will work alongside CM team so will never be working alone. Cancellation...Remote workCmsFull timeContract workPart timeLocal areaImmediate startShift workWeekend work$34 - $50.99 per hour
...RN UM Discharge, Planning SummaCare - 1200 E Market St, Akron... ...40 Hours / Days LOCAL - Remote after training Summary :... ...previous industry, utilization management/utilization review experience... ...event status and labeling in case management information system....Remote workCmsDaily paidFull timeTemporary workWork at officeLocal areaFlexible hours- ...BlueShield of South Carolina is hiring a Case Management Coordinator to enhance client safety and... ...from 8:00am to 5:00pm EST, and allows remote work within South Carolina. A strong background... ...in clinical practice and an active RN license are required. #J-18808-Ljbffr...Remote workFull timeMonday to Friday
$62.4k - $117.62k
...Excellus Health Plan Inc. is searching for a dedicated case manager located in Rochester, NY. This role involves conducting case management... ...experience working within the foster care system, possess active NYS RN licensure or equivalent, and demonstrate strong clinical skills...Remote work$72k - $81k
...Case Manager Scope: The Case Manager manages an individual caseload using the case management... ...of the health care team. This is a remote/work-from-home position. License Requirements... ...the Annual Performance Evaluation of the CM Assistant assigned. The Case Manager will...Remote workCmsTemporary workWork at officeWork from homeHome office- ...Title: RN Case Manager - Remote Location: Overland Park, KS 66213 Duration : 3+ Months Work Schedule: Mon - Fri | 8am - 5pm | 40 hrs. weekly Note: Candidates should be live in Kansas or Missouri ONLY Job Summary: The Clinical Care Nurse...Remote workCmsLive inWork at office
$88.36k - $100k
...Case Manager II, RN Huntington Beach Office - Huntington Beach, CA 92647; Arcadia Office - Arcadia... ...Type Full Time Description Remote in California only Are you ready to... ...supervision and serves as a clinical resource to CM I staff. Functions & Job...Remote workCmsFull timeWork at office- ...RN CASE MANAGER - CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital - Albuquerque... ...seniors. From birth to end of life needs. RN CM attend daily multidisciplinary rounds... ...limited patient interaction. • Primarily a remote work from home position once applicant...Remote workCmsFull timePart timeReliefWork from homeRelocation packageMonday to FridayNight shiftDay shiftAfternoon shiftWeekday work
- ...Core-Occupational-Medicine is seeking a full-time Case Manager (Registered Nurse) to manage injury calls and coordinate care for clients,... ...candidate must have at least two years of nursing experience, a valid RN license, and possibly an ER or ICU background. This role...Remote workFull timeWork from homeMonday to Friday
- ...environment.**For positions that are available as remote work,** **Sentara Health employs... ...Medical Center is now hiring an **Inpatient Case Manager**. This is Responsible and accountable... ...-escalation, Integrated Care Management, RN, Registered Nurse, ACM, CCM, CCCTM, RN-B,...Remote workCmsTemporary workLocal areaImmediate startShift work
$72.7k
...clinical needs. The incumbent assesses health management needs of the assigned member panel and... ..., the incumbent will manage an active case load of members in his/her panel that are... ...Certifications Required: Current State of PA RN licensure OR Current multi-state...Remote workCmsTemporary workWork at officeLocal area- ...oversight of clinical care management of community-based long‑term... ...care practice guidelines and Case Management (CM) Standards of Practice. Implement... ...the company’s standards and RN scope of practice. Comply... ...and be self‑motivated in a remote environment. Manage assigned...Remote workCmsFull timeWork at officeLocal area
$87k - $101k
...Job Description RN Case Manager – Los Angeles, CA Region Work from home + local field travel Salary: $87,000 – $101,000 annually Quarterly Bonus Opportunities Free CEUs for licenses & certificates License & Certification Reimbursement We’re looking for an RN with a passion...Remote workWork at officeLocal area- ...RN Case Manager - Mental Health Dilkon Medical Center - Dilkon, AZ 86047; Winslow Indian Health Care Center - Winslow, AZ 86047 Overview... ...Medical Center Mental Health Department; but will also work remotely, and at times on-site with MH staff in Winslow and Leupp...Remote workCmsFull timeWork at officeShift work
