Remote LVN: Utilization & Care Coordination Specialist
SHPCA SCAN Health Plan
- Remote job
SHPCA SCAN Health Plan is seeking a Medical Management Specialist‑LVN to promote the quality and effectiveness of care based on regulatory guidelines. This role is remote and requires a California Licensed Vocational Nurse. The ideal candidate will have a strong background in medical/surgical nursing and utilization management, with proficiency in maintaining documentation and managing complex cases. Benefits include a competitive salary range, remote work options, and a robust wellness program. #J-18808-Ljbffr SHPCA SCAN Health Plan
$20 per hour
Universal Health Services, Inc. is seeking a PRN Utilization Review Coordinator at The Brook Hospital Dupont in Louisville, Kentucky. The position... ...treatment activities and coordinate with various teams to enhance care quality. Applicants should possess a relevant degree or...SuggestedHourly payRelief$17.31 - $28.8 per hour
Sentara Healthcare Inc is seeking to hire an LPN Intake Coordinator who will evaluate and process referrals, ensuring effective communication with patients and referral sources. This position is remote with occasional onsite meetings in Chesapeake, VA, and candidates must...Remote workHourly pay$22.4 - $48.67 per hour
Mass Digital Health in Quincy, Massachusetts, seeks a Licensed Practical Nurse to coordinate, document, and communicate medical services effectively. The role requires a strong ability to navigate diverse clinical settings and manage sensitive information responsibly....Remote jobHourly pay- ...a Call Center SUD Technician to conduct screenings and provide care management services in Detroit, Michigan. The role involves assessing... ...require shifts during day, afternoon, or midnight, and offers remote work flexibility with approval. #J-18808-Ljbffr Detroit-Wayne-...Remote workShift workNight shift
- Ocean State Job Lot is seeking a skilled RN Utilization Management based in Los Angeles, California. You will serve as a support liaison, coordinating care submission and managing clinical denials in collaboration with finance teams. Your responsibilities include collaborating...Suggested
$35.62 - $52.99 per hour
...Responsibilities As our Utilization Review LVN, your focus will be to provide... ...quality, cost-effective care which will enable patients... ...operational flow. As a remote employee, we will provide you... ...denial. Recommends and coordinates interventions to facilitate...Remote workContract work- ...that connects comprehensive care with a modern payment... ...Health is seeking a dedicated Utilization Management (UM) LVN. The UM LVN supports prior... ...authorization processes, coordinate clinical information, support... ...This position is fully remote Monday-Friday 8am - 5pm with...Remote workLocal areaMonday to FridayShift work
$26.35 - $39.53 per hour
...Utilization Management Nurse, LVN/LPN California, United States NeueHealth is a value-driven healthcare... ...are entitled to high-quality, coordinated care. By uniquely aligning the interests... ...Corporate office preferred / remote may be considered Collaborative...Remote workHourly payWork at office- ...seeks a Medical Management Specialist-LVN to ensure quality care for members. The role involves... ...medical cases and applying utilization management principles to support care coordination. To be successful,... ...communication skills. This remote position provides competitive...Remote job
- Lifepoint Health® is seeking a Utilization Review Specialist at Copper Springs East in Gilbert, AZ, to facilitate patient admissions and ongoing care. This role is essential in advocating for patients and ensuring appropriate treatment coverage. The ideal candidate holds...
- Hong Kong Study Skills Research Institute is seeking a Care Coordinator in San Diego, California. In this role, you will prepare referral requests, manage prior authorizations, and coordinate retrospective claims review while ensuring compliance with regulatory requirements...
