... and utilization management services across the life span, 2. Care coordination for patients ... employ remote workers in the following states: Arizona, Delaware, Maryland, North Carolina ...
... and utilization management services across the life span, 2. Care coordination for patients ... employ remote workers in the following states: Arizona, Delaware, Maryland, North Carolina ...
Care Management * Active clinical licensure -- any of the following: * * Nurse Practitioner (NP) - ... and remote monitoring * Collaborate with physicians, RNs, social workers, therapists, caregivers ...
Quick apply
Care Management * Active clinical licensure -- any of the following: * * Nurse Practitioner (NP) - ... and remote monitoring * Collaborate with physicians, RNs, social workers, therapists, caregivers ...
Nurse Practitioner
Lewes, DE · Remote
$134K - $135K/yr
Provide comprehensive care management for medically complex Medicaid and Dual Eligible (D-SNP) populations through telehealth and remote monitoring * Collaborate with physicians, registered nurses ...
Quick apply
Nurse Practitioner
Lewes, DE · Remote
$134K - $135K/yr
Provide comprehensive care management for medically complex Medicaid and Dual Eligible (D-SNP) populations through telehealth and remote monitoring * Collaborate with physicians, registered nurses ...
Remote Psychiatric Nurse Practitioner (PMHNP) - Delaware
Dover, DE · Remote
$180K - $215K/yr
Comprehensive psychiatric evaluations, treatment planning and medication management ... Comfort practicing in a fully remote, telepsychiatry-based model * Proficiency using electronic ...
Quick apply
Remote Psychiatric Nurse Practitioner (PMHNP) - Delaware
Dover, DE · Remote
$180K - $215K/yr
Comprehensive psychiatric evaluations, treatment planning and medication management ... Comfort practicing in a fully remote, telepsychiatry-based model * Proficiency using electronic ...
Remote Psychiatric Nurse Practitioner (PMHNP) - Delaware
Wilmington, DE · Remote
$180K - $215K/yr
Comprehensive psychiatric evaluations, treatment planning and medication management ... Comfort practicing in a fully remote, telepsychiatry-based model * Proficiency using electronic ...
Quick apply
Remote Psychiatric Nurse Practitioner (PMHNP) - Delaware
Wilmington, DE · Remote
$180K - $215K/yr
Comprehensive psychiatric evaluations, treatment planning and medication management ... Comfort practicing in a fully remote, telepsychiatry-based model * Proficiency using electronic ...
... nurses--to provide supplemental life insurance benefits that help protect their families. As we ... Be sure to highlight any leadership or management experience.
... nurses--to provide supplemental life insurance benefits that help protect their families. As we ... Be sure to highlight any leadership or management experience.
... nurses--to provide supplemental life insurance benefits that help protect their families. As we ... Be sure to highlight any leadership or management experience.
... nurses--to provide supplemental life insurance benefits that help protect their families. As we ... Be sure to highlight any leadership or management experience.
... nurses--to provide supplemental life insurance benefits that help protect their families. As we ... Be sure to highlight any leadership or management experience.
... nurses--to provide supplemental life insurance benefits that help protect their families. As we ... Be sure to highlight any leadership or management experience.
... nurses--to provide supplemental life insurance benefits that help protect their families. As we ... Be sure to highlight any leadership or management experience.
... nurses--to provide supplemental life insurance benefits that help protect their families. As we ... Be sure to highlight any leadership or management experience.
New Business Development - Nursing Home & Assisted Living - Remote Position Summary We are seeking ... The ideal candidate has experience in healthcare sales, business development, account management ...
Quick apply
New Business Development - Nursing Home & Assisted Living - Remote Position Summary We are seeking ... The ideal candidate has experience in healthcare sales, business development, account management ...
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
Houston, DE · Remote
$84 - $115/hr
Flexible & Remote Telemedicine: Evidence-based approach to psychiatric care via telemedicine ... Our providers use the latest tools, including a custom-built practice management EMR, and clinical ...
Quick apply
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
Houston, DE · Remote
$84 - $115/hr
Flexible & Remote Telemedicine: Evidence-based approach to psychiatric care via telemedicine ... Our providers use the latest tools, including a custom-built practice management EMR, and clinical ...
... submit resumes/CVs through this website or directly to managers. ENTRUST does not accept ... This role is designated as remote, giving you the flexibility to primarily work from home while ...
... submit resumes/CVs through this website or directly to managers. ENTRUST does not accept ... This role is designated as remote, giving you the flexibility to primarily work from home while ...
... submit resumes/CVs through this website or directly to managers. ENTRUST does not accept ... This role is designated as remote, giving you the flexibility to primarily work from home while ...
... submit resumes/CVs through this website or directly to managers. ENTRUST does not accept ... This role is designated as remote, giving you the flexibility to primarily work from home while ...
Stream Turbine Field Engineer
Wilmington, DE · On-site +1
... submit resumes/CVs through this website or directly to managers. ENTRUST does not accept ... This role is designated as remote, giving you the flexibility to primarily work from home while ...
