10,000+ Jobs Found

"telephonic utilization management nurse rn work at home texas preferred" in "None"

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. ...

Remote Registered Nurse- Telephone Triage

Call 4 Health Portland Oregon United States
(No Timezone Provided)

Job Summary The Triage Registered Nurse will be part of a multidisciplinary team supporting general care processes, providers, and patients in an ambulatory community-based setting. The RN is responsible for evaluating and assessing patient’s health care needs based on telephonic evaluation and asse...

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...

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. ...

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...

Remote Registered Nurse RN Case Manager

DaVita Kidney Care Wichita Kansas United States
(No Timezone Provided)

DaVita IKC allows Registered Nurse RN Case Managers to collaborate with accomplished experts in the field and make an impact the quality of life for our patients. DaVita strives to give our employees more knowledge, and more time with the patients to provide excellent patient centered care. Job I...

Registered Nurse Atrium Health At Home York

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

Overview This position is Sign-on Bonus eligible. Experienced RNs are eligible for a bonus up to $10K for Full Time positions and up to $5,000 for Part Time positions based on experience. In addition to the sign-on bonus, new teammates at Atrium Health are eligible for robust benefits package...

Registered Nurse Atrium Health At Home Blue Ridge

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

Overview This position is eligible for a sign-on bonus! Experienced RNs are eligible for a bonus up to $10K for Full Time positions and up to $5,000 for Part Time positions based on experience. In addition to the sign-on bonus, new teammates at Atrium Health are eligible for robust benefits p...

Registered Nurse Atrium Health At Home Stanly

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

Overview This position is Sign-on Bonus eligible. Experienced RNs are eligible for a bonus up to $10K for Full Time positions and up to $5,000 for Part Time positions based on experience. In addition to the sign-on bonus, new teammates at Atrium Health are eligible for robust benefits package...

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...

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...

19 - 28006 - Compact or NY Russian Full Time Remote Registered Nurse (RN)

Oloop Technology Solutions New York New York United States
(No Timezone Provided)

Overview Nice to meet you, we’re Vesta Healthcare.Vesta Healthcare is a startup with a simple mission: Delivering extraordinary outcomes by unlocking the power of caregivers. We enable people with personal assistance to thrive at home, in their community by assuring their caregivers have the resour...

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...

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...

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...

Case Manager (**Remote** RN Required)

Emerus The Woodlands Texas United States
(No Timezone Provided)

Position Overview The purpose of this position is to provide ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. The goal of the position is to enhance the quality of patient care through innovative and c...

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. ...

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...

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...

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...

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...

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. ** ...

On Call Registered Nurse (PRN RN) (Remote)

Hometeam New York New York United States
(No Timezone Provided)

Nice to meet you, we’re Vesta Healthcare. Vesta Healthcare is a startup with a simple mission: Delivering extraordinary outcomes by unlocking the power of caregivers. We enable people with personal assistance to thrive at home, in their community by assuring their caregivers have the resources, ...

Russian Per Diem Daytime Registered Nurse (PRN RN) (Remote)

Hometeam New York New York United States
(No Timezone Provided)

Nice to meet you, we’re Vesta Healthcare. Vesta Healthcare is a startup with a simple mission: Delivering extraordinary outcomes by unlocking the power of caregivers. We enable people with personal assistance to thrive at home, in their community by assuring their caregivers have the resources, ...

Transitional Care Nurse Case Manager - Telephonic/Non-Remote (Call-In Rotator)

The Queen's Medical Center Honolulu Hawaii United States
(No Timezone Provided)

Responsibilities I. JOB SUMMARY/RESPONSIBILITIES:• Provides clinical consultation as a Registered Nurse (RN) to patients upon discharge through the Transitional Case Management Program (TCMP).• Key responsibilities include, but are not limited to, assessment and development of transitional care plan...

Remote Nurse Assistant

Resource Employment Solutions Covington Georgia United States
(No Timezone Provided)

SUMMARY Virtually assists with providing occupational health nursing programs and services that support employee health and wellness strategy by phone and video conferencing (no in person treatment). JOB REQUIREMENTS, SKILLS AND QUALIFICATIONS: •Licensed registered nurse with the state of Geo...

