Remote Utilisation & Case Management Leader (RN/MD)
$100 - $150 per hourMercor Inc
Mercor is seeking a Utilisation Management / Case Management leader (RN/Physician-advisor) to join their team remotely. This position involves leading operations and evaluating AI-generated clinical review outputs to ensure accuracy and appropriateness.
The ideal candidate will have over 5 years of experience in utilisation management with a strong focus on clinical criteria like InterQual, MCG, or Milliman. This role offers a competitive hourly compensation of $100–$150 based on experience.
#J-18808-Ljbffr$100 - $150 per hour
...Mercor is seeking a Utilisation Management / Case Management leader (RN/Physician-advisor) to join their team remotely. This position involves leading operations and evaluating AI-generated clinical review outputs to ensure accuracy and appropriateness. The ideal candidate...Remote workHourly pay$100 - $150 per hour
...and Jack Dorsey . Position: Utilisation Management / Case Management leader (RN/Physician-advisor) Type: Contract... ...$100–$150/hour Location: Remote Role Responsibilities Lead... ...RN required ; physician advisor/ MD preferred ) with strong medical necessity...Remote workContract workSummer workNight shift- Mercor is seeking a Utilisation Management / Case Management leader (RN/Physician-advisor) based in San Francisco, California. This remote position involves leading operations in utilisation management... ...must hold active RN licensure, with MD or DO preferred for physician advisor...Remote job
$100 - $150 per hour
...determinations, and care coordination for utilisation management and case management. You will apply... ...Active clinical licensure, RN required. Physician advisor roles, MD or DO, are preferred. Deep... ...program. Work Terms Location: Remote Employment Type: Hourly...Remote workHourly payNight shift$100 - $150 per hour
...Utilisation Management / Case Management leader (RN/Physician-advisor) is a remote clinical-review track for evaluating AI outputs that touch physician. Reviewers grade differential reasoning, dosing logic, and guideline adherence; flag patient-safety issues; and document...Remote jobFor contractors10 hours per week$100 - $150 per hour
...Lead utilisation management and case management operations while evaluating and shaping AI-driven... .... Active clinical licensure, RN required, physician advisor or MD preferred for advisor roles.... ...programs. Work Terms Location: Remote. Employment type: Hourly....Remote workHourly payNight shift$150 per hour
...and Jack Dorsey . Position: Utilisation Management / Case Management leader (RN/Physician-advisor) Type: Contract... ...$100–$150/hour Location: Remote Role Responsibilities Lead... ...RN required ; physician advisor/ MD preferred ) with strong medical necessity...Remote jobContract workSummer workNight shift- ...Description Position Summary The RN Case Manager & Rural Outreach Coordinator... ...utilization and reporting of Remote Patient Monitoring Programs... .... Participates as a leader in the administration of NVHC... ...patient care and co-visits with MD as applicable. RN is a key member...Remote workContract workWork at officeShift work
- Dimensional Health Care Associates in Annapolis, MD, is hiring an RN Case Manager/Delegating Nurse (RN CM/DN) for a full-time role. The position involves... ...-person work, then shifts to a hybrid model with partial remote work. Requires Maryland RN licensure and comfort with...Remote workFull timeShift work
- ...health agency is seeking a Registered Nurse (RN) in Crofton, Maryland, to oversee client care and build operations. The role allows remote work with starting hours that increase... ...scheduling and responsibilities that include case monitoring and care plan development. #J-1...Remote jobLocal areaFlexible hours
$32 - $36 per hour
A leading health and safety firm is seeking an experienced telehealth RN to join their case management team. This remote position requires strong communication and decision-making skills, along with a minimum of 5 years of clinical experience. Responsibilities include...Remote jobHourly pay$105k - $120k
...Overview Clinical Supervisor / RN, Hospice Location: Norwood,... ...Supervisor / RN, Hospice Remote/Virtual Position : No Coverage... ...leadership memebrs to monitor, manage, and mentor staff in patient... ...Bedside efforts in reinforcing Case Management skills, and knowledge...Remote workFull timeWork at officeMonday to FridayFlexible hours$89.27k - $123.51k
...agreement is yet in effect ~ Remote position; must reside within... ...a patient and family. As a leader and the integrator of care, the... ...developing a client-focused case management plan. Principle Responsibilities... ...degree ~2 or more years RN experience Preferred...Remote workFull timeContract workTemporary workShift workWeekend workDay shift- NASA Federal Credit Union is seeking a Financial Crimes Manager to lead investigations, case management, and regulatory reporting. The role oversees a... ...reside within commuting distance to our Upper Marlboro, MD office and will drive strategic #J-18808-Ljbffr Nasa FcuRemote jobWork at office
$95k - $105k
