Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Senior Medical Management Clinician (RN) - Remote/Hybrid VA

The Elevance Health Companies, Inc.

Norfolk, VA
  • Remote job

Elevance Health is seeking a Medical Management Clinician Senior to manage complex utilization reviews and clinical decisions within Virginia. The role supports face-to-face onboarding while enabling virtual work, with required in-person training sessions. You will review medical necessity, collaborate with physicians, and mentor junior staff in a hybrid work model. Ideal candidates have a minimum of 6 years of clinical or utilization review experience, hold an active RN/LPN license, and may #J-18808-Ljbffr The Elevance Health Companies, Inc.

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Senior Medical Management Clinician (RN) - Remote/Hybrid VA in Norfolk, VA vacancy
  • Elevance Health, Inc. is seeking a Medical Management Clinician Senior to ensure accurate administration of plan benefits by reviewing clinical information...  ...also serves as a resource for junior clinicians. Remote-friendly with in-person training sessions; schedule is Monday... 
    Remote work
    Senior
    Monday to Friday

    Elevance Health, Inc.

    Richmond, VA
    1 day ago
  • Elevance Health is seeking a Medical Management Clinician Senior to ensure appropriate administration of plan benefits by reviewing clinical information and assessing medical necessity under guidelines and policies. The role may collaborate with providers and serves as... 
    Remote job
    Senior
    Full time
    Monday to Friday

    Elevance Health, Inc.

    Salem, OR
    4 days ago
  •  ...seeking provisionally licensed clinicians pursuing Virginia licensure as an LMSW in Fredericksburg, VA to provide a mix of telehealth...  .... You will join a nationwide hybrid care model with flexible scheduling...  ...to work 50/50 in-office and remote after a probationary period.... 
    Remote work
    Work at office
    Flexible hours

    Thriveworks

    Fredericksburg, VA
    1 day ago
  • Superior HealthPlan, a Centene company, is seeking an RN care coordination/case management professional for a hybrid role involving member home visits and remote work from home in Hidalgo County, TX. The position requires 4-6 years of related nursing and care coordination... 
    Remote job
    Senior
    Work from home

    Superior HealthPlan

    Edinburg, TX
    2 days ago
  • $135.8k - $225k

     ...StatesCapabilities: ChemicalOffice Setup: Hybrid, RemoteSalary: $135,800.00...  .... We're looking for a Senior Process Engineer (Remote/Hybrid) in Life Sciences...  ...CA, Houston, TX, Richmond, VA who is excited about...  .... Employees have access to medical, dental, vision, and basic... 
    Remote work
    Senior
    Full time

    Jacobs

    Conshohocken, PA
    3 days ago
  • Centene Corporation is seeking an RN Care Manager to assess and coordinate care for complex/high acuity populations in a hybrid role serving the Dallas area. The position involves home visits, care plan development, and collaboration with a multidisciplinary team. The role... 
    Remote job
    Senior

    Centene Corporation

    Grand Prairie, TX
    12 hours ago
  • Centene Corporation is seeking a RN care coordinator for a hybrid role covering Hidalgo County, TX and surrounding communities. The position involves home visits and remote work with a schedule of Monday-Friday, 8:00 AM-5:00 PM CST. 4-6 years of related nursing/care coordination... 
    Remote work
    Senior
    Work from home
    Monday to Friday

    Centene Corp.

    Edinburg, TX
    1 day ago
  • $10k

     ...BCBA Clinical Supervisor – Remote, Hybrid & Senior Opportunities Available Job Category : Clinical Support Requisition Number : BCBAC...  ...invest in the people providing care. ~90% employer-paid medical coverage ~100% employer-paid dental and vision coverage... 
    Remote work
    Senior
    Full time

    360 Behavioral Health

    United States
    2 days ago
  • $85k - $89.5k

     ...location Bellflower, CA 90706, USA Hybrid Clinical Support Full-Time Requisition...  ...opportunities including: ~ BCBA → Senior Clinical Supervisor → Assistant Director...  ...providing care. ~90% employer-paid medical coverage ~100% employer-paid dental and... 
    Remote work
    Senior
    Full time

