10,000+ Jobs Found

"senior utilization mmq management nurse rn telecommute in essex and middlesex county 879665" in "None"

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...

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. ...

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 ...

Health & Social Services Coordinator - Telecommute in Fairfax County, VA

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...

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...

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...

RN Case Manager PHM Telecommute Greater Texas (Essex)

UnitedHealth Group Essex Maryland 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-...

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. ...

RN Case Manager PHM Telecommute Greater Texas (Essex Junction)

UnitedHealth Group Essex Junction Vermont 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-...

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. ...

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...

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...

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...

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...

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...

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...

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 ...

RN Senior Clinical Quality Consultant Compact Lics Telecommute (Essex)

CareerBuilder Essex Maryland 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...

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. ** ...

RN Care Manager - Oshkosh (Work From Home Flexible) (Essex)

Lakeland Care Essex Maryland United States
(No Timezone Provided)

Job Type Full-timeDescriptionCulture Highlights! Telework Opportunity - work where it's most convenient, home, office, etc. Flexible work model - flex your time to blend work and life to fit various lifestyles/needs. Monday through Friday - No weekends - Once a year on-call rotation. 9 paid holidays...

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...

RN Senior Clinical Quality Consultant Compact Lics Telecommute (Essex Junction)

CareerBuilder Essex Junction Vermont 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...

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...

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...

RN Care Manager - Oshkosh (Work From Home Flexible) (Essex Junction)

Lakeland Care Essex Junction Vermont United States
(No Timezone Provided)

Job Type Full-timeDescriptionCulture Highlights! Telework Opportunity - work where it's most convenient, home, office, etc. Flexible work model - flex your time to blend work and life to fit various lifestyles/needs. Monday through Friday - No weekends - Once a year on-call rotation. 9 paid holidays...

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...

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...

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.   ...

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...

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...

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...

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...

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...

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...

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.   ...

RN Senior Clinical Quality Consultant Compact Lics Telecommute (Essex)

Optum Essex Maryland 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...

LCSW, LMHC - Pediatric Case Manager -- 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.   ...

LCSW / LMHC - Pediatric Care Manager I (Social Work) -- Field/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. ...

RN Senior Clinical Quality Consultant Compact Lics Telecommute (Essex)

UnitedHealth Group Essex Maryland 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...