Be Seen First
Detroit, MI · Remote
$35 - $39/hr
Job Title: RN Case Manager Location: 100% Remote Duration: 12+ months License Required: Active & unrestricted Michigan RN license The RN Case Manager serves as the primary point of contact for ...
Quick apply
Be Seen First
Detroit, MI · Remote
$35 - $39/hr
Job Title: RN Case Manager Location: 100% Remote Duration: 12+ months License Required: Active & unrestricted Michigan RN license The RN Case Manager serves as the primary point of contact for ...
Sterling Heights, MI · Remote
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Sterling Heights, MI · Remote
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Welcome patients into continuous care program(s) and review benefits and services included
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Welcome patients into continuous care program(s) and review benefits and services included
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Welcome patients into continuous care program(s) and review benefits and services included
Quick apply
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Welcome patients into continuous care program(s) and review benefits and services included
Detroit, MI · Remote
$20 - $25/hr
Remote Duration: 12 months Description: * The Case Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan ...
Quick apply
Detroit, MI · Remote
$20 - $25/hr
Remote Duration: 12 months Description: * The Case Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan ...
Participate in case conferences, staff meetings, and quality improvement activities. Qualifications * Graduate of an accredited School of Nursing. * Active Registered Nurse license in the State of ...
Quick apply
Participate in case conferences, staff meetings, and quality improvement activities. Qualifications * Graduate of an accredited School of Nursing. * Active Registered Nurse license in the State of ...
Participate in case conferences, staff meetings, and quality improvement activities. Qualifications * Graduate of an accredited School of Nursing. * Active Registered Nurse license in the State of ...
Quick apply
Participate in case conferences, staff meetings, and quality improvement activities. Qualifications * Graduate of an accredited School of Nursing. * Active Registered Nurse license in the State of ...
Almont, MI · Remote
$41.20 - $62.17/hr
Case Management Certification * Demonstrated experience in case management, utilization review ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
Almont, MI · Remote
$41.20 - $62.17/hr
Case Management Certification * Demonstrated experience in case management, utilization review ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
Detroit, MI · 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 ...
Detroit, MI · 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 ...
Macomb, MI · Remote
$28 - $37.75/hr
Salary: Based on Experience Licensed Practical Nurse (LPN) / Registered Nurse (RN) Vinculum Care ... Home Health, Hospice, Private Duty, Case Management, or Community Health experience. * Experience ...
Quick apply
Macomb, MI · Remote
$28 - $37.75/hr
Salary: Based on Experience Licensed Practical Nurse (LPN) / Registered Nurse (RN) Vinculum Care ... Home Health, Hospice, Private Duty, Case Management, or Community Health experience. * Experience ...
Detroit, MI · Remote
$109K - $151K/yr
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Participate in clinical case reviews and quality improvement initiatives. Requirements * Active ...
Detroit, MI · Remote
$109K - $151K/yr
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Participate in clinical case reviews and quality improvement initiatives. Requirements * Active ...
Detroit, MI · On-site +1
$26.41 - $51.49/hr
Preferred candidates will have previous case management, managed care, or inpatient hospital ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Detroit, MI · On-site +1
$26.41 - $51.49/hr
Preferred candidates will have previous case management, managed care, or inpatient hospital ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...
Detroit, MI · Remote
$109K - $151K/yr
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Participate in clinical case reviews and quality improvement initiatives. Requirements * Active ...
New
Detroit, MI · Remote
$109K - $151K/yr
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Participate in clinical case reviews and quality improvement initiatives. Requirements * Active ...
New
Detroit, MI · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been ... Preferred candidates will have previous case management, managed care, or inpatient hospital ...
Detroit, MI · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been ... Preferred candidates will have previous case management, managed care, or inpatient hospital ...
Warren, MI · On-site +1
$26.41 - $51.49/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ... Preferred Qualifications • Certified Case Manager (CCM). • Experience working with populations ...
Warren, MI · On-site +1
$26.41 - $51.49/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ... Preferred Qualifications • Certified Case Manager (CCM). • Experience working with populations ...
Detroit, MI · On-site +1
$26.41 - $51.49/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ... Preferred Qualifications • Certified Case Manager (CCM). • Experience working with populations ...
