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Telephonic Case Manager Rn Remote Jobs in Delaware, Iowa

Case Manager - Rn - Remote | Wfh
By Get It Recruit - Healthcare At Manchester, IA, United States

Join our dynamic team in various Iowa locations, including Dubuque, Cedar Rapids, Cascade, Manchester, and Bellevue! We're thrilled to announce exciting career opportunities for nurses who are ready ...

Case Manager, (Rn) - Utilization & Denial Appeals Management - Part-Time (0.5 Fte), 8 Hr. Days (Remote)
By Stanford Health Care At , Palo Alto, 94305, Ca $68.38 - $90.62 an hour
Three (3) years of progressively responsible and directly related work experience preferred
SHC Commitment to Providing an Exceptional Patient & Family Experience
You will do this by executing against our three experience pillars, from the patient and family’s perspective:
Daily InterQual Review within 24 hours of admission
Concurrent InterQual Review: Medical necessity review, LOC review, and escalated to treatment team when appropriate
Daily Ensure change in Patient Class
Case Manager, (Rn) - Utilization & Denial Appeals Management - Full-Time (1.0 Fte), 8 Hr. Days (Remote)
By Stanford Health Care At , Palo Alto, 94305, Ca $68.38 - $90.62 an hour
Three (3) years of progressively responsible and directly related work experience preferred
SHC Commitment to Providing an Exceptional Patient & Family Experience
You will do this by executing against our three experience pillars, from the patient and family’s perspective:
Daily InterQual Review within 24 hours of admission
Concurrent InterQual Review: Medical necessity review, LOC review, and escalated to treatment team when appropriate
Ensure notification to payer within 48hrs of admit
High Risk Ob Telephonic Nurse Rn Compact- Remote
By UnitedHealth Group At , Little Rock, 72201, Ar $27.07 - $53.08 an hour
Technology knowledge requirements to include desktop/laptop computer proficiency, use of analytical software, Microsoft Office, Outlook
1+ years of obstetrical nursing experience
Proof of flu vaccine and/or COVID-19 vaccinations per state requirements.
1+ years of diabetes nursing experience
Focus on one-on-one patient teaching
Ability to support our moms at a very difficult time in their lives
Case Manager, (Rn) - Utilization & Denial Appeals Management - Full-Time (1.0 Fte) 8 Hr. Days (Remote)
By Stanford Health Care At , Palo Alto, 94305, Ca $68.38 - $90.62 an hour
Three (3) years of progressively responsible and directly related work experience preferred
Ability to remain knowledgeable regarding available treatments and services
Knowledge of available patient services and treatment
Knowledge of evaluation and assessment techniques
Knowledge of financial processes of various private and public funding sources for health care services/procedures
Knowledge of hospital operations, organization, systems and procedures and laws and regulations pertaining to the operation of hospitals in California
Remote Registered Nurse (Rn) Case Manager
By PharmaCord At , Remote
Case management or Clinical Trial Nurse experience, a plus.
Other duties as assigned by management
Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus.
Their prescribed therapy and course of treatment, fairly balanced with benefits and known side effects per manufacturer product information
Support to help better manage the stress involved in their diagnosis.
Clinical nursing experience with demonstrated competence in educating and managing patients with a new diagnosis or chronic medical condition
Delegation Oversight Rn (Remote)
By Baylor Scott & White Health At , Remote $36.26 an hour
Experience with MCO (Managed Care Organization) operations relative to care management, utilization management or appeals and grievances.
Knowledge of internal quality controls in compliance with department policies and procedures.
Social skills to interact with a wide range of constituencies.
Must have critical thinking and problem-solving skills.
Ability to pay attention to detail with emphasis on reporting skills.
General computer skills, including but not limited to: Microsoft Office, information security, electronic medical documentation, and email.
Outpatient Case Manager, Rn - Remote | Wfh
By Get It Recruit - Healthcare At Montebello, CA, United States

We are a dynamic healthcare organization dedicated to providing compassionate and comprehensive care to our patients. We are currently seeking a Nurse Case Manager to join our team. Overview Job ...

Rn Case Manager - Remote | Wfh
By Get.It Recruit - Administrative At San Antonio, TX, United States

Are you a dedicated Registered Nurse with a passion for patient care and case management? We have an exciting opportunity for a Remote RN Case Manager in the vibrant city of San Antonio, Texas. Join ...

Telephonic Case Manager Rn - Richardson, Tx
By Optum At , Richardson, 75081
Provide patient education to assist with self-management
Experience in a leadership, account management or client facing role
Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels
3+ years of experience in a hospital, acute care or direct care setting
Experience or exposure to discharge planning
Experience in discharge planning or utilization review
Telephonic Nurse Case-Manager – Rn Or Lpn – Workers’ Compensation
By Brown & Brown Insurance At ,
Case-management experience desired – Workers’ Comp preferred.
Developing case management care plan.
Managing the file proactively, utilizing all appropriate case management tools.
Ensuring education is provided to the injured employee.
RN or LPN with a minimum of three years clinical experience (medical-surgical, orthopedic, neurological, ICCU, industrial, ER or occupational).
Maintains knowledge of current trends, standards and law changes.
Telephonic Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Chappells, SC, United States

Compassionate Care Coordination: Utilize your exceptional clinical expertise and superb organizational skills to assess patient needs, develop comprehensive care plans, and coordinate all aspects of ...

