Remote Utilization Management RN - Care Coordination Leader
$71.1k - $97.8kHumana Inc
- Remote job
A healthcare company based in Arizona seeks a Utilization Management Registered Nurse to interpret and support the coordination of medical services. Responsibilities include making benefit determinations based on clinical criteria and communicating with providers and members. Required qualifications include a valid RN license and over a year of clinical nursing experience in relevant settings. The position offers a competitive salary range of $71,100 - $97,800 per year and opportunities for bonuses. #J-18808-Ljbffr Humana Inc
$71.1k - $97.8k
Humana Inc is seeking a Utilization Management Nurse to leverage clinical expertise for optimal treatment and care for members. This role includes coordination and communication with healthcare providers... ...candidate should hold an active RN license and have over 3 years of...Remote jobWork at officeWork from homeHome office$71.1k - $97.8k
...healthcare organization is seeking a Utilization Management Registered Nurse to support the coordination and documentation of medical services. This remote position requires a valid RN license and clinical... ...information and ensuring appropriate care delivery. The role offers a...Remote work$71.1k - $97.8k
...United States is seeking a Utilization Management Registered Nurse to... ...clinical skills in coordinating medical services and ensure appropriate care levels for members. This... ...possess a Compact RN license and at least one... ...The position offers a remote work option and includes...Remote work- ...organization is looking for a Utilization Management Registered Nurse to work remotely in Cheyenne, Wyoming. You... ...nursing skills to coordinate medical services and ensure appropriate care levels. The ideal candidate will hold a Compact RN license and have over one...Remote work
$71.1k - $97.8k
...solutions company is looking for a Utilization Management Registered Nurse to interpret and coordinate medical services. This fully remote position requires a Compact RN license and over a year of... ...criteria and collaborating with care providers. The position offers a...Remote work- ...Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal... ...validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient and outpatient services requiring...Remote workContract work
$40 - $45 per hour
...Immediate need for a talented RN Care Management Coordinator . This is a 03 months Contract opportunity with long-term potential and is Remote , but the candidate must be in PA, DE, NJ... ...advanced medical knowledge to cases, utilizing specified resources and guidelines to...Remote workContract workLocal areaImmediate start$45 per hour
...Immediate need for a talented Care Coordinator RN . This is a 13 weeks... ...is located in PA, DE, NJ ( Remote ). Please review the job description... ...medical knowledge to cases utilizing specified resources and... ...such as; InterQual, Care Management Policy, Medical Policy and...Remote workContract workLocal areaImmediate startFlexible hours- ...have an active, unrestricted RN license in the state of... ...requests or provides health management program interventions. Utilizes clinical proficiency and... ...implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options,...Remote jobContract workLive inMonday to Friday
$41.71 - $105.65 per hour
...we support patient care, research, teaching,... ...OVERVIEW STATEMENT RN CARE COORDINATOR (CASE MANAGER) BWH CARE CONTINUUM... ...interdisciplinary team, the RNCC utilizes patient assessment,... ...works with service leaders to develop... ...HR VARIABLE ROTATING Remote Type: Onsite Work Location...Remote workHourly payWork at officeFlexible hoursRotating shift$63.5k - $90.72k
...providing a variety of Care Coordination services within the... ...empowering member’s self‑management skills and... ...resources. Care Coordinator, RN Competencies / Role‑Specific... ...software systems utilizing PHP Care Coordination... ...HIPAA compliant for all remote or telecommuting positions...Remote workHome office- ...Health in Portland, Oregon, is hiring a Care Coordinator to manage treatment plans and ensure timely care... ...position requiring a valid Oregon RN license and at least 3 years of relevant... ...interacting with members and providers, utilizing internal systems to assess eligibility...Remote jobFull timeWork from home
$93.5k - $105k
Carisk Partners is looking for a Nurse Manager to oversee care coordination processes within its Outcomes division. This role emphasizes strong clinical skills and management experience, ensuring the effective distribution of caseloads and the training of associates. You...Remote job- A national healthcare services firm is seeking a Care Manager (CM) RN to join their team remotely. This role focuses on leading a multidisciplinary healthcare team, coordinating patient care, and managing high-risk patients in a telephonic setting. Candidates must possess...Remote job
- Sentara Health is seeking an Integrated Case Manager, RN, to join their team. This remote position requires candidates to reside in Lynchburg, VA,... ...members, including conducting clinical assessments and coordinating care with healthcare teams. The ideal candidate must...Remote job
