80 Care Management Review jobs

United States (Remote)

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes.

United States (Remote)

$20.00 – $26.00 / hour

About Guideway Care Guideway Care is The Patient Activation Company™ .

United States (Remote)

$68.4–105.9K / year

Company : Highmark Inc.

Pennsylvania, US (Hybrid)

$72.7–116.6K / year

Company : Endorsed Job Description : JOB SUMMARY This is a full-time hybrid work from home position requiring travel within the assigned territory.

United States (Remote)

$65–75K / year

Who We Are Wellcove has been recognized as the nation’s leading full-service senior market solutions provider for over 25 years.

United States (Remote)

Category: Health Care Location: Philadelphia Pennsylvania United States Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join…

Florida, US (Hybrid)

$71.2–115.7K / year

The CRN is responsible for performing medical reviews using established criteria to ensure the member is receiving care at the most appropriate level.

United States (Remote)

Care Manager RN- REMOTE position.

United States (Remote)

$71.1–97.8K / year

Become a part of our caring community As a RN Care Manager, you will enjoy a true work-life balance with no night or weekend shifts.

United States (Remote)

Molina Healthcare is hiring a remote RN Care Manager.

United States (Remote)

Registered Nurse (RN) Care Advocate JD - Remote, United States (1099 Contract) Talent pipeline posting: We are building a pipeline of qualified…

United States (Remote)

Company Description Milu Health is a digital healthcare provider that exists to identify and resolve major medical issues for its patients…

United States (Remote)

$130–150K / year

At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors.

United States (Remote)

JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care…

United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating…

Florida, US (Hybrid)

$71.2–115.7K / year

The CRN is responsible for performing medical reviews using established criteria to ensure the member is receiving care at the most appropriate level.

United States (Remote)

$70–75K / year

The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state…

Massachusetts, US (Hybrid)

$100–105K / year

Job Description: Candidates must live in Massachusetts and hold an active, unrestricted Massachusetts RN license at the time of hire.

United States (Remote)

$63.1–94.7K / year

Thank you for considering a career at Ensemble!

United States (Remote)

Kingman Healthcare Incorporated (KHI) Staff Position Description Position Title: Utilization Review Nurse Position Code: RN-6027 Department: Case…