Episodic Care Manager (RN/LPN) - Remote/Hybrid UM
Blue Cross and Blue Shield of North Carolina
Blue Cross NC is seeking an Episodic Care Manager to join the Commercial Clinical Utilization Management team. You will perform clinical reviews to ensure medical necessity and coordinate care with providers, members, and internal staff. The role requires an RN with 3 years or an LPN with 5 years of clinical experience and an active NC or compact multi-state license. Inpatient rehab or SNF experience is preferred. Hybrid/Remote work options available. #J-18808-Ljbffr
- ...Blue Shield of North Carolina is seeking an Episodic Care Manager to perform clinical reviews and coordinate care... ...with providers and internal staff within a hybrid work model. The ideal candidate has an RN with 3 years or an LPN with 5 years of experience and an active NC...Remote workFlexible hours
- ...Blue Cross NC is seeking an Episodic Care Manager to join the Commercial Clinical Utilization Management (UM) Team. You will review cases for... ...NC or multi-state license. The role offers Hybrid Flex work options relative to our Durham footprint and remote #J-18808-Ljbffr...Remote workFlexible hours
- ...Carolina is hiring an Episodic Care Manager to join the... ...Utilization Management (UM) Team. This role conducts... ...position supports hybrid work with in-person collaboration and remote work options, and requires an RN with 3 years of... ...experience or an LPN #J-18808-Ljbffr Blue...Remote job
- Blue Cross NC is seeking an Episodic Care Manager to join the Commercial Clinical Utilization Management team. You will perform clinical... ...high-quality, cost-effective care. The role requires RN with 3 years or LPN with 5 years, plus an active clinical license (NC or compact...Remote job
- ...Blue Cross NC is hiring an Episodic Care Manager to join the Commercial Clinical Utilization Management Team. This role conducts... ...providers and internal staff. The position supports a Hybrid-Flex model with remote work and periodic in-office collaboration, and welcomes...Remote workWork at officeFlexible hours
- ...Blue Cross NC seeks an Episodic Care Manager to perform clinical reviews and coordinate delivery... ..., and DME cases. Experience: RN with 3+ years or LPN with 5+ years; must hold NC or compact... .../SNF experience preferred; hybrid/remote flexibility offered within our Hybrid...Remote workFlexible hours
- ...Cross NC is seeking an Episodic Care Manager to join the Commercial Clinical... ...Requirements include an RN with 3 years of experience or an LPN with 5 years, plus an... ...The position supports a Hybrid-Flex work model with in-... ...collaboration and remote options. #J-18808-Ljbffr...Remote workFlexible hours
- ...Primary Care Nurse RN or LPNMercy Clinic Primary Care - Quailbrook (OKC)Monday-Friday, 40 hours per weekThis is a hybrid remote position. The person hired for this role will complete at least... ...accredited school of nursing (RN or LPN).Licensure: Active nursing licensure...Remote workFull timeMonday to Friday2 days per week3 days per week
- ...Residences, Inc. is seeking a licensed nurse (LPN or RN) to support adults with intellectual... ...The role emphasizes health advocacy, care coordination and compliance with 245D... ...every 6 weeks and a potential hybrid schedule (remote and in-person). Minnesota licensure and...Remote work
- ...Windsor (LLC) in Champaign, IL 61822 seeks a full-time RN or LPN for a 1st shift, Monday–Friday, 8:00am–5:00pm. After criteria, a hybrid option (3 in-office, 2 remote) is available. Expect professional nursing care, patient education, and coordination with providers in...Remote workHourly payFull timeWork at officeMonday to FridayWeekend workDay shift
- ...Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Hybrid Remote - Mercy Clinic Primary Care Yukon Monday-Friday, 40 hours per week *This is a hybrid remote position. The person hired for this role will complete at least 90 days of full-time, in...Remote workFull timeMonday to Friday2 days per week3 days per week
$73.7k - $117.92k
...Description We're hiring an Episodic Care Manager to join the... ...Management (UM) Team! The Episodic... ...MDs. What You Bring RN with 3 years of clinical... ...experience or LPN with 5 years of... ...WhereYou'llWork Our Hybrid Flex approach is... ...flexibility to work remotely with intentional...Remote workWork at officeLocal areaFlexible hours2 days per week- ...Medical Director Services PC is seeking compassionate RNs or LPNs for a Hybrid RN/LPN – Patient Monitoring & Care – Remote role. You will monitor patients' vitals via our RPM platform, review biometric data, and identify abnormal trends while collaborating with providers...Remote workFlexible hours
$32.4 - $44.55 per hour
...RN/LPN - Family Medicine - Windsor - Hybrid (On-Site Training)Christie Clinic's department of Family Medicine in... ...schedule of 3 days in office and 2 days remote following the successful completion... ...provision of professional nursing care for clinic patients following...Remote workFull timeWork at officeMonday to FridayFlexible hoursNight shiftWeekend work- ...Centene Management Company LLC is seeking an experienced Registered Nurse for complex care management in Georgia. The role requires OB experience and an active RN license, with 2–4 years of related experience... ...services, with options for remote, hybrid, #J-18808-LjbffrRemote work
