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Rn Care Manager Remote Jobs

Rn Patient Care Manager
By Gentiva Hospice At West Allis, WI, United States
Employee must meet minimum requirements to be eligible for benefits
Managing the site in the absence of the Executive Director, Administrator, or Senior/Executive Patient Care Manager.
Participate in on-call nursing schedule and providing direct skilled bedside nursing care in patients homes
Bachelor degree in nursing from an accredited school of nursing. Unless superseded by requirements listed in the state-specific section
Knowledge of terminally ill patients and their families along with an understanding of the hospice concept
Comprehensive Benefits Package: Health Insurance, 401k Plan, Tuition Reimbursement, PTO
Assistant Care Manager - Remote / Telecommute ($20.00 - $24.00 / Hour)
By Talentify.io At United States
Performs member or provider-related administrative support, including benefit verification, authorization management, and case documentation.
Screens and prioritizes members using targeted intervention business rules and processes to identify necessary services.
Transitions members to appropriate clinical resources/programs as necessary.
Provides general support and coordination services for the department, including answering telephone calls, taking messages, and assisting in problem-solving.
Assists with reporting, data tracking, gathering, organization, and dissemination of information.
Pay Range: $20/hr - $24/hr
Assistant Care Manager - Remote | Wfh
By Get.It Recruit - Administrative At Baltimore, MD, United States

Are you ready to make a meaningful impact on the health and well-being of Baltimore's community? Join our dedicated team as a Remote Assistant Care Manager and be a part of a compassionate network ...

Nurse Care Manager Rn - Remote | Wfh
By Get It Recruit - Healthcare At Lorain, OH, United States

Are you passionate about making a positive impact on people's lives? Are you a skilled communicator with a knack for problem-solving and critical thinking? If so, we have a rewarding opportunity that ...