Detroit, MI · On-site +1
$26.41 - $51.49/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ... Preferred Qualifications • Certified Case Manager (CCM). • Experience working with populations ...
Southfield, MI · Remote
$70 - $120/hr
We are looking for a registered nurse, preferably with a background in home care. You will be able to choose your own schedule and see patients in your defined area. Excellent pay with gas mileage.
Quick apply
Southfield, MI · Remote
$70 - $120/hr
We are looking for a registered nurse, preferably with a background in home care. You will be able to choose your own schedule and see patients in your defined area. Excellent pay with gas mileage.
Southfield, MI · Remote
$70 - $120/hr
We are looking for a registered nurse, preferably with a background in home care. You will be able to choose your own schedule and see patients in your defined area. Excellent pay with gas mileage.
Quick apply
Southfield, MI · Remote
$70 - $120/hr
We are looking for a registered nurse, preferably with a background in home care. You will be able to choose your own schedule and see patients in your defined area. Excellent pay with gas mileage.
$18.61 - $23.96
3% of jobs
$23.96 - $29.31
6% of jobs
$34.16 is the 25th percentile. Wages below this are outliers.
$29.31 - $34.66
17% of jobs
$34.66 - $40.01
20% of jobs
The median wage is $41.08 / hr.
$40.01 - $45.36
16% of jobs
$45.36 - $50.71
11% of jobs
$51.86 is the 75th percentile. Wages above this are outliers.
$50.71 - $56.06
7% of jobs
$56.06 - $61.41
6% of jobs
$61.41 - $66.76
5% of jobs
$66.76 - $72.11
4% of jobs
$72.11 - $77.46
3% of jobs
$18
$45
$77
| 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.
$35 - $39/hr
Contractor
Medical, Dental, Vision, PTO
Re-posted 22 days ago
Job Title: RN Case Manager
Location: 100% Remote
Duration: 12+ months
License Required: Active & unrestricted Michigan RN license
The RN Case Manager serves as the primary point of contact for members, caregivers, and providers, coordinating a multidisciplinary team to deliver holistic, person-centered care. Using telephonic and digital communication, the RN leads assessment, care planning, implementation, and ongoing evaluation to support improved health outcomes across the care continuum.
Key Responsibilities
· Coordinate a multidisciplinary team (Social Workers, Dietitians, Pharmacists, Clinical Staff, Medical Directors) to meet member needs.
· Use the case management process to assess, develop, implement, and evaluate individualized care plans.
· Assess health, psychosocial needs, cultural preferences, and support systems.
· Engage members/caregivers to identify barriers, close care gaps, and promote self-management.
· Coordinate care among providers, agencies, and family supports.
· Monitor progress toward goals and adjust care plans as needed.
· Support safe transitions of care, including discharge preparation and follow-up education.
· Arrange DME and transportation as needed and document all interactions accurately.
Education & Experience
· Nursing Diploma or Associate Degree required; BSN preferred.
· 3 years of clinical nursing experience in acute/post-acute/community settings required.
· 1 year of case management experience in managed care preferred.
· Experience providing telephonic or digital care preferred.
Licenses & Certifications
· Active, unrestricted Michigan RN license required.
· CCM required or to be obtained within 18 months of hire.
· CCP certification preferred.
Skills & Competencies
· Strong critical thinking, decision-making, and problem-solving abilities.
· Excellent time management, organization, and ability to work across multiple systems.
· Proficient in Microsoft Office and digital communication platforms.
Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances.
At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.
Kyyba is an Equal Opportunity Employer.
Kyyba does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other b
Sourced by ZipRecruiter
About Kyyba: Founded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances. At Kyyba, the overall well-being of our employees and their families is important to us. We are proud of our work culture which embodies our core values; incorporating value, passion, excellence, empowerment, and happiness, creates a vibrant and productive atmosphere. We empower our employees with the resources, incentives, and flexibility that they need to support a healthy, balanced, and fulfilling career by providing many valuable benefits and a balanced compensation structure combined with career development.
Recruiting and staffing services
501 - 1,000 Employees
Farmington Hills, MI, US
1998
