RN Episodic Care Manager - Hybrid/Remote Utilization
Blue Cross and Blue Shield of North Carolina
- Remote job
Blue Cross and Blue Shield of North Carolina is hiring an Episodic Care Manager to join the Commercial Clinical Utilization Management (UM) Team. This role conducts clinical reviews to assess medical necessity and coordinate care for members, collaborating with providers, members, and internal staff to deliver high-quality, cost-effective care. The position supports hybrid work with in-person collaboration and remote work options, and requires an RN with 3 years of clinical experience or an LPN #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
$123.2k - $168.98k
...ensuring that patients receive high-quality care while efficiently utilizing medical resources. Reviews patient... ...: ~ Registered Nurse (RN) licensure in the state of practice:... ...communication variances to the on-site care management teams when appropriate. Reviews and...Remote workFull timeWork experience placement$41.2 - $62.17 per hour
Job Description: The RN Hospital Care Manager I delivers comprehensive care management services to... ...experience in case management, utilization review, value-based care, and/or discharge... ...and expectations. If applying for a remote or hybrid role, this includes remote work...Remote workHourly pay$45.31 - $67.01 per hour
...: The Central Market nurse care manager works collaboratively with physicians... ...needs and goals during the episode of care and within the... ...or promotion. Current RN license in state of practice... ...expectations. If applying for a remote or hybrid role, this includes remote...Remote workHourly payFull timeWork at office$105k - $115k
...Job Description Job Description Managers for a Managed Care Plan servicing New York. The RN Care Manager position works as a Hybrid - Remote Case Manager, working primarily from home, with 1 day of Field Case Management visits per week, in designated areas. Bilingual...Remote workPermanent employmentWork at officeImmediate startTrial period1 day per week$41.2 - $62.17 per hour
...R185441 Job Description: The RN Ambulatory Care Manager I delivers comprehensive ambulatory... ...or case conferences when necessary. Utilizes team-based care approach referring and... ...and expectations. If applying for a remote or hybrid role, this includes remote work expectations...Remote workHourly payFull timeWork at officeShift workDay shift$62.66k - $84.17k
...Summary The Registered Nurse (RN) Care Manager or Licensed Social Worker (... ...coaching to drive effective utilization of established best... .... With flexible schedules a remote-first culture and a nationally... ...geographic location. #LI - Hybrid Required Experience: Manager...Remote workFull timeFlexible hours$63.5k - $90.72k
...Care Manager (RN) Are you looking to work for a company that has been... ...outcomes, and reduces avoidable utilization. This role requires... ...transitions, or other acute episodes. Complete all required follow... ...is HIPAA compliant for all remote or telecommuting positions as...Remote workHome officeWeekend workAfternoon shift- ...Job Description Job Description Utilities Specialist I - Hybrid - 3 days on site, 2 days WFH Full time; Non-Exempt; 40 hours/week; Overtime... ...position and/or move about the organization or remote office. The employee is frequently required to stand or walk...Remote workFull timeTemporary workWork at officeWork from homeFlexible hours
$36.21 - $65.09 per hour
...Care Coordinator Position Purpose: Performs care management duties to assess and coordinate all aspects... ...Details: We are seeking an RN with a passion for... ...For Superior: Resource Utilization Group (RUG)... ...approach to work with remote, hybrid, field or office work...Remote workHourly payFull timePart timeWork at officeFlexible hours- ...Job Description Job Description RN Case Manager – Hybrid Hybrid | 2 Days Remote + 3 Days Field/Office Monday–Friday | 8:00 AM–4:00 PM No nights No... ...healthcare needs, helping them navigate services, coordinate care, and remain safe and independent in their homes....Remote workWork at officeLocal areaMonday to FridayShift workWeekday work
$41.71 - $105.65 per hour
...RN Care Coordinator (Case Manager) BWH Care Continuum Mass General Brigham relies... ...interdisciplinary team, the RNCC utilizes patient assessment, care... ...therapies to assess the episode of illness from pre... ...40hr variable rotation Remote Type Onsite Work Location...Remote workHourly payWork at officeFlexible hoursShift workRotating shift- ...in the NY area is seeking experienced REMOTE Care Managers CANDIDATES MUST RESIDE IN THE METROPOLITAN... ...s representatives, and specialis ts.Utilizes benefit structure and community-based... ...workflows Background RN, State of NY Previous Care Management...Remote work
- ...your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with... ...Service Standards. Position Details: Full Time RN/LPN Hybrid/Remote 8a-5p with 2 days onsite 90 days of onsite training Locations...Remote workFull time
- ...JOB SUMMARY: The care management staff that KPPC employs are all state-licensed Registered... ...in coordination with patient/family, and utilizes evidence-based therapy modalities/skills... ...QUALIFICATIONS: 1. Required: a. RN license in North Carolina b. 1-2 years...Remote workTemporary workLocal areaWeekend work
- ...RN Care Manager *F/T Variable* Santa Monica, California Full Time RN Care Manager with our Care... ...years' Experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions in Practice...Remote workFull timeContract workShift workWeekend work
