Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... case reviews, escalations, and complex patient situations * Support patients with conditions common ...
Quick apply
Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... case reviews, escalations, and complex patient situations * Support patients with conditions common ...
Quick apply
Partner with RNs, Community Health Workers, and clinical leadership to close care gaps and ensure ... case reviews, escalations, and complex patient situations * Support patients with conditions common ...
Bowie, MD · Remote
$40/hr
... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...
Bowie, MD · Remote
$40/hr
... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...
Rockville, MD · Remote
$40/hr
... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...
Rockville, MD · Remote
$40/hr
... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...
Baltimore, MD · Remote
... remote position designed for RNs who enjoy connecting with patients, ensuring quality care, and leveraging technology to improve outcomes. What You'll Do: * Monitor and review daily vital sign alerts ...
Quick apply
Baltimore, MD · Remote
... remote position designed for RNs who enjoy connecting with patients, ensuring quality care, and leveraging technology to improve outcomes. What You'll Do: * Monitor and review daily vital sign alerts ...
The Post- Acute Care Clinical Navigator (RN) manages the timely and smooth transition from ... Applies sound clinical knowledge and judgment throughout the review process. Follows member benefit ...
The Post- Acute Care Clinical Navigator (RN) manages the timely and smooth transition from ... Applies sound clinical knowledge and judgment throughout the review process. Follows member benefit ...
Nottingham, MD · On-site +1
$81K - $112K/yr
The clinical team is highly interdisciplinary and composed of coordinators, guides, nurse case ... Work in an interdisciplinary fashion with RNs, LPNs, and clinical coordinators. * Assist with the ...
Nottingham, MD · On-site +1
$81K - $112K/yr
The clinical team is highly interdisciplinary and composed of coordinators, guides, nurse case ... Work in an interdisciplinary fashion with RNs, LPNs, and clinical coordinators. * Assist with the ...
Nottingham, MD · On-site +1
$81K - $112K/yr
The clinical team is highly interdisciplinary and composed of coordinators, guides, nurse case ... Work in an interdisciplinary fashion with RNs, LPNs, and clinical coordinators. * Assist with the ...
Nottingham, MD · On-site +1
$81K - $112K/yr
The clinical team is highly interdisciplinary and composed of coordinators, guides, nurse case ... Work in an interdisciplinary fashion with RNs, LPNs, and clinical coordinators. * Assist with the ...
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Collaborates with CareFirst medical directors and participates in internal case rounds/discussions ...
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Collaborates with CareFirst medical directors and participates in internal case rounds/discussions ...
Baltimore, MD · Remote
Engage members and providers to review and clarify treatment plans ensuring alignment with medical ... CCM/ACM or other RN Board Certified certification in case management. * Previous experience with ...
Baltimore, MD · Remote
Engage members and providers to review and clarify treatment plans ensuring alignment with medical ... CCM/ACM or other RN Board Certified certification in case management. * Previous experience with ...
Baltimore, MD · Remote
... Review, Disease Management or other direct patient care experience. Preferred Qualifications: * Bachelor's degree in nursing * CCM/ACM or other RN Board Certified certification in case management.
Baltimore, MD · Remote
... Review, Disease Management or other direct patient care experience. Preferred Qualifications: * Bachelor's degree in nursing * CCM/ACM or other RN Board Certified certification in case management.
Nottingham, MD · On-site +1
$120K - $155K/yr
Participate in clinical case reviews, team huddles, and interdisciplinary collaborations to ensure ... days of hire. * RN and APRN licenses are active and in good standing or Physician Assistant ...
New
Nottingham, MD · On-site +1
$120K - $155K/yr
Participate in clinical case reviews, team huddles, and interdisciplinary collaborations to ensure ... days of hire. * RN and APRN licenses are active and in good standing or Physician Assistant ...
New
Silver Spring, MD · On-site +1
$76K - $115K/yr
Active RN license or APRN license. * Five plus years of significant clinical experience, with ... reviewing applications, analyzing resumes, or assessing responses. These tools assist our ...
Silver Spring, MD · On-site +1
$76K - $115K/yr
Active RN license or APRN license. * Five plus years of significant clinical experience, with ... reviewing applications, analyzing resumes, or assessing responses. These tools assist our ...
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Collaborates with CareFirst medical directors and participates in internal case rounds/discussions ...