- ...currently seeking a full-time Case Manager (Registered Nurse) to work from... ...Call to ensure 24/7/365 CM services; perform duties as stated... ...Must possess and retain a valid RN license for the state of LA (... ...0 p.m., CST. This position is remote but may require in-office training...Remote workCmsFull timeTemporary workWork at officeImmediate startWork from homeMonday to FridayDay shiftAfternoon shift
$72.7k
...clinical needs. The incumbent assesses health management needs of the assigned member panel and,... ...resources and manages an active case load of members enrolled in case management... ...Certifications Required : Current State of PA RN licensure or current multi‑state...Remote jobCmsTemporary workWork at officeLocal area- ...an experienced Registered Nurse (RN) – Utilization Management / Case Management (Medicare) with a... ...including Utilization Management (UM) and Case Management (CM/DM), supporting Medicare populations... ...required (1–6 weeks depending on role) Remote/hybrid flexibility available...Remote workCmsContract workLocal area
- ...Texas seeks a Home Health Quality Assurance Registered Nurse (QA RN) responsible for coding, reviewing, and correcting OASIS... ...active RN license, and coding certifications. The QA RN will work remotely, focusing on improving documentation quality and ensuring compliance...Remote workCms
- ...McLeod Health is looking for a part-time Registered Nurse to coordinate patient care progression in a remote role. Responsibilities include ensuring high quality and efficient patient services, communicating with payers, and documenting necessary information for the care...Remote workPart time
- ...MedPOINT Management in Sherman Oaks, CA is seeking an Inpatient UM Nurse Case Manager to enhance patient care coordination. You will conduct assessments... ...clinical skills and teamwork in a remote setting. The ideal candidate has an active RN license in California and at least 2...Remote work
- ...MedPOINT Management seeks an Inpatient UM Nurse Case Manager to join their remote team in the United States. This role involves patient care coordination while ensuring... ...outcomes. The ideal candidate will have an active RN license in California, a minimum of 2 years of...Remote work
- Remote Washington State Seattle, WA 98101, USA Travel Required : Yes... ...delivery of the plan’s case management and coordination programs and... ...Washington as a registered nurse (RN) (required) OR Current, unrestricted... .... LICSW. Advanced Social Work CM. Equal Opportunity Employer/...Remote workCmsFull timeTemporary workPart timeWork at officeLocal areaTrial periodFlexible hours
- ...About the Role: Join MedPOINT Management as an Inpatient UM Nurse Case Manager in Sherman Oaks, CA, where you... ...meetings. Requirements: Active RN license in California with a minimum... ...and a supportive environment for our employees. This is a remote position....Remote work
- ...the direct supervision of the Leads & RN Clinical Manager for Case Management, the RN/LVN Case Manager is... ...Team (ICT) (as needed)/ Case Management (CM) Meetings/IPA Rounds as they relate to... ...EZ-CAP and ESSETTE knowledge a plus. This is a remote position. #J-18808-Ljbffr...Remote workCmsWork at office
- ...Nurse Case Managers are licensed nursing professionals responsible for coordinating... ...understanding of the NEMS CC/CM program. Perform other job... ...to make decisions within RN's clinical scope of practice;... ...which may be in understaffed/remote areas, in the presence of pets...Remote workCmsWork at office
- ...liability claims, LTD/STD, and other referred services. This is a remote, field-based role that involves regular local travel of up... ...& Responsibilities Follow all policies/procedures in the Case Management (CM) plan; retain accountability for the CM process. Accept...Remote workCmsLocal areaFlexible hours
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