AmeriHealth Caritas is seeking a Care Manager II Registered Nurse for their Foster Care Program in South Carolina. This remote position requires a BSN and an unrestricted RN license in South Carolina or a compact state. The role involves engaging directly with members through face-to-face visits in the community, monitoring and updating care plans, and collaborating with healthcare professionals to ensure members receive comprehensive care. The ideal candidate will have experience in pediatric home care or acute care, and preferably in the Foster Care System, Department of Social Services, or Department of Juvenile Justice.

REMOTE | CARE MANAGER II REGISTERED NURSE (BSN) - FOSTER CARE PROGRAM -SC

Care Manager II Registered Nurse

Join Village Care as a full-time RN- Care Manager, working remotely to provide care and support to members in the greater NYC area. This role involves managing the care needs of a diverse patient population, with a focus on care planning, coordination, and health assessments. The position offers a competitive salary, comprehensive benefits, and the opportunity to make a significant impact on patient well-being.

RN- Care Manager

The Care Manager, RN at Zillion Technologies Inc. is responsible for ensuring that members with complex medical and/or psychosocial needs have access to high-quality, cost-effective healthcare. This role involves holistic assessment, planning, arranging, coordinating, monitoring, and evaluation of outcomes related to members' healthcare. The position requires clinical judgment, collaboration with internal and external stakeholders, and adherence to regulatory guidelines and policies.

Care Manager, RN

As a Case Manager, RN at CAI, you will be responsible for assisting in the holistic assessment, planning, arranging, coordinating, monitoring, and evaluation of outcomes and activities necessary to facilitate member access to healthcare services. This full-time, remote position involves effective communication, education of members, collaboration with healthcare providers, and developing individualized care plans to meet member needs.

Case Manager, RN

Molina Healthcare Services (HCS) is seeking a RN (Registered Nurse) Case Manager for Washoe County, Nevada. This remote position involves assessing, facilitating, planning, and coordinating integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. The role requires collaboration with multidisciplinary team members, conducting face-to-face or home visits, and maintaining a case load for regular outreach and management. Travel within the county for member visits is required, with mileage reimbursement.

Case Manager (RN): Nevada, Washoe County

Case Manager (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

Providence Health Plan is seeking a Clinical Program Coordinator RN to provide care coordination, case management, and care management services to members. This role involves disease management programs, triage and referral, transition of care planning, end of life care planning, and nurse education. The position offers the flexibility of 100% remote work for applicants residing in specific areas, and emphasizes the importance of patient-focused, whole-person care.

Clinical Program Coordinator RN *Remote*

Clinical Program Coordinator RN

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

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. This fully remote position offers a flexible schedule, with an opportunity to work on various programs such as weight loss, urgent care, primary care, and functional medicine. The role involves conducting initial intake evaluations, managing prescription refills, and providing evidence-based care to a diverse patient population.

Nurse Practitioner (Primary Care, Remote)

Nurse Practitioner

Rising Medical Solutions is seeking a part-time Nurse Auditor to join their team. The role involves reviewing medical bills from a nurse's perspective, ensuring appropriate billing, coding, and treatment, and negotiating bills as required. The position offers the opportunity to make a significant impact in medical cost containment, with a focus on maximizing client savings. This remote role requires an active professional nursing license, specialized training in hospital coding, and 3-5 years of clinical experience in acute care, surgery, or orthopedics.

Nurse Auditor - Medical Bill Review (Part-Time, Remote)

Nurse Auditor

The Clinical Operations Supervisor - RN at Acentra Health is responsible for managing the day-to-day operations of Clinical Operations, Utilization Management, and Clinical Reviewers. This role involves assuring quality customer service and support for clients and staff, developing and enforcing operational policies and procedures, managing staff, and coordinating correspondence between external stakeholders and the company. The position requires a proactive approach to problem-solving, team management, and ensuring operational success through business and financial metrics monitoring.

Clinical Operations Supervisor

Clinical Operations Supervisor - RN

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 Clinical Supervisor at StepStone Family & Youth Services is responsible for the clinical oversight of the Therapeutic Foster Care Program. This includes leading treatment team consultation, reviewing assessments, treatment plans, and clinical notes for compliance with agency and regulatory requirements. The role also involves assisting foster care staff in coordinating services to meet client needs, reviewing treatment planning and therapeutic interventions, and supporting the mission, vision, and philosophy of the program.

CLINICAL SUPERVISOR

Clinical Supervisor

CVS Health is seeking a Nurse Practitioner to join our Primary Care team, working in collaboration with a dedicated clinical care team to provide evidenced-based care to a panel of patients. This role involves accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning. The position is full-time, home-based, and includes a work schedule of 2-3 weekdays and every other weekend.

Nurse Practitioner (NP)

The Nurse Medical Management I at Elevance Health is responsible for collaborating with healthcare providers and members to promote quality member outcomes, optimize member benefits, and promote effective use of resources. This role involves conducting pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews, ensuring compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. The position also includes consulting with clinical reviewers and/or medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process.

Nurse Medical Management I

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