Remote Care Manager RN

Arkansas Blue Cross Blue Shield is seeking a licensed RN to perform clinical review of prior approvals, network exceptions, and medical necessity determinations for inpatient and outpatient services. You will interpret criteria and collaborate with providers to promote quality care and cost containment. The role enables remote work from home across several...

Sedgwick, a global loss- and risk-management solutions provider, seeks a Field Case Manager to cover the Seattle, WA region with a home-based office and regular travel. The role emphasizes advocacy, medical treatment coordination, and timely return-to-work for injured workers. Ideal candidates have RN licensure or a health/human services degree, plus...

Acentra Health is seeking a Case Manager (LPN or RN) to join our growing team. This remote role requires residence in Oregon and focuses on providing coordinated, patient-centered care to beneficiaries across the state. You will coordinate care across social and health services, engage with a multidisciplinary team, educate beneficiaries about resources, and...

Brighton Health Plan Solutions, LLC is seeking a Complex Case Manager to oversee a caseload of members with complex medical needs. The role reports to the Supervisor, Case Management and collaborates with an interdisciplinary team to coordinate care and improve outcomes. This is a remote position within the United States, with responsibilities including care...

Cambia Health Solutions, Inc. is seeking a Care Management Clinician to provide case, disease, and care coordination services. The role supports member health needs with independent clinical assessment and collaboration with physicians to ensure quality and cost-effective outcomes. The position offers flexible work-from-home options across multiple western...

ArchWell Health is re-imagining the practice of primary care. We are putting the relationship between patient and physician at the center of a value-based model focused on outstanding patient experience, improved access, and better outcomes. In our medical clinics, we provide comprehensive primary care for senior adults with traditional Medicare and Medicare...

Care Manager RN - REMOTE position. This position is Full time and will work 8- hour, Day shifts.The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically based appeals between Providence Health and Services, California Region (PH&S) outside payers. Activities will be patient-focused, uniform,...

Community Health Center of Southeast Kansas, Inc. is seeking a Nurse Care Coordinator to provide remote nursing care within the EHR system and liaise between providers and patients regarding test results and care continuity. The role supports the clinical team, coordinates upcoming appointments, triages patient calls, and ensures documentation and follow-up...

Bausch + Lomb is seeking a high-performing Vision Territory Manager to partner with independent and retail ECPs across the U.S. This remote field-based role drives growth by delivering our contact lens portfolio and digital solutions, while aligning product offerings with patient and practice needs. The position requires 2+ years of B2B sales experience,...