Click here to review the benefits associated with this position. Aetna is an equal opportunity ... Nursing/Certified Case Manager (CCM) is preferred FUNCTIONAL EXPERIENCES Functional - Nursing ...
Click here to review the benefits associated with this position. Aetna is an equal opportunity ... Nursing/Certified Case Manager (CCM) is preferred FUNCTIONAL EXPERIENCES Functional - Nursing ...
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
... Case Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS ... Current Nursing licensure in the state of operation required; RN is required unless local state ...
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
... Case Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS ... Current Nursing licensure in the state of operation required; RN is required unless local state ...
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
... Case Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS ... Current Nursing licensure in the state of operation required; RN is required unless local state ...
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CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
... Case Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS ... Current Nursing licensure in the state of operation required; RN is required unless local state ...
Remote Work Disclosure NorthBay Health is primarily an onsite organization due to the nature of ... Current California state RN license. Certified Case Manager (CCM) or Accredited Case Manager (ACM ...
Remote Work Disclosure NorthBay Health is primarily an onsite organization due to the nature of ... Current California state RN license. Certified Case Manager (CCM) or Accredited Case Manager (ACM ...
Registered Nurse - Clinical Documentation
San Francisco, CA · Remote
$60 - $80/hr
Remote Role Responsibilities * Review and assess clinical documentation for accuracy, completeness ... Experience in CDI, case management, utilization review, or quality improvement. * Exposure to ...
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Registered Nurse - Clinical Documentation
San Francisco, CA · Remote
$60 - $80/hr
Remote Role Responsibilities * Review and assess clinical documentation for accuracy, completeness ... Experience in CDI, case management, utilization review, or quality improvement. * Exposure to ...
RN, Quality Assurance (Home Health) Remote
Roseville, CA · On-site +1
$38.02 - $52.14/hr
Registered Nurse (RN) licensure in the state of practice: Required Essential Functions: * Prepares ... case review documentation. * Monitors compliance with both internal standards and regulatory ...
RN, Quality Assurance (Home Health) Remote
Roseville, CA · On-site +1
$38.02 - $52.14/hr
Registered Nurse (RN) licensure in the state of practice: Required Essential Functions: * Prepares ... case review documentation. * Monitors compliance with both internal standards and regulatory ...
Registered Nurse (RN) Field Case Manager - Workers' Compensation Make a Meaningful Impact Outside the Hospital Walls Are you an independent, clinically strong Registered Nurse looking to trade the ...
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Registered Nurse (RN) Field Case Manager - Workers' Compensation Make a Meaningful Impact Outside the Hospital Walls Are you an independent, clinically strong Registered Nurse looking to trade the ...
Care Review Clinician (RN) Remote (AZ)
Long Beach, CA · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Care Review Clinician (RN) Remote (AZ)
Long Beach, CA · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Remote/work-from-home positions are not available unless specifically noted. Part time Registered ... Concierge for Case Managers: Dedicated resources assist with time consuming administrative tasks
Remote/work-from-home positions are not available unless specifically noted. Part time Registered ... Concierge for Case Managers: Dedicated resources assist with time consuming administrative tasks
Authorization Nurse, RN - Hybrid (Remote Considered) - 26-88
San Ramon, CA · On-site +1
$100K - $123K/yr
Review and process urgent and non-urgent authorization requests (received via phone, fax and ... Refer information regarding members to other departments as appropriate for follow-up (i.e., Case ...
Authorization Nurse, RN - Hybrid (Remote Considered) - 26-88
San Ramon, CA · On-site +1
$100K - $123K/yr
Review and process urgent and non-urgent authorization requests (received via phone, fax and ... Refer information regarding members to other departments as appropriate for follow-up (i.e., Case ...
Authorization Nurse, RN - Hybrid (Remote Considered) - 26-88
Sacramento, CA · On-site +1
$100K - $123K/yr
Review and process urgent and non-urgent authorization requests (received via phone, fax and ... Refer information regarding members to other departments as appropriate for follow-up (i.e., Case ...
Authorization Nurse, RN - Hybrid (Remote Considered) - 26-88
Sacramento, CA · On-site +1
$100K - $123K/yr
Review and process urgent and non-urgent authorization requests (received via phone, fax and ... Refer information regarding members to other departments as appropriate for follow-up (i.e., Case ...
