Remote LPN Utilization Management Coordinator
BlueCross BlueShield of South Carolina
- Remote job
BlueCross BlueShield of South Carolina is seeking a Utilization Management Coordinator I. This role involves performing medical-surgical and pharmacy reviews, managing utilization within LPN/LBSW scope, and documenting decisions using clinical guidelines. Candidates must have a Bachelor's degree and two years of relevant experience. The position is full-time and remote, with occasional onsite requirements for training and meetings. The company offers comprehensive benefits including health plans, a retirement savings plan, and education assistance. #J-18808-Ljbffr BlueCross BlueShield of South Carolina
- ...BlueShield of South Carolina is hiring a Utilization Management Coordinator I to handle medical surgical and pharmacy reviews. This remote full-time role involves evaluating service... ...degree in a relevant field and an active LPN/LVN license. Experience and strong communication...Remote jobFull time
$79.56k - $115.72k
...integral part of our clinical coordination team, providing support to... ...support, including planning, utilization review, authorization, and... ...drivers of transplant care and managed care objectives that... ...through Friday business hours Remote Type Remote Work Location 33...Remote workPart timeWork at officeMonday to FridayFlexible hoursShift work$40 per hour
...Long Term Care Coordinator (100% Remote) — California Preferred — $40/hr Title: Long Term Care Coordinator (Remote) Location: Remote... ...facilities, providers, and vendors. If you have experience in managed care, utilization review support, skilled nursing (SNF/LTC), discharge...Remote workWork at officeMonday to Friday- An established industry player is seeking a Utilization Management Coordinator to support their clinical teams in a fully remote role. This position involves a variety of non-clinical administrative tasks, including reviewing authorization requests, providing coordination...Remote job
$19 per hour
The UM Coordinator assists and supports the clinical team (UM Nurses/Medical Director) with... ...-clinical tasks related to processing Utilization Management prior authorization and appeals. Job... ...Career development opportunities Remote Opportunities We are actively seeking...Remote workTemporary work$22.75 per hour
...Services is staffing a contract to hire opportunity for a Utilization Management Coordinator to support a leading health insurance customer. The... ...coordination, and quality of care. Pay: $22.75/HR 100% Remote Must live in D.C., MD, or VA Duties: Reviews authorization...Remote workContract workWork experience placementLive in$21 - $28 per hour
...employment, but you also have training opportunities, flexible/remote work options, growth opportunities, 401K and... ...AM-5:20 PM EST FLSA: Non-Exempt Position Overview The Utilization Management (UM) Coordinator II supports pre-service, concurrent, and post-service review...Remote workContract workWork experience placementWork at officeLocal areaMonday to FridayFlexible hours$26.35 - $39.53 per hour
...Utilization Management Nurse, LVN/LPN California, United States NeueHealth is a value-driven healthcare... ...are entitled to high-quality, coordinated care. By uniquely aligning the interests... ...Corporate office preferred / remote may be considered Collaborative...Remote workHourly payWork at office- ...A healthcare management company is seeking an experienced Licensed Practical Nurse (LPN) to facilitate value-based care for patients. This fully remote position offers the chance to work from home... ...conducting health assessments, coordinating resources, and assisting with...Remote workWork from home
$21 per hour
...is seeking a Licensed Practical Nurse (LPN) for a fully remote position based in Houston, Texas. The successful candidate will manage patient care and conduct health assessments... ...environment. Responsibilities include coordinating resources for chronic care management and...Remote work$21 per hour
...hiring a Licensed Practical Nurse (LPN) in Oklahoma City to join... ...in delivering value-based care management. The role involves conducting health assessments, coordinating resources for chronic care,... ...educating patients. This fully remote position offers a consistent schedule...Remote work$21 per hour
...Inc. is seeking a Licensed Practical Nurse (LPN) to provide comprehensive care management for patients. This fully remote role requires at least 3 years of patient-facing... ...and involves conducting health assessments, coordinating patient needs, and assisting with medication...Remote workFlexible hours- ...seeking a skilled Licensed Practical Nurse (LPN) with a focus on patient care management in Indianapolis, IN. This fully remote role requires at least 3 years of patient-... ...Responsibilities include conducting health assessments, coordinating resources, and providing education on...Remote work
- ...Barbara Cottage Hospital is seeking an Authorization Coordinator/Licensed Practical Nurse (LPN) for a remote role in Virginia. Responsibilities include... ...least 3 years of related experience, with knowledge of managed care procedures. This role offers an extensive benefits...Remote work
