rn remote

Posted Monday, September 7, 2026 at 7:00 AM Position Summary: The Triage RN is responsible for using discretion and independent judgment in coordinating the delivery of quality patient care. This position requires skill in planning and organizing care. This position applies advanced nursing clinical skills in maintaining patient records within an electronic...

Posted Monday, September 7, 2026 at 7:00 AM Position Summary: The Triage RN is responsible for using discretion and independent judgment in coordinating the delivery of quality patient care. This position requires skill in planning and organizing care. This position applies advanced nursing clinical skills in maintaining patient records within an electronic...

Remote/Hybrid OpportunityQualifications:BSN or MSN, Virginia State License or Multi State RequiredCurrent BLS through AHA2+ years of direct experience in occupational health, employee case management, and medical review (including FFD evaluations and medical exam record review)Work Schedule (Hybrid):(Core Hours) 0900-1500 Monday-FridayOnsite Reporting:...

Position Summary: The Triage RN is responsible for using discretion and independent judgment in coordinating the delivery of quality patient care. This position requires skill in planning and organizing care. This position applies advanced nursing clinical skills in maintaining patient records within an electronic medical record, preparing written reports,...

Triage RN PositionThe Triage RN is responsible for using discretion and independent judgment in coordinating the delivery of quality patient care. This position requires skill in planning and organizing care. This position applies advanced nursing clinical skills in maintaining patient records within an electronic medical record, preparing written reports,...

Triage RN PositionThe Triage RN is responsible for using discretion and independent judgment in coordinating the delivery of quality patient care. This position requires skill in planning and organizing care. This position applies advanced nursing clinical skills in maintaining patient records within an electronic medical record, preparing written reports,...

Company Highmark Inc. Job Description JOB SUMMARY This job implements effective utilization management strategies including review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and...

#19353 Contract role- 8/8/23-12/31/23, with possible extension Payrate: $50-$65 Hourly Location: Remote IL Required License: RN, LCSW, LCPC BASIC FUNCTION:This position is responsible for discharge care coordination, episodic case management and pre-admission/post-discharge counseling for an acute condition. This position is responsible for handling duties...

Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and...

DescriptionJOB DESCRIPTION  This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful transition from inpatient to discharge to either a nursing facility or back to their home. The position is a combination of phone call outreach and in...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while...

JOB DESCRIPTIONThis RN will act as aCare Review Cliniciansupporting our Medicaid members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful transition from inpatient to discharge to either a nursing facility or back to their home. The position is a combination of phone call outreach and in person meetings...

Company Highmark Inc. Job Description JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while...

Vynca Inc. seeks an Enrollment Manager to own the day-to-day performance of the patient enrollment engine. This role is hands-on, metrics-driven, and leads a team including an Enrollment RN, Medical Assistants, Outreach Specialists, and a Clinical Liaison.You will drive outreach targets, ensure regulatory compliance, and partner with clinical and growth...

Company Highmark Inc. Job Description JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while...

Performs care coordination services for assigned recipients who are eligible for home health services (Home Health Visits, PPEC, Personal Care Services and/or Private Duty Nursing Services etc. based on contract requirements). Uses discretion to approve/validate UR or forward to 2nd level reviewer. Provides first level utilization review for all inpatient...

## Care Review Clinician (RN) Remote The **Care Review Clinician (RN)** is responsible for reviewing medical records and clinical information to determine the medical necessity and appropriateness of healthcare services. The role typically involves conducting utilization and care reviews, collaborating with providers, and ensuring members receive...

Overview What you can expect!   Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Reporting to the Supervisor, Grievance & Appeals, the Grievance & Appeals Nurse, RN (G&A Nurse, RN) is responsible for working...

Company :Highmark Inc.Job Description : JOB SUMMARYThis job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while...

Healthcare companies are desperately looking for nurses able to work during the HEDIS season. HEDIS season starts next month for some healthcare companies. Nurses can work remotely from home, with equipment provided. Take advantage of our discounted courses and be connected with recruiters and staff agencies hiring for the HEDIS season. Program: HEDIS...