• Remote Registered Nurse

    315 health (Warner Robins, GA)
    …should have confidence in navigating their healthcare. We are looking for 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. Our team works fervently to… more
    315 health (11/13/24)
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  • REMOTE | Care Manager II Registered

    AmeriHealth Caritas (Florence, SC)
    ** REMOTE | Care Manager II Registered Nurse (BSN) - Foster Care Program -SC** Location: Florence, SC Primary Job Function: Medical Management ID**: 34390 ... are York, Florence, Darlington, Williamsburg and Horry. RN required. ** Remote to qualified candidates living in South Carolina with...is required and must hold a current and unrestricted ** Registered Nurse (RN)** license in good standing… more
    AmeriHealth Caritas (10/24/24)
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  • Triage Registered Nurse

    SUNY Upstate Medical University (Syracuse, NY)
    Job Summary: Registered Nurse (RN) provides professional nursing care to patients within the practice, located in the Hill building of Upstate University ... care while overseeing the work of the licensed practical nurse , and ancillary staff in the Practice. Triage ...to the patient's satisfaction and undstanding. This position is remote , requires internet service and private working space Minimum… more
    SUNY Upstate Medical University (10/16/24)
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  • Registered Nurse Case Manager…

    Molina Healthcare (Wilmington, MA)
    …health plans for members who reside in Massachusetts. We are looking for Registered Nurse Case Managers with strong organizational and time management skills. ... **_Bilingual candidates are encouraged to apply to support our diverse communities!_** ** Remote position with Field Travel to members home or adult day care… more
    Molina Healthcare (11/14/24)
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  • Registered Nurse (RN) Case Manager…

    LifePoint Health (Las Cruces, NM)
    …Professionals or InterQual is desirable. * Current New Mexico licensure as a Registered Nurse . * Certification as CCM or ACM desired. *_EEOC Statement_*: ... local law./ **Job:** **Nursing* **Organization:** **Memorial Medical Center* **Title:** * Registered Nurse (RN) Case Manager - UM... Nurse (RN) Case Manager - UM - PRN ( Remote )* **Location:** *New Mexico-Las Cruces* **Requisition ID:**… more
    LifePoint Health (09/15/24)
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  • Registered Nurse Case Manager…

    Molina Healthcare (Grand Island, NE)
    …position will be supporting our Nebraska State plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare knowledge/experience is ... needs.** **_Further details to be discussed during our interview process._** ** Remote ; with about 50% field travel withing Omaha,** **Lincoln, Bellevue, Omaha… more
    Molina Healthcare (11/17/24)
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  • Registered Nurse Case Manager, LTSS…

    Molina Healthcare (Nampa, ID)
    …position will be supporting our Idaho State plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare and Medicaid ... care highly preferred.** **_Further details to be discussed during our interview process._** ** Remote ; with about 50% field travel within Ada or Canyon County ID.**… more
    Molina Healthcare (11/03/24)
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  • Conduit - Registered Nurse (RN)…

    Bon Secours Mercy Health (Cincinnati, OH)
    …reasonable accommodation and appropriate within the scope of practice for the registered nurse _._ Licensing/Certification RN license required in applicable ... occasionally in adverse weather conditions. Prolonged periods of working alone. Other: Remote / At Home work Environment Opportunity may be provided. This is… more
    Bon Secours Mercy Health (11/27/24)
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  • Registered Nurse Health Home Care…

    Molina Healthcare (Spokane, WA)
    …process._** **Work schedule Monday- Friday 8:00 AM to 4:30 PM PST** ** Remote position with 60% field travel within Spokane County.** **KNOWLEDGE/SKILLS/ABILITIES** + ... health settings. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing (RN) license in good standing. + Must have valid… more
    Molina Healthcare (11/27/24)
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  • Weekend Clinical Triage Specialist,…

    St. Luke's University Health Network (Allentown, PA)
    …and peripheral vision. EDUCATION: + Graduate of an accredited nursing program. + Active Registered Nurse licensure in the s tate of Pennsylvania and New Jersey ... or other nursing compact state and other states as deemed necessary by state law. TRAINING AND EXPERIENCE: + Minimum two years recent clinical experience in a physician office, home health, critical care and/or emergency room is required Please complete your… more
    St. Luke's University Health Network (11/24/24)
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  • Nurse Manager, Telehealth - ( Remote

