Nurse Case Manager
Nashville, TN · On-site +1
Performs prospective, concurrent, and retrospective reviews for inpatient acute care ... team members. RN and current unrestricted nursing license required. Notes: This is a remote ...
Nurse Case Manager
Nashville, TN · On-site +1
Performs prospective, concurrent, and retrospective reviews for inpatient acute care ... team members. RN and current unrestricted nursing license required. Notes: This is a remote ...
Review medically complex claims , pre-authorization requests, appeals, and fraud/abuse referrals ... Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education:
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Review medically complex claims , pre-authorization requests, appeals, and fraud/abuse referrals ... Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education:
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Review documentation from in-home visits * Provide telephonic case management for members
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Review documentation from in-home visits * Provide telephonic case management for members
Nurse Case Manager
Nashville, TN · On-site +1
Remote Description: Government Programs Care Manager III. For this position, formerly Nurse Case ... Active unrestricted Registered Nurse (RN) license in state or territory of the United States.
Nurse Case Manager
Nashville, TN · On-site +1
Remote Description: Government Programs Care Manager III. For this position, formerly Nurse Case ... Active unrestricted Registered Nurse (RN) license in state or territory of the United States.
This position combines remote clinical supervision of a team of Registered Nurses (50%) with in ... Conduct virtual case reviews and clinical consultations with RNs * Guide escalation of care ...
This position combines remote clinical supervision of a team of Registered Nurses (50%) with in ... Conduct virtual case reviews and clinical consultations with RNs * Guide escalation of care ...
Digital Case Manager
Chattanooga, TN · On-site +1
... fully remote role. • Sponsorship is not available for this position. • At BCBST, we foster a ... Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state ...
Digital Case Manager
Chattanooga, TN · On-site +1
... fully remote role. • Sponsorship is not available for this position. • At BCBST, we foster a ... Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state ...
Clinical Reviewer, RN/LPN (Remote - TN)
Nashville, TN · On-site +1
General information Job Posting Title Clinical Reviewer, RN/LPN (Remote - TN) Date Monday, July 6, ... In this role, you will review clinical documentation and requests submitted by individuals ...
New
Clinical Reviewer, RN/LPN (Remote - TN)
Nashville, TN · On-site +1
General information Job Posting Title Clinical Reviewer, RN/LPN (Remote - TN) Date Monday, July 6, ... In this role, you will review clinical documentation and requests submitted by individuals ...
New
Current, unrestricted RN license in applicable state(s) required. * Multi-state licensure is ... Prospective employees required to be screened under Florida law should review the education and ...
Current, unrestricted RN license in applicable state(s) required. * Multi-state licensure is ... Prospective employees required to be screened under Florida law should review the education and ...
Preservice Review Nurse RN
Brentwood, TN · Remote
$29 - $52/hr
... clinical reviews and require a current, unrestricted RN nursing license in the applicable state ... Flexibility to adapt to changing environment and varied case volume * Other duties as assigned by ...
New
Preservice Review Nurse RN
Brentwood, TN · Remote
$29 - $52/hr
... clinical reviews and require a current, unrestricted RN nursing license in the applicable state ... Flexibility to adapt to changing environment and varied case volume * Other duties as assigned by ...
New
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
Shelbyville, TN · 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
Shelbyville, TN · Remote
$84 - $115/hr
Flexible & Remote Telemedicine ... Evidence-based approach to psychiatric care via telemedicine, including asynchronous case review ...
Remote Virtual Nurse Practitioner
Knoxville, TN · On-site +1
$95K - $115K/yr
Nurse Practitioner Remote Care Partners Remote Care Partners is seeking a compassionate, experienced, and self-motivated Nurse Practitioner (APRN) to join our growing virtual care team. This is a ...
Remote Virtual Nurse Practitioner
Knoxville, TN · On-site +1
$95K - $115K/yr
Nurse Practitioner Remote Care Partners Remote Care Partners is seeking a compassionate, experienced, and self-motivated Nurse Practitioner (APRN) to join our growing virtual care team. This is a ...
NCLEX-RN Tutor
Murfreesboro, TN · Remote
$18 - $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 ...
NCLEX-RN Tutor
Murfreesboro, TN · Remote
$18 - $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 ...
NCLEX-RN Tutor
Knoxville, TN · Remote
$18 - $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 ...
NCLEX-RN Tutor
Knoxville, TN · Remote
$18 - $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 ...
NCLEX-RN Tutor
Nashville, TN · Remote
$18 - $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 ...
NCLEX-RN Tutor
Nashville, TN · Remote
$18 - $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 ...
NCLEX-RN Tutor
Kingsport, TN · Remote
$18 - $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 ...
NCLEX-RN Tutor
Kingsport, TN · Remote
$18 - $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 ...
NCLEX-RN Tutor
Memphis, TN · Remote
$18 - $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 ...
NCLEX-RN Tutor
Memphis, TN · Remote
$18 - $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 ...
NCLEX-RN Tutor
Chattanooga, TN · Remote
$18 - $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 ...
NCLEX-RN Tutor
Chattanooga, TN · Remote
$18 - $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 ...
We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you ... This is a remote position that requires consistent attendance, active communication, and reliable ...
We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you ... This is a remote position that requires consistent attendance, active communication, and reliable ...
Remote Hospice Triage RN PT Weekend Only 7:30a-6p CST
Nashville, TN · On-site +1
$30/hr
We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you ... This is a remote position that requires consistent attendance, active communication, and reliable ...
Remote Hospice Triage RN PT Weekend Only 7:30a-6p CST
Nashville, TN · On-site +1
$30/hr
We are seeking a compassionate registered nurse (RN) to join our growing team! In this role, you ... This is a remote position that requires consistent attendance, active communication, and reliable ...
LTSS Service Coordinator-RN Clinician
Cleveland, TN · On-site +1
The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case ... reviewing and providing input on the non-RN clinicians' performance on a regular basis. Minimum ...
LTSS Service Coordinator-RN Clinician
Cleveland, TN · On-site +1
The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case ... reviewing and providing input on the non-RN clinicians' performance on a regular basis. Minimum ...
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.
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What are popular job titles related to Remote Rn Case Review jobs in Tennessee? For Remote Rn Case Review jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Remote Rn Case Review jobs in Tennessee look for? The top searched job categories for Remote Rn Case Review jobs in Tennessee are:
What cities in Tennessee are hiring for Remote Rn Case Review jobs? Cities in Tennessee with the most Remote Rn Case Review job openings:
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
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
About VIVA USA
Sourced by ZipRecruiter
Industry
It services
Company size
51 - 200 Employees
Headquarters location
Rolling Meadows, IL, US
Year founded
1996