Utilisation Management Leader - RN
San Francisco, CA · Remote
$100 - $150/hr
Remote Role Responsibilities * Lead utilisation management and case management operations ... Conduct and oversee clinical reviews against InterQual , MCG , or Milliman care guidelines to ...
New
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Utilisation Management Leader - RN
San Francisco, CA · Remote
$100 - $150/hr
Remote Role Responsibilities * Lead utilisation management and case management operations ... Conduct and oversee clinical reviews against InterQual , MCG , or Milliman care guidelines to ...
New
Telehealth Nursing Business Development Executive - Fully Remote 100% Remote | Commission-Only | Un
Los Angeles, CA · Remote
Remote RN staffing solutions * Nursing workforce solutions * Behavioral health nursing staffing * Healthcare workforce solutions * Permanent healthcare placement solutions * Other healthcare staffing ...
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Telehealth Nursing Business Development Executive - Fully Remote 100% Remote | Commission-Only | Un
Los Angeles, CA · Remote
Remote RN staffing solutions * Nursing workforce solutions * Behavioral health nursing staffing * Healthcare workforce solutions * Permanent healthcare placement solutions * Other healthcare staffing ...
The RN Case Manager provides telephonic and digital case management services to health plan members ... Support the Medical Management Team, including Authorization Review, Clinical Initiatives, and ...
The RN Case Manager provides telephonic and digital case management services to health plan members ... Support the Medical Management Team, including Authorization Review, Clinical Initiatives, and ...
The RN Case Manager provides telephonic and digital case management services to health plan members ... Support the Medical Management Team, including Authorization Review, Clinical Initiatives, and ...
The RN Case Manager provides telephonic and digital case management services to health plan members ... Support the Medical Management Team, including Authorization Review, Clinical Initiatives, and ...
Field Case Manager (RN) - Central Valley
Fresno, CA · Remote
$82K - $104K/yr
Registered Nurse (RN)** to join our team as a Field Case Manager. In this role, you will step out of the traditional hospital setting and into the field, acting as the vital link between injured ...
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Field Case Manager (RN) - Central Valley
Fresno, CA · Remote
$82K - $104K/yr
Registered Nurse (RN)** to join our team as a Field Case Manager. In this role, you will step out of the traditional hospital setting and into the field, acting as the vital link between injured ...
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
Los Angeles, CA · Remote
$84 - $115/hr
Flexible & Remote Telemedicine ... Evidence-based approach to psychiatric care via telemedicine, including asynchronous case review ...
Quick apply
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
Los Angeles, CA · Remote
$84 - $115/hr
Flexible & Remote Telemedicine ... Evidence-based approach to psychiatric care via telemedicine, including asynchronous case review ...
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
Sanger, CA · Remote
$84 - $115/hr
Flexible & Remote Telemedicine ... Evidence-based approach to psychiatric care via telemedicine, including asynchronous case review ...
Quick apply
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
Sanger, CA · Remote
$84 - $115/hr
Flexible & Remote Telemedicine ... Evidence-based approach to psychiatric care via telemedicine, including asynchronous case review ...
Field Case Manager (RN) - Clinical Care Advocate
San Diego, CA · Remote
$82K - $105K/yr
Registered Nurse (RN)** to join our team as a Field Case Manager. In this role, you will step out of the traditional hospital setting and into the field, acting as the vital link between injured ...
Quick apply
Field Case Manager (RN) - Clinical Care Advocate
San Diego, CA · Remote
$82K - $105K/yr
Registered Nurse (RN)** to join our team as a Field Case Manager. In this role, you will step out of the traditional hospital setting and into the field, acting as the vital link between injured ...
Field Nurse Case Manager - Glendale, CA
Glendale, CA · On-site +1
$69K - $103K/yr
Nursing or medical degree from an accredited institution with an active Registered Nursing license or medical license within the state of practice or states in which case management is performed. * 2 ...
Field Nurse Case Manager - Glendale, CA
Glendale, CA · On-site +1
$69K - $103K/yr
Nursing or medical degree from an accredited institution with an active Registered Nursing license or medical license within the state of practice or states in which case management is performed. * 2 ...
