Molina Healthcare Services (HCS) is seeking a Registered Nurse Case Manager for its Maternity Care Management program. This remote position, based in the Western NY region, involves supporting members through their maternity care journey, including prenatal, birth, and postpartum care. The role includes comprehensive assessments, developing and implementing care plans, conducting home visits, and ensuring quality, cost-effective care. New York RN licensure is required, and bilingual Spanish speakers are encouraged to apply.

Registered Nurse Case Manager Maternity Care Remote In New York

Registered Nurse Case Manager Maternity Care

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 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

Burrell Behavioral Health is seeking a Licensed Practical Nurse (LPN) for their Virtual Clinic. This remote position involves providing nursing services to patients virtually, supporting residential care facilities, behavioral health, and/or substance use disorder treatment programs. The ideal candidate will be passionate about virtual healthcare and have experience managing incoming clinic phone calls.

Clinic Nurse - Telephone

Licensed Practical 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

Texas Health Action is seeking a Nurse Practitioner or Physician Assistant for our Virtual health services to evaluate, plan, and provide care for patients in consultation with and under direct supervision of the attending Physician. This full-time, exempt position requires some night and weekend hours and involves maintaining effective communication with patients, staff, and physicians, providing patient care in a competent, professional, and courteous manner, and keeping abreast of current research to incorporate relevant findings into clinical practice.

Nurse Practitioner or Physician Assistant for Virtual Health Services

Nurse Practitioner or Physician Assistant

The Ambulatory Triage Registered Nurse at Community Health Network functions as a member of the Internal Medicine Care team, conducting duties such as phone triage, patient education, scheduling appointments, prior authorizations, prescription refill, referrals, care coordination, and other related tasks as needed. This role primarily operates remotely from home, with training conducted in Indianapolis, Indiana. The position requires residing in the Indianapolis area or surrounding counties.

Registered Nurse Ambulatory Triage (RN) - Internal Medicine Care - East (PRN)

Registered Nurse Ambulatory Triage

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

The Clinical Review Nurse I at Elevance Health is responsible for reviewing and making medical determinations on whether a claim meets the benefits the member carries. This role involves assessing the necessity and reasonableness of items supplied in a valid claim through the use of medical policy and other materials. The position is virtual, with a preference for candidates residing within 50 miles of an Elevance Health PulsePoint location, and offers flexible hours.

Clinical Review Nurse I-1

Clinical Review Nurse I

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)

Nurse Practitioner

The Registered Nurse - TeleHealth at Dartmouth Health provides professional nursing care and support via telephone/video camera to defined patient populations using telecommunications. This role involves critical thinking, communication skills, and the ability to assess, plan, implement, educate, and evaluate patient outcomes. The nurse works with physicians and multidisciplinary team members to develop care plans, monitors care, and identifies and resolves barriers to effective patient care.

Unit Base Per Diem Registered Nurse - TeleHealth

Registered Nurse - TeleHealth

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 (Psychiatric) Field Representative at The Joint Commission surveys health care organizations throughout the United States, applying systems analysis and inductive reasoning skills to determine compliance with standards and functionality of care delivery systems. This role involves engaging health care organization staff in dialogues on standards-based issues, preparing management reports, and effectively communicating compliance issues to leadership. The position requires nationwide travel and is open to candidates located anywhere in the United States.

Surveyor - Hospital Nurse (Psych)

Molina Healthcare Services (HCS) is seeking a Registered Nurse Case Manager to support our Washington State Medicare plan. This remote position involves working with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate integrated delivery of care across the continuum, including behavioral health and long-term care. The role requires proficiency in MS Suite, the ability to work in a high-volume environment, and 25-40% local travel.

Registered Nurse Case Manager Remote with Field Travel in Spokane Whitman or Stevens WA

Registered Nurse Case Manager

The Virtual Registered Nurse at Avera St. Marys provides professional nursing care in collaboration with bedside nurses through two-way audio-visual technology and specialized software. This role involves assisting in coaching and mentoring department staff, performing admission history, medication double checks, medication reconciliation, and pain reassessment. The position offers a unique opportunity to be part of an innovative patient care program, with benefits including competitive pay, free health insurance, and a Student Loan Repayment Program.

Registered Nurse (RN) - Virtual - Avera St. Marys

Registered Nurse - Virtual

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