    360 Behavioral Health

    Bellflower, CA
    3 days ago
  • $39 - $56.96 per hour

    Outpatient Nurse Clinician- Anticoagulation Clinic RN, Full time, Days job at Northwestern Medical Group. Chicago, IL. The salary...  .... Description “ Hybrid; 5 (8 hours shifts); 2 days/week remote; no holidays, no weekends...  ...complete and legible. Manage urgent/emergent medical... 
    Remote job
    Hourly pay
    Full time
    Part time
    Work experience placement
    Local area
    Immediate start
    Flexible hours
    Shift work
    2 days per week

    Northwestern Medical Group

    Chicago, IL
    1 day ago
  • $9.46k - $16.55k

     ...proud of, at a company you can believe in. Senior Manager, Enterprise Analytics & Data Platforms The...  ...position data as a strategic asset. Location: Hybrid role based in Newport News, VA (3 days in office / 2 days remote). Relocation assistance available for qualified... 
    Remote work
    Senior
    Hourly pay
    Full time
    For contractors
    Work experience placement
    Work at office
    Local area
    Relocation package

    Ferguson

    Newport News, VA
    6 days ago
  • $60.2k - $107.4k

     ...State of Texas. The chosen Senior Clinical Administrative RN would be responsible for...  ...benefits, contracts, and medical policy Review denial...  ...experience, including utilization management, medical necessity review...  ...with Medical Directors, clinicians, or cross‑functional... 
    Remote job
    Senior
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    UnitedHealthcare

    Houston, TX
    1 day ago
  •  ...accurate coding, quality mortality reviews, and adherence to evolving reimbursement guidelines. You will collaborate with physicians, nurses, and coding staff, work in a hybrid setting, and support multiple facilities. #J-18808-Ljbffr Baptist Memorial Health Care Corporation
    Senior

    Baptist Memorial Health Care Corporation

    Memphis, TN
    1 day ago
  •  ...Hospice RN Case Manager (Fairfax / Arlington County, VA) Ennoble Care is a mobile primary care...  ...Georgia. Ennoble Care's clinicians go to the home of the patient...  ...of programs including, remote patient monitoring,...  ...documentation in electronic medical records. Participates... 
    Remote work
    Full time
    Temporary work
    Work experience placement
    Work at office
    Flexible hours

    Ennoble Care

    Fairfax, VA
    12 hours ago
  • $56k

     ...healthcare provider with over 25 years of experience, seeking a Hybrid/Remote Targeted Case Manager in Florida. You will coordinate individual and family...  ...services in the EMR system and collaborating with clinicians to ensure quality care. The role offers flexible... 
    Remote work
    Flexible hours

    Chrysalis Health

    Palm Coast, FL
    3 days ago
  • $84 - $120 per hour

     ...SOC’s client to work in Quantico, Virginia.Remote flexibility available! Telework offered...  ...days a week at Quantico Marine Corps Base VA.Active Top Secret Clearance is required!...  ...Cybersecurity, and/or Information Systems Management or equivalent experience.Highly desired:... 
    Remote work
    Senior
    Contract work
    Work at office
    3 days per week

    SOC Support Services

    Quantico, VA
    1 day ago
  •  ...registered nurse to enhance frail seniors' ability to age in place by...  ...care and educate members to manage chronic conditions, reducing hospital...  .... Ideal candidates have CA RN licensure, ASN, and 3+ years...  .... This role offers mostly remote work from the LA area with occasional... 
    Remote job
    Senior

    SCAN

    Los Angeles, CA
    3 days ago
  • $137.2k - $205.8k

    Job DescriptionGeneral Summary:The Medical Writing Science Senior Manager is responsible for independently authoring complex clinical...  ...and program-level activities.This is a hybrid role which allows for 2 days per week remote work and 3 days per week in the Boston Fan... 
    Remote work
    Senior
    Full time
    Summer work
    Work at office
    Flexible hours
    2 days per week
    3 days per week

    Vertex Pharmaceuticals

    Boston, MA
    1 day ago
  • ArchWell Health in Tampa, FL is seeking a Nurse Care Manager to coordinate and evaluate care for patients with acute and chronic conditions across the care continuum. You will work closely with the care team to develop and execute individualized care plans, ensuring regulatory... 
    Remote job
    Senior

    ArchWell Health

    Tampa, FL
    3 days ago
  • UnitedHealth Group is seeking a Senior Clinical Administrative RN to support Texas remote reviews of appeals and fair hearings. The role emphasizes clinical review, chart audits, and collaboration with cross-functional teams to ensure accurate determinations and compliance... 
    Remote job
    Senior

    UnitedHealth Group

    Houston, TX
    4 days ago
  • Elevance Health, Inc. seeks a Medical Management Clinician based in Florida to support virtual work with required in-person training sessions. This...  ...diploma, 4+ years clinical/utilization review experience, and active RN/LPN license with #J-18808-Ljbffr Elevance Health, Inc.
    Remote job

    Elevance Health, Inc.

