Remote Utilisation & Case Management Leader
Mercor
- Remote job
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, conducting clinical reviews, and evaluating AI-generated medical content. The ideal candidate will have over 5 years of experience in relevant fields and strong communication skills. They must hold active RN licensure, with MD or DO preferred for physician advisor roles. A deep understanding of clinical review criteria is required. #J-18808-Ljbffr Mercor
$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 jobHourly pay$100 - $150 per hour
...Angelo , Larry Summers , and Jack Dorsey . Position: Utilisation Management / Case Management leader (RN/Physician-advisor) Type: Contract Compensation: $100–$150/hour Location: Remote Role Responsibilities Lead utilisation management and...Remote workContract workSummer workNight shift$100 - $150 per hour
...medical necessity determinations, and care coordination for utilisation management and case management. You will apply clinical and operational... ...care organisation UM program. Work Terms Location: Remote Employment Type: Hourly Compensation ~ Hourly rate...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 clinical review tools that improve medical necessity... ...organisation UM programs. Work Terms Location: Remote. Employment type: Hourly. Compensation ~$100.00 to...Remote workHourly payNight shift- Optum is seeking a Clinical Program Manager to oversee a remote team of Behavioral Health Advocates responsible for case management of inpatient and outpatient Behavioral Health services in MO, WI, and KY. The CPM and Case Managers will work telephonically and in the field...Remote jobMonday to Friday
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$100 - $150 per hour
...Angelo , Larry Summers , and Jack Dorsey . Position: Utilisation Management / Case Management leader (RN/Physician-advisor) Type: Contract Compensation: $100–$150/hour Location: Remote Role Responsibilities Lead utilisation management and...Remote workContract workSummer workNight shift- Optum is seeking a Clinical Program Manager to oversee a remote Behavioral Health Advocates team responsible for case management across MO, WI, and KY. Telephonic and field work possible; Missouri licensure required. Schedule is M-F 8:00am-5:00pm CST with some holidays....Remote job
- ...Lead Reimbursement Analyst to supervise a team of analysts, manage complex cases, and drive quality performance. The role requires extensive... ...collaboration with payers, providers, and clients. The position is remote, with standard business hours and potential travel. A...Remote jobTraineeship
$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 assessing...Remote workHourly pay- Aflac, INCORPORATED. is seeking a remote professional to support claims case management across the United States. You will act as a main contact for claims questions, mentor new hires, and monitor KPIs to ensure service levels and outcomes. Ideal candidates have a Bachelor...Remote job
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- Bluebonnet Trails Community Services is seeking an Assertive Community Treatment Team Intensive Support Specialist to deliver person-centered, intensive support services to adults with substance use and a diagnosed severe and persistent mental health disorder. The caseload...Remote jobWork from homeFlexible hours
$52.31k - $76.18k
...to be part of Mass General Brigham. Job Summary The Community Case Manager is a key member of A Positive Place's HIV care and prevention... ...Vision - Near Constantly Talking Constantly Hearing Constantly Remote Type Onsite Work Location 2 Conz Street Scheduled Weekly Hours...Remote workWork experience placementLocal areaWork from homeShift work- ...RoleWe are looking for a Regulatory Affairs Leader to join our team with the Aortic... ...comprehensive global submission planning.This is a remote position, and you can work from home in... ..., and approval timelinesProvide management and leadership for Regulatory Associate’...Remote workWork from homeShift work
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- ...Maryland, to oversee client care and build operations. The role allows remote work with starting hours that increase over time. Candidates... ...offers flexible scheduling and responsibilities that include case monitoring and care plan development. #J-18808-Ljbffr Executive...Remote jobLocal areaFlexible hours
- ...kind, and ClarityIQ, a high-tech and high-touch investigative case management system. MISSION We’re on a mission to help the world make... ...commitment to maintaining accuracy and confidentiality. As a remote investigator, you will analyze applications, conduct interviews...Remote workPermanent employment
- A dynamic organization is seeking candidates for a role that emphasizes exceptional customer service while providing flexibility and work-life balance. This position offers the chance to work from home and enjoy a supportive environment focused on growth and mentorship...Remote workWork from home
- A dynamic client service company in Washington is seeking an individual for a client service leadership role. This position offers flexibility to work from home, a supportive environment, and opportunities for mentorship and professional growth. Candidates should have ...Remote workWork from home
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- ...for a customer service leadership role. Enjoy work-from-home flexibility, a supportive environment, and mentorship from experienced leaders. The right candidate will have exceptional customer service skills and the ability to inspire teams. This opportunity promises a...Remote workWork from home
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