The Nurse Case Manager Senior at Elevance Health is responsible for collaborating with healthcare providers and/or consumers to drive personalized health management and improve health outcomes for optimal consumers. This role involves performing care management activities within the scope of licensure for members with complex and chronic care needs, ensuring medically appropriate, high-quality, cost-effective care, and implementing and coordinating a care plan.

Nurse Case Manager SR-1

Nurse Case Manager Senior

A large healthcare insurance company local to the Philadelphia area is seeking a fully remote Case Management RN to join their Care management team. The role involves telephonic or onsite review of hospital admissions, determining alternative settings when appropriate, promoting efficient and high-quality use of the healthcare delivery system, and facilitating timely and dynamic discharge planning. The RN will collaborate with the hospital utilization review department, attending physicians, and members/families as appropriate.

Utilization Management RN - REMOTE (PA, NJ, DE)

Utilization Management Registered Nurse

As a Quality Management Nurse Consultant at CVS Health, you will be responsible for the review and evaluation of clinical information and documentation. This role involves interpreting data from clinical records or systems, applying clinical criteria and policies in line with regulatory and accreditation requirements, and coordinating clinical resolution. The position is full-time, remote, and requires adherence to company policies regarding confidentiality.

Quality Management Nurse Consultant

Pyramid Consulting, Inc. is seeking a talented Registered Nurse/Consultant Training for a 12+ months contract opportunity in Austin, TX, with long-term potential. The role involves facilitating a library of 33 virtual instructor-led medical webinars for CE credit, updating webinar material, and acting as a resource for trainers and specialists. This position requires advanced-level technical training and serves as the highest level technical professional within the organization.

Registered Nurse/ Consultant Training

Registered Nurse/Consultant Training

Vitability Health is seeking a Patient Care Manager to join their team, focusing on providing remote care to patients. This role involves building trusting relationships with patients, utilizing motivational communication to drive health behavior change, and educating patients on managing their medical conditions to avoid emergency room utilization and hospitalization. The position offers a remote work opportunity and the chance to be an integral part in the development of processes and best practices for RPM patients.

Patient Care Manager Spanish speaking

Patient Care Manager

Residential Home Health and Hospice is seeking a Hospice Registered Nurse to join their care team, supporting patients in Carlinville and surrounding areas. This role involves collaborating with a team to manage and deliver patient care plans, with a focus on providing extraordinary care in a team-based environment. The position offers a $15,000 first-year success bonus, a comprehensive rewards package, and a supportive environment with mentorship and career growth opportunities.

HOSPICE RN $15,000 BONUS

Hospice Registered Nurse

We are seeking a dedicated Chronic Care Manager to provide one-on-one attention via telephone calls to patients with two or more chronic diagnoses. The Chronic Care Manager will collect patient health information to identify risks, provide education, and encourage compliance with treatment. This role involves creating patient-specific Care Plans that outline goals and interventions to implement, monitor, and support the patient's needs as defined by the Primary Care Physician (PCP). The Chronic Care Management (CCM) program aims to support patients and promote the highest level of quality care.

Chronic Care Management

Chronic Care Manager (LPN)

IntellaTriage is seeking part-time Hospice Triage Registered Nurses to join their team, offering a remote work setting with a focus on end-of-life care. Nurses will provide compassionate care through nurse triage, utilizing high-speed internet and tech-savvy skills. The role involves working a minimum of one evening shift weekly, every other weekend, and may include additional shifts as needed. Training is provided remotely, and nurses will use their own laptop and high-speed internet for work.

Remote Hospice Triage RN- PT 1 shift 6p-12a+ rotating Sat & Sun

Hospice Triage Registered Nurse

The Care Manager at Centene Corporation is responsible for developing, assessing, and facilitating complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes. This includes personalized care plans and education for members and their families related to mental health and substance use disorder. The role involves evaluating member needs, recommending and facilitating care plans, coordinating between members, families/caregivers, community resources, and care providers, and ensuring compliance with regulators.

Care Manager

The Pediatric Care Manager, RN at Centene Corporation is responsible for developing, assessing, and facilitating complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes. This includes personalized care plans and education for members and their families. The role involves evaluating member needs, developing care plans, coordinating care, and providing education and support. This is a remote position with local travel required for member visits, and candidates must reside in Broward County, Florida, with a preference for those in Pembroke Pines, Weston, or Dania Beach.

Pediatric Care Manager, RN (ECC)

Pediatric Care Manager, RN

The Telephonic Nurse Case Manager I is responsible for telephonic care management within the scope of licensure for members with complex and chronic care needs. This role involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health care across the care continuum. The position is virtual, requiring residency in the State of Georgia and multistate licensure.

Telephonic Nurse Case Manager I

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

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

Join Burrell Behavioral Health as a Nurse Care Manager, a role that involves making a meaningful impact on patient health outcomes by providing vital education and support to clients with complex medical conditions. This remote position, based in Joplin, Missouri, offers the opportunity to work with a multidisciplinary team, develop wellness and prevention initiatives, and advance your career in a supportive environment. The role includes developing personalized treatment plans, facilitating health education groups, managing hospital admissions and discharges, and implementing health technology programs.

DD Nurse Care Manager-RN/LPN -Hybrid (Joplin and surrounding areas)

Nurse Care Manager

The RN Care Manager at HCA Healthcare is a remote position focused on enhancing the patient and primary care relationship through care delivery. This role involves serving as a subject matter expert in quality and value-based care programs, developing professional relationships with healthcare providers and staff, and assisting in education and workflow processes to meet organizational goals. The position requires a current RN licensure and offers a comprehensive benefits package.

RN Care Manager WFH-Local

RN Care Manager

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Nurse Manager - RN Jobs in Carlinville, IL Hiring Now