Nsight Health, Inc. is seeking a Remote Chronic Care Management LVN to conduct comprehensive assessment calls and develop comprehensive care plans for patients. This role involves direct patient care from a home office, offering a flexible remote work arrangement and career growth opportunities. The position requires an active compact LPN/LVN license and a passion for patient care and education.

Chronic Care Management LVN

The RN Care Coordinator at Crouse Medical Practice is responsible for coordinating all systems/services required for an organized, multidisciplinary, patient-centered care team approach. This role ensures quality, cost-effective care for the identified patient population by managing the course of treatment in collaboration with physicians, nurses, other staff, and community health care providers. The position involves directing LPN Care Coordinators and participating in Patient Centered Medical Home activities.

Registered Nurse Care Coordinator

The Medical Management Team Lead, RN at McLaren Health Care is responsible for providing clinical oversight of staff and functions to meet organizational goals in utilization, disease, case, and medical management. This role involves expert knowledge of screening criteria, clinical criteria, and research abilities, independent judgment within the scope of practice, and participation in the medical management of members across all product lines. The position emphasizes member advocacy through education on managed care, disease management, and PCP treatment plans, while also monitoring utilization patterns and collaborating on complex cases.

Medical Management Team Lead, RN, MI - Remote - McLaren Careers

Medical Management Team Lead, RN

Wellpath is hosting a Virtual Hiring Event for Registered Nurses (RN) and Licensed Practical Nurses (LPN) in Fayetteville. This event offers an opportunity to learn more about the company, its benefits, and to apply for positions. The event is designed to make it easy for interested candidates to connect with the recruiter and potentially start their career with Wellpath.

Virtual Hiring Event for RN's & LPN's - Fayetteville

Registered Nurse

PeaceHealth is seeking a Licensed Practical Nurse (LPN) for a remote clinic position. This full-time role involves implementing and evaluating patient care under the supervision of an RN or provider, obtaining and conveying information to and from patients, pharmacies, and other providers, and ensuring professional effectiveness through continued education. The position requires working from home with appropriate high-speed connectivity and offers a comprehensive benefits package.

LPN Clinic Remote

Licensed Practical Nurse Clinic

The Clinical Correspondence Review Nurse is responsible for performing quality reviews of written clinical determination letters to ensure adherence to Federal laws, CMS and Medicaid regulatory guidelines, and NCQA accreditation standards for assigned Medicare, Medicaid, or Marketplace programs. This role requires a RN license, UM experience, and strong typing and writing skills. Bilingual candidates fluent in Spanish are encouraged to apply. The position is remote with a work schedule of Monday to Friday, 8:00 AM to 5:00 PM PST, and offers a competitive benefits and compensation package.

UM Clinical Correspondence Review Nurse Bilingual-Spanish Remote

Clinical Correspondence Review Nurse

Trusted Resource Associates (TRA) is seeking a local contract nurse RN specializing in Utilization Review for a 13-week contract job in Modesto, California. The role involves facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources. This position requires managing the medical necessity process for accurate and timely payment for services, which may involve negotiation with payers on a case-by-case basis.

Local Contract Nurse RN - Utilization Review - $84 per hour

Contract Nurse RN - Utilization Review

Molina Healthcare Services (HCS) is seeking a Registered Nurse Case Manager for their Complex Adult Case Management program. This remote position, based in New York, involves supporting members with high need potential by assessing, facilitating, planning, and coordinating integrated delivery of care across the continuum, including behavioral health and long-term care. The role requires a nurse with previous case/care management and managed care experience, preferably with knowledge of managing complex/chronic medical conditions and community resources for social determinants of health concerns.

Registered Nurse Case Manager Complex Care Remote in New York

Registered Nurse Case Manager Complex Care

Molina Healthcare is seeking a Case Manager RN to support members recently admitted to the hospital, ensuring a successful transition from inpatient to outpatient care. This role involves working remotely to coordinate care, conduct face-to-face and home visits, and educate members on various aspects of care. The position requires excellent computer skills, attention to detail, and the ability to multitask. Previous experience in case management, managed care, hospital, and/or home health is preferred.

Case Manager RN - Transition of Care Coach

SteadyMD is seeking Nurse Practitioners with licensure and residency in at least one of the states (TX, CA, WA, AZ, UT, CO), and 5 years of primary care experience for a potential role in providing virtual patient care. The role involves conducting initial intake evaluations, reviewing labs, prescribing weight loss medications, and managing prescription refills and chronic condition management. This fully remote position offers a flexible schedule and a 1099 contract opportunity at $60/hour.

Nurse Practitioner (Primary Care, Remote)

Nurse Practitioner

The Clinical Care Coordinator (CCC) is a remote, temp to hire position at an NCQA accredited managed behavioral healthcare organization. The role involves implementing utilization and population health management programs, supporting quality management initiatives, and providing quality care and services with a holistic approach to meeting the needs of the caseload throughout the continuum of care. The CCC collaborates with the Senior CCC and Medical Director/Physician Champion.

Remote LCSW/LCPC Clinical Care Coordinator

Clinical Care Coordinator

Fonemed is seeking part-time remote Registered Nurses with weekend and weekday evening availability to provide telephone triage and health advice to callers across the United States. The role involves using Schmitt-Thompson protocols to assess and provide nursing care advice virtually, with calls ranging from triage to medical information requests. Nurses must have strong critical thinking, clinical assessment skills, and the ability to make independent decisions. All calls are documented electronically and recorded.

Telehealth Triage Nurse

Nurse Telephone Triage Service, LLC is seeking RNs with both pediatric and adult experience to join their team for a 100% remote position. The role involves providing high-quality telephone triage health advice to patients and caregivers, with a focus on continuity of excellent care. Ideal candidates will have at least 5 years of experience, preferably in emergency departments, call centers, or triage in a provider office, and possess excellent computer skills and the ability to multitask.

RN Triage Nurse - REMOTE

RN Triage Nurse

The Clinical Referral Nurse at Sutter Health acts as the in-office clinical liaison, representing the agency via telephone to receive and process referrals for patient care within the regional home health referral management team. This role involves interactions with various referral sources, including hospitals, physicians, and the general public, to ensure timely and consistent admissions. The nurse enters referral information into the Electronic Medical Records (EMR) and creates initial orders to facilitate the start of care. This position requires excellent customer service skills, clinical knowledge, and the ability to work closely with multiple teams to facilitate patient care.

Clinical Referral Nurse

The Registered Nurse Care Coordinator at Covenant Health Inc. functions as a liaison between patients, physicians, and referral sources to manage and improve the health conditions of each patient through education and coordination of additional services. This role involves guidance and supervision of Care Navigators, patient outreach, quality reporting, performance measurement, and acting as a key liaison between physician and patient. The position is remote with some onsite training and clinic meetings, under the direction of Quality Leadership.

RN CARE COORDINATOR

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