Remote Care Manager RN | Utilization & Care Coordination
Highmark Health
Highmark Inc. is seeking a full-time Registered Nurse for a remote care management role requiring weekend availability (Saturday and Sunday) in addition to three weekdays. You will implement utilization management strategies, review care plans, educate providers and members, and analyze data to improve performance and satisfaction. The ideal candidate has 3 years of clinical experience, RN licensure (PA or multi-state via eNLC), and may hold certifications in Utilization Management or related
#J-18808-LjbffrVacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Care Manager RN | Utilization & Care Coordination in United States vacancy
- Highmark Inc. is seeking a full-time RN with utilization management expertise for a remote role requiring weekend availability (Saturday... .... The position focuses on reviewing care appropriateness, applying criteria, and coordinating with Health Coach/case management to...Remote jobFull timeWeekend workWeekday work
- ...Humana is seeking an Utilization Management Registered Nurse to interpret and coordinate medical services, document... ...for post-acute care. You will report to the... ...and DME. This is a remote role with occasional travel... ...or meetings. Required RN license in your state and...Remote work
Humana
New York, NY22 hours ago - ...seeking a full-time Registered Nurse for a remote care management role requiring weekend availability (... ...three weekdays. You will implement utilization management strategies, review care... ...candidate has 3 years of clinical experience, RN licensure (PA or multi-state via eNLC)...Remote workFull timeWeekend workWeekday work
Highmark Health
Boise, ID1 day ago - Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation, and communication of medical services and benefit determinations... ...Management team, which manages post-acute care services including SNF, Home Health, and DME....Remote job
- ...Piper Companies is seeking an Episodic Care Manager for a fully remote opportunity within the healthcare and managed... ...term contract role responsible for conducting utilization reviews, evaluating medical necessity, coordinating clinical determinations, and collaborating...Remote workLong term contract
Piper Companies
United States5 days ago - ...Healthcare is seeking a registered nurse to support care management and care coordination activities remotely across the continuum of member care. You will work... ...services across behavioral health and LTSS, and utilizing motivational interviewing to drive member engagement...Remote work
Molina Healthcare
Carol Stream, IL5 days ago - ...patients receive high-quality care while efficiently utilizing medical resources. Reviews... ...~ Registered Nurse (RN) licensure in the state of... ...variances to the on-site care management teams when appropriate.... ...stakeholders to ensure a coordinated and efficient care process...Remote workWork experience placement
Adventist Health
Roseville, CA22 hours ago - ...Humana Inc. is seeking a remote Telephonic Care Manager to deliver holistic case management across the continuum of care,... ...hospital readmissions and promote appropriate utilization of funding sources. You will coordinate with CM programs, MTF staff, and providers to...Remote workShift work
Humana
United States3 days ago - ...is seeking an Episodic Care Manager to join the Commercial Clinical Utilization Management team. The role... ...medical necessity and coordinates care across members and... ...include an RN with 3 years of experience... ...person collaboration and remote options. #J-18808-Ljbffr...Remote workFlexible hours
Blue Cross and Blue Shield of North Carolina
Annapolis, MD5 days ago - ...Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation, and communication of medical services and benefit determinations... ...Management team handling post-acute care services (SNF, Home Health, DME) to ensure appropriate...Remote workWork from home
Humana
Columbia, SC5 hours ago - ...Baptist Health Brookwood Hospital is seeking an experienced RN for care management to coordinate patient care from admission to discharge. You will work... ...to the next level of care. The role emphasizes utilization management, clinical collaboration, and ensuring compliance...