- ...independent leader in personalized managed health care, focused on what’s important... ...Manager role allows you to utilize your clinical nursing... ...then there is an option for a hybrid option of three - four days working... ...is working in. Must be an RN. Successful completion of case...Remote workFull timeTemporary workWork at officeWork from homeHome officeMonday to FridayFlexible hoursNight shift
$100k - $135k
...Hybrid Registered Nurse (RN) Care Manager - MLTC - Brooklyn Apply ( locations Brooklyn, NY time type Full time posted on Posted 3... ...only needed services at the most appropriate levels, utilizing network providers and ensuring that services are based...Hourly payFull timeWork at officeLocal areaHome officeFlexible hoursWeekend workAfternoon shift$42 - $55 per hour
...RN Case Manager This position functions autonomously and in collaboration with all members... ...facilitate quality, cost-effective care while minimizing fragmentation of the... ...Manager. Location: Sacramento, CA - Hybrid - Remote This is a hybrid, field based role requiring...Remote jobHourly payFull timeHome officeMonday to Friday3 days per week$63.86 - $70.74 per hour
...Job Summary: The RN Care Manager provides clinical leadership and decision-making for care... ...authorization compliance, and service utilization using approved clinical guidelines (e.g... ..., this position has the potential to be a full or hybrid telecommuting position....Remote workWork at officeRelocation package$90k - $100k
...RN Care Manager Boston, Massachusetts, United States $ 90,000.00 - 100,000.00 (US Dollar) Or... ...RN Care Manager, you'll take on an exciting hybrid position, balancing in-person home visits with the convenience of remote coaching. Your mission? To support family caregivers...Remote workImmediate startWork visaShift workWeekend work$56.2k - $101k
...The Care Manager will be responsible for enrolling members in case management... ...desk-based or exclusively remote. Care Managers will balance telephonic... ...**License/Certification:** + RN - Registered Nurse - State... ...approach to work with remote, hybrid, field or office work...Remote workFull timePart timeLive inWork at officeLocal areaFlexible hours$56.2k - $101k
...Business Area: Clinical & Care Management Job Type: Full time Position Purpose: Develops... .... License/Certification: ~ RN - Registered Nurse - State Licensure and... ..., and a flexible approach to work with remote, hybrid, field or office work schedules. Actual...Remote workFull timePart timeWork at officeLocal areaFlexible hours$56.2k - $101k
...Business Area: Clinical & Care Management Job Type: Full time Position Purpose: Develops... .... License/Certification: ~ RN - Registered Nurse - State Licensure and... ..., and a flexible approach to work with remote, hybrid, field or office work schedules. Actual...Remote workFull timePart timeWork at officeLocal areaFlexible hours- ...compassionate, and accessible patient care. Our Community-Based Services... ...seeking a CSS, Nurse Care Manager to join our Community Based... ...Manager works in person with some remote options available dependent on... ...), hospitalizations, etc. Utilizes ascribed processes for...Remote work
- ...RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital – Albuquerque *Inpatient *Outpatient *Utilization Management *SRMC Care Management *Full Time *Part Time Receive 17... ...patient interaction. · Primarily a remote work from home position once...Remote workFull timePart timeReliefWork from homeRelocation packageMonday to FridayNight shiftDay shiftAfternoon shiftWeekday work
$40 - $45 per hour
...Title: Clinical Care Manager (RN, LCSW, or LCPC) Location: Hybrid Role: Community Visits Throughout Illinois + Remote Documentation Shift: Monday - Friday, 8:00 AM - 5:00 PM Compensation: $40 - $45/hr Interview Process: One round virtual interview Duration...Remote workContract workMonday to FridayShift work$59.92k - $89.89k
...organizing and providing care to patients through... ...patient satisfaction while managing the cost of care and... ...and coordinates utilization management, care facilitation... ...Required: Current RN licensure in... ...FTE: 0.8 Possible Remote/Hybrid Option: Shift Rotation...Remote workLocal areaWork from homeFlexible hoursShift workWeekend work- ...RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital – Albuquerque *Inpatient *Outpatient *Utilization Management *SRMC Care Management *Full Time *Part Time Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials...Remote workFull timePart timeReliefWork from homeRelocation packageMonday to FridayShift workNight shiftDay shiftAfternoon shiftWeekday work
$79.59k - $97.46k
...United States to confidently care for their loved ones at... ...of in-person home visits, remote coaching and our proprietary... ...flexible schedule. Our care management team is seeking an RN Care Manager to provide personalized... ...geographic location. #LI - Hybrid Join Our Award Winning Team...Remote workFlexible hoursShift workWeekend work$71.1k - $97.8k
...Join Our Caring Community Humana/iCare is seeking an RN Care Manager to join the team in the Family Care Partnership (FCP)... ...Requirements: To ensure Home or Hybrid Home/Office employees' ability to... ...information. Travel: While this is a remote position, occasional travel to...Remote workFull timeTemporary workApprenticeshipWork at officeHome officeMonday to Friday
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