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Utilization Management Nurse 2 (Remote

Humana Indianapolis Indiana United States
(No Timezone Provided)

About this job Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and ...

RN Case Manager - Telecommute - 2006217

UnitedHealth Group Albuquerque New Mexico United States
(No Timezone Provided)

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Nurse Case Manager II (NCM) is responsible for patient case management for longi...

Utilization Review Nurse (Remote)

Oscar Health None Arizona United States
(No Timezone Provided)

Hi, we're Oscar. We’re hiring a Utilization/Clinical Review Nurse to join our Clinical team.  Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, transparent, and human. We need you...

Utilization Review Nurse (Remote)

Oscar Health Dallas Texas United States
(No Timezone Provided)

Hi, we're Oscar. We’re hiring a Utilization/Clinical Review Nurse to join our Clinical team.  Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, transparent, and human. We need you...

Inpatient Care Management Nurse RN Telecommute - 2014669

UnitedHealth Group Atlanta Georgia United States
(No Timezone Provided)

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shapi...

Care Manager II (RN) - Remote Available

Envolve Pharmacy Solutions None null United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...

Temporary Remote UM Care Manager (RN)

Home Nursing Agency Pittsburgh Pennsylvania United States
(No Timezone Provided)

Description Are you a registered nurse with a background in utilization management? Are you interested in the opportunity to work from home? UPMC Health Plan is looking for you! We are hiring temporary full-time Utilization Management Care Managers to support the Utilization Management Clinic...

Case Manager / Utilization Review RN Remote

Interim HealthCare - Indianapolis, IN Indianapolis Indiana United States
(No Timezone Provided)

Currently seeking a qualified RN to staff a remote position for Utilization Review in Indianapolis.Must be Indiana Resident.It is a 3 month position, hours being Monday-Friday 8A-5P EST.High speed internet connection is required, along with the ability to connect to a router.Pay is $35/hour.Benefits...

Clinical Quality RN Auditor - Telecommute - 2017985

UnitedHealth Group Phoenix Arizona United States
(No Timezone Provided)

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing  your life's best work.(s...

Senior Clinical Admin Nurse - Telecommute CST preferred - 2016116

UnitedHealth Group Dallas Texas United States
(No Timezone Provided)

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The...

Prior Authorization RN - Air Ambulance and Out of Country Team - Telecommute - 2020837

UnitedHealth Group St. Louis Missouri United States
(No Timezone Provided)

For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing  your life's best work...

Care Team Associate Concurrent Authorization Healthcare WellMed Telecommute - 2030033

UnitedHealth Group San Antonio Texas United States
(No Timezone Provided)

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) WellMed provides concierge-level medical care and service for seniors, delivered by ph...

Behavioral Health Care Manager - Remote Available

Fidelis Care Bedford New Hampshire United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...

Inpatient RN Case Manager - Telecommute in Las Vegas, NV - 5K Sign On Bonus for External Candidates -

UnitedHealth Group Las Vegas Nevada United States
(No Timezone Provided)

Are you ready for your next challenge? Discover it here at UnitedHealth Group and help us reinvent the health system. We're going beyond basic care, providing integrated health programs with a member-centric focus. The challenge is ensuring we deliver the right care at the right time. When you join...

Remote UR Manager

MedPartners Saginaw Michigan United States
(No Timezone Provided)

Description POSITION SUMMARY: Responsibilities include but are not limited to: Concurrent and retroactive chart review, performed for medical necessity as well as for effectiveness and appropriateness of admission, length of stay, and utilization of hospital resources. Knowledge of state an...

Manager of Healthcare Services (REMOTE)

Insight Global Beaverton Oregon United States
(No Timezone Provided)

Job Description **REMOTE** Manage the operations and support team within Health Care Services including the Call Center, Utilization Management or Care Management intake & review functions which includes but is not limited to prior authorization, concurrent review (CCR), Claims, skilled nurs...

Prior Authorization Nurse II - Remote Available

Centene San Diego California United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...

Prior Authorization Nurse II - Remote Available

Centene El Centro California United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...

Concurrent Review Nurse II - Remote Available

Centene Fresno California United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.   ...

Concurrent Review Nurse II - Remote Available

Centene Los Angeles California United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.   ...

Concurrent Review Nurse II - Remote Available

Centene Los Angeles California United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.   ...

TELECOMMUTE Nurse Practitioner Oversight

CSI McLean Virginia United States
(No Timezone Provided)

CSI Companies is actively seeking a REMOTE Nurse Practitioner for a contract position in your area.  The  Remote/Telecommute  Nurse Practitioner delivers defined patient care services in a retail clinic environment.You will work in collaboration with a dedicated team of prof...

Transplant Nurse Case Manager RN - Telecommute - 2021660

UnitedHealth Group Dallas Texas United States
(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care...

Concurrent Review Nurse --Remote Available

Fidelis Care Charlotte North Carolina United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.   ...

Concurrent Review Nurse I- $7,500 Sign-On Bonus Remote available

Envolve Pharmacy Solutions Baton Rouge Louisiana United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ** ...

Utilization Review Nurse - Remote

Mercy Springfield Missouri United States
(No Timezone Provided)

The Utilization Review Nurse is responsible for the development, implementation, coordination, and follow-up of projects related to Mercy Care Management. This includes the validation, assimilation, and integration of information derived from projects, focus studies, in network and out of network pr...

Nurse Liaison - Post Acute Care (Remote-Brooklyn, NY) Sign-on Bonus!

CareCentrix San Diego California United States
(No Timezone Provided)

Are you an experienced Registered Nurse with a passion for shaping the future of healthcare? As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned cas...