Baptist Health
Homewood, AL3 days ago - ...Saint Agnes Medical Center in Fresno, CA, is seeking a Part-time RN to coordinate utilization review across the acute care continuum. The role involves discharge planning, utilization management, and care coordination with an interdisciplinary team to optimize hospital...Part timeNight shift
Saint Agnes Medical Center
Fresno, CA3 days ago - ...Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation, and communication of medical services and benefit determinations for post-acute care (SNF, Home Health, DME). The role reports to the Manager of Utilization...Remote work
Humana
United States20 hours ago - ...Humana is seeking a Utilization Management Registered Nurse to support coordination, documentation, and communication of medical services and benefit determinations for post-acute care, including SNF, home health, and DME. You will report to the Manager of Utilization...Remote work
Humana
United States22 hours ago - ...Humana is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation, and communication of medical... ..., which oversees post-acute care services including SNF, home... ...necessity and coordinate care, with potential remote #J-18808-LjbffrRemote work
Humana
United States1 day ago - ...RN Care Coordinator (Case Manager) BWH Care Continuum The Brigham and Women's Hospital, Inc. relies on... ...an interdisciplinary team, the RNCC utilizes patient assessment, care guidelines,... ...applicable): Shift: 40hr variable rotation. Remote Type: Onsite. Work Location: 45...Remote workHourly payWork at officeFlexible hoursShift workRotating shift
- ...Humana is seeking an Utilization Management Registered Nurse to interpret and support the coordination, documentation, and communication of medical... ...determinations for post-acute care services (SNF, Home Health,... ...requires an active Compact RN license, 1 year of RN experience...Remote work
Humana
United States2 days ago - ...Humana is seeking a qualified Utilization Management Registered Nurse to join the... ...Home Solutions UM team. This remote role focuses on interpreting medical criteria, coordinating documentation, and communicating... ...for post-acute care services including SNF, Home...Remote work
Humana
United States1 day ago - ...Humana is seeking a remote Utilization Management Behavioral Health Professional 2 in Indiana. The role requires an active RN license in Indiana, an ASN (BSN preferred... ...+ year of clinical and managed care experience. You will coordinate with providers and members to ensure...Remote work
Humana
United States1 day ago - ...is recruiting for an RN Concurrent Review Nurse in a remote capacity, focusing on... ...medically necessary care across the continuum.... ...collaborate with providers, coordinate discharge planning,... ...participate in care management referrals to optimize utilization and outcomes. #J-1880...Remote work
4004 Aetna Medicaid Administrators
Jackson, MS4 days ago - ...Molina Healthcare is seeking a remote RN Care Manager with a preference for candidates in Washington State. The position operates on Pacific... ...-of-care activities. The role emphasizes care coordination across disciplines, with no travel, no direct patient care...Remote workNight shift
Molina Healthcare
United States1 day ago - ...Utilization Management Registered Nurse at Humana uses clinical nursing skills to interpret and support coordination, documentation and communication of medical services and benefit determinations for post-acute care services including SNF, Home Health and DME. You...Remote work
Humana
Jackson, MS4 hours ago - ...Molina Healthcare is seeking a registered nurse for a 100% remote care management role on our fast-paced auto-dialer team. This position supports coordinated member care across the continuum to achieve desired outcomes and cost-effective care. Preferred Illinois applicants...Remote work
Molina Talent Acquisition
United States5 days ago - ...Inclusa, is seeking a Nurse Care Manager to support Wisconsin Family Care... ...a Monday–Friday schedule, remote work from home with up to 40%... ...sites, and comprehensive care coordination, education, and record remediation... ...and an active Wisconsin RN license, with 1 year of care...Remote workWork from homeMonday to Friday
Santa Barbara Cottage Hospital
United States3 days ago - ...Humana Inc. seeks a Utilization Management Registered Nurse to interpret and support coordination, documentation and communication of medical services and benefit determinations... .../Home Solutions UM team focused on post-acute care services. You will review cases using...Remote work
Humana
Helena, MT3 days ago - ...Humana is seeking an Utilization Management Registered Nurse to interpret and support coordination, documentation and communication of medical services and benefit administration... ...Management team focused on post-acute care services including SNF, Home Health and DME. You...Remote work
Humana
Helena, MT1 day ago - ...Registered Nurse to join our care management team serving the Austin... .... This role emphasizes care coordination for clients with complex medical... ...meaningful client interactions. The RN will conduct assessments,... ...visits, while primarily working remotely. #J-18808-Ljbffr...Remote workWork from home
Prestige Staffing
Austin, TX4 days ago - ...is seeking a Registered Nurse for Utilization Management to assess and coordinate care for members. You will review clinical... ...of resources. Requires an active RN license, ADN (BSN preferred), and... ...in adult acute/critical care. Remote work within the U.S. #J-18808-Ljbffr...Remote work
CVS Health
Baltimore, MD1 day ago - ...University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior... ...authorization, concurrent and retrospective utilization, coordinating with the care team for timely and appropriate care. You...Remote workFull time
University of Miami
United States1 day ago - ...Group is seeking a Discharge Care Manager to lead telephonic case management... .... You will assess needs, coordinate discharge plans, and work... ...inpatient care. The role supports remote work within EST/CST zones,... ...improve health outcomes. An RN license and 5+ years of...Remote work
UnitedHealth Group
United States2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Care Manager RN | Utilization & Care Coordination. 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