- ...RN Care Coordinator - Sickle Cell Adult and Pediatrics Join Cleveland Clinic... ...coordination and disease management for patients with chronic conditions... ...on-site at Main Campus and remote work, though this may shift... ...care team involved. Utilize assessment skills and risk...Remote workCasual workShift work
$63.5k - $90.72k
...providing a variety of Care Coordination services within the... ...empowering member’s self-management skills and... ...population management, utilizes behavioral health screening... ...assigned. Qualifications RN with valid license in... ...HIPAA compliant for all remote or telecommuting positions...Remote workHome office$78.4k - $91.46k
...quality patient care to residents... ...recognized as a leader in community medicine... ...of Care Coordinator to join our team... ...) Coordinator, RN supports high-risk... ...avoidable utilization, supporting ACO... ...hybrid model with remote opportunities and... ...and symptom management strategies. Serve...Remote workContract workLocal areaFlexible hoursShift work$41.71 - $105.65 per hour
...RN Care Coordinator (Case Manager) BWH Care Continuum The RN Care Coordinator (RNCC) manages a caseload... ...an interdisciplinary team, the RNCC utilizes patient assessment, care guidelines,... ...Shift: 40HR variable rotating Remote type: Onsite Work location: 45 Francis...Remote workHourly payWork at officeFlexible hoursRotating shift- ...Ennoble Care is seeking a Care Coordinator Lead to oversee operations in Orlando, Florida. The ideal candidate is an experienced RN who will supervise a team of care coordinators while managing patient care coordination and communication with external partners. The role...Remote work
- ...Care Coordinator If you want to work for a mission... ...nationally recognized leader in community... ...and services. Utilize information systems... ...decision support, manages a patient panel to... ...Registered Nurse (RN); current unrestricted... ...is required If remote/hybrid; requires...Remote workWork at officeLocal area
- ...Strategic Staffing Solutions is seeking an RN Case Manager for a contract opportunity in Detroit,... ...team to provide holistic care to patients through telephonic and digital... ...Michigan RN license. Essential duties include coordinating care, assessing patient needs, and developing...Remote workContract work
- ...healthcare organization is seeking a Care Coordinator 2 in Indiana to manage member health and coordinate... ...The ideal candidate must hold a valid RN license and possess at least 2 years... ...requires a flexible work style balancing remote work and site visits. #J-18808-Ljbffr...Remote workFlexible hours
- ...nd Family - Katy is seeking a Part-Time RN Care Coordinator to assess and develop care plans for... ...oversight for caregivers. This role allows for remote work flexibility while requiring in-... ...elderly care. Responsibilities include managing care processes, supervising staff, and...Remote workPart time
- ...The Regional Care Coordinator (RCC) is assigned to a geographic region and is highly familiar with the region they service. The RCC is also... ...work from home and work in the physician's office position (remote). Succesful candidate will work autonomously in an exempt, Monday...Remote workWork at officeWork from homeMonday to Friday
- ...ChartSpan is the largest chronic care management (CCM) service provider in... ...of an LPN Personal Care Coordinator is to care for patients in... ...a full-time, full-benefits remote role. All necessary equipment... ...Maintaining proper utilization. Achieving a scheduled call...Remote workFull timeWork at officeMonday to FridayDay shift
$71.1k - $97.8k
...Care Coordinator 2 (Field Care Manager 2) Humana Healthy Horizons in Indiana is seeking... ...Licensed Registered Nurse (RN) in the state of Indiana without... ...is just beginning. Our leaders are committed to... ...Workstyle: Combination remote work at home and onsite member...Remote workWeekly payFull timeApprenticeshipWork at officeHome officeMonday to FridayNight shift- ...Summary: Job Summary: The RN Clinical Care Coordinator functions as a registered nurse responsible for... ...for patients requiring intensive care management, with a focus on chronic conditions such... ...on diabetes. Enroll patients in Remote Patient Monitoring for blood pressure...Remote workFull timeCasual workWork at officeMonday to Friday
- Optum is looking for a dedicated RN Clinical Care Coordinator to manage care for members with complex medical and behavioral needs. This role offers the flexibility to work from home for residents of Dedham and nearby areas. You will assess member needs and develop care...Remote jobLocal areaWork from home
- Community Health Solutions of America is looking for a Care Coordinator. This is a work-from-home position that includes essential responsibilities... ...of three years of pediatric clinical experience and a valid RN license in South Carolina. A bachelor’s degree in a health-...Remote jobWork from home
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