$85.7k - $128.54k
The Supervisor, Utilization Management (UM), reports to the Manager of... ...reviews. Supervise licensed and coordinator staff, ensuring adherence to... .... Promote quality patient care outcomes while supporting appropriate... ..., and unrestricted RN or LVN license in California (non‑...Remote jobLocal area- Point32Health is seeking a Care Management Care Coordinator in the United States. In this role, you will support the Care Management department by managing case assignments, outreach, and member education. Your responsibilities will include coordinating healthcare services...Remote job
- Jobgether is looking for a Follow-up Coordinator based in the United States to... ...system after referrals. This remote role involves tracking referrals, coordinating with specialists, and resolving administrative... ...to ensure timely patient care. The ideal candidate will have...Remote job
$23.51 - $34.03 per hour
SCAN is seeking a Care Management Coordinator to provide after-hours coverage in acute care management. This role involves coordinating care services... ...good communication skills. The position offers a mostly remote work mode and a base salary range of $23.51 to $34.03 per...Remote jobHourly pay$48k - $50k
Float Health Brasil is seeking a Remote Recurring Care Specialist to enhance operational success in home infusion care. You will coordinate nursing schedules, manage communications with patients and pharmacies, ensuring efficient care delivery. Your expertise in medical...Remote job- TAHMO Tufts Associated HMO Inc in Massachusetts is looking for a Care Management Care Coordinator to support the functions of a complex medical network. This role involves managing member needs, case assignments, and ensuring effective communication among stakeholders....Remote job
- NeighborHealth Center, Inc. is hiring a Care Coordinator to assist in managing patient care plans while advocating for their needs. This full... ...determinants affecting health. The position allows for remote work and requires strong communication and organizational skills...Remote jobFull time
- Community Care of North Carolina is seeking a Care Management Support Coordinator to assist the Care Management Team. This non-clinical role involves scheduling, gathering documents, and supporting members in health care navigation. The ideal candidate should have a high...Remote job
- Case Management Society of America (CMSA) ® is looking for a Scheduling Coordinator who will facilitate appointment scheduling services primarily for patients and physician offices. Preferred candidates should live within 60 miles of Danville, PA or Pittston, PA. Responsibilities...Remote jobRotating shiftAfternoon shift
- ...Health in Mentor, OH is seeking a Medical Services Coordinator responsible for coordinating medical care and supporting patients and clinicians. This role emphasizes... ...quality customer service for both in-person and remote interactions. Applicants should have a high school...Remote work
$18 - $21 per hour
A community health organization in New York is seeking a Clinical Call Center Care Coordinator to support patients in value-based care programs like Chronic Care Management and Remote Patient Monitoring. The role involves conducting patient outreach, care coordination,...Remote workHourly pay- ...Diego is looking for a Medical Services Coordinator to support patients and psychiatric clinicians... ...This role involves coordinating medical care, providing exceptional customer service,... ...communication for both in-person and remote service. The ideal candidate should have...Remote workWork at office
- LifeStance Health Inc. is seeking a Medical Services Coordinator in Sammamish to support patients and... ...clinicians. This role involves managing patient care coordination and ensuring quality service for in-person and remote patients. The ideal candidate will have strong...Remote workFull time
- ...workforce. Our passion is Genuine Care and Optimal Health for the... ...: Full Time | Location: Remote US - Oklahoma City, OK 73102... ...assessment of needs, planning and coordination of care, and monitoring... ...Previous experience in managed care/utilization management preferred....Remote workFull time
- ...personalized managed health care, focused on what’s important... ...service. Overview Responsible for utilizing medical knowledge to assess... ...planning, implementation, coordination, monitoring, evaluation and outcomes... ...Holidays Work-life balance. Remote/hybrid setting (once trained)...Remote workFull timeTemporary workWork at officeWork from homeMonday to FridayFlexible hours
- ...is seeking an experienced Registered Nurse (RN) for the role of Utilization Review / Case Manager. Responsibilities include conducting... ...collaborating with interdisciplinary teams, and ensuring compliance with care plans. The ideal candidate should possess strong clinical...
- The Coordinating Center employs around 300 highly qualified coworkers, including Registered Nurses, Licensed Social Workers, Support Planners... ..., and many more with vast experience in community-based care coordination. If you’re looking to work for an innovative nonprofit...Remote jobWork at officeFlexible hours
$71.1k - $97.8k
...healthcare organization is seeking a Utilization Management Registered Nurse to support the coordination and determination of medical... ...and ensuring appropriate care for members. Candidates should... ...nursing experience. The position is remote with a salary range of $71,100...Remote work$71.1k - $97.8k
...in the United States is seeking a Utilization Management Registered Nurse to utilize clinical skills in coordinating medical services and ensure appropriate care levels for members. This role... ...experience. The position offers a remote work option and includes a comprehensive...Remote work
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