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.   ...

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.   ...

Remote Patient Monitoring Care Manager

Mountain Vista Medical Center Westwood Massachusetts United States
(No Timezone Provided)

Job Description Steward Health Care Network (SHCN) takes pride in its community-based care model, which drives value-added tools and services to our communities, patients, physicians, and hospitals across the continuum of care. In addition, Steward Health Care Network promotes care coordinatio...

RN Senior Clinical Quality Consultant Compact Lics Telecommute (Texas City)

UnitedHealth Group Texas City Texas United States
(No Timezone Provided)

Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. With opportunities for physicians, clinical staff and non-patient-...

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. ** ...

Registered Nurse - Atrium Health at Home Charlotte FT Days

Atrium Health Charlotte North Carolina United States
(No Timezone Provided)

This position is Sign-On Bonus eligible. In addition to the sign-on bonus, new teammates at Atrium Health are eligible for robust benefits packages and paid time off and a Career Advancement Ladder.Home care at Atrium Health allows patients to receive world-class healthcare in the comfort of their o...

RN Senior Clinical Quality Consultant Compact Lics Telecommute - Quality Assurance (Texas City)

CareerBuilder Texas City Texas United States
(No Timezone Provided)

RN Senior Clinical Quality Consultant Compact Lics Telecommute Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for helping people achieve better health. Wit...

Call Center RN - Nurseline South Florida Bilingual - Telecommute in Dadeland, FL

UnitedHealth Group None 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 dat...

Call Center RN - Nurseline South Florida Bilingual - Telecommute in Dadeland, FL

UnitedHealth Group Atlanta Georgia 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 dat...

Registered Nurse - Atrium Health at Home Stanly FT Days

Atrium Health Albemarle North Carolina United States
(No Timezone Provided)

Overview This position is Sign-On Bonus eligible. In addition to the sign-on bonus, new teammates at Atrium Health are eligible for robust benefits packages and paid time off and a Career Advancement Ladder. The Region's Preferred Healthcare - in the Comfort of Home Home care at Atrium Health allo...

PRN LPN Care Transitions - remote

Lee Health Fort Myers Florida United States
(No Timezone Provided)

Location: Orion Building ---------- Department: Community Care Outreach ---------- Workdays/Nights: Variable 6630 Orion Drive ---------- Shift: Shift 1 ---------- 8:00:00 AM to 4:30:00 PM Fort Myers, FL 33912 ---------- Work Type: PRN ---------- Job Summary Summary: Licensed Practical Nurse with ex...

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 ...

Per Diem Nurse Practitioner Telephonic On Call Colorado Hub - Telecommute in Multiple Locations - 2011662

UnitedHealth Group Salt Lake City Utah United States
(No Timezone Provided)

$2,500 Sign on Bonus External Candidates Improve Your Quality of Life While Helping Seniors! This is a Per Diem work from home position, requiring a minimum of 64 hours every 4 weeks. 48 of the 64 hours will be 12-hour weekend shifts varying day and night shifts – OVER NIGHT (must be awake). ...

Per Diem Nurse Practitioner Telephonic On Call Colorado Hub - Telecommute in Multiple Locations - 2011662

UnitedHealth Group Phoenix Arizona United States
(No Timezone Provided)

$2,500 Sign on Bonus External Candidates Improve Your Quality of Life While Helping Seniors! This is a Per Diem work from home position, requiring a minimum of 64 hours every 4 weeks. 48 of the 64 hours will be 12-hour weekend shifts varying day and night shifts – OVER NIGHT (must be awake). ...

Utilization Review RN (Remote - Compact/AZ RN License)

Change Healthcare None Washington United States
(No Timezone Provided)

The position is primarily accountable for performing initial clinical appropriateness review of requests for services that require prior authorization or retrospective review. The review process is performed in accordance with established Client (health plan) protocols/guidelines, benefits, and c...