The Nurse Case Manager supports patients with neurological or rare diseases by managing enrollment and drug reimbursement processes. They act as a primary liaison between physicians, patients, and insurance providers to ensure timely access to prescribed treatments.
Remote Nurse Jobs (1,649)
Search = nurse
Bilingual Nurse Case Manager (Remote)
Sentrex Health Solutions
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Full Time
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4 Weeks Ago
Sentrex Health Solutions
The Bilingual Nurse Case Manager coordinates patient support programs, ensuring patients have access to drug therapy and medical support. This includes managing patient enrollment, providing clinical education, and liaising with insurers and healthcare providers for reimbursement.
Clinical Nurse Consultant- Pennsylvania
Bristol Myers Squibb
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Full Time
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4 Weeks Ago
Bristol Myers Squibb
The Clinical Nurse Consultant serves as a clinical expert providing education to healthcare professionals on BMS hematology and oncology products to optimize patient outcomes. Responsibilities include developing professional relationships, delivering speaker programs, and providing infusion support for CAR T sites.
Clinical Nurse Consultant- Michigan
Bristol Myers Squibb
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Full Time
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4 Weeks Ago
Bristol Myers Squibb
The Clinical Nurse Consultant serves as a clinical expert providing education to healthcare professionals on hematology and oncology products to optimize patient outcomes. They develop professional relationships with academic and community providers and deliver clinical exchanges to clarify patient identification and management.
The Nurse Case Manager supports patients with HIV by managing drug reimbursement, coverage, and enrollment processes. They act as a primary liaison between physicians, patients, and stakeholders to ensure timely access to prescribed treatments.
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Conduct daily evaluations of inpatient medical records to improve documentation clarity, completeness, and accuracy. Collaborate with physicians to ensure appropriate clinical severity and precise code assignment for reimbursement.
Responsible for reviewing denied claims and managing the clinical appeals process to recover revenue. This includes conducting medical necessity reviews, writing compelling clinical arguments, and identifying denial patterns to recommend process improvements.
The Medical Oncology Nurse performs clinical reviews of oncology requests and collaborates with medical teams to enable therapy decisions. They are responsible for patient advocacy, creating clinical documentation, and managing projects to improve quality of care.
The Nurse Practitioner provides high-quality musculoskeletal and pelvic health care via a virtual-first platform. Responsibilities include diagnosing patients, coordinating care with a multidisciplinary team, and refining clinical workflows.
Field Nurse Case Manager - Dallas, TX (Hourly, Part-Time)
Opus Medical
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Full Time
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5 Weeks Ago
Opus Medical
Coordinate care and communicate medical information between injured workers, insured parties, and carriers to facilitate rehabilitation and return to work. Perform field-based assessments, attend physician appointments, and maintain detailed clinical documentation and billing.
Remote Psychiatric Nurse Practitioner - Fee For Service
Thriveworks
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Full Time
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5 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
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5 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.
RN/LPN | Practice Registered Nurse | CHMG Primary Care Weekend Triage | Per Diem | Day
Concord Hospital Health System
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Full Time
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5 Weeks Ago
Concord Hospital Health System
The nurse is responsible for triaging patient phone calls and managing patient flow during weekend hours. Key duties include administering medications, documenting health information in EMRs, and providing patient education.
Conduct comprehensive health assessments and document risk adjustment using HCC coding via telehealth platforms. Close HEDIS care gaps and deliver clear care plans for Medicare and Medicaid populations.
Manage the communication of critical and abnormal lab results to patients while ensuring compliance with state licensure and legal standards. Collaborate with providers and the Member Services team to provide clinical insights, patient education, and resolution of complex inquiries.
Manage the communication of critical and abnormal lab results to patients while ensuring compliance with state licensure and legal standards. Collaborate with providers and the Member Services team to resolve clinical escalations and provide patient education.
The Triage Nurse manages patient communications, assessing symptoms and side effects to provide appropriate interventions and education. They collaborate with physicians and scheduling teams to coordinate care and prevent unnecessary emergency department visits.
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Illinois | Psychiatric Mental Health Nurse Practitioner – PMHNP – Telehealth Addiction & Mental Health Care
Affect
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Full Time
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5 Weeks Ago
Affect
Conduct initial and follow-up telehealth evaluations for individuals with substance use and mental health disorders. Collaborate with a multidisciplinary care team to provide evidence-based treatment and manage medications.
Provide independent, high-quality clinical patient care as a National Internal Traveler RN. Collaborate with interprofessional teams and utilize evidence-based practice to ensure optimal patient outcomes.
Remote Psychiatric Nurse Practitioner (Telehealth) Albany
Cordial Health
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Full Time
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5 Weeks Ago
Cordial Health
Provide comprehensive psychiatric evaluations and ongoing medication management for adult and geriatric populations via telehealth. Develop individualized care plans and collaborate with clinical teams to ensure coordinated outpatient care.
Case Manager, Registered Nurse- Field (Kankakee/Iroquois, and surrounding counties)
CVS Health
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Full Time
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5 Weeks Ago
CVS Health
The Case Management Coordinator collaborates and informs the case management process to facilitate appropriate healthcare outcomes for members. This includes assisting with appointment scheduling and accessing benefits and education for members.
Provide supervised medical services for patients with a focus on acute and same-day care in collaboration with a contracted physician. Responsibilities include patient education, counseling, and maintaining compliance with state and professional medical regulations.
Remote Transitions of Care Nurse
APremium Healthcare Solution, LLC
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Full Time
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5 Weeks Ago
APremium Healthcare Solution, LLC
Conduct comprehensive patient assessments and develop personalized care plans for those transitioning from hospital to home. Facilitate communication between healthcare providers and families while documenting all interactions in the EHR.
Remote Psychiatric Nurse Practitioner - Fee For Service
Thriveworks
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Full Time
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5 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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5 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.
Virtual Seasonal Family Nurse Practitioner - CA Licensed
One Medical
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Part Time
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5 Weeks Ago
One Medical
Provide virtual clinical care to patients through telehealth visits, including video appointments, telephonic triage, and email follow-ups. Collaborate with virtual and in-office teammates while participating in weekly clinical rounds for continuous learning.
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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.
Perform utilization reviews to determine medical necessity based on agreed policies and regulatory requirements. Collaborate with providers and internal staff to facilitate care decisions and maintain detailed clinical documentation.
Perform utilization reviews to determine medical necessity based on agreed policies and regulatory requirements. Collaborate with providers and internal staff to facilitate clinical review processes and ensure appropriate care decisions.
Perform utilization reviews to determine medical necessity in accordance with client policies and regulatory standards. Collaborate with providers and internal staff to facilitate clinical reviews and ensure appropriate care decisions.
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