Home Health Utilization RN - Care Coordination
Family Health Center of Worcester, Inc.
Family Health Center of Worcester, Inc. is seeking a Home Health Registered Nurse to join the Primary Care Team in Worcester, MA. This full-time position coordinates home health, quality improvement, and utilization review for center patients, ensuring timely, appropriate care and documentation. The role requires MA RN licensure and a Bachelor’s degree in nursing; BLS is required. Experience in home health and discharge planning is preferred, with focus on patient-centered care and collaboration #J-18808-Ljbffr Family Health Center of Worcester, Inc.
$62 per hour
...Performs an age specific plan of care for a designated group of patients using... ...with physicians and other health team members in coordinating and implementing procedures and treatments... ...appropriate agencies; Recognizes and utilizes health teaching opportunities and...SuggestedHourly payLocal areaRemote work- Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination of medical services and benefit determinations. You will... ...Utilization Management, serving a post-acute care team including SNF, Home Health, and DME to ensure appropriate care...SuggestedRemote job
- Evry Health is seeking an RN Integrated Care Coordinator (UM) to provide comprehensive care coordination and drive quality outcomes across the care continuum... ...in a remote environment, with rotating weekend utilization review coverage. The candidate should have 1-2 years...SuggestedRemote job
- UnitedHealth Group's UnitedHealthcare segment seeks an RN Clinical Care Coordinator to manage a panel of members with complex medical... ...support to improve care quality and appropriate utilization. Role is field-based with a home-based office; you will travel up to 75% and...Work from homeRemote jobWork at office
$77.22k - $93.6k
...Key Responsibilities Coordinate interdisciplinary care planning to achieve... ...Coordinate access and utilization management,... ...patient‑centered medical home, working with the interdisciplinary... ...Licensed RN in New York State (... ...including community health, care management,...Work from homePart timeMonday to Friday$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management... ..., Quality of care concerns. Interfacing... ...friendly. Care Coordination & Quality Support... ...management or population health programs to support... ...: Work from Home: Guidehealth is a...Work from homeBi-weekly payFull timeTemporary workFor contractorsLocal areaRemote work- ...is looking for a qualified candidate to oversee utilization management activities. The role involves coordinating clinical compliance and ensuring timely case management... ...patient outcomes and provide education for better self-care and advocacy. #J-18808-Ljbffr CareConnect
- Wellstar Health System in Georgia is seeking a skilled professional to join our utilization management team in Roswell. You will help assess necessity and appropriateness... ...authorizations, monitor ongoing plans of care, and coordinate posts discharge documentation to ensure...
$20k
...And Responsibilities As our RN Care Coordinator, you will oversee the progression... ..., and collaborate with utilization management, nursing, physicians... ..., engaging other relevant health team members, the patient... ...-the-art medical campus and home base for Flight For Life Colorado...Work from homeRelocation package$71.1k - $97.8k
...in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2... ...committed to improving health outcomes for members.... ...Combination remote work at home and onsite member... ...eligible for Medicare. Utilize various strategies to manage... ...Registered Nurse (RN) in the state of Indiana...Work from homeFull timeTemporary workRemote workRelocation packageMonday to Friday$49 per hour
As a Valleywise Health Utilization Review RN Coordinator, you are part of a multidisciplinary team providing exceptional care to our patients. Our team includes social workers, psychiatric and medical providers, nurses, behavioral health technicians, mental health workers...Hourly payWork at office- ...Summary of Job Duties: The Utilization Management Coordinator (UMC) is responsible... ...across all levels of care. The UMC supports the... ...works closely with RN Case Managers (RNCM)... ...are known to the health care providers across... ...facilities, community-based home care, outpatient...