    Tampa, FL
    4 days ago
  • $26.41 - $42 per hour

     ...The Pediatric Care Manager supports care management...  ...care. This hybrid role combines telephonic...  .... Coordinate medical, behavioral health,...  ...Registered Nurse (RN) Licensed Behavioral Health Clinician (LCSW, LMSW, LPC, LMFT...  ...level. xhyhwjd Remote working/work at home... 
    Remote work
    Hourly pay
    Work experience placement
    Work at office
    Immediate start
    Work from home

    Molina Healthcare

    Jacksonville, FL
    3 days ago
  • Dilkon Medical Center in Dilkon, AZ is seeking an experienced RN Case Manager to coordinate mental health services for pediatric to geriatric patients. You will work with...  ..., quality care across WIHCC sites, including remote duties as needed. The role emphasizes adherence... 
    Remote job
    Senior

    Dilkon Medical Center | Winslow Indian Health Care Career Pa...

    Phoenix, AZ
    4 days ago
  • Medidata Solutions, Inc. in New York is seeking a Senior Implementation Consultant to lead...  ...junior team members. The role blends on-site and remote work in a hybrid model, requiring collaboration with project managers and multiple departments to ensure successful... 
    Remote work
    Senior

    Medidata Solutions, Inc.

    New York, NY
    1 day ago
  • $60.2k - $107.4k

     ...Senior Community Care Nurse $2,500 Sign-on Bonus Monday-Friday...  ...greater Hampton / Newport News, VA area Optum Home & Community...  ...multiple providers. The RN is a flexible team member who...  ...complete and accurate documentation, medication reconciliation, nursing rounds... 
    Senior
    Minimum wage
    Full time
    Work experience placement
    Local area
    Relocation package
    Monday to Friday
    Flexible hours

    Reliant Medical Group

    Hampton, VA
    1 day ago
  • $2,059 per week

     ...Registered Nurse (RN) | Progressive Care...  ...Location: Roanoke, VA Agency: Cynet...  ...interpretation and management - IV therapy - Phlebotomy...  ...line care - Medication administration...  ...It consists of a hybrid setup with both PCU...  ...The facility has remote telemetry with tele... 
    Remote work
    Full time
    Contract work
    Local area
    Shift work
    Weekend work
    Day shift

    Cynet Health

    Roanoke, VA
    1 day ago
  • Genworth in Richmond, VA is seeking a Senior Paralegal to support corporate governance for its subsidiaries. The role...  ...strong organizational skills, and the ability to manage multiple priorities in a hybrid in-office/remote schedule. This position offers competitive... 
    Remote work
    Senior
    Work at office

    Genworth

    Richmond, VA
    1 day ago
  •  ...Mindlance is seeking a dynamic Senior Account Executive to join our sales team in McLean, VA. You will own and expand relationships with...  ...delivery teams. This role features a hybrid schedule (office when available, otherwise remote) and travel as needed. The ideal candidate... 
    Remote work
    Senior
    Work at office

    Mindlance, Inc.

    Mc Lean, VA
    1 day ago
  • Workshop Digital is hiring an SEO Manager to drive organic performance for mid-to-enterprise clients. You will build strong client...  ..., and the ability to mentor junior staff. Based in a hybrid Richmond, VA area, you will manage client expectations, participate in meetings... 
    Remote job
    Senior

    Workshop Digital

    Cleveland, OH
    2 days ago
  • TechFlow Inc. is seeking a Senior Systems Administrator to support a critical DoD program, administering...  ...infrastructure to ensure secure, available systems. Hybrid remote work requires in‑person meetings in the Northern VA/DC Metro area. The role emphasizes routine... 
    Remote work
    Senior

    TechFlow Inc

    Arlington, VA
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Medical Management Clinician (RN) - Remote/Hybrid VA. Be the first to apply!