Telephonic Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Cayce, SC, United States

As a Remote RN Case Management Specialist, you'll play an integral role in orchestrating and advocating for the comprehensive care needs of patients. By delivering outstanding medical services, ...

Rn Case Manager - Healthy First Steps Program - Remote - Fl
By UnitedHealthcare At , Gainesville, 32602
Providing patient education to assist with self-management
Case Management, Utilization Review, discharge planning or other managed care experience
Proven solid organizational skills and multitasking abilities
3+ years of experience in a hospital setting, acute care, direct care experience (OB and / or Maternity)
Proficient level of experience with Microsoft Office including Word, Excel and Outlook, with the ability to navigate a Windows environment.
Proven solid critical thinking skills
Telephonic Case Manager Rn - Arizona - Remote
By Optum At , Phoenix, 85040
Provide patient education to assist with self-management
Experience in utilization review, concurrent review and/or risk management
Certified Case Manager (CCM) or the ability to obtain certification within 18 months of employment
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Identify gaps or barriers in treatment plans
Interact with Medical Directors on challenging cases
Telephonic Nurse Case Manager
By ICW Group At ,
Certification in case management, rehabilitation nursing or a related specialty is strongly preferred.
Creates a case management plan based on the assessment with measurable goals and objectives utilizing evidence-based criteria.
Implements plan through case management interventions and communication with all parties to reach desired goals and objectives.
Maintains accurate record of management including costs, savings and demographic data.
Equivalent combination of education and experience may be considered.
Minimum 2 years of professional experience providing direct clinical care required.
Telephonic Case Manager (Rn) - Tx Only
By Molina Healthcare At , Dallas, Tx $26.41 - $51.49 an hour

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

To all current Molina employees:

Telephonic Case Manager Jobs
By Sedgwick At , Salt Lake City, Ut
We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day.
Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more.
Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
Effectively communicates and builds relationships with the claims’ examiner, client, injured worker, attorney and supervisor.
Telephonic Registered Nurse (Rn) Case Manager - Remote
By Commonwealth Care Alliance At , Providence, 02903, Ri
Provide regularly scheduled telephonic calls to support the management of chronic disease or end of life.
Provide services via telehealth technologies (video, chat, etc.) for clinically appropriate clinical care and care management services.
Assist the member with understanding their CCA Health Benefit package.
Coordinate a host of benefits such as transportation, community resources, interpreter services, hospice services, and more.
Manage panel-wide and member-specific utilization trends.
Participate in activities and education to maintain and advance competency.
Rn Field Nurse Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Sioux Falls, SD, United States

Are you an experienced Worker's Compensation RN looking for a rewarding and fulfilling career? Look no further! We are a dynamic and compassionate team in the healthcare industry, dedicated to helping ...

Hospice Rn Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Hackettstown, NJ, United States

We are seeking a dedicated and empathetic Registered Nurse to fulfill a rewarding role in providing supportive care to patients and their loved ones/caregivers. As a key member of our team, you'll ...

Case Manager (Remote) Jobs
By Trustmark At United States
Case Management or Utilization Management experience preferred.
Excellent time management, interpersonal, communication, documentation and customer service skills
Identifies potential candidates for individual case management services and executes the screening and case management process.
Supports utilization management decisions with nationally recognized medical management criteria.
Provides individual client focused reports accentuating Case Management activity and outcome.
Facilitates the flow of claims through the Healthcare Management Department.
Case Manager (Rn) - Remote
By Acentra Health At Nashville, TN, United States
1+ years of case management experience
Are you an experienced Case Manager looking for a new challenge?
Do you value care management and quality improvement?
Foster caring philosophy in all aspects of case management and equip beneficiaries to demonstrate self-advocacy when possible.
Communicate medication education and adherence support in a patient-friendly manner to beneficiaries and/or caregivers with varied levels of health literacy.
Access to consistent internet for remote work
Case Manager Rn -Remote
By Florida Blue At United States
Provide education and tools to promote self-management.
Experience Working With Managed Care Products, Benefits, And Services
Income protection benefits: life insurance, Short- and long-term disability programs;
Additional voluntary benefits available; and
What are your key responsibilities?
Facilitate access to care and resources to meet the member’s health care needs.
Medical Case Manager (Rn) - Remote
By Synectics Inc. At United States
National certification in case management or related field preferred
Solicits the employee's interest and consent, if necessary, for participation in case management activities and documents oral and/or written consent
The Medical Case Manager role does require an active RN license in the state they live in.
3+ years of clinical experience as a Registered Nurse
Experience in Behavioral Health Chronic Medical Conditions or Oncology preferred,
Bachelors in Science Nursing or Associate in Nursing (ASN) or Nursing Diploma.
Rn Case Manager - Remote | Wfh
By Get It Recruit - Healthcare At Orlando, FL, United States

Join our dynamic team as a Shining Star in the field of DaVita IKC Registered Nursing! We are passionate about creating an extraordinary healthcare community and are seeking talented individuals who ...