Remote Rn Case Review information
What is the difference between Remote Rn Case Review vs Remote Rn Utilization Review?
| Aspect | Remote Rn Case Review | Remote Rn Utilization Review |
|---|---|---|
| Credentials | Registered Nurse (RN), licensure, case review certifications | Registered Nurse (RN), licensure, utilization review certifications |
| Work Environment | Remote, healthcare settings, insurance companies | Remote, healthcare settings, insurance companies |
| Employer & Industry | Hospitals, insurance firms, healthcare providers | Insurance companies, healthcare management organizations |
Remote Rn Case Review and Remote Rn Utilization Review roles both involve remote nursing work within the healthcare and insurance industries. While they share similar credentials and work environments, case review focuses on evaluating individual patient cases, whereas utilization review assesses the necessity and appropriateness of healthcare services. Understanding these distinctions helps job seekers identify the right role based on their skills and career goals.
What are the most commonly searched types of Rn Case Review jobs in California?
The most popular types of Rn Case Review jobs in California are:
What are popular job titles related to Remote Rn Case Review jobs in California?
For Remote Rn Case Review jobs in California, the most frequently searched job titles are:
- Flex Schedule Remote Utilization Review Nurse
- Remote Telephonic Nurse Case Manager
- Work From Home Nurse Case Management
- Telephonic Nurse Case Manager
- Remote Bsn Nurse
- Remote Registered Nurse Paid Training Program
- Remote Neurology Nurse
- Nurse Case Management
- Remote Prior Authorization Rn
- Registered Nurse No Weekends No Holidays
What job categories do people searching Remote Rn Case Review jobs in California look for?
The top searched job categories for Remote Rn Case Review jobs in California are:
What cities in California are hiring for Remote Rn Case Review jobs?
Cities in California with the most Remote Rn Case Review job openings:
Full-time
Medical, Retirement
Re-posted 12 days ago
Job description
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come. Excellent benefits package, including 401k, tuition, licensure and certification reimbursement. We promote healthy & wellness lifestyles and offer specialty programs here at Aetna.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
JOIN OUR GROWING TEAM
Are you tired of bedside nursing?
Are you looking to get away from 12-hour hospital shifts while continuing to utilize your RN expertise to impact the lives of patients in your local community?
We are seeking self-motivated,energetic, detail oriented, highly organized, tech-savvy Registered Nurses to join our Workers' Compensation Field Case Management team. This opportunity offers a competitive salary, full benefits, and a performance-based bonus paid out on a monthly or quarterly basis. Our organization promotes autonomy through a Monday-Friday working schedule, paid holidays, and flexibility as you coordinate the care of your members.
POSITION SUMMARY
Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patients appropriate and timely return to work. Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel.
Telework Specifications:
Full Time WAH EE with daily local travel in the field. Candidates should reside in the Sacramento, CA area and be bilingual - Spanish speaking.
BACKGROUND/EXPERIENCE:
2+ years clinical nursing background
Prior case management and workers' compensation experience preferred Ability to multitask in a fast paced work environment Strong computer skills with experience in Microsoft Office Products Excellent communication skills
Spanish is required
EDUCATION
The minimum level of education desired for candidates in this position is a Associate's degree or equivalent experience.
LICENSES AND CERTIFICATIONS
Nursing/Registered Nurse (RN) is required Registered Nurse (RN) with active state license in good standing in the state where job duties are performed.
Nursing/Certified Case Manager (CCM) is preferred
FUNCTIONAL EXPERIENCES
Functional - Nursing/Critical Care/1-3 Years
ADDITIONAL JOB INFORMATION
Work Autonomously
No Weekend of Holiday
Meet top doctors of their specialty and learn from them directly
Earn CEU free by attending free seminars and in house training
Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.
We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.
Together we will empower people to live healthier lives.
Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.
We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.
As a Workers' Compensation Field Case Manager, you will be offered:
- Autonomy
- Productivity incentives
- Monday-Friday schedule
- Reimbursement for mileage, tolls, parking, licensure and certification
Laptop, iPhone & printer/fax/scanner all in one.
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
About aetna
Sourced by ZipRecruiter
Industry
Insurance services, fitness and sports centers and clean energy semiconductors manufacturing
Company size
10,000+ Employees
Headquarters location
Hartford, CT, US