Perform utilization reviews to determine medical necessity and facilitate the resolution of escalated clinical cases. Collaborate with providers and internal staff to ensure compliance with regulatory timeframes and documentation policies.
Remote Nurse Jobs (1,625)
Search = nurse
Conduct comprehensive wellness exams and assessments for complex patients with chronic conditions in home and virtual settings. Coordinate care with primary providers and specialists while managing patient records and treatment plans to reduce hospitalizations.
Utilization Management Nurse I, RN
Clever Care Health Plan
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Full Time
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4 Weeks Ago
Clever Care Health Plan
Perform clinical reviews of authorization requests to determine medical necessity based on established criteria and regulatory requirements. Communicate decisions to providers and members while ensuring compliance with CMS and state turnaround times.
Value-based Care Registered Nurse (Per Diem)
Herself Health
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Full Time
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4 Weeks Ago
Herself Health
The RN provides exceptional care to women 65+ through Transitional Care Management and triage to reduce hospital readmissions. They collaborate with a multidisciplinary team to educate patients and manage health conditions within a value-based care model.
Provide longitudinal nursing support and clinical assessments for oncology patients with complex behavioral health needs via telemedicine. Collaborate with an interdisciplinary care team to manage symptoms, coordinate care, and address social determinants of health.
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The Nurse Practitioner will provide prescriptive services by reviewing patient histories and evaluating prescription requests. They will conduct synchronous video or phone consultations and maintain accurate documentation within EMR systems.
Telephone Triage Nurse (RN)
Presbyterian Homes & Services
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Full Time
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4 Weeks Ago
Presbyterian Homes & Services
Provide after-hours and weekend telephone triage support and clinical assessments for residents in Assisted Living Communities. Delegate tasks to Resident Assistants and ensure high-quality care through regulatory and clinical practice adherence.
Remote RN Telephone Triage Nurse – Compact License + IL, MA, NY, MN, DC Required
Call 4 Health
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Full Time
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4 Weeks Ago
Call 4 Health
The RN will manage inbound and outbound patient calls using Schmitt-Thompson protocols to provide clinical guidance and triage. Responsibilities include managing EHRs, coordinating follow-up care, and participating in Remote Patient Monitoring initiatives.
The Registered Nurse will assess patients via telephone or video, identify key symptoms, and refer them to appropriate health services. They will also provide advice on symptom management and document consultations.
Community Registered Nurse (CRN)
CENTER FOR HUMAN SERVICES INC
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Full Time
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4 Weeks Ago
CENTER FOR HUMAN SERVICES INC
The Community RN promotes the physical and mental health of individuals with disabilities through medical coordination and health assessments. They are also responsible for training staff in medication administration and CPR/First Aid.
Personal Health Nurse - Remote
Conifer Health Solutions
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Full Time
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4 Weeks Ago
Conifer Health Solutions
The Personal Health Nurse performs holistic medical management by assessing members, developing individualized care plans, and coordinating services with physicians. They focus on facilitating quality, cost-effective healthcare while empowering members to independently self-manage their health decisions.
Provide comprehensive support to patients and healthcare providers regarding disease states, therapies, and medication access. Coordinate treatment logistics and manage patient cases while ensuring adherence to protocols and reporting adverse events.
Remote Psychiatric Nurse Practitioner - Fee For Service
Thriveworks
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Full Time
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4 Weeks Ago
Thriveworks
Conduct psychiatric assessments and evaluations for clients aged 14 and up via a telemedicine platform. Prescribe medications and collaborate with clients to create and implement effective mental health care plans.
Part Time Remote Psychiatric Nurse Practitioner - Fee For Service
Thriveworks
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Full Time
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4 Weeks Ago
Thriveworks
Conduct psychiatric assessments and evaluations for clients aged 14 and up via telemedicine. Prescribe medications and collaborate with clients to create and implement comprehensive care plans.
