Nurse Case Manager
Chattanooga, TN · Remote
The Complex Care Team at BCBST is seeking a compassionate and highly skilled RN Case Manager to ... Although we are based in Chattanooga, TN, this is a fully remote role. * Sponsorship is not ...
Chattanooga, TN · Remote
The Complex Care Team at BCBST is seeking a compassionate and highly skilled RN Case Manager to ... Although we are based in Chattanooga, TN, this is a fully remote role. * Sponsorship is not ...
Chattanooga, TN · Remote
The Complex Care Team at BCBST is seeking a compassionate and highly skilled RN Case Manager to ... Although we are based in Chattanooga, TN, this is a fully remote role. * Sponsorship is not ...
Chattanooga, TN · On-site +1
The Complex Care Team at BCBST is seeking a compassionate and highly skilled RN Case Manager to ... Although we are based in Chattanooga, TN, this is a fully remote role. * Sponsorship is not ...
Chattanooga, TN · On-site +1
The Complex Care Team at BCBST is seeking a compassionate and highly skilled RN Case Manager to ... Although we are based in Chattanooga, TN, this is a fully remote role. * Sponsorship is not ...
A leading health insurance company seeks an experienced Registered Nurse to provide compassionate telephonic support for women's health needs. The role includes conducting assessments, creating care ...
A leading health insurance company seeks an experienced Registered Nurse to provide compassionate telephonic support for women's health needs. The role includes conducting assessments, creating care ...
Chattanooga, TN · 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 ...
Chattanooga, TN · 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 ...
... case files for the Medical Director to review. * Create detailed member and provider specific ... Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state ...
New
... case files for the Medical Director to review. * Create detailed member and provider specific ... Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state ...
New
Chattanooga, TN · On-site +1
Assists non-clinical staff in performance of administrative reviews * Performing comprehensive ... Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state ...
Chattanooga, TN · On-site +1
Assists non-clinical staff in performance of administrative reviews * Performing comprehensive ... Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state ...
Ringgold, GA · Remote
Home Infusion RN Per Diem Company: Atulo Health About Atulo Health: Atulo Health is a multi-state provider of home infusion services. We deliver high-quality, patient-centered care using smart ...
Quick apply
Ringgold, GA · Remote
Home Infusion RN Per Diem Company: Atulo Health About Atulo Health: Atulo Health is a multi-state provider of home infusion services. We deliver high-quality, patient-centered care using smart ...
Ringgold, GA · Remote
Home Infusion RN Per Diem Company: Atulo Health About Atulo Health: Atulo Health is a multi-state provider of home infusion services. We deliver high-quality, patient-centered care using smart ...
Quick apply
Ringgold, GA · Remote
Home Infusion RN Per Diem Company: Atulo Health About Atulo Health: Atulo Health is a multi-state provider of home infusion services. We deliver high-quality, patient-centered care using smart ...
Chattanooga, TN · Remote
$40 - $60/hr
MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...
Quick apply
Chattanooga, TN · Remote
$40 - $60/hr
MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...
Chattanooga, TN · Remote
$40 - $60/hr
MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...
Quick apply
Chattanooga, TN · Remote
$40 - $60/hr
MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...
Reviews include EPSDT reviews for Medicaid, as well as comprehensive medical record reviews for all ... If you are an RN with experience in clinical leadership and a passion for quality improvement, we ...
Reviews include EPSDT reviews for Medicaid, as well as comprehensive medical record reviews for all ... If you are an RN with experience in clinical leadership and a passion for quality improvement, we ...
Review and approve APP, RN, SW and PharmD plans of care. * Appropriate and timely patient document ... This position will be remote within the designated market with occasional in-home patient treatment ...
Quick apply
Review and approve APP, RN, SW and PharmD plans of care. * Appropriate and timely patient document ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review and approve APP, RN, SW and PharmD plans of care. * Appropriate and timely patient document ... This position will be remote within the designated market with occasional in-home patient treatment ...