Care Manager - 100% Remote
By nTech Workforce At United States
Performs member or provider related administrative support which may include benefit verification, authorization management and case documentation.
Must have a Laptop/computer with internet to work from home.
This position is 100% remote. The office is located in Baltimore, MD.
Excellent customer service skills to interact effectively with patients, families, healthcare professionals, and other team members.
Must be fully vaccinated (If not vaccinated, need an exemption letter)
Comfortable providing a Photo ID Copy
Care Manager - Rn
By Yamhill Community Care At McMinnville, OR, United States
Applies Population Health Management tools to maximize benefits of chronic disease management prevention and wellness campaigns.
Strong working knowledge of chronic disease states and basic medical management of these states.
Minimum 1-3 years’ work experience in healthcare setting including experience with care management, disease management, and/or quality improvement.
Provides day-to-day Care Management and Care Coordination services for Yamhill Community Care (YCCO) members.
Reviews Care Management referrals received from members, providers, community partners, and the plan.
Minimum 1-2 years' clinical nursing experience in an area such as medical/surgical, skilled nursing, or behavior health.
Care Manager - Rn
By Relode- At Memphis, TN, United States
3) 2+ years previous experience working in care management and/or with CKD/ESRD patients is preferred.
2) Perform frequent daily in-home care management visits to execute care management plans
8) Review and document plan member updates and progress in care management platform
Valid Registered Nurse (RN) license/certification in Tennessee (TN)
2+ years experience in any of the following:
4) Ability to take call remotely on some nights and weekends
Care Manager - Rn
By Healthtalentpro At Barrington, NJ, United States
2+ years previous experience working in care management and/or with CKD/ESRD patients is preferred.
Opportunity to work in a dynamic, fast paced and innovative care management company that is transforming the delivery of kidney care.
Perform frequent daily in-home care management visits to execute care management plans
Review and document plan member updates and progress in care management platform
Ability to take call remotely on some nights and weekends
Must have Home Health and/or Hospice experience.
Value Based Care (Vbc) Manager - Remote
By Sentara Health At Glen Allen, VA, United States
Experience from the payor and provider side preferred, one required.
Experience designing and operating multiple VBC arrangement types (bundles, capitation, shared savings/risk) preferred
Sentara Health Plans is currently hiring a Value Based Care (VBC) Manager!
This is a Full Time position with day shift hours and great benefits!
Required: Healthcare - 5 years
3+ years of value-based program design and methodology development
Rn Care Manager Jobs
By Shriners Children's At Spokane, WA, United States
Experience with utilization review/management with a working knowledge of InterQual criteria is strongly preferred.
3-5 years Care Coordination/Case Management experience is preferred.
Experience with disease management and application of motivational interview techniques required.
5+ years of clinical experience in Pediatrics, Burn care and/or Orthopaedics preferred.
No working weekends, no working holidays! Great work/life balance
Rn Care Review Clinician - Prior Auth (Remote South Carolina)
By Molina Healthcare At United States
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Identifies appropriate benefits and eligibility for requested treatments and/or procedures.
Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and its members.
Processes requests within required timelines.
Managed Care Coordinator - Rn (Remote)
By SPECTRAFORCE At Columbia, SC, United States
Preferred Work Experience: 7 years-healthcare program management.
Job title: Managed CareCoordinator II (Remote)
Preferred Licenses and Certificates: Case Manager certification, clinical certification in specialty area.
Note: 1st week of onsite training then remote.
Preferred Education: Bachelor's degree- Nursing.
5% Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members.
Rn Manager Care Management
By Clinical Management Consultants At New York, NY, United States
Excellent leadership and team management skills
Minimum of five (5) years of previous experience in social services and discharge planning within an acute care hospital setting
Strong technical knowledge of social work and discharge planning processes
Bachelor's Degree in a relevant field
Valid license and current registration issued by the New York State Board of Nursing
Rn Care Manager Jobs
By Shriners Children's At St Louis, MO, United States
Experience with utilization review/management with a working knowledge of InterQual criteria is strongly preferred.
3-5 years Care Coordination/Case Management experience is preferred.
Experience with disease management and application of motivational interview techniques required.
5+ years of clinical experience in Pediatrics, Orthopaedics preferred.
Care Manager - Rn
By Healthtalentpro At Poplarville, MS, United States
2+ years previous experience working in care management and/or with CKD/ESRD patients is preferred.
Opportunity to work in a dynamic, fast paced and innovative care management company that is transforming the delivery of kidney care.
Perform frequent daily in-home care management visits to execute care management plans
Review and document plan member updates and progress in care management platform
Ability to take call remotely on some nights and weekends
Must have Home Health and/or Hospice experience.
Rn Care Coordinator - Remote For Residents Of Or, Wa, Id, Az, Fl, Tx & Ak
By Moda Health At United States
Investigates opportunities for health care alternatives and prepares cost effective plans to offer patients, families, and providers.
Refers appropriate cases to Case Manager RNs for assessment.
Must have 3 years recent hospital, home health, or acute care experience.
Strong analytical, problem solving, memory retention, organizational and detail-oriented skills.
Excellent communication skills with the ability to interact with all levels of staff, members and providers as needed.
Medical, Dental, Vision, Pharmacy, Life, & Disability
Care Manager I (Rn)
By Mindlance At United States
·Actively participate in integrated team care management rounds
·Identify related risk management quality concerns and report these scenarios to the appropriate resources
·Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
·Outreach and enroll members into the Care Management Program
Location:Remote : All over US
·Provide patient and provider education
Care Manager Rn Jobs
By Healthtalentpro At Torrance, CA, United States
Strong knowledge base or experience in specialty area assigned.
2 years of Acute hospital experience, including 1 year of supervisory experience.
Upon hire: California Registered Nurse License
Master's Degree in Health care related field.
Remote Care Manager Jobs
By Careforth At United States
Perform case conferences, summary reports, and incident management in compliance with applicable state and program regulatory and/or accreditation requirements
Solid understanding and experience in care planning/case management is required
Manage a caseload and leverage technology to enable effective coaching and information referral
4-6 years’ experience in health coaching and/or experience in health care/wellness
Comprehensive knowledge of industry concepts and principles; Ability to provide coaching support and consultation across a broad range of clinical topics
Exceptional active listening and communication skills with a focus on empathy
Field Rn Care Manager
By Registry Ally At Chicago, IL, United States
Opportunity to work in a dynamic, fast paced and innovative care management company that is transforming the delivery of kidney care.
Perform frequent daily in-home care management visits to execute care management plans
Review and document plan member updates and progress in care management platform
Understand the needs of the health plan managed care clients and prioritize plan member visits, recommendations and focus accordingly
Use personal communication skills, patience and diligence to engage plan members and their caregivers
Deliver individual and group education on CKD, ESRD, dialysis and associated co-morbidities