Stream Turbine Field Engineer
Wilmington, DE · On-site +1
... submit resumes/CVs through this website or directly to managers. ENTRUST does not accept ... This role is designated as remote, giving you the flexibility to primarily work from home while ...
Overview This is a full-time career opportunity that can be remote or hybrid. This role is ... Analyze client utilization, profitability, and pricing trends to recommend revenue enhancement ...
Overview This is a full-time career opportunity that can be remote or hybrid. This role is ... Analyze client utilization, profitability, and pricing trends to recommend revenue enhancement ...
Licensed Psychiatric Nurse Practitioner (Remote)
Wilmington, DE · On-site +1
$198/hr
" Licensed Psychiatric Nurse Practitioner Wage: Up to $198/hour Did you know that you can build a ... You'll have full autonomy over your practice, including setting your hours and managing your ...
Licensed Psychiatric Nurse Practitioner (Remote)
Wilmington, DE · On-site +1
$198/hr
" Licensed Psychiatric Nurse Practitioner Wage: Up to $198/hour Did you know that you can build a ... You'll have full autonomy over your practice, including setting your hours and managing your ...
Licensed Psychiatric Nurse Practitioner (Remote)
Dover, DE · On-site +1
$198/hr
" Licensed Psychiatric Nurse Practitioner Wage: Up to $198/hour Did you know that you can build a ... You'll have full autonomy over your practice, including setting your hours and managing your ...
Licensed Psychiatric Nurse Practitioner (Remote)
Dover, DE · On-site +1
$198/hr
" Licensed Psychiatric Nurse Practitioner Wage: Up to $198/hour Did you know that you can build a ... You'll have full autonomy over your practice, including setting your hours and managing your ...
Care Manager
Dover, DE · Remote
... management. The Care Manager (RN/SW) engages behavioral health members, member caregivers, and ... Work Arrangement: Remote with up to 50% required travel throughout the state of Delaware.
Care Manager
Dover, DE · Remote
... management. The Care Manager (RN/SW) engages behavioral health members, member caregivers, and ... Work Arrangement: Remote with up to 50% required travel throughout the state of Delaware.
Care Manager
Dover, DE · Remote
... self-management. The Care Manager (RN/SW) engages members, member caregivers, and providers to ... Work Arrangement: Remote with up to 50% required travel throughout the state of Delaware.
Care Manager
Dover, DE · Remote
... self-management. The Care Manager (RN/SW) engages members, member caregivers, and providers to ... Work Arrangement: Remote with up to 50% required travel throughout the state of Delaware.
Care Manager
Dover, DE · Remote
... self-management. The Care Manager (RN/SW) engages members, member caregivers, and providers to ... Remote with up to required frequent travel to facilities in Kent and Sussex counties.
Care Manager
Dover, DE · Remote
... self-management. The Care Manager (RN/SW) engages members, member caregivers, and providers to ... Remote with up to required frequent travel to facilities in Kent and Sussex counties.
Remote Cvs Utilization Management Nurse information
What is the difference between Remote Cvs Utilization Management Nurse vs Remote Cvs Case Manager?
| Aspect | Remote Cvs Utilization Management Nurse | Remote Cvs Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, case management certification |
| Work Environment | Utilization review teams, insurance companies | Patient advocacy, care coordination teams |
| Employer & Industry | Health insurance, managed care organizations | Health insurance, healthcare providers |
Both roles require RN licensure and related certifications, but the Utilization Management Nurse focuses on reviewing medical necessity and approving services, while the Case Manager emphasizes coordinating patient care and discharge planning. Understanding these differences helps job seekers find the right fit within the healthcare and insurance industries.
What are popular job titles related to Remote Cvs Utilization Management Nurse jobs in Delaware? For Remote Cvs Utilization Management Nurse jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Remote Cvs Utilization Management Nurse jobs in Delaware look for? The top searched job categories for Remote Cvs Utilization Management Nurse jobs in Delaware are:
- Remote Dental Utilization Review
- Weekend Utilization Review
- Lpn Utilization Review
- Utilization Review
- Remote Navihealth Utilization Review
- Remote International Utilization Review Nurse
- Fulltime Cigna Utilization Review Nurse
- Case Manager Utilization Review Nurse
- Remote Aetna Utilization Review
- Optum Utilization Review Nurse
What cities in Delaware are hiring for Remote Cvs Utilization Management Nurse jobs? Cities in Delaware with the most Remote Cvs Utilization Management Nurse job openings:
Nurse, Virtual RN *$5000 Signing Bonus*
New Castle, DE • On-site, Remote
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 23 days ago
Job description
Job Type
Full-time
Description
WESTSIDE IS LOOKING FOR A NURSE / RN TO JOIN THE VIRTUAL NURSE TEAM!
SIGN ON BONUS OFFERED!
LOAN PAYOFF PROGRAMS AVAILABLE!
Join our dedicated healthcare team as a nurse, where each day presents a new opportunity to make a significant difference in the lives of our patients.
