Top 1186 Case manager, registered nurse Jobs in Utah

Case Manager, Registered Nurse
CVS Health —Utah
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- Addiction Medicine
- Health insurance
- Dental insurance
Case Manager, Registered Nurse (Oncology experience required)
CVS Health —Utah
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Home Care Assessor With CNA, LVN, or RN License NEEDED in Lehi, UT Area
Care Planning Institute, Inc —Lehi, UT
- $40 an hour
- Weekends only
- Current TB test
- LVN
- RN License
- Flexible schedule
Quick Apply
Utilization Management Registered Nurse
Humana —Utah
- $71,100 - $97,800 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
Clinical Triage Nurse, Work From Home
Sutter Health —West Valley City, UT
- $37.19 - $54.42 an hour
- 8 hour shift
- Remote
- Nursing
- RN License
- Urgent Care
- Work from home
Licensed Clinical Social Worker (LCSW) - Hospice Care
Select Hospice —Saint George, UT
- $35 - $45 an hour
- Part-time
- Licensed Clinical Social Worker
- Mid-level
- Driver's License
- Mileage reimbursement
Quick Apply
Registered Nurse
Kane County Hospital —Kanab, UT
- $30.48 - $46.19 an hour
- Part-time
- Nursing
- Anatomy knowledge
- Vital signs
- Health savings account
- Relocation assistance
Quick Apply
4d
Registered Nurse / Licensed Practical Nurse
Monument Health Pioneer Trail —Brigham City, UT
- Full-time
- Background check
- CPR Certification
- RN License
Quick Apply
Registered Nurse
Community Nursing Services —Moab, UT
- $34.04 - $49.00 an hour
- Full-time
- In person
- Nursing
- RN License
- Ability to walk for extended periods
- Continuing education credits
- 403(b) matching
Quick Apply
4d
RN
Gagon Family Medicine + Urgent Care —Price, UT
- Part-time
- Background check
- Blood sampling
- RN License
- Health savings account
- Health insurance
Quick Apply
5d
Day & Night Shift Nurses Needed!
Four Corners Regional Care Center —Blanding, UT
- $24 - $32 an hour
- Full-time
- Skilled nursing facility
- Patient monitoring
- RN License
- Disability insurance
- Health insurance
Quick Apply
RN
Vive Adolescent Care —Saint George, UT
- $35 - $40 an hour
- Full-time
- Acute care
- Background check
- Nursing
- Health insurance
- Dental insurance
Quick Apply
MedTech Part Time Clinical Consultant – Las Vegas, NV
IQVIA —Saint George, UT
- $60 an hour
- Part-time
- RN License
- Mid-level
- 3 years
Full-time RN or LPN (Registered Nurse or Licensed Practical Nurse)
Fairfield Village of Layton —Layton, UT
- $35 - $43 an hour
- 12 hour shift
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse
Medical Research Network —Draper, UT
- From $45 an hour
- Part-time
- RN License
- BLS Certification
- Mid-level
- Travel reimbursement
- Mileage reimbursement
Quick Apply
Social worker- Part time
PRIMROSE HOME CARE & HOSPICE —Ogden, UT
- $50 - $55 an hour
- Part-time
- Background check
- Experience working with individuals with developmental disabilities
- Master of Social Work
Quick Apply
Clinical Research Nurse
Huntsman Cancer Institute —Salt Lake City, UT
- $75,000 a year
- Full-time
- Nursing
- RN License
- BLS Certification
- Health savings account
- Health insurance
Quick Apply
3d
Registered Nurse - Med Surg/Telemetry | 36 hours | Salt Lake City, UT
Thrive Healthcare —Salt Lake City, UT
- $2,340 - $2,346 a week
- Temporary
- Acute care
- Float pool
- RN License
- Health insurance
- Dental insurance
Quick Apply
21h
MDS Coordinator
Aspen Ridge of Utah Valley —Orem, UT
- Weekends as needed
- Nursing
- Skilled nursing facility
- RN License
Quick Apply
AM/PM Registered Nurse (RN)
Aspen Ridge of Utah Valley —Orem, UT
- $34 - $38 an hour
- Part-time
- Skilled nursing facility
- Vital signs
- RN License
Quick Apply

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case manager, registered nurse jobs near utah

Case Manager, Registered Nurse

CVS Health -
Utah

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Job Details

Full-time
$54,095 - $155,538 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

RN License
Typing
Hospital experience

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

This is a remote work from home role anywhere in the US with virtual training.

American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members.

Key Responsibilities

This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients.
Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits.
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Assessments utilize information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.
Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.
Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives.
Utilizes case management processes in compliance with regulatory and company policies and procedures.
Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversations.
Identifies and escalates member’s needs appropriately following set guidelines and protocols.
Need to actively reach out to members to collaborate/guide their care.
Perform medical necessity reviews.

Required Qualifications

5+ years’ experience as a Registered Nurse with at least 1 year of experience in a hospital setting.
The AHH RN Case manager position requires the nurse to support members across multiple states. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license. Nurses residing in non‑compact states must hold an individual, state‑specific RN license for each state they support.
1+ years’ experience documenting electronically using a keyboard.
1+ years’ current or previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health/Substance Abuse or Maternity/ Obstetrics experience.

Preferred Qualifications

1+ years’ Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with transferring patients to lower levels of care.
1+ years' experience in Utilization Review.
CCM and/or other URAC recognized accreditation preferred.
1+ years’ experience with MCG, NCCN and/or Lexicomp.
Bilingual in Spanish preferred.

Education

Diploma or Associates Degree in Nursing required.
BSN preferred.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $155,538.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

case manager, registered nurse jobs in utah

Case Manager, Registered Nurse

Case Manager, Registered Nurse (Oncology experience required)

Home Care Assessor With CNA, LVN, or RN License NEEDED in Lehi, UT Area

Utilization Management Registered Nurse

Clinical Triage Nurse, Work From Home

Licensed Clinical Social Worker (LCSW) - Hospice Care

Registered Nurse

Registered Nurse / Licensed Practical Nurse

Registered Nurse

RN

Day & Night Shift Nurses Needed!

RN

MedTech Part Time Clinical Consultant – Las Vegas, NV

Full-time RN or LPN (Registered Nurse or Licensed Practical Nurse)

Registered Nurse

Social worker- Part time

Clinical Research Nurse

Registered Nurse - Med Surg/Telemetry | 36 hours | Salt Lake City, UT

MDS Coordinator

AM/PM Registered Nurse (RN)

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