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
$69.8k - $96.2k
...leading health services company is looking for a Utilization Management Nurse 2 to utilize clinical skills, coordinate with providers and members, and ensure optimal... ...experience, preferably in emergency or critical care settings. This position offers a competitive salary...Remote job$71.1k - $97.8k
...organization is seeking a Utilization Management Registered Nurse to support the coordination and determination of... ...and ensuring appropriate care for members. Candidates should hold a Compact RN license and possess... ...experience. The position is remote with a salary range of...Remote job- ...RN, BH Transition of Care Coordinator Established in 1980, the Greater Lawrence... ...recognized as a leader in community... ...reducing avoidable utilization (reducing total cost... ...hybrid model with remote opportunities and onsite... ...plans and symptom management strategies. Serve...Remote workContract workLocal areaFlexible hours
$71.1k - $97.8k
...company is seeking a Utilization Management Registered Nurse to utilize... ...nursing skills for coordinating medical services and... ...determinations. This remote position requires clinical... ...and a Compact RN license. Responsibilities include making care determinations, excellent...Remote job$71.1k - $97.8k
A health services organization is seeking a Utilization Management Registered Nurse in Maryland. This remote position requires a Compact RN license and over a year of clinical experience. Responsibilities include coordinating medical services, making determinations based...Remote job$71.1k - $97.8k
A leading health care organization is seeking a Utilization Management Registered Nurse to help coordinate medical services and support benefit determinations... ...nursing skills within a remote work environment, making... .... This role requires an RN license and over one year of...Remote job- ...demands of hands-on care behind. Instead,... ...a dedicated team, coordinate whole-person medical... ...for clients managing severe mental illness... ...Client Care: Provide remote and in-person... ...Driven Coordination: Utilize our Electronic... ...Registered Nurse (RN) license in the State...Remote workFull timePart timeWork at officeLocal areaImmediate startMonday to FridayFlexible hoursShift workNight shiftWeekend workAfternoon shift
$71.1k - $97.8k
...health organization is seeking a Utilization Management Registered Nurse to support coordination and documentation of medical... ...candidate holds a Compact RN license and has over one... ...criteria and facilitating member care. The role offers a remote work option, a competitive...Remote job- 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 jobContract work
$28.94 - $51.63 per hour
...simplifying the health care experience, creating... ...a part of the care management team, the Care Coordinator will be the primary... ...promote appropriate utilization of services and... ...flexibility to work remotely* as you take on some... ...one of the below: RN LCSW, LMSW, LSW, LCPC...Remote jobHourly payMinimum wageFull timeWork experience placementLocal area- ...Description Job Summary RN - Care Coordinator Talented Medical... ...Description DCH - Travel: Care Manager RN Must be willing to float... ...care through effective utilization and monitoring of healthcare... ...? (Y or N): Y Is this a remote position? (Y or N): N Clinical...Remote workContract workTemporary workWork at officeWeekend work
- Care Coordinator - Managed Care (RN, LCPC, LPC, LCSW, LSW) Job Description We are an equal... ...a nationally recognized leader in community health, we continue... ...programs and services. Utilize information systems and... ...insurance is required. Remote/hybrid; requires suitable...Remote workWork at officeLocal area
$32.21 - $47.6 per hour
...excellence meets compassion? This RN Care Coordinator position is a full-time,... ...a blend of in-office and remote work to support flexibility.... ..., financial specialists and leaders that all play an important part... ...research activities; and utilizes available resources to provide...Remote workFull timeWork at officeFlexible hours- ...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
- ...casual, as needed Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department... ...of care and providing comprehensive remote oversight of the care of patients on a... ..., 3) consultant/collaborator, 4) leader. Performs related duties as required...Remote workCasual workWork at office
- ...Marietta, Georgia is hiring a Part-Time Registered Nurse Care Coordinator. This role offers flexible remote work, with required in-home assessments for clients... ...include conducting nursing assessments, managing caregiver directions, and ensuring smooth operations...Remote jobPart timeWork from homeFlexible hours
- ...currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in... ...proficiency and claims knowledge. This is a REMOTE opportunity for candidates living in... ...criteria and contract benefits. * Utilize allocated resources to back up review...Remote workContract workLocal areaShift work
- ...Position Summary: The On-site Care Coordinator is a Registered Nurse who... ...reporter. Will have access and manage PHI in accordance with... ...Certification is preferred Current RN licensure in states where... ...Exempt/Salaried – Full-Time Location: Remote – SC CHSA123...Remote workFull timeContract workWork experience placementWork at officeWork from home
- ...Non-Exempt A Brief Overview The Care Coordinator serves in an expanded nursing role to collaborate... ...to acute care. The Care Coordinator manages performance feedback metrics to further... ...~ Position is Patient Facing Remote Work Guidelines Workspace is a...Remote workFull timeShift workDay shift
$54.1k - $155.54k
CVS Health is seeking a Remote Telephonic Case Manager to support patients with their care while working from home anywhere in the... ...applying clinical judgment and utilizing motivational interviewing... ...should have at least 5 years of RN experience, with a significant...Remote jobWork 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
- ...LTSS Nursing Facility Service Coordinator, RN to perform clinical assessments... ...role emphasizes coordination of care for members with chronic illnesses in a remote capacity from Houston, Texas. Successful... ...in Texas, experience in case management, and skills in problem-solving...Remote job
- ...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
$85.82k
...These roles involve patient care, including assessment, diagnosis, treatment, and follow-up. May work across various healthcare settings... ...system, helping them understand their treatment plans, and coordinating care across multiple providers. Care navigators ensure that...Remote workTemporary workWork experience placementFlexible hours- Angelina College seeks a Remote LTSS Nursing Facility Service Coordinator, RN, responsible for performing assessments and managing member care. The ideal candidate will possess a current Texas RN license and experience in case management for individuals with chronic conditions...Remote job
- ...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 jobFlexible hours
- UnitedHealthcare seeks a Field Service Coordinator RN to work primarily in McKinney and Prosper... ...involves assessing patient needs, implementing care strategies, and ensuring effective... ..., you will work flexibly, often remotely, while delivering quality care to Medicaid...Remote job
- BlueCross BlueShield of South Carolina is seeking a full-time RN Managed Care Coordinator II to provide active care management, develop action plans... ...members with chronic conditions. This role is fully remote, offering flexibility from home. The ideal candidate should...Remote jobFull time
$62.7k - $107.5k
Medica is hiring a Care Coordinator to provide support for members in Minnesota. This remote role involves managing a case load and developing care plans while educating members on... ...their benefits. Ideal candidates will have an RN or SW license in Minnesota and experience...Remote jobFlexible hours- A prominent home care provider is seeking a compassionate and reliable RN to join as a Care Coordinator. This role involves evaluating client needs, overseeing care delivery, and managing caregiver performance. The Care Coordinator will conduct assessments, develop care...Remote jobFlexible hours
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