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"utilization management nurse consultant rn full time telework" in "None"

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. ...

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...

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 ...

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...

REMOTE Compensation Consultant / Healthcare

Bridgeway Professionals Seattle Washington United States
(No Timezone Provided)

RN (Registered Nurse) Home Health  Full-Time positions include a $12,000 Sign-On Bonus! The Registered Nurse (RN) in Home Health provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations and a...

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...

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. ...

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. ...

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. ** ...

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...

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...

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 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 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...

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...

REMOTE DRG Clinical Review Nurse in the US!

Adecco St. Louis Missouri United States
(No Timezone Provided)

Adecco Medical Search has great REMOTE DRG and Clinical Review Nurse job available in the US! This is a great opportunity to work from home as a consultant working 5 days a week, 8 hours a day. Great salary + benefits + computer with dual monitors provided. Responsibilities for the DRG and Clinical ...

Nurse Reviewer - Remote El Paso, TX

HMSHost El Paso Texas United States
(No Timezone Provided)

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense o...

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...

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. ...

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...

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

Change Healthcare Kansas City Kansas 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...

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

Change Healthcare None South Dakota 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...

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

Change Healthcare Moore Oklahoma 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...

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.   ...

Case Manager RN (Telework FL)

CVS Health Tampa Florida United States
(No Timezone Provided)

Job DescriptionThis is a telework role. Applicants should reside within a commutable distance to Tampa or Miami.This is a remote based role, however there is 10%-20% travel on a monthly basis to visit members.Schedule is Monday-Friday, Standard business hours. Position Summary :The Case Manager is ...

RN Case Manager - REMOTE

Actalent Santa Barbara California United States
(No Timezone Provided)

Non-profit healthcare network is looking for a registered nurse case manager to join their team on a contract basis! Opportunity to gain experience with Medi-Cal and work REMOTELY in a fast-paced environment.REQUIREMENTS:+ CA RN license+ Flexible to work a 6-month contract+ At least 6 months of case...

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...

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...

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.   ...

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...

Precert Care Manager (Thurs. - Sun. / Overnight) - Remote

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

Description At UPMC, we’re all here for the same reason – to make Life Changing Medicine happen. Join our team and you will play a unique and important role in our mission to change healthcare for the better. UPMC is hiring a full-time Precert Care Manager to support the Pre-certification te...

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. ** ...

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...

RN, Care Manager (Utilization Review), Remote, Per Diem

Glendale Adventist Medical Center Bakersfield California United States
(No Timezone Provided)

Essential Functions: Leads the coordination of patient care with other disciplines within the care team, monitoring the appropriateness and timeliness of care. Ensures the interdisciplinary care plan is consistent with the patient's clinical course, continuing care needs and covered services...

RN Case Manager - Remote/Hybrid, Pierce County, WA

CareerBuilder Tacoma Washington United States
(No Timezone Provided)

3630 S Cedar StSte J,Tacoma,Washington,98409-5702,United States of America DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN)to join us inthe Pierce County, Washington area (must live locally) As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager you ...

Registered Nurse RN - Penn Medicine At Home - Montgomery County - Full Time

Penn Medicine Princeton Health King of Prussia Pennsylvania United States
(No Timezone Provided)

Position Description : The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively...

Registered Nurse RN - Penn Medicine At Home - Northern Chester County - Part Time

Penn Medicine Princeton Health West Chester Pennsylvania United States
(No Timezone Provided)

Position Description : The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively...

Licensed Practical Nurse LPN - Penn Medicine At Home - Home Care - South Philadelphia - Full Time

Penn Medicine Princeton Health Bala Cynwyd Pennsylvania United States
(No Timezone Provided)

Position Description : Penn Medicine at Home is seeking a full time licensed practical nurse to join our home care team in south Philadelphia. Penn Medicine At Home provides patients with necessary treatment and care in the comfort of their own home, which can lead to more flexibility and indepe...

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...

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...

Appeals Nurse - Remote Available

Fidelis Care None Michigan 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). ...

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. ...