Equiliem is seeking a highly motivated and experienced Care Manager with Behavioral Health experience. The Care Manager is responsible for overseeing and reviewing Behavioral Health Treatment (BHT) including Applied Behavior Analysis (ABA) services offered to eligible members. This role involves screening, triaging, assessing members to determine the appropriate level of care based on medical necessity criteria, reviewing and processing requests for authorization of BHT services, and ensuring utilization management, quality reviews, and monitoring activities of BHT services. The Care Manager will also engage in care coordination for BHT/ABA services.

Care Manager - BHI

Care Manager - Behavioral Health

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

Take on a key leadership role within an award-winning health care system at UCLA Health, where you'll advance world-class nursing care in a state-of-the-art setting for the most vulnerable of patients. This role involves modeling clinical best practices, facilitating collaborative decision making, shared governance, establishing clinical departmental goals, and collaborating with clinical educators to evaluate and develop core clinical competencies. You'll enjoy a high level of autonomy while sharing 24/7 management responsibility with the Unit Director.

Clinical Nurse Manager- Gonda Observation Unit

Clinical Nurse Manager

Host Healthcare is seeking a Registered Nurse for Case Management in Orange, CA. This role involves working with a dedicated travel career mentor and liaising with the facility to ensure a pleasant travel assignment. Host Healthcare offers competitive pay, day one medical benefits, license and travel reimbursements, matching 401k, housing stipend or deluxe private housing, and various discounts.

RN - Case Management

Registered Nurse - Case Management

The Bilingual RN Care Manager at Somatus is a critical member of the care team, focusing on improving patient outcomes for complex renal patients through comprehensive assessments, care planning, and coordination across various settings. This role involves working closely with patients, their providers, and the care team to address medical, behavioral, pharmaceutical, and social needs, with a primary focus on promoting home dialysis modalities, kidney transplantation, and self-management education.

Bilingual RN Care Manager

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 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 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 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

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

Travel Nurses, Inc. is seeking a travel nurse RN specializing in Case Management for an immediate opening in Los Angeles, California. The role involves working 40 hours per week with 8-hour shifts during the day. The ideal candidate should have 1-2 years of recent experience in their specialty and be flexible and adaptable in new environments. TNI offers a comprehensive benefits package, including day-one health care coverage, 401(k), competitive nurse salaries, bonuses/incentives, and more.

Travel Nurse RN - Case Management - $2,530 per week

Travel Nurse RN - Case Management

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

The Manager, Care Coordination at SCAN is responsible for enhancing members' ability to manage their health and live independently by managing teams that provide education and assistance with navigating the healthcare system and managing their health. This role involves developing and monitoring processes to ensure compliance with regulatory requirements and best practices, managing workflow and priorities, maintaining staff, and representing the department at various committees. The position requires a Bachelor's or Master's Degree in a related field, with a strong preference for a Registered Nurse, and 5+ years of experience in healthcare, medical management, change management, and/or leadership.

Manager, Care Coordination

The Residential Manager Caregiver at BrightSpring Health Services is responsible for managing and developing staff to ensure quality care for clients, promoting their physical, social, and psychological well-being. This role involves supervising staff, ensuring safety practices, health care, and behavior supports, completing performance reviews, maintaining a safe work environment, participating in recruitment and hiring decisions, and overseeing staff training and orientation.

RESIDENTIAL MANAGER CAREGIVER FULL TIME

Residential Manager Caregiver

+bia1E/9Ura0W56PK0QRs1nb0fPaPw1LecFl73e1Zno=

0yryKyiv//5ZYlTDMV3LFPtHwym9DzfhaGKkhjLWumc=

1PbXZCkmjsWX/JPZ0zDz35M1CdhIEEhFhVTF9UZbsUw=

3eZiYdEf1GWONV+R64EHcPPvLb4v6J0JWgZreMFwQRo=

If QUICK_APPLY_SKIP_SUBMIT is set to true these providers will ignore the setting and still submit.

7UWw5juL5kSuktDEYRAJaZaaSr/dkptNWDM6YczaXvQ=

7veoecbDe4L73TGHP2ISin46xsmdddCOKtRpfQxjDN8=

8yxkMFFydubARRB/A0n8dt2+tN+s0Qba5Bm+ZhR6A74=

917BuR4psrYXtoUglgzOqK2gT6nHiFac0vaL7OlNrj4=

BTHovjnwfD7MxYTZVgYObuyOKROSVx/I0X5yo3nLGw8=

CLGiSKlyYhMQqU9L5I5y5Kcwm5S4f77Utdfa8ExP9Bw=

HRzePCbXb7ufZUWsFxKsWQyEIUrwU5VCFht/1iNmtTo=

Id0yBc3Lk10hOWDAGUFDOHeLqi73qkOki+HsqthrqY8=

MltczCjhmN0jRgow3UO+iDMtltW8AfF7hJYVp339Mbk=

NI/PueuALd9KIOo3aGPg/youiuzzXOlUegGuLsVspks=

PX9iho18hgd+if3tD3rS2RRXrbzlHq613z5WXlVZ7+k=

VUOVNO4gG3SQXJg1E5TYU50XsmIaCxqBNHZWw48U8/0=

Y1UD/mVBFR+4WXoXRwyYrTpXnLvnt4lZ1G/TbY1bWR4=

dCG5zdM4/wqhDoKFVboNOhuBLLEkQ95fHprPrsJVaxM=

fr9JCYJNVqBBC7QlJK+AFZY+8NEptSjJEpTFKNeRx4U=

h+e82EFLmuH1BOGKDTUyfliYoBDF4Tq54kkm9H1Q67M=

kF6veelbgshOJpV3Mn6vB3mb3LuydeEVDSOxtIHM8N8=

kbjXyyPP5adVqoaL7EYbdoyqDzFqF5a+VbOBN3j1bVg=

lWPMwjsh2VXkQjRFxWpjkQ/+Yx1eEx75EAWbIUFwV2Y=

mA5rgLX7i0lO6F1oJJxlP+y/1rvzscLgYBBk6pyKBWE=

p1flkibS2FOOSRZRb3dJqhHmZ8tmXXoyz3YXr0O9NUo=

pZVrGsKBFfWx3aTAH3sKk4BlHpV1jgUZyoszy851/n8=

u8Ak4aZwDDE5inqS+1aY1R2zXd+nIapHkAsGcAr3yzo=

Sharing EarnBetter with your community helps us offer our amazing service for free forever!

Care Manager RN Jobs in Pico Rivera, CA Hiring Now