Remote RN Utilization Management Leader: Care Coordination
SSM Health
- Remote job
SSM Health is seeking a Manager of RN Utilization Management to lead a system-wide UM team, overseeing care coordination, utilization review, and regulatory compliance to ensure patients receive the right care at the right time. This fully remote role requires state RN licensure in IL/MO/OK/WI, leadership of cross-functional teams, and strong analytic skills. Standard hours are Mon–Fri, with occasional weekend support; candidates should reside in MO/OK/IL/WI, with preference for St. Louis region. #J-18808-Ljbffr SSM Health
- ...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
- Sentara Health in Virginia seeks a Behavior Health Utilization Management Care Coordinator. The role blends in-person and remote assessments for medically and behaviorally... ...a valid state license (LCSW/LPC/LMFT/LSTAP or RN variants). Experience: 2 years behavioral health...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 jobContract work
$42 - $45 per hour
...Care Management Coordinator/RN Location: 100% Remote Duration: 3+ Months (FT conversion) Location: Remote Candidate must reside in PA, NJ, or DE License... ...Strong preference for candidates with direct hospital Utilization Management/Utilization Review experience....Remote jobHourly payFull timeTemporary work- ...to hire a Behavior Health Utilization Management Care CoordinatorStandard working... ...face-to-face assessments and remote telephonic assessments for... ...Professionals (VADHP)Registered Nurse (RN) Single State - Nursing... ..., NCBMFT, LSTAP, RN, Care Coordinator, Behavioral HealthBenefits:...Remote workTemporary work
- ...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 workPart timeWork at officeLocal areaImmediate startMonday to FridayFlexible hoursShift workNight shiftWeekend workAfternoon shift
$35.52 per hour
...Union, IA) is seeking a full-time RN, Care Coordinator to join our Nursing team as we... ...Providers Prior care coordinator, utilization review, and/or case management experience required. What You\'ll... ...the lives of our employees. Select Remote/Hybrid Eligible under More search...Remote workFull timeTemporary workLocal areaWork from home$37.5 - $53.06 per hour
...RN Care Coordinator PCMH - Strategic Insurance Development - FT Shift:... ...for coordinating the medical management of patients, using an... ...PCMH process, care management/utilization review, and payer knowledge... ...technology, such as tele?visits and remote monitoring capabilities, to...Remote workHourly payRelocation packageMonday to FridayShift 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$74.73k - $109.7k
...Rochester State MN Remote NO Department... ...than any other care provider according... ...empowering you to manage your schedule in a... ...planning, and coordination to support resident... ...Nurse Manager. Utilize clinical and non-... ...and two years of RN experience in a hospital...Remote workFull timeTemporary workRelocation packageMonday to FridayFlexible hoursNight shiftAfternoon shift- ...Care Coordinator UnitedHealth Group is a health care and... ...As a part of the care management team, the Care... ...promote appropriate utilization of services and improved... ...flexibility to work remotely* as you take on some... ...in one of the below: RN, LCSW, LMSW, LSW, LCPC...Remote jobMinimum wageFull timeWork experience placementLocal area
$65k - $75k
...Float Care Coordinator, RN (MSHO) Bluestone delivers great outcomes by bringing... ...focused on quality care management and data-driven medical... ...administrative colleagues who work remotely or at our corporate offices... ...measures are met and use utilization management tools to meet...Remote workFull timeTemporary workWork at officeLocal areaHome officeFlexible hoursWeekend workDay shiftAfternoon shift- ...RN Care Coordinator (Case Manager) BWH Care Continuum The Brigham and Women's Hospital, Inc. is a not-... ...an interdisciplinary team, the RNCC utilizes patient assessment, care guidelines,... ...applicable) Shift: 40HR VARIABLE ROTATING Remote Type Onsite Work Location 45 Francis...Remote workHourly payWork at officeFlexible hoursRotating shift
- Elliot Health System’s Care Coordination Department in Manchester, NH, seeks a RN Manager Utilization Review to lead the UR function, ensure compliant level-of-care determinations, and drive high-quality documentation. You’ll partner with physicians, revenue cycle, quality...
- Privia Health is seeking an Operations Nurse Manager for the Care Advice Line to lead telephonic triage and after-hours care coordination. You will drive performance, optimize... ...patient experiences across in-person and remote settings. With a nursing leadership background...Remote work
- ...an experienced Registered Nurse (RN) to manage the Case Management team with an emphasis on Utilization Review. This position requires a capable leader to oversee daily operations ensuring... ...with medical staff to improve care coordination. #J-18808-Ljbffr HUMBLE VASCULAR...
- Care Coordinator/Scheduler (RN/LVN) Organization: Connected Healthcare Partners (CHP) Location... ...services, chronic care management, transitional care support, and remote patient monitoring, CHP helps... ...avoidable emergency department utilization, hospital admissions, and...Remote workFull timeWork at officeLocal area10 hours per weekShift work
- L.A. Care Health Plan in Los Angeles, CA seeks a Utilization Management Nurse Specialist RN II to facilitate and approve referrals that meet criteria, coordinate admissions, and advise on discharge planning. You will work with the UM Manager and Physician Advisor, handle...
- ...provide exceptional clinical care to their elderly patients by... ...We are looking for a Care Coordinator that will be responsible for... ...transitional care and chronic care management services. Our team achieves... ...plans, and service coordination utilizing software tools that...Remote workTemporary workFlexible hours
- Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) to assess member needs and guide interactions with resources for optimal wellness. This hybrid role combines remote home work with onsite member visits and requires Indiana residency...Remote jobWork from home
- American Oncology Network is seeking a Remote RN Care Coordinator to manage disease-specific care, coordinate with oncologists, and address patient needs. The role emphasizes symptom surveillance, documentation in the EMR, and proactive communication with patients and...Remote jobWork from home
- 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
- Alignment Health is seeking an Complex Care Registered Nurse (CCM RN) to deliver fully virtual care for high-acuity Medicare Advantage members across the U.S. The CCM RN will own the member journey, coordinate care with APCs, Health Coaches, and Social Workers, and ensure...Remote job
- UnitedHealth Group, a leader in health care and well-being, seeks a Care Coordinator to oversee a panel of members with chronic needs. You will coordinate medical,... ...ability to multitask in a fast-paced environment. Remote-friendly in eligible Idaho regions; comprehensive...Remote job
- Humana seeks an Onsite Care Coordination Nurse to perform face-to-face assessments for newly admitted members at acute... ...The role is hybrid—in-person at facilities with remote documentation as needed—and requires an IL RN license, 3 years of acute care experience, and...Remote work
- ...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 workTemporary workLocal areaShift work
- UnitedHealthcare is seeking a Licensed Field Care Coordinator in Tennessee. This field-based role coordinates care for medically complex members... ...to services and cost-effective care. The position supports remote work options within commuting distance to Carroll County....Remote job
- Providence Journey Clinic in Everett, WA is hiring a Registered Nurse to deliver comprehensive ambulatory care across the lifespan, coordinating care through the nursing process and telehealth or direct encounters. You will work with the multidisciplinary team, uphold...Remote job
- UnitedHealth Group is seeking a Registered Nurse Care Coordinator to coordinate complex member care across Medicare... ...in Carroll County and surrounding areas, offering remote flexibility and field-based travel. A valid RN license and strong organizational skills are...Remote job
- CVS Health is hiring an Integrated Care Management (ICM) Care Manager in New Jersey. You will assess and coordinate care for members with complex health and social needs, planning... ...to improve outcomes. Requires an active NJ RN license and 3+ years of clinical experience....Remote jobWork from home
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