The Case Management Utilization Review Registered Nurse at Steward Health Care is responsible for documenting medical necessity for inpatient status or placement in observation, communicating with physicians and clinicians, and ensuring timely clinical information is sent to payors for authorization. This role involves coordinating with allied health professionals to ensure quality care and outcomes, developing physician profiles for utilization patterns, and optimizing inpatient length of stay and resource utilization.

Case Management Utilization Review RN - REMOTE - Utilization Review

Case Management Utilization Review Registered Nurse

Allara Health is seeking Advanced Practice Registered Nurses (APRN) to provide comprehensive care to patients, including diagnosis, treatment, and management of chronic and acute conditions, via video. The role involves conducting patient assessments, developing personalized treatment plans, collaborating with a multidisciplinary team, and engaging in preventative care. This position offers a flexible, 100% remote telehealth role with a focus on women's health.

Women's Health - APRN (New York license) - Telemedicine

Advanced Practice Registered Nurse

Cambia Health Solutions, Inc is seeking a Care Management Nurse to join their team, offering a work from home opportunity within Oregon, Washington, Idaho, or Utah. This role involves providing clinical care management, including case management, disease management, and care coordination, to meet members' healthcare needs and promote quality and cost-effective outcomes. The position is part of a candidate pool for future opportunities, allowing candidates to be considered for all suitable positions as they become available.

Remote Care Management Nurse (Future Opportunities)

Care Management Nurse

The Licensed Practical Nurse (LPN) role at US Tech Solutions, Inc. involves performing medical reviews using established criteria sets, ensuring medical services are within benefit and medical necessity guidelines, and providing education to members and their families. This fully remote position requires strong computer skills, a diverse background in home health or DME, and the ability to work independently after an initial onsite training period. The role is contract-based for 5+ months, with a typical workday of 8:00-4:30 Monday to Friday.

Licensed Practical Nurse (LPN)

Licensed Practical Nurse

Comfort Home Care is seeking a full-time Registered Nurse to provide personalized home care services in the Everett area. This role offers the opportunity to work from home, providing top-notch care to clients while enjoying a flexible schedule. The position is open to both experienced nurses and fresh graduates, offering a potential earnings of up to $80K, along with a comprehensive benefits package. Join a supportive team where you can showcase your skills, solve problems creatively, and build meaningful relationships with clients.

Registered Nurse

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

Signallamp Health is seeking passionate Registered Nurses to join their team as Chronic Care Managers, working from home to provide compassionate care and guidance to chronically ill patients. This role involves maintaining consistent connections with patients, offering guidance on medication side effects, transportation, and health decisions, and acting as a vital link within the patient's care team. The position offers a flexible schedule, comprehensive benefits, and the opportunity to make a significant impact on patient care.

Nurse Care Manager Telehealth Minnesota

Registered Nurse Chronic Care Manager

Medicalincs is seeking Clinical Care Coordinators (licensed registered nurses) for its client based in the District of Columbia. This position is mostly remote and involves managing a caseload, conducting face-to-face visits, assessing enrollees to identify needs/barriers, completing routine care coordination and care management activities, and assisting enrollees in planning for transitions of care. The role requires a deep understanding of the target population's conditions and standard approaches to care management and coordination.

Clinical Care Coordinator (Registered Nurse)

Dialysis Clinic, Inc. is seeking a Nurse Recruiter to join their Corporate Human Resources Team on a contract basis. This role involves sourcing, screening, and hiring top Nursing talent for dialysis clinics and hospital services programs. The position is remote and focuses on leveraging existing recruiting strategies and developing new sourcing techniques in the field of dialysis care. The Nurse Recruiter will work closely with the Corporate Talent Acquisition Supervisor, Nurse Management, and Operational Leadership.

Nurse Recruiter

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 Intake and Evaluation Registered Nurse at the Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) is a telework position requiring extensive travel throughout Region 6, which includes Muscogee County. The role involves assessing healthcare needs, assisting in the determination of support intensity, making recommendations for clinically necessary services, and reviewing healthcare assessments for compliance. This position is not hospital-based and offers a Monday-Friday, 8 am-5 pm schedule with no weekends, overtime, or holidays.

Intake & Evaluation Registered Nurse - Region 6

Intake and Evaluation Registered Nurse

The Registered Nurse for PreCert and Appeals at ProMedica Health System performs prior authorization/certification of scheduled services with payers and assists with the appeal process when needed. This role involves clinical review and document submission for oncology treatments plans and services, interfacing with payers on plan medical coverage policies, and managing denial reports. The position is remote, ideally within 120 miles of Toledo, OH, and requires a nursing degree, 2 years of clinical experience, and familiarity with ICD10 and CPT codes.

RN / Registered Nurse - PreCert and Appeals - Remote - Per Diem - Days

Registered Nurse - PreCert and Appeals

Signallamp Health is seeking motivated triage nurses to work remotely, providing care and support to patients from home. This role involves conducting telehealth triage, assessing patient needs, evaluating symptoms, and offering medical advice. Nurses will be part of the patient's care team, communicating with providers and in-office staff, and using technology tools to manage patient care. The position offers flexibility after 6 months, with no change in benefits.

Triage Nurse-Telehealth

Triage Nurse

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

315 Health is seeking a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention, and management of their health through continuous care programs like Remote Patient Monitoring and Chronic Care Management. The role involves educating patients, creating personalized care plans, identifying barriers to success, providing specific education and coaching on chronic conditions, and serving as the patient's first contact for non-emergent needs. The position requires an active and unrestricted Georgia RN License, at least three years of experience in adult health, and proficiency in computer skills.

Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)

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Remote Registered Nurse - Medical Jobs Hiring Now