Remote LPN - Utilization Management Associate (LTSS)
CVS Health
- Remote job
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-oriented LPNs with strong clinical judgment and multitasking abilities. The job offers a structured weekday schedule, meaningful work with vulnerable populations, and opportunities for professional growth. #J-18808-Ljbffr CVS Health
- A leading health company is seeking a Utilization Management Representative I located near Miami or Tampa, Florida. This hybrid role includes managing calls, determining eligibility, and ensuring positive customer relations while coordinating precertification and prior...Remote job
- Elevance Health is seeking a Utilization Management Representative I to manage incoming calls and claims work in a virtual environment. Candidates must have at least a high school diploma or GED and one year of customer service experience. The role includes determining...Remote jobContract work
- A health services company is looking for a Utilization Management Representative I to coordinate precertification and prior authorization cases. The role is primarily virtual, requiring customer service experience and strong communication skills. Candidates must be located...Remote jobMonday to Friday
$26.35 - $39.53 per hour
...Utilization Management Nurse, LVN/LPN California, United States NeueHealth is a value-driven healthcare company grounded in the belief that all... ...Work Environment: Corporate office preferred / remote may be considered Collaborative environment requiring...Remote workHourly payWork at office- ...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
- ...BlueShield of South Carolina is seeking a Utilization Management Coordinator I. This role involves... ...pharmacy reviews, managing utilization within LPN/LBSW scope, and documenting decisions... .... The position is full-time and remote, with occasional onsite requirements for...Remote jobFull time
$22.4 - $48.67 per hour
...experience. Position Summary - UM Nurse Associate (LTSS) Join Aetna's Long-Term Services and... ...members across Virginia. This fully remote opportunity offers a structured... ...clinical expertise into care coordination, utilization management, and member advocacy Required...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayWeekday work- ...Department: Managed Services This position will be hybrid in the Dallas, Texas area.... ...3 open positions for this role. The Utilization Management (UM) LVN performs utilization... ...review. This position will be hybrid with remote and in-office assignment. SPECIFIC...Remote workWork at officeRelocation package
- ...should reside in Texas Harbor Health is seeking a dedicated Utilization Management (UM) LVN. The UM LVN supports prior authorization and utilization... ...of care. Shifts and Business Hours: This position is fully remote Monday‑Friday 8am – 5pm with the exception of Saturday...Remote workLocal areaMonday to FridayShift work
- ...Licensed Practical Nurse (LPN) for LTSS Waiver/ Home Health in Culpeper... ...of reports to increase utilization of EPSDT services. Maintains... .... Provides complex case management to members with complex needs... .... Education Associate's degree in Nursing preferred...Permanent employmentFull time
$18.5 - $38.82 per hour
...opportunity for a full-time Care Management Associate (CMA). In this role, you... ...role in promoting effective utilization of healthcare services,... ...Management, Disease Management, LTSS, and other specialty programs... ...& Expectations 100% remote position Must maintain a dedicated...Remote workHourly payFull timeTemporary workWork experience placementWork at officeLocal area- ...Supervisor and with assistance of a senior management auditor, the AMA is primarily... ...compliance audits, such as water and sewer utility audits, balancing account audits, communications... ...or restrictions. #J-18808-Ljbffr National Association of Regulatory Utility CommissionersRemote workWork at office2 days per week
- Alignment Healthcare LLC is seeking a Lead Utilization Management Nurse, responsible for reviewing inpatient service requests while leading a team of UM Nurses. This fully remote position demands strong communication skills and a valid California LVN or RN license. The...Remote job
$17 per hour
...technology-enabled revenue cycle management solutions for health systems,... ...for the next Patient Access Associate Specialist champion. This... ...processing physician orders, and utilizing an overlay tool while... ...Monster Top Workplace for Remote Work 2024 Great Place to Work...Remote workWork at officeLocal area$17 per hour
...Patient Access Associate Specialist Ensemble is a leading provider... ...-enabled revenue cycle management solutions for health systems,... ...processing physician orders, and utilizing an overlay tool while providing... ...Monster Top Workplace for Remote Work 2024 Great Place to Work...Remote workReliefWork at officeLocal area$17 - $18.15 per hour