The Virtual RN is an experienced Registered Nurse (RN) working as part of a multidisciplinary team supporting general care processes, providers, and patients in an ambulatory community-based setting. The RN is responsible for evaluating and assessing patient's health care needs based on nurse assessment, clinical judgment, nurse process and evidence-based clinical support tools. The RN will provide appropriate disposition and timely follow up, per telephone triage policy. The RN must meet minimum quality and productivity standards as defined by Westside Family Healthcare.
Since opening our doors in 1988, Westside has been driven by our mission to improve the health of our communities by providing equal access to quality healthcare, regardless of ability to pay. With 240 team members, five health centers, one mobile health unit and over 27,000 patients all across Delaware, Westside is committed to improving health, one patient, one family, one community at a time.
Our Mission: To improve the health of our communities by providing equal access to quality healthcare, regardless of ability to pay
Our Vision: Achieve health access for all
Our Values:
OUR BENEFITS: Our benefit package includes medical insurance, dental insurance, vision insurance, life and disability insurance, a 401(k) retirement plan with a match, and supplemental insurances. We offer a generous PTO package and flexibility to provide work/life balance. Westside Family Healthcare is an Equal Opportunity Employer that values diversity.
RESPONSIBILITIES of the Virtual RN Nurse role
1. Provide telephonic clinical assessment, health education and utilization management services across the life span,
2. Care coordination for patients, including prior authorization; identifying and seeking solutions for barriers to care
3. Provide telephonic triage for patients seeking care with multiple complaints
4. Assessment and provision of care using telecommunication devices
5. Application of the nursing process in telehealth care
6. Delivery of culturally sensitive, age-specific care to identified populations
7. Use of clinical decision support tools
8. Provide effective therapeutic communication, counsel and crisis management
9. Handle multiple in bound calls and ability to complete out-bound calls
10. Other duties as assigned.
Requirements
Westside Family Healthcare is currently registered to employ remote workers in the following states: Arizona, Delaware, Maryland, North Carolina, Nebraska, New Jersey, Pennsylvania, Puerto Rico, Rhode Island, Texas, Virginia and West Virginia.
Full-time
Description
WESTSIDE IS LOOKING FOR A NURSE / RN TO JOIN THE VIRTUAL NURSE TEAM!
SIGN ON BONUS OFFERED!
LOAN PAYOFF PROGRAMS AVAILABLE!
Join our dedicated healthcare team as a nurse, where each day presents a new opportunity to make a significant difference in the lives of our patients.
The Virtual RN is an experienced Registered Nurse (RN) working as part of a multidisciplinary team supporting general care processes, providers, and patients in an ambulatory community-based setting. The RN is responsible for evaluating and assessing patient's health care needs based on nurse assessment, clinical judgment, nurse process and evidence-based clinical support tools. The RN will provide appropriate disposition and timely follow up, per telephone triage policy. The RN must meet minimum quality and productivity standards as defined by Westside Family Healthcare.
Since opening our doors in 1988, Westside has been driven by our mission to improve the health of our communities by providing equal access to quality healthcare, regardless of ability to pay. With 240 team members, five health centers, one mobile health unit and over 27,000 patients all across Delaware, Westside is committed to improving health, one patient, one family, one community at a time.
Our Mission: To improve the health of our communities by providing equal access to quality healthcare, regardless of ability to pay
Our Vision: Achieve health access for all
Our Values:
- Compassion: Lead with compassion
- Service: Serve with humility
- Excellence: Be exceptional
- Empowerment: Empower all people
OUR BENEFITS: Our benefit package includes medical insurance, dental insurance, vision insurance, life and disability insurance, a 401(k) retirement plan with a match, and supplemental insurances. We offer a generous PTO package and flexibility to provide work/life balance. Westside Family Healthcare is an Equal Opportunity Employer that values diversity.
RESPONSIBILITIES of the Virtual RN Nurse role
1. Provide telephonic clinical assessment, health education and utilization management services across the life span,
2. Care coordination for patients, including prior authorization; identifying and seeking solutions for barriers to care
3. Provide telephonic triage for patients seeking care with multiple complaints
4. Assessment and provision of care using telecommunication devices
5. Application of the nursing process in telehealth care
6. Delivery of culturally sensitive, age-specific care to identified populations
7. Use of clinical decision support tools
8. Provide effective therapeutic communication, counsel and crisis management
9. Handle multiple in bound calls and ability to complete out-bound calls
10. Other duties as assigned.
Requirements
- Graduate of an accredited college or school of nursing with an Associates' degree in nursing
- Active, unencumbered Registered Nurse licensure in the State of Delaware or compact state
- Proficient with technology
- Two years of work experience in an ambulatory care, emergency services, med/surg, and/or pediatrics
Westside Family Healthcare is currently registered to employ remote workers in the following states: Arizona, Delaware, Maryland, North Carolina, Nebraska, New Jersey, Pennsylvania, Puerto Rico, Rhode Island, Texas, Virginia and West Virginia.
About Westside Family Healthcare
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Wilmington, DE, US
Year founded
1988