See all roles

Utilization Management Registered Nurse

Work from home Full-time role Hiring

Remote Utilization Management Registered Nurse / RN HealthCare Support is actively seeking a Remote RN Case Manager to join a non-profit, member- and employee-oriented healthcare organization known for offering meaningful work. Applicants must reside in Oregon to be considered. Daily Responsibilities for the Remote Utilization Management Registered Nurse / RN: • Coordinate care for members across Commercial, Medicare, and Medicaid lines of business, focusing on one area at a time based on business needs. • Conduct telephonic case management, assessing members’ health needs, creating care plans, and working with providers to ensure proper treatment. • Advocate for patients, provide education on condition management, and monitor progress to improve health outcomes. • Collaborate with doctors and healthcare professionals to deliver holistic, patient-centered care. Flexible schedule options for the Remote Utilization Management Registered Nurse / RN: • Monday - Friday, 8 AM - 5 PM • Tuesday - Saturday, 8 AM - 5 PM • Sunday - Thursday, 8 AM - 5 PM Required Qualifications for the Remote Utilization Management Registered Nurse / RN: • Must reside in Oregon • Active and unrestricted RN License in Oregon • 3+ years of RN experience • Experience in one or more of the following areas is ideal: clinical assessments, referrals to medical resources, care planning and discharge planning Preferred Qualifications for the Remote Utilization Management Registered Nurse / RN: • Telephonic case management experience • Certified Case Manager Certification (CCM) Benefits for the RN Case Manager: • Best-in-class Health Insurance offering with low deductibles and co-pays • Dental and Vision Insurance • Paid Time Off & Separate Bank of Sick Pay • 401k with company match • FSA, HSA, EAP Program and Wellness Programs Pay Details: $75,000-$90,000 base salary per year (DOE) + quarterly bonus based on company performance + annual merit increase up to 6% Interested in being considered? If you are interested in applying to this position, please click Apply Now for immediate consideration or if you’d like to stand out, email a copy of your resume to [email protected] with the job title and location, and our recruiters will reach out. Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law. #DHADRN0125 Apply Job!

You might like

Claims Adjuster, TPA Oversight

Work from home Full-time role

Tax & Accounting Associate

Work from home Full-time role

Field Adjuster - Tampa

Work from home Full-time role

Bilingual Mortgage Loan Processor

Work from home Full-time role

Risk Adjustment Specialist (Remote)

Work from home Full-time role

Professional Biller II, Lead

Work from home Full-time role

Workers Compensation Claims Adjuster

Work from home Full-time role

Healthcare Receptionist/Front desk Associate

Work from home Full-time role

Mortgage Lending Sales Manager

Work from home Full-time role

Substitute Childcare Teacher-Experience Required

Work from home Full-time role

Join Today: Remote Jobs with No Experience: Work from Home

Work from home Full-time role

Senior Full Stack Engineer - .NET/React

Work from home Full-time role

Dispatch Call Center Agent- Overnight

Work from home Full-time role

Apple Creative - Retail Customer Training

Work from home Full-time role

GRC Analyst (Third-Party & Client Questionnaire Management)

Work from home Full-time role

Revenue Operations SQL Developer | TRC Total Renal Care Inc | Remote (United States)

Work from home Full-time role

Restaurant Team Member - Cashier

Work from home Full-time role

Senior Provider Customer Success Manager – Acute Care & Payer Solutions – Strategic Partnerships & Clinical Innovation

Work from home Full-time role

(Work At Home) Data Entry - Remote - Administrative Assistant in Brentwood, TN

Work from home Full-time role

RN Consultant Sr – Professional Liability, US Telecommuter

Work from home Full-time role