- ...CVS Health is seeking an experienced Utilization Management (UM) Nurse Consultant to join our... ...team. This 100% work-from-home role serves members across... ...ensuring safe, appropriate care and timely approvals.... ...collaborate with providers, and coordinate care while meeting state...Work from homeRemote work
$28.5 - $38.5 per hour
...With Purpose Sanford Health, the largest rural... ...the health care experience and providing... ...records. Performs utilization management (UM)... ...requirements. Completes/coordinates activities... ...registered nurse (RN) license with the... ...maintain a healthy home-work balance. For...Work from homeFull timePart timeLocal areaRemote workMonday to FridayShift workWeekend workDay shift$40.45 - $62.7 per hour
Endeavor Health is seeking an RN Care Manager in Evanston, IL. This full-time position requires an IL nursing license, a BSN, and... ...of clinical nursing experience, with emphasis on utilization management and care coordination. A pay range of $40.45-$62.70 per hour is offered...Hourly payFull timeRelocation package- ...Registered Nurse (RN) | Utilization Review Location: Pennsylvania... ...~ Evaluate cases to ensure care is delivered in the most appropriate... ...potential discharge and home-care needs. ~ Identify hospitalized... ...discharge planning and care coordination needs. ~ Collaborate with...Weekly payFull timeImmediate startRemote work
- ...CVS Health is seeking a remote RN Case Manager to work from home across the United States with virtual training. The role involves telephonic case management... ...clients, applying clinical guidelines, and coordinating care to improve outcomes. Requirements include 5+...Work from homeRemote work
- ...CVS Health is seeking a Case Management Coordinator in Illinois to support members with scheduling, benefits... ...education, and access to care. The role requires clinical experience and an active RN license in Illinois. You will work from home within designated IL areas,...Work from homeRemote work
$25 per hour
...seeking a compassionate Registered Nurse (RN) to provide remote after-hours triage... ...role involves assessing patient needs and coordinating care while maintaining professionalism and... ...supportive clinical team, and flexible work from home arrangements. Benefits include PTO and...Work from homeHourly payRemote workFlexible hours- ...nursing practice standards of care for a specific transplant... ...post-transplant follow-up care. Coordinates communications with the outpatient... ...Transplant Coordinator is a home-based position that may... ...the program's local network, utilizing the Cerner platform and UNOS...Work from homeFull timeLocal areaNight shift
- Elliot Health System’s Care Coordination Department in Manchester, NH, seeks a RN Manager Utilization Review to lead the UR function, ensure compliant level-of-care determinations, and drive high-quality documentation. You’ll partner with physicians, revenue cycle, quality...
$29 per hour
...Job Description Job Description Utilization Review Care Coordinator (RN) Location: San Antonio, TX Pay Rate: Starting at $29.00/hour Schedule: Monday-Friday | 8:00 AM-5:00 PM Dean's Professional Services is seeking an experienced and detail-oriented...Monday to Friday- Wellstar Health System is seeking an Utilization Management Nurse (UM) Coordinator to conduct medical necessity reviews 24/7. The role uses MCG criteria to determine level of care, communicates approvals to payers and care teams, and ensures timely authorization and accurate...
- ...Registered Nurse / Delegating Nurse (RN/DN) to support individuals... ...nursing assessments, care plan development, and DSP delegation... ...The candidate will monitor health status, coordinate with healthcare providers,... ...records. Flexible work-from-home options are available and...Work from homeRemote jobFlexible hours
$68.89k - $92.14k
...Pay Plan Title: Utilization Management Nurse... ...Nurse – Physical Health FLSA Status: Exempt... ...Plan and Managed Care Organization (MCO)... ...benefits and work-from-home options for most... ...reviews and coordinates care to ensure appropriate... ...Registered Nurse (RN). Must have a...Work from homeWork at officeLocal areaImmediate startRemote workFlexible hours$76k - $89k
...to apply! Job Summary Coordinates transition of care services for TRICARE... ...Required: Registered Nurse (RN) or Licensed Clinical... ...degree or higher in health-related field Case... ...Key Responsibilities Utilizes clinical judgment to... .... Coordinates in-home assessments through contracted...Work from homeContract workTemporary workInterim roleWork at officeLocal areaRemote workShift work- CVS Health is seeking a Case Management Coordinator to collaborate with care teams and facilitate healthcare outcomes for members enrolled in Medicare and Medicaid... ...the ability to work independently from a home office. An RN license in Illinois and an associate’s degree...Work from homeRemote jobHome office
$72k - $81k
...Nurse Case Manager to manage an individual caseload remotely, coordinating services, reviewing treatment plans for medical necessity, and maintaining active communication with the health care team. This home-based role emphasizes URAC-aligned certification progression within...Work from homeRemote job- CVS Health is seeking an experienced Registered Nurse Case Manager... .... You will assess needs, coordinate care, and work with members, providers... ...-time role requires an IL RN license, 3+ years of clinical... ...ability to travel up to 50%, and a home-based/remote-friendly setup....Work from homeFull timeRemote work
- ...Registered Nurse to join our care management team serving the Austin... .... This role emphasizes care coordination for clients with complex... ...and social needs, supporting home- and community-based services... ...meaningful client interactions. The RN will conduct assessments, develop...Work from homeRemote job
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