RN Care Management(Remote)

We are looking for a nurse just like you - a nurse that thrives in a fast‑paced environment, enjoys making a difference for patients, and prefers working in a professional office setting with daytime office hours and weekends/holidays off.

Also accepting remote applicants.

This position is responsible for working telephonically with providers to evaluate and pre‑certify requests such as hospital stays, outpatient surgeries, outpatient tests, care, etc. You will review requests and match them to evidence‑based guidelines to ensure proper and timely care. You will handle multiple provider phone calls at any given time in a fast‑paced environment and work closely with participants for referrals to case management and other services according to referral criteria and health plan guidelines.

Qualified candidates will have strong multitasking skills, an RN license, and clinical experience preferably in ER, ICU, mental health, orthopedics, and/or pain management. Bilingual is preferred.

PTO/Paid Holidays

Company‑paid Short‑Term and Long‑Term Disability

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