Remote Telephonic Triage Registered Nurse RN

CSI Dallas Texas United States
(No Timezone Provided)

Do you want to work for a company that Forbes’ named one of the best employers of 2021? Do you want to fast-track your career by working for one of LinkedIn’s top companies in the US? If so, keep reading!Title of Job: Registered Nurse – Remote Triage  Location: REMOTE (anywher...

Case Manager RN (Remote)

Change Healthcare Lake Mills Iowa United States
(No Timezone Provided)

This position is required to perform case management activities for health plan members. The activities will include assessing needs, developing a patient-centered care plan, monitoring outcomes, and coordinating interdisciplinary approaches and services. These functions may be performed onsite an...

Case Manager RN (Remote)

Change Healthcare Gautier Mississippi United States
(No Timezone Provided)

This position is required to perform case management activities for health plan members. The activities will include assessing needs, developing a patient-centered care plan, monitoring outcomes, and coordinating interdisciplinary approaches and services. These functions may be performed onsite an...

Case Manager RN (Remote)

Change Healthcare None Nevada United States
(No Timezone Provided)

This position is required to perform case management activities for health plan members. The activities will include assessing needs, developing a patient-centered care plan, monitoring outcomes, and coordinating interdisciplinary approaches and services. These functions may be performed onsite an...

Home Infusion Nurse Supervisor RN Telecommute New York City - 2022173

UnitedHealth Group Farmingdale New York United States
(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care da...

Nurse Practitioner Manager in Richmond, VA (Hybrid REMOTE)

DaVita Kidney Care Richmond Virginia United States
(No Timezone Provided)

DaVita is looking for a Full-Time Nurse Practitioner (NP) Manager to join our Integrated Care team. The Nurse Practitioner Manager leads and manages our Integrated Kidney Care Nurse Practitioners remotely. Must live in Richmond, VA area. *MUST LIVE LOCALLY. Work from home and regional trave...

Lead Clinical Pharmacist - Oncology - Telecommute - 2019822

UnitedHealth Group Tampa Florida United States
(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care da...

Lead Clinical Pharmacist - Oncology - Telecommute - 2019822

UnitedHealth Group Greensboro North Carolina United States
(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care da...

Social Work Care Manager - Remote Available

Envolve Pharmacy Solutions New York New York United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...

Social Work Care Manager, Transitions of Care -- Remote Available

Envolve Pharmacy Solutions New York New York United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...

Care Advocate - Telecommute in TN

UnitedHealth Group Atlanta Georgia United States
(No Timezone Provided)

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and...

Bilingual Spanish Transplant Nurse Case Manager RN - Telecommute - 2012075

UnitedHealth Group Virginia Beach Virginia United States
(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care da...

Clinical Manager: Registered Nurse or Social Worker - Hybrid Remote

KePRO Denver Colorado United States
(No Timezone Provided)

DescriptionClinical ManagerAre you an experienced Clinical Manager looking for a new challenge? Do you value care management and quality improvement?Are you motivated, energetic, and excited to become part of the Kepro team?If so, you might be our next new team member!Candidates – please take note. ...

Nurse Advice Line RN, Compact License - Telecommute

UnitedHealth Group Columbus Georgia United States
(No Timezone Provided)

The quality of care we provide our patients doesn't change no matter how it is delivered. Joining UnitedHealth Care as an Advice Line Registered Nurse can be your opportunity to offer a higher level of care to our members. While your work will take place over the phone, you'll have a direct impact o...

Utilization Management Review Nurse - RN - OptumCare Network of Connecticut - Telecommute - 2003401

UnitedHealth Group Farmington Connecticut United States
(No Timezone Provided)

* $1,000 sign on bonus for all external RN hires * Optum Care Network of Connecticut is dedicated to serving adults throughout Connecticut. Our top priority is to help keep you healthy and feeling your best. Our doctors take the time to listen and get to know you. Understanding your health care ...

Registered Nurse Atrium Health At Home Union

Atrium Health Navicent Fairfax South Carolina United States
(No Timezone Provided)

Job Summary Serves a case management role, responsible for an assigned group of patients, typically geographically related and accountable for the oversight and overall management of the post-acute services in the home setting. Provides direct patient care and supervision of LPNs and HHAs in accorda...

Registered Nurse Atrium Health At Home Blue Ridge

Atrium Health Navicent Morganton North Carolina United States
(No Timezone Provided)

Job Summary Serves a case management role, responsible for an assigned group of patients, typically geographically related and accountable for the oversight and overall management of the post-acute services in the home setting. Provides direct patient care and supervision of LPNs and HHAs in accorda...

Registered Nurse RN (MNA) Remote

Atrius Health Boston Massachusetts United States
(No Timezone Provided)

Description Atrius Health is a nonprofit healthcare leader delivering a system of connected care that enables us to know our patients better so that we can serve them well. Across 32 clinical locations, more than 50 specialties and 825 physicians, we provide proactive, customized care to mo...

Care Manager I (RN) - Remote Available

SilverSummit Healthplan Virginia City Nevada United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Positi...

Care Manager I (RN)- $7,500 Sign-On Bonus Remote Available

Centene Lafayette Louisiana United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ** ...

Psychiatric Mental Health Nurse Practitioner (PMHNP) - Remote in Los Angeles, CA

ENP Network Los Angeles California United States
(No Timezone Provided)

Job Description Job Summary The Nurse Practitioner Psychiatric-Mental Health (PMHNP) will work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs may focus on specific populations (e.g., adult and geriatric, pediatric, and women’s health). ...

Supervisor RN Case Manager - Remote

UnitedHealth Group West Valley City Utah United States
(No Timezone Provided)

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Supervisor, Post-Acute Case Management provides front-line leadersh...

Care Manager I (RN or LCSW) --Remote Available

Fidelis Care Charlotte North Carolina United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...