Episodic Care Manager (RN/LPN) - Remote/Hybrid UM
Blue Cross & Blue Shield of NC
- Remote job
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 Cross and Blue Shield of North Carolina
- ...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 jobFlexible 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
- ...Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Mercy Clinic Primary Care - Quailbrook (OKC) Monday-Friday, 40 hours per week *This is a hybrid remote position. The person hired for this role will complete at least 90 days...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- ...Molina Healthcare Illinois Virtual Hiring Event Molina Healthcare is looking for dedicated Care Managers (RN, LPN, BH licensed) across Illinois to provide compassionate, coordinated care to our members. Join a team committed to improving health outcomes and delivering...Remote 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
- 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
- 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 jobFlexible hours
$100k - $110k
Hybrid then Remote - RN Care Manager - Bilingual - MLTC Be among the first 25 applicants two weeks ago. Pay Range Provided by Compass Healthcare Consulting and Placement. Your actual pay will depend on your skills and experience. Talk with your recruiter for details. Base...Remote jobFull timeSecond jobWork at officeImmediate startRelocation package- ...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
- ...dependable, and experienced Registered Nurse (RN) or Licensed Practical Nurse (LPN) to join our senior care team in a flexible, part-time hybrid position . This is a unique... ...care and clinical responsibilities with remote administrative and follow-up work. We...Remote workFull timePart timeImmediate startFlexible 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
- ...coordination of patient care. This position involves... ...of chronic care management activities, and provider... ...position will be working a hybrid schedule that consists... ...as well as working from remote depending on training and... ...licensed nurse (i.e. LPN or RN). Must be licensed in the...Remote workFull timeMonday to FridayFlexible hours
- Blue Cross NC is seeking an Episodic Care Manager to join the Commercial Clinical Utilization Management (UM) Team. The role focuses on clinical reviews to assess medical necessity and coordinate care across providers, members, and internal staff to deliver high-quality...
- Centers Health Care seeks compassionate RNs or LPNs to join our Remote Patient Monitoring (RPM) team in a hybrid role. You will monitor vital signs, identify trends, and collaborate... ...in the EMR, and support patients managing chronic conditions while ensuring Medicare...Remote jobWork from home
$90k - $100k
...Job Title: Transition of Care Nurse Care Manager (Registered Nurse) – Hybrid Compensation Salary Range: $90,000... ...Hybrid (3 days onsite / 2 days remote) Position Summary As a Transition... ...New York State Registered Nurse (RN) license and registration Ability...Remote workContract workShift work$45 per hour
...Description Job Description Utilization Management Nurse Coordinator (RN or LVN) needed for a temp 6+ month, remote contract opportunity with Yoh’s managed care health plan client based out of... ...remote managed care setting. The UM RN Nurse Coordinator reviews outpatient...Remote workContract workTemporary workMonday to FridayWeekend work$105k - $115k
...Job Description Job Description Managers for a Managed Care Plan servicing New York. The RN Care Manager position works as a Hybrid - Remote Case Manager, working primarily from home, with 1 day of Field Case Management visits per week, in designated areas. Bilingual...Remote workPermanent employmentWork at officeImmediate startTrial period1 day per week- Centers Health Care is seeking compassionate Registered Nurses (RNs) or Licensed Practical Nurses (LPNs) to join our Remote Patient Monitoring team in a hybrid role. You will monitor vital signs, identify clinical trends, and work with providers to improve patient outcomes...Remote job
- HomeWell Care Services in Canton, GA seeks a compassionate RN Care Manager for a part-time, hybrid role. This position focuses on in-home assessments, care planning, and client... ...; some administrative work may be done remotely. Training and mentorship are provided to grow...Remote workPart time
- MICare Management in Canton, MI is seeking a compassionate Registered Nurse (RN) Case Manager to join our growing team. This full-time hybrid role combines in-office collaboration with remote work to coordinate care for patients with chronic and complex conditions. You...Remote workFull timeWork at office
- ...Health in Michigan seeks a Case Manager to join a patient-centered care team. You will assess biomedical,... ...across care settings. The role is hybrid, with day hours Mon-Fri in Macomb... ...meetings in Troy, plus optional remote days. Requires RN or LMSW and 3+ years of clinical...Remote work3 days per week
- ...in Lynn, MA is seeking an experienced RN Case Manager for a hybrid role with a predictable schedule and limited... ...in-home assessments, coordinate care, and support older adults to stay safely... ...Monday-Friday 8:00 AM-4:00 PM, 2 remote days, strong interdisciplinary collaboration...Remote workMonday to Friday
- MICare Management in Canton, MI is seeking a Spanish-speaking Registered Nurse (RN) Case Manager for a hybrid role. You will guide patients through the healthcare... ...system, coordinate care, and support families to... ...and discharge planning. Remote-work options are...Remote workFlexible hours
- A nationwide managed health care leader in Elgin is seeking a Case Manager to develop patient care plans and... ...full-time hours with no weekends and a hybrid work option after training. Candidates must possess an unrestricted RN license and have at least two years of experience...Remote jobFull time
- ...Healthy Horizons in Indiana is seeking a Care Coordinator 2 to assess and evaluate... ...for Aging. The position offers a hybrid work model with remote work at times and required travel of about... ...about 70% to meet with members. Indiana RN licensure and 2+ years of nursing and...Remote job
- ...Physicians, Inc. is seeking an experienced RN Case Manager to coordinate patient care within the facility and manage referrals outside... ...care plans with families and providers. Hybrid schedule with ~2 field days and ~3 days remote. MA RN licensure and 2+ years’ case...Remote work
- HomeWell Care Services in Canton, GA is seeking a part-time Registered Nurse Care Manager to support Cherokee County clients. The role focuses on care management... ..., and includes training and mentorship. Hybrid work with some remote admin, flexible scheduling, and an emphasis...Remote workPart timeFlexible hours
- KenCrest in Stratford, CT is hiring a Nurse Care Coordinator (RN) for a full-time, hybrid role combining in-field, in-office, and remote work. You will coordinate comprehensive... ...assessments, document nursing notes in the EMR, manage hospitalizations and follow-ups, and train...Remote workFull timeWork at office
- Crisis24 is seeking a Medical Case Manager RN in Annapolis, MD, offering hybrid work with possible remote US options. You will review medical information, provide expert opinions on care, and manage a diverse caseload from outpatient to emergency medical evacuations. Ideal...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Episodic Care Manager (RN/LPN) - Remote/Hybrid UM. Be the first to apply!
- director of care Kansas City, MO
- patient care manager Kansas City, MO
- care manager rn Kansas City, MO
- urgent care medical director Kansas City, MO
- ambulatory care manager Kansas City, MO
- foster care supervisor Kansas City, MO
- social services director Kansas City, MO
- care manager Kansas City, MO
- social and community service manager Kansas City, MO
- director of managed care Kansas City, MO




