Illumia Health, part of Gentiva, is seeking a Remote Care Manager AIM (Advanced Illness Management) Full Time RN to join their team. This role involves working with patients, their families, PCP, IDT, and other health care professionals to provide and coordinate high-quality end of life care. The position offers a comprehensive benefits package, professional growth opportunities, and the chance to work in a supportive and inclusive environment.

Care Manager AIM RN

AllCare Plus Pharmacy, an IQVIA company, is seeking a Senior Care Manager for a remote position. The role involves contacting insurance companies for eligibility information, performing benefit investigations, handling copay assistance, and checking prior authorization and/or appeal status. Additionally, the Care Manager will directly contact patients and/or providers to evaluate eligibility for assistance programs and adherence support. This position requires a high school diploma or equivalent, some college preferred, and a minimum of one year experience in medical billing, reimbursement, insurance verification, or similar related medical office experience.

Sr/Care Manager, Patient Support Services - Remote

Senior Care Manager

Join Burrell Behavioral Health as a Nurse Care Manager, a role that involves making a meaningful impact on patient health outcomes by providing vital education and support to clients with complex medical conditions. This remote position, based in Joplin, Missouri, offers the opportunity to work with a multidisciplinary team, develop wellness and prevention initiatives, and advance your career in a supportive environment. The role includes developing personalized treatment plans, facilitating health education groups, managing hospital admissions and discharges, and implementing health technology programs.

DD Nurse Care Manager-RN/LPN -Hybrid (Joplin and surrounding areas)

Nurse Care Manager

Providence Health Plan is seeking a Clