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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: • Monday - Friday, 8 AM - 5 PM • Tuesday - Saturday, 8 AM - 5 PM • Sunday - Thursday, 8 AM - 5 PM Required Qualifications for the Remote Utilization Management Registered Nurse / RN: • 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 Remote Utilization Management Registered Nurse / RN: • 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!

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