    ChenMed (Metairie, LA)
    …business acuity + Expert knowledge and understanding of general Registered Nurse job-related functions, practices, processes, procedures, techniques ... is responsible for managing and leading a team of remote telehealth- focused Registered Nurses, overseeing the...improvement of the organization's telehealth nursing team practices. The Nurse Manager, CareLine is a fully remote more
    ChenMed (11/21/24)
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  • Nurse Case Manager ( Remote - Strong…

    Sedgwick Government Solutions (Orlando, FL)
    Job Details Nurse Case Manager ( Remote - Strong Internal) 2024-1374 Orlando, FL, USA Medical Case Management Full Time Description Nurse Case Manager (Home ... be part of a highly skilled team of home-based ** Nurse Case Manager (NCM)s** providing telephonic case management, focused...in Nursing (ASN) or Nursing Diploma. + Unrestricted State Registered Nursing License + 3 years of case management… more
    Sedgwick Government Solutions (11/26/24)
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  • Clinical Nurse Auditor, HEDIS…

    Providence (WA)
    …**Required qualifications for this position include:** + Degree in Nursing + Oregon Registered Nurse License + 5+ years clinical experience (Nursing) **Preferred ... empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:** + Be responsible for...fill in for staff vacancies. **_Providence Health Plan welcomes remote work for applicants who reside in:_** + Washington… more
    Providence (10/30/24)
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  • Revenue Integrity Nurse Auditor…

    Trinity Health (Albany, NY)
    …and constructing warranted appeals for defined populations. **What you will need** : + Registered Nurse and graduate of an accredited school of nursing plus at ... **Employment Type:** Full time **Shift:** Day Shift **Description:** **Revenue Integrity Nurse Auditor - Remote - St. Peter's Hospital - FT Days** If you are… more
    Trinity Health (11/27/24)
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  • Nurse Navigator/Breast Care Center (10 hr,…

    Beth Israel Lahey Health (Needham, MA)
    …up consultation. **Required Qualifications:** Bachelor's degree in Nursing required. License Registered Nurse required., and Certificate 1 Basic Life Support ... job, you're making a difference in people's lives.** 10 hours, Remote Flexible Job Summary: The Nurse Navigator's primary function is to serve as first contact… more
    Beth Israel Lahey Health (11/17/24)
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  • Quality Review Nurse ( Remote )

    CareFirst (Baltimore, MD)
    …addition to the required work experience. **Licenses/Certifications:** + Health Services\RN - Registered Nurse - State Licensure and/or Compact State Licensure ... **Resp & Qualifications** **PURPOSE:** The role of the Quality Review Nurse (RN) is to evaluate clinical quality and procedures within the Clinical Appeals &… more
    CareFirst (11/15/24)
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  • Clinical Appeals Nurse ( Remote )

    CareFirst (Baltimore, MD)
    …**Education Level:** High School Diploma or GED. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon ... **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding… more
    CareFirst (11/09/24)
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  • Primary Care - Remote RN Telephone Triage…

    University of Rochester (Rochester, NY)
    …to become part of the Primary Care Network team! The RN provides remote patient care, documentation and communication to patients and providers for Internal Medicine ... of 6-12 months of RN experience. This position assumes the charge nurse role, actively participates in unit/service activities, supports co-workers, and assesses… more
    University of Rochester (11/12/24)
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  • Utilization Management Nurse Consultant…

    CVS Health (Raleigh, NC)
    …verbal and written **Required Qualifications** + 3+ years of acute experience as a Registered Nurse + Must have active current and unrestricted RN licensure in ... state of residence + 1+ year(s) of MS Office suites experience **Preferred Qualifications** + Managed Care experience + Medicare experience **Education** + Associates degree required + BSN preferred **Pay Range** The typical pay range for this role is: $26.01… more
    CVS Health (11/29/24)
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  • UM Nurse Consultant ( Remote )

    CVS Health (Hartford, CT)
    …both verbal and written **Required Qualifications** + 3+ years of experience as a Registered Nurse + Must have active current and unrestricted RN licensure in ... state of residence + Must possess 1+ year(s) of clinical experience in acute or post acute setting **Preferred Qualifications** + Managed Care experience preferred **Education** + Associates Degree required + BSN preferred **Pay Range** The typical pay range… more
    CVS Health (10/29/24)
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