- ...Centene is seeking a Senior LTSS Service Care Manager RN - Pediatrics in San Antonio, TX to assess, plan and coordinate care for high... ...certification within 90 days of hire. Flexible schedules include remote or hybrid arrangements with competitive pay. #J-18808-LjbffrRemote workFlexible hours
$110k - $115k
...Compass Healthcare Consulting & Placement seeks a Hybrid Remote & Field RN Care Manager for a Managed Care Plan serving New York. The role blends telephonic case management with one field visit per week in designated boroughs. Candidates must hold a NYS RN license,...Remote work- ...Hospital is seeking a Registered Nurse Care Manager to provide comprehensive care... ...The position requires an Associate’s RN (Bachelor’s preferred), 2 years’ care... ...strong communication skills. This hybrid role blends field visits with remote coordination within HSCSN network....Remote work
$72.5k - $90.6k
...Quartz is seeking a Utilization Management RN Case Manager to review prior... ...to ensure optimal patient care. The role is salaried,... ...or holidays, with in-person, hybrid, or remote options and a pay range of $... ...00. Wisconsin licensure and UM experience are required. #J-...Remote workMonday to Friday- ...Piper Companies is seeking an Episodic Care Manager for a fully remote opportunity within the healthcare and managed care industry. This Episodic Care Manager position is a long-term contract role responsible for conducting utilization reviews, evaluating medical necessity...Remote workLong term contract
- ...A-Line Staffing Solutions is seeking an LTSS Service Care Manager (RN or LCSW) in North Carolina for a Hybrid Field/Remote role. You will manage a caseload, perform assessments, develop care plans, and coordinate services with providers and discharge teams. The position...Remote work3 days per week
- ...A-Line Staffing Solutions is seeking a LTSS Service Care Manager (RN or LCSW) for a hybrid role in North Carolina. You will manage caseloads, perform... ...plans. Travel is heavy, up to 80%, with field days and remote admin time. Responsibilities include coordinating services...Remote work
$68.4k - $105.9k
...SUMMARY**This is a full-time REMOTE position requiring... ...implements effective utilization management strategies including:... ...of health care services, application of... ...setting**Preferred*** 3 years RN experience* RN Case Management... ...* Experience in UM/CM/QA/Managed Care* Experience...Remote workFull timeWork at officeFlexible hoursWeekend workWeekday work- Centene Corporation seeks an experienced RN Care Manager to assess, plan, and facilitate complex... ...members with primarily physical needs. The hybrid position requires residing in Delaware... ...about two days per week, with the rest remote. The role emphasizes developing care plans...Remote job2 days per week
$36.21 - $65.09 per hour
...Position Purpose: Performs care management duties to assess and coordinate all aspects of... ...quality care. Key Details: This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management...Remote workHourly payFull timePart timeWork at officeMonday to FridayFlexible hoursWeekend workAfternoon shift- Centene in Delaware offers a hybrid Case Manager role focused on complex care management for physical needs, requiring an active Delaware RN license and 2-4 years of related experience.... ...two days per week, with the remainder remote. A background in high-risk maternity...Remote jobFlexible hours2 days per week
- ...Nurses (LPNs) to join our Remote Patient Monitoring (RPM) team. This is a Hybrid position where you will... ...encourage adherence to care plans. Document all... ...Qualifications Active RN or LPN license in good standing... ...independently while managing multiple patients efficiently...Remote workHome officeFlexible hoursShift work
- ...Gateway Electronic Medical Management Systems, Inc. is seeking a Nurse Care Manager (RN/LPN) for a 100% remote role in Michigan. This Independent Contractor position involves telephonic patient encounters and coordinating chronic care plans for patients with multiple chronic...Remote workFull timeFor contractorsFlexible hours
- ...organization is seeking a Registered Nurse Care Manager to join a dynamic team focused on holistic care... ...care, and engaging patients, often in a hybrid model that includes remote work. Ideal candidates will have a valid MA RN license, 3-5 years of nursing experience, and...Remote work
- ...staffing firm is seeking a professional to provide weekly in-person care management for clients in Kentucky. This includes conducting visits,... .... Applicants need at least 1 year of experience as an RN, LPN, or Social Worker, along with an active professional license....Remote jobWork from homeFlexible hours
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