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Collaborates with CareFirst medical directors and participates in internal case rounds/discussions ...
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Collaborates with CareFirst medical directors and participates in internal case rounds/discussions ...
The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the ... Collaborates with CareFirst medical directors and participates in internal case rounds/discussions ...
Conduct comprehensive telephonic and virtual clinical assessments, including review and ... RN license required, depending on assignment Physical Demand & Work Environment * Fully remote/home ...
Conduct comprehensive telephonic and virtual clinical assessments, including review and ... RN license required, depending on assignment Physical Demand & Work Environment * Fully remote/home ...
Rockville, MD · Remote
$190/hr
The position is open to candidates nationwide and is fully remote. The RMO in the Medical ... Must have experience in medical case review within the field of psychiatry. Preferably worker ...
Rockville, MD · Remote
$190/hr
The position is open to candidates nationwide and is fully remote. The RMO in the Medical ... Must have experience in medical case review within the field of psychiatry. Preferably worker ...
Rockville, MD · Remote
$190/hr
The position is open to candidates nationwide and is fully remote. The RMO in the Medical ... Preferably worker's compensation case review experience. * Active medical practice with a minimum ...
Rockville, MD · Remote
$190/hr
The position is open to candidates nationwide and is fully remote. The RMO in the Medical ... Preferably worker's compensation case review experience. * Active medical practice with a minimum ...
... in Remote Patient Monitoring (RPM) and chronic care programs. * Review biometric alerts and ... Collaborate with clinical management, RN Care Managers, providers, and interdisciplinary care teams ...
... in Remote Patient Monitoring (RPM) and chronic care programs. * Review biometric alerts and ... Collaborate with clinical management, RN Care Managers, providers, and interdisciplinary care teams ...
Silver Spring, MD · On-site +1
Case Management Pharmacist - Coordinate Care and Improve Patient Outcomes A confidential managed ... nurses, and care coordinators to manage high-risk or complex patients. * Conduct medication reviews ...
Silver Spring, MD · On-site +1
Case Management Pharmacist - Coordinate Care and Improve Patient Outcomes A confidential managed ... nurses, and care coordinators to manage high-risk or complex patients. * Conduct medication reviews ...
Pasadena, MD · On-site +1
Case Management Pharmacist - Coordinate Care and Improve Patient Outcomes A confidential managed ... nurses, and care coordinators to manage high-risk or complex patients. * Conduct medication reviews ...
Pasadena, MD · On-site +1
Case Management Pharmacist - Coordinate Care and Improve Patient Outcomes A confidential managed ... nurses, and care coordinators to manage high-risk or complex patients. * Conduct medication reviews ...
| 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.
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 14 days ago
At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care—clinical, behavioral, and social—by partnering with organizations deeply connected to the communities we serve.
We're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-impact care. At Pair Team, we leverage AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support.
Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients.
We're one of the largest care management providers in California and are expanding into Texas and other states to continue supporting high-need patients. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions.
At Pair Team, we're not just delivering care—we're building the future of more equitable, community-driven healthcare.
Our Values:
Pair Team is hiring a Bilingual Family Nurse Practitioner to support the launch of our Medicare ACCESS program across multiple states. This role will provide virtual care to Medicare patients with chronic, complex, and often overlapping medical, behavioral health, and social needs.
You will work as part of a centralized, multi-state clinical team, partnering closely with RNs, Lead Care Managers, and clinical leadership to complete patient assessments, guide care plans, support escalations, and help build a scalable care model for older adults. This role is 100% remote, but candidates must be comfortable working across EST and PST time zones as needed.
Key Responsibilities:Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law.
Pair Team participates in E-Verify to verify employment eligibility for new hires.
Any offer of employment at Pair Team is conditioned upon passing a pre-employment background check. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including; criminal history, reference checks, and driving records if a role requires vehicle use.
We do not conduct any TA business outside of our @pairteam.com emails. If you're ever concerned about spam or fraudulent activity, please reach out to recruiting@pairteam.com.
Note: Please be aware that while we sincerely appreciate your interest, due to the high volume of requests, we're unable to respond to general position inquiries via email. To apply for a position with us, please submit your application for the role you are interested in. Our team regularly reviews applications and will reach out to candidates whose qualifications align with our current openings listed below. Thank you!
Sourced by ZipRecruiter
Health care and social assistance
1 - 10 Employees
San Francisco, CA, US
2019