...technology-enabled revenue cycle management solutions for health systems... ...physician orders, and utilizing an overlay tool while providing... ...Financial Management Association (HFMA) MAP Awards for High Performance... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workReliefWork at officeLocal area$66.58k - $142.58k
...Position Summary The Case Manager RN is responsible for... ...in a telephonic/remote environment while collaborating... ..., care management, or utilization management experience.... ...working with Medicaid and/or LTSS populations. Education Associates Degree in Nursing...Remote workHourly payFull timeTemporary workLocal areaWork from home- ...entirely new industry develops. As a remote co-located team, we're inspired by our values... ...how to use the app Relationship management Build and maintain strong... ...projects and enhance process efficiency Utilize key data points to assess category growth...Remote workLocal areaWork from homeHome officeFlexible hours
$44.01k - $90k
...LTD Claims Associate At OneAmerica Financial, our purpose is to... ...appropriate claim and disability management techniques to ensure prompt... ...investigate complex claims by utilizing investigative tools such as... ...Portland, ME. We will consider remote work for candidates not local...Remote workFull timeContract workPart timeWork experience placementWork at officeLocal areaWork from homeFlexible hoursShift work$27.1 - $40.65 per hour
...Nieuwehealth is seeking a full-time Utilization Management Nurse, LVN/LPN, to join our dedicated team in California. This role involves evaluating prior authorization requests, ensuring that patients receive appropriate benefits, and monitoring service utilization....Remote workHourly payFull time$90k - $110k
...to simplify access, understanding and management of healthcare. We are starting by building... ...looking for a Strategic Partnerships Associate to manage and build partnerships with pharmaceutical... ...effective in this role ~ Experience utilizing SQL is a plus What's in it for you...Remote workShift work- Flagler-Health-1 is seeking a dedicated LPN/LVN for a fully remote position focused on delivering Remote... ...Monitoring and Chronic Care Management services. You will engage with patients... ...monitored outside of clinic visits, utilizing technology to maintain communication....Remote work
- ...Help Desk Associate (Omaha, Ne) Provide initial support for technical inquiries received via phone, email, and... ...support tickets and/or cases. This position would utilize industry recognized incident management, remote management, and system management tools to monitor,...Remote workWork at office
$88.45k - $172.48k
...This position will allow for remote work flexibility, but the... ...term services and supports (LTSS) needs - ensuring members reach... ...for Care Coordination and Utilization Management, and provides direction and... ..., Licensed Practical Nurse (LPN), Licensed Vocational Nurse...Remote workContract workWork experience placementWork at officeLocal areaWork from home- ...laptops, desktops, tablets, and/or smartphones. Log or record support tickets and/or cases. This position would utilize industry recognized incident management, remote management, and system management tools to monitor, assist, and resolve issues for users and other...Remote workWork at officeImmediate startFlexible hours
$23.76 - $51.49 per hour
...to other clinical programs. • Collaborates with multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required Qualifications • At least 2 years experience, including experience in hospital...Remote workHourly payWork experience placementWork at office$18.5 - $31.72 per hour
...Care Management Associate-OhioRISE - Must reside in Ohio Join to apply for the Care Management Associate... ...) role is a full-time, predominately remote telework position. Some in-state... ...of Wellness Plans to promote effective utilization of healthcare services. This position...Remote workHourly payFull timeTemporary workSeasonal workLive inLocal areaMonday to FridayFlexible hours$111k - $141.9k
...Communicating metrics and insights to senior management Transform security challenges into... ...Systemically Important Financial Market Utility (SIFMU), OCC operates under the... ...work environment, up to 2 days per week of remote work ~ Tuition Reimbursement to support...Remote work2 days per week$19 per hour
...General Information Name General Utility Associate Employment Type Temporary Position level Full-time Virtual/Remote? No Labor Category Light Industrial Date 19-May-20...Remote workHourly payFull timeContract workTemporary workWork experience placementLocal areaShift work$86.78k - $108.48k
...ll Do As the Screening and TM Associate, you will help build upon the... ...communication to senior management regarding potentially suspicious... ...four weeks per year of fully remote work! Responsibilities Conduct... ...with interpreting and utilizing data analytics tools (SQL, Looker...Remote workWork at officeWork from homeFlexible hours
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