Overview Registered Nurse / RN Team Director, Hospice Location:... ...Registered Nurse / RN Team Director Remote/Virtual Position: No Coverage... ...leadership memebrs to monitor, manage, and mentor staff in patient... ...Bedside efforts in reinforcing Case Management skills, and...Remote workFull timeFlexible hours$60 - $70 per hour
...schedule Position: RN Clinical Supervisor (Part-time, Remote/Flexible) Compensation:... ...primarily be creating and managing a plan of care for individual... ...-making for pediatric cases, complete Home Health assessments... ..., JD, and Robert Okin, MD, envision a warm and...Remote workFull timePart timeWork at officeFlexible hoursShift work$89.07k - $162.8k
MedStar Health is hiring a Utilization Review RN in Clinton, MD. The role involves supervising utilization review activities and collaborating with care teams to meet patient needs. Candidates should hold a Bachelor’s in Nursing with requisite clinical experience. The hiring...- ...leading healthcare organization is seeking a Hybrid Registered Nurse (RN) Assessor for case management in Prince George County, MD. This full-time role offers a unique blend of home-based fieldwork and remote charting, aiming to empower functionally and chronically disabled...Remote workFull timeWork from home
- ...Case Manager RN Signon Bonus $5,000 for External Applicants! This is a full-time telework role, open to candidates located in Baltimore, MD area. This position will require up to 30% local travel for visits to providers' offices, as needed. Working schedule is...Remote workFull timeTemporary workLocal areaRelocation packageMonday to Friday1 day per week
- ...member eligibility for care services. Candidates must have an active RN license in NJ and at least one year of home health experience. The role may involve travel across counties in NJ, with flexible remote follow-up work. The company offers a competitive salary with...Remote workFlexible hours
- ...Medical Surgical Clinical Nurse Leader opportunity now available for an inspiring nursing... ...-forward initiatives such as enhanced remote monitoring and optimized electronic... ...physicians, advanced practice providers, case management, pharmacy, rehabilitation services, and...Remote workFull time
- ...Reserve – Psychological Health Program Nurse Case Manager (RN)The US Army Reserve Psychological Health... ..., and their Commands. This primarily remote position is ideal for a certified nurse... ...OH99th Readiness Division – WV, VA, DC, MD, DE, NJ, PA, CT, RI, NY, MA, VT, NH,...Remote work
$85.61k - $128.42k
...Travel Required Licensed RN Required Responsibilities... ...interactive communication with Manager, Physicians and other health care... ...and develop plan of care with MD Cardiac arrhythmias--evaluate... ...calls Perform and coordinate remote follow-up visits (Latitude, Carelink...Remote workFull timeTemporary workWork at officeImmediate startRelocation packageMonday to FridayShift work- ...DocumentationOption to work fully remote or in-office near Deer... ..., health information management, quality and managed... ...or Foreign Medical (MD) Graduate with extensive... ...years Utilization Review/Case Management Preferred7 years... ...Nurse (RN) - License State Licensure...Remote workWork at office1 day per week
- AccentCare Inc. is seeking an Area Quality Specialist Registered Nurse to empower patient care teams with quality improvement expertise while offering flexibility to work from home and travel across the West Coast. The role includes airfare and per diem benefits and regular...Remote jobDaily paidWork from home
- SSM Health is seeking a Manager of RN Utilization Management to oversee system-wide UM activities and lead a high-performing team. The role... ...across the continuum of care. The position is fully remote with a preference for candidates in MO, IL, WI, or OK, and supports...Remote jobWeekend work
$67.98k - $106.21k
...success! Role: The Clinical Team Leader (CTL) is responsible for the... ...the plan of care. Provides and manages direct care to patients. Qualifications: Current RN license in the state in which... ...members regarding symptom control, case management, Company, community...Full timeLocal areaFlexible hours$60.2k - $107.4k
.... As an Inpatient Care Management Nurse, you will be responsible... ...flexibility to work remotely * from anywhere within... ...review of inpatient cases applying evidenced-based... ...and manage with MD + Follow all Standard Operating... ...+ Active, unrestricted RN license in state of...Remote workMinimum wageFull timeWork experience placementLocal area$75.3k - $135.4k
...Corporation is seeking a Clinical Supervisor to oversee the utilization management team ensuring appropriate care for members. The ideal candidate... ...4+ years of experience in a related field, along with an active RN license in California. This position offers a salary range...Remote job- Elara Caring is seeking a Clinical Team Specialist to join our remote, Massachusetts-based team in a full-time role. You will oversee patient care services, coordinate referrals, and ensure plans of care are clinically appropriate and compliant. The position offers 88k...Remote jobFull timeFlexible hours
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