Part Time Remote Psychiatric Nurse Practitioner - Fee For Service
Thriveworks
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Full Time
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4 Weeks Ago
Thriveworks
Perform psychiatric assessments and evaluations for clients aged 14 and up via telemedicine. Prescribe medications and collaborate with clients to create and implement comprehensive care plans.
Remote Psychiatric Nurse Practitioner - Fee For Service
Thriveworks
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Full Time
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4 Weeks Ago
Thriveworks
Perform psychiatric assessments and evaluations for clients aged 14 and up via telemedicine. Prescribe medications and collaborate with clients to create and implement comprehensive care plans.
Part Time Remote Psychiatric Nurse Practitioner - Fee For Service
Thriveworks
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Full Time
·
4 Weeks Ago
Thriveworks
Conduct psychiatric assessments and evaluations for clients aged 14 and up via telemedicine. Prescribe medications and collaborate with clients to create and implement comprehensive care plans.
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Provide holistic mental healthcare including ADHD diagnosis and medication management for patients. Develop tailored treatment plans and collaborate with a team of professionals to ensure coordinated care.
Provide holistic mental healthcare focusing on the diagnosis and medication management of adult ADHD. Develop tailored treatment plans and collaborate with a team of professionals to ensure coordinated patient care.
Telehealth Triage Registered Nurse (New York + Compact State RN License Required)
Ophelia
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Full Time
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4 Weeks Ago
Ophelia
Serve as the primary clinical point of contact for patients with opioid use disorder, managing inbound communications and bridge prescription requests. Responsibilities include conducting check-in calls, performing triage, and providing evidence-based brief interventions.
Provide high-quality, person-centred mental health services and clinical care coordination for individuals with complex needs. Deliver evidence-based interventions and develop tailored care plans within a multidisciplinary hub-and-spoke model.
Provide high-quality, person-centred mental health services and clinical care coordination for individuals with complex needs. Responsibilities include conducting holistic assessments, developing tailored care plans, and delivering evidence-based interventions.
Telephonic Nurse Practitioner (Part-Time) - OH, MO, WI or IN License Required
UnitedHealth Group
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Full Time
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4 Weeks Ago
UnitedHealth Group
Provide telephonic and virtual urgent care to patients, caregivers, and facility staff across multiple markets. Coordinate care transitions and manage acute and chronic medical and behavioral conditions in collaboration with physicians.
The Nurse Consultant drives engagement and success for nursing education products through product expertise, implementation support, and pre-sales collaboration. They serve as a thought leader by delivering regional presentations and webinars to faculty and students.
Remote Crisis Care On-Call Psychiatric Mental Health Nurse Practitioner (PMHNP)
Willow Health
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Full Time
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4 Weeks Ago
Willow Health
Provide immediate virtual psychiatric care, medication management, and high-acuity risk assessments for patients in crisis during after-hours windows. Coordinate with triage nurses to determine patient disposition and maintain detailed clinical documentation in the EMR.
Coordinates care and communicates medical information between injured workers, insured parties, and carriers to facilitate rehabilitation and return to work. Attends physician appointments and monitors treatment plans to ensure cost-effective and efficient recovery.
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Coordinates care and communicates medical information between injured workers, insured parties, and carriers to facilitate treatment and return to work. Performs field-based assessments, monitors treatment plans, and manages documentation and billing.
Provide direct patient care for MAT, substance use, and psychiatric disorders via in-person and telemedicine services. Collaborate with the treatment team to integrate medical services with whole-person support and ensure compliance with state and federal laws.
1099 Telephonic Nurse Case Manager (CA Licensed, Remote – Must Reside Outside CA)
The IMA Group
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Full Time
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4 Weeks Ago
The IMA Group
Perform telephonic case management for work-related injuries and coordinate care between providers and claims adjusters. Develop and monitor care plans while maintaining communication with patients and clients.
Collaborates with physicians to provide comprehensive behavioral health care, including patient evaluation, diagnosis, and treatment. Responsibilities include prescribing medications, ordering diagnostic tests, and providing patient education in an outpatient setting.
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