$21 - $28 per hour
...CareHarmony’s Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking... ...daily. What's in it for you? Fully remote position - Work from the comfort of...Remote workFull timeWork experience placementWork at officeHome officeMonday to FridayShift workDay shift$21 - $28 per hour
...CareHarmony’s Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an... ...patients daily. What's in it for you? Fully remote position - Work from the comfort of...Remote workFull timeWork experience placementWork at officeHome officeMonday to FridayShift workDay shift$26 per hour
...are scheduled, employees may work remotely on those weekend shifts." Under... ...Services and the Health Services Manager, the Non-Clinical Intake Coordinator III will support the Clinical Intake... ...provide administrative support to the Utilization Management Department, a licensed...Remote workContract workTemporary workShift workWeekend work$23.6 - $31.92 per hour
A healthcare organization in Austin, TX, is seeking an office support professional to manage various administrative tasks in a partially remote role. Candidates should have a high school diploma or equivalent with at least 1 year of relevant experience. The ideal candidate...Remote workHourly payWork at office- Ascension, located in Austin, TX, seeks an Administrative Support professional to manage office workflows and core services in a partially remote role. Candidates should have at least 2 years of relevant experience in healthcare settings and must live in Austin. Join a...Remote workLive inWork at office
- ...Harbor Health is seeking a dedicated Utilization Management (UM) LVN. The UM LVN supports prior authorization... ...facilitate authorization processes, coordinate clinical information, support medical... ...Business Hours This position is fully remote Monday-Friday 8am - 5pm with the...Remote workLocal areaMonday to FridayShift work
$23.6 - $31.92 per hour
...glance Location: Austin, TX - Partially Remote Facility: Ascension and Texas Administrative... ...an impact in this role Organize and coordinate all office support functions, activities... ...assigned functional area or department. Manage core office services, including supplies...Remote workHourly payFull timeTemporary workLive inWork at officeLocal areaMonday to FridayDay shift- ...improvements. Provides excellent customer service. Other duties as assigned. Comments/Special Instructions Position to start of as remote, moving back to Charleston office when and if appropriate. Applicants must be available to work both remote/in person SavianceRemote workWork at office
$28.73 - $43.09 per hour
...LPN Chronic Disease Coordinator - Care Mgmt PeaceHealth is seeking a LPN Chronic... ...implementation of health and disease management programs. Functions as a... ...care plans and utilizing tracking tools, coaching for... ...work in an independent and remote environment as position may...Remote workFull timeWork experience placementWork at officeWork from home- CVS Health is hiring a UM Nurse Associate to join Aetna’s Long-Term Services and Supports team. This fully remote role entails reviewing medical records and treatment plans, ensuring timely and effective care for members across Virginia. Ideal candidates should be detail...Remote jobWeekday work
- ...ReWorks Solutions is seeking a Utilities Coordinator for a full-time, remote position. This detail-oriented role requires managing and tracking utility data across a portfolio of properties, focusing on accurate data entry, account management, and communication with multiple...Remote workFull timeWork from home
- ...leader in personalized managed health care, focused... ...Overview Responsible for utilizing medical knowledge to... ...planning, implementation, coordination, monitoring,... ...of their license. The LPN care coordinator is a... ...Work-life balance. Remote/hybrid setting (once trained...Remote workFull timeTemporary workWork at officeWork from homeMonday to FridayFlexible hours
- ...leading healthcare organization is seeking a Senior Specialist, Talent Acquisition. This 100% remote position requires candidates to reside in MD, DC, or VA. You will manage high-volume inbound calls, process medical authorizations, and ensure accurate patient data entry...Remote work
- ...Evolent is seeking a Coordinator, UM Intake to support the Utilization Management Team in administrative tasks for efficient document processing. Responsibilities include reviewing inbound faxes, monitoring turnaround times, and ensuring accurate document classification...Remote workFlexible hours
- ...has the opportunity to welcome a MDS Coordinator (LPN) to join our team! Our MDS Coordinators... ...: Strong leadership team under new management! Supportive regional operational and... ...the evaluation of quality of care and utilization review for the purpose of clinical reimbursement...Full timeFlexible hoursWeekend work
- ...A management consulting firm is looking for an IT Asset SOW Administrator to provide operational... ...preparing Statements of Work (SOWs), utilizing Salesforce and Agiloft for document... ...experience with project pipelines. This is a remote position requiring effective...Remote work
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