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Remote Optum Rn Jobs in Tennessee (NOW HIRING)

VIVA USA INC

Nurse Case Manager

Nashville, TN · On-site +1

Resolves non-routine issues escalated from more junior team members. RN and current unrestricted nursing license required. Notes: This is a remote position within our plan states, IL, TX, NM, OK, MT ...

Altegra Health

Remote Certified Coders

Memphis, TN · On-site +1

$21.75 - $29.75/hr

Altegra's nationwide network of registered nurses and certified coders professionally acquire ... Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ...

CGS Administrators, LLC

RN Appeals Analyst

Nashville, TN · On-site +1

... fully remote. What You'll Do: * Documents the basis of the appeal or retrospective review in an ... An active, unrestricted RN license from the United States and in the state of hire, OR, active ...

Ourhrconnect

RN Appeals Analyst

Nashville, TN · Remote

... fully remote. What You'll Do: * Documents the basis of the appeal or retrospective review in an ... An active, unrestricted RN license from the United States and in the state of hire, OR, active ...

CopilotIQ

Intake Nurse

Nashville, TN · Remote

Order remote monitoring devices for member * Ability to perform high quality, high volume calls ... Board of Registered Nurses. * A minimum of 2 years hands on nursing experience is required ...

Vertek Staffing

CDI Specialist

Franklin, TN · Remote

$33.50 - $45/hr

CDI Specialist - Remote Acute Care Hospital Experience Required Required Education * High School ... Required: * Active, unrestricted Registered Nurse (RN) license Preferred Certifications:

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All JobsRemote Optum Rn JobsRemote Optum Rn Jobs in Tennessee

Remote Optum Rn information

What is the difference between Remote Optum Rn vs Remote UnitedHealth Group Rn?

AspectRemote Optum RnRemote UnitedHealth Group Rn
CredentialsRegistered Nurse (RN) license, applicable certificationsRegistered Nurse (RN) license, applicable certifications
Work EnvironmentRemote healthcare services, telehealth platformsRemote healthcare services, telehealth platforms
Employer & IndustryOptum, healthcare and health services industryUnitedHealth Group, healthcare and insurance industry

Both Remote Optum Rn and Remote UnitedHealth Group Rn roles involve providing remote nursing care within the healthcare industry. They require similar credentials and work environments, often utilizing telehealth platforms. The main difference lies in the employer and specific focus areas within the healthcare sector, with Optum focusing on health services and UnitedHealth Group encompassing broader health insurance and services.

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Remote Optum Rn jobs near you
Nurse Case Manager

Nurse Case Manager

VIVA USA INC

Nashville, TN • On-site, Remote

Contractor

Posted 13 days ago

Key responsibilities

  • Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan.

  • Provides clinical assessments, health education, and utilization management to members.

  • Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services.

Job description

This is a remote position within our plan states, IL, TX, NM, OK, MT, TN
Description:
Nurse Case Management Senior Analyst
Delivers specific delegated tasks assigned by a supervisor in the Nurse Case Management job family. Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan. Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate options and services in order to facilitate appropriate healthcare outcomes for members. Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained. Provides clinical assessments, health education, and utilization management to members. Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services. Manages own caseload and coordinates all assigned cases. Completes day-to-day Nurse Case Management tasks without immediate supervision, but has ready access to advice from more experienced team members. Tasks involve a degree of forward planning and anticipation of needs/issues. Resolves non-routine issues escalated from more junior team members. RN and current unrestricted nursing license required.
Notes:
This is a remote position within our plan states, IL, TX, NM, OK, MT, TN
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

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