Review and approve APP, RN, SW and PharmD plans of care. * Appropriate and timely patient document ... This position will be remote within the designated market with occasional in-home patient treatment ...
Nurse practitioners are contracted (1099 position) to provide individual and family services during ... case management * Diagnose psychological, behavioral, and emotional disorders in accordance with ...
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Nurse practitioners are contracted (1099 position) to provide individual and family services during ... case management * Diagnose psychological, behavioral, and emotional disorders in accordance with ...
Chattanooga, TN · Remote
$50 - $80/hr
Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... the case * Provide evidence-based treatment recommendations, including prescriptions when ...
Chattanooga, TN · Remote
$50 - $80/hr
Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... the case * Provide evidence-based treatment recommendations, including prescriptions when ...
Chattanooga, TN · Remote
$40/hr
Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario ... as registered nurses or licensed practical nurses. * Effective Teaching Methods: Ability to ...
Chattanooga, TN · Remote
$40/hr
Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario ... as registered nurses or licensed practical nurses. * Effective Teaching Methods: Ability to ...
Adapts instruction using board review materials, clinical case analysis, and practice examinations to support MSN and DNP graduates preparing for ANCC Family Nurse Practitioner certification.
Adapts instruction using board review materials, clinical case analysis, and practice examinations to support MSN and DNP graduates preparing for ANCC Family Nurse Practitioner certification.
Registered nurse with an active license in the state of Tennessee or hold a license in the state of ... Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following ...
Registered nurse with an active license in the state of Tennessee or hold a license in the state of ... Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following ...
Chattanooga, TN · Remote
$40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
Chattanooga, TN · Remote
$40/hr
... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...
Dalton, GA · Remote
$2.40K - $10K/mo
Complete comprehensive, accurate and thorough review of the assigned member population, including ... Ability to practice autonomously in a remote clinical environment, including independently ...
Dalton, GA · Remote
$2.40K - $10K/mo
Complete comprehensive, accurate and thorough review of the assigned member population, including ... Ability to practice autonomously in a remote clinical environment, including independently ...
$16.09 - $20.72
3% of jobs
$20.72 - $25.34
6% of jobs
$29.53 is the 25th percentile. Wages below this are outliers.
$25.34 - $29.97
17% of jobs
$29.97 - $34.59
20% of jobs
The median wage is $35.52 / hr.
$34.59 - $39.22
16% of jobs
$39.22 - $43.85
11% of jobs
$44.84 is the 75th percentile. Wages above this are outliers.
$43.85 - $48.47
7% of jobs
$48.47 - $53.10
6% of jobs
$53.10 - $57.72
5% of jobs
$57.72 - $62.35
4% of jobs
$62.35 - $66.97
3% of jobs
$16
$39
$66
| 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
Posted 11 days ago
The Complex Care Team at BCBST is seeking a compassionate and highly skilled RN Case Managerto support members with advanced and multifaceted healthcare needs.
In this role, you will provide comprehensive, member-centered care for individuals with complex and chronic conditions, including high-risk diagnoses, through a proactive, advocacy-driven approach. You will collaborate across multidisciplinary teams to coordinate care, reduce barriers, and improve health outcomes while supporting cost-effective utilization of services.
Success in this position requires the ability to manage a dynamic caseload with strong critical thinking, attention to detail, and exceptional telephonic and digital communication skills. Ideal candidates will bring demonstrated experience in case management or acute care settings such as ICU, Med-Surg, Oncology, or Home Health, along with strong technical proficiency and a willingness to leverage enterprise-approved digital and AI tools to enhance care delivery and operational efficiency.
Note:
Job Responsibilities
Job Qualifications
License
Experience
Skills\Certifications
N/a
Number of Openings Available
1Worker Type:
EmployeeCompany:
VSHP Volunteer State Health Plan, IncApplying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
Sourced by ZipRecruiter
Insurance services
5,001 - 10,000 Employees
Chattanooga, TN, US
1945