All roles

Utilization Management Registered Nurse

Remote · USA Full-time New today

Remote Utilization Management Registered Nurse / RN HealthCare Support is actively seeking a Remote RN Case Manager to join a non-profit, member- and employee-oriented healthcare organization known for offering meaningful work. Applicants must reside in Oregon to be considered. Daily Responsibilities for the Remote Utilization Management Registered Nurse / RN: • Coordinate care for members across Commercial, Medicare, and Medicaid lines of business, focusing on one area at a time based on business needs. • Conduct telephonic case management, assessing members’ health needs, creating care plans, and working with providers to ensure proper treatment. • Advocate for patients, provide education on condition management, and monitor progress to improve health outcomes. • Collaborate with doctors and healthcare professionals to deliver holistic, patient-centered care. Flexible schedule options for the Remote Utilization Management Registered Nurse / RN: • Tuesday - Saturday, 8 AM - 5 PM • Sunday - Thursday, 8 AM - 5 PM Required Qualifications for the Remote RN Case Manager: • Must reside in Oregon • Active and unrestricted RN License in Oregon • 3+ years of RN experience • Experience in one or more of the following areas is ideal: clinical assessments, referrals to medical resources, care planning and discharge planning Preferred Qualifications for the RN Case Manager: • Telephonic case management experience • Certified Case Manager Certification (CCM) Benefits for the RN Case Manager: • Best-in-class Health Insurance offering with low deductibles and co-pays • Dental and Vision Insurance • Paid Time Off & Separate Bank of Sick Pay • 401k with company match • FSA, HSA, EAP Program and Wellness Programs Pay Details: $75,000-$90,000 base salary per year (DOE) + quarterly bonus based on company performance + annual merit increase up to 6% Interested in being considered? If you are interested in applying to this position, please click Apply Now for immediate consideration or if you’d like to stand out, email a copy of your resume to [email protected] with the job title and location, and our recruiters will reach out. Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law. #DHADRN0125 Apply Job!

Related roles

Entry Sales Closer Position

Remote · USA Full-time

Licensed Insurance Service Advisor

Remote · USA Full-time

Digital Banking Product Manager

Remote · USA Full-time

Senior Mortgage Loan Processor

Remote · USA Full-time

Allstate Licensed Insurance Rep

Remote · USA Full-time

Remote Senior Accountant, CPA/EA

Remote · USA Full-time

Bookkeeper for Law Firm

Remote · USA Full-time

Actuary, Senior Technical Professional

Remote · USA Full-time

Business Analyst, Retail Banking

Remote · USA Full-time

Advertising and Marketing Specialist

Remote · USA Full-time

Director of Pharma Sales, Americas

Remote · USA Full-time

Fashion Buyer

Remote · USA Full-time

Experienced Data Entry Operator for Accurate Information Management and Database Maintenance at blithequark

Remote · USA Full-time

Experienced Part-Time Customer Service Representative – Work From Home Opportunity at arenaflex

Remote · USA Full-time

Sr. Partner Business Manager - Accenture

Remote · USA Full-time

Entry-Level Remote Customer Support Associate – Client Success & Issue Resolution at arenaflex

Remote · USA Full-time

Social Media Content Creator + Live Host

Remote · USA Full-time

Paid Media Associate (Google and Facebook Ads / No Experience Required) (REMOTE CANDIDATES SHOULD NOT APPLY)

Remote · USA Full-time

Immediately Require Online English Tutor – Flexible Hours in Fairbanks, AK

Remote · USA Full-time

Senior Associate – Digital Product Management – AI‑Driven Conversational Experience Leader (Remote/Virtual) – arenaflex

Remote · USA Full-time