Remote Nurse Case Managere Jobs

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  • Telecommute Registered Nurse Renal Case Manager - Nationwide

    A managed healthcare and insurance company is filling a position for a Telecommute Registered Nurse Renal Case Manager...., and caregivers telephonically Providing member education Identifying patient needs Qualifications Include: Associate’s degree in Nursing Current, unrestricted RN license, specific to the state of employment or a compact nursing license Case

  • Remote Senior Registered Nurse Case Manager - Nationwide

    (sm) As a Senior RN Case Manager, you will assist with escalated cases and internal/external vendor interface, participate in customer calls and meetings as required; coach staff on team, complete quality case and call audits; conduct phone calls to...consumers if needed to achieve the team outreach goals or coverage for case managers.

  • Remote Maternity Senior Registered Nurse Case Manager - Nationwide

    Senior RN Case Manager - Maternity - Remote Requisition Number: 2142002 Job Category: Nursing Primary Location: Tampa, FL (Remote considered) At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing...(sm) The Senior RN Case Manager will provide case management, care coordination and medical management through outreach to members with chronic conditions and ongoing clinical needs while in their home country and abroad. ** Candidates must be available

  • Remote Registered Nurse Utilization Review Case Manager - Pacific Time

    Utilization Review Case Manager - RN Job Category : Case Management Requisition Number : UTILI007009 Posting Details Posted : January 24, 2023 Full-Time Locations Sacramento (Folsom) CA 1180 Iron Point Rd Suite 300 Folsom, CA 95630, USA...and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay; supporting the goals of the Case Management department, and of Company.

  • Remote Bilingual Spanish Registered Nurse Case Manager - Nationwide

    We want to help members navigate the healthcare system in a better way, and case management is critical to achieving this for our members....You'll be responsible for providing telephonic case management support to our members newly discharged from the hospital for a thirty-day program.

  • Remote Health Service Nurse - Multiple Locations

    Health Services Nurse Company is a leading Company technology company with a mission to inspire a better Company system....This responsibility includes: Performing the initial review using InterQual criteria Elevating the case to the client Medical Director or Physician Reviewer if criteria is not met Redirecting care to a preferred provider or facility based on the specific

  • Telecommute Clinical Appeals Nurse - Nationwide

    Clinical Appeals Nurse locations Remote - Other Full time Posted Today R011259 Responsible for reviewing medical records and preparing clinical appeals in response to medical necessity denials and DRG reassignments....Qualifications Required Bachelor of Science degree in Nursing Current state RN licensure At least 5 years of clinical experience in acute care setting At least 3 years of case management, concurrent review or utilization management experience

  • Remote Medical Management Nurse I - Nationwide

    Medical Management Nurse I locations Remote Full time Posted Today R4842 The Medical Management Nurse I works under the guidance and direction of the Clinical Team Lead to provide clinical support to the Utilization Management Units and facilitating...Knowledge: Knowledge of URAC and NCQA standards for case management organizations and CMSA Standards of Practice for Case Management, Act 68, NCQA, CMS and ERISA. Knowledge of managed care principles and emerging health treatment modalities.

  • Telecommute Health Benefits Digital Q Medical Case Manager - Nationwide

    Company their residence if the state is participating in the Nurse Licensure Compact Law....Skills\Certifications Currently has a Certified Case Manager (CCM) credential or must obtain certification within 2 years Company hire.

  • Remote Washington Licensed Hospital Care Manager Registered Nurse - Multiple Locations

    A healthcare provider needs applicants for an opening for a Remote Washington Licensed Hospital Care Manager Registered Nurse....Core Responsibilities of this position include: Providing exemplary cross continuum care coordination Orchestrating care across the Company care continuum Qualifications Include: 2 years recent hospital case management experience 3 years of recent