The Nurse Case Manager II at Elevance Health is responsible for care management within the scope of licensure for members with complex and chronic care needs. This includes assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health care across the care continuum. The role is virtual and requires a minimum of 5 years of clinical experience, a BA/BS in a health-related field, and current, unrestricted RN license in applicable states.

Nurse Case Mgr II (US) - Case Management

Nurse Case Manager II

The Medical Education Manager at Abbott Laboratories is responsible for planning and implementing medical education initiatives that align with and drive the business strategy of Infectious Disease Business. This role involves working closely with Medical Affairs leaders to align Medical Education initiatives, managing professional service agreements, and integrating business needs with healthcare professionals. The position is remote and prefers candidates located near an Abbott office and airport in Continental US.

Manager, Medical Education

Cambia Health Solutions, Inc is seeking a Care Management Social Worker to join their Clinical Services team. This role involves providing clinical care management, including case management, disease management, and care coordination, to meet members' healthcare needs and promote quality and cost-effective outcomes. The position offers a work-from-home option within Oregon, Washington, Idaho, or Utah and is ideal for a Social Worker looking to transition out of bedside care into a role that utilizes clinical expertise in a fresh challenge.

Care Management Social Worker

The RN Transplant Case Manager II at Elevance Health is responsible for providing case management and/or medical management for members receiving transplant services. This remote position involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health care across the care continuum. The role includes conducting assessments, coordinating resources, monitoring care plans, and collaborating with healthcare providers to ensure high-quality, cost-effective care.

RN Transplant Case Manager II (Telephonic) - Case Management

RN Transplant Case Manager II

The Associate Nurse Manager for the Renal Med Unit at UCHealth Memorial Hospital Central assists the Nurse Manager in providing leadership at the department/unit level to enhance patient safety and optimize quality patient outcomes. This role involves assuming delegated responsibility for oversight of unit operations and professional practice standards, as well as actively coaching and developing staff, managing resources, and participating in strategic initiatives.

ASSOC NURSE MANAGER RENAL MED UNIT

Associate Nurse Manager - Renal Med Unit

The Case Management Utilization Review Registered Nurse at Steward Health Care assumes primary responsibility for documenting medical necessity for inpatient status or placement in observation. This role involves communicating with physicians and clinicians, ensuring timely clinical information submission for payor authorization, and collaborating with allied health professionals to ensure quality care and desired outcomes in a cost-effective manner. The position requires a bachelor's degree, three to five years of acute medical/surgical experience, and three to five years of Case Management experience.

Case Mgt Utilization Review RN - REMOTE - Utilization Review

Case Management Utilization Review Registered Nurse

We are seeking a dedicated Chronic Care Manager to provide one-on-one attention via telephone calls to patients with two or more chronic diagnoses. The Chronic Care Manager will collect patient health information to identify risks, provide education, and encourage compliance with treatment. This role involves creating patient-specific Care Plans that outline goals and interventions to implement, monitor, and support the patient's needs as defined by the Primary Care Physician (PCP). The Chronic Care Management (CCM) program aims to support patients and promote the highest level of quality care.

Chronic Care Management

Chronic Care Manager (LPN)

The Medical Management Team Lead, RN at McLaren Health Care is responsible for providing clinical oversight of staff and functions to meet organizational goals in utilization, disease, case, and medical management. This role involves expert knowledge of screening criteria, clinical criteria, and research abilities, independent judgment within the scope of practice, and participation in the medical management of members across all product lines. The position emphasizes member advocacy through education on managed care, disease management, and PCP treatment plans, while also monitoring utilization patterns and collaborating on complex cases.

Medical Management Team Lead, RN, MI - Remote - McLaren Careers

Medical Management Team Lead, RN

The Clinical Care Team Manager at Guidehealth is responsible for the day-to-day operations of an integrated multi-disciplinary clinical and clinical support structure to effectively monitor, support, and lead Value Based clinical initiatives. This includes case management, transitions of care, care coordination and continuity, provider/staff education on ACO/MA Plan clinical programs, and building and maintaining a network of community support. The role requires strong leadership, management, and interpersonal skills, as well as the ability to utilize both internal and external resources to accomplish the goals and objectives of the organization.

Remote Clinical Care Team Manager

Clinical Care Team Manager

Software Guidance & Assistance, Inc. is seeking a Managed Care Analyst for a contract assignment with a healthcare client in Los Angeles, CA. This role involves troubleshooting, maintenance, and optimization of existing software applications, as well as designing, building, testing, and supporting new applications within a portfolio or service line. The analyst will work closely with business owners, vendors, and other team members to evaluate and recommend solutions to complex problems, ensuring in-depth knowledge of the software application and operational workflows.

Tapestry Managed Care Analyst

Managed Care Analyst

The Care Manager/Coordinator (RN/SW) at AmeriHealth Caritas is responsible for engaging members, their caregivers, and providers to assess, plan, and establish individual member goals for achieving optimal health through self-management. This role involves facilitating and coordinating care, ensuring quality and cost-effective resource use, and acting as a single point of contact and advocate for members in the care coordination program. The position also includes overseeing care management activities within assigned practices to ensure high-quality services in line with Plan, NCQA, Federal/State standards.

Care Manager II - Remote Philadelphia area only

Care Manager II

Paradigm is seeking an experienced Nurse Case Manager to work with injured workers and worker’s compensation cases in the Chicago, IL, area, including northwestern Indiana. This remote, home-based position involves the medical case management of work-related injuries, including assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals. The role requires travel locally to doctors' offices, hospitals, and various other locations.

Catastrophic / Field Nurse Case Manager - Chicago Greater Area

Catastrophic/Field Nurse Case Manager

The Pediatric Care Manager, RN at Centene Corporation is responsible for developing, assessing, and facilitating complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes. This includes personalized care plans and education for members and their families. The role involves evaluating member needs, developing care plans, coordinating care, and providing education and support. This is a remote position with local travel required for member visits, and candidates must reside in Broward County, Florida, with a preference for those in Pembroke Pines, Weston, or Dania Beach.

Pediatric Care Manager, RN (ECC)

Pediatric Care Manager, RN

Molina Healthcare is seeking a Case Manager RN to support members recently admitted to the hospital, ensuring a successful transition from inpatient to outpatient care. This role involves working remotely to coordinate care, conduct face-to-face and home visits, and educate members on various aspects of care. The position requires excellent computer skills, attention to detail, and the ability to multitask. Previous experience in case management, managed care, hospital, and/or home health is preferred.

Case Manager RN - Transition of Care Coach

The Sales Region Manager for Hospital Care at B. Braun Medical, Inc. is responsible for maintaining and growing the company's business by leading, motivating, and maximizing the performance of sales representatives in the Pacific Northwest, Alaska, and Hawaii. This role involves 100% achievement of the region's sales plan, annual budget planning, supervising and supporting sales activities, and managing personnel actions including hiring, training, performance management, and termination.

Sales Region Manager - Hospital Care (Pacific Northwest, Alaska and Hawaii)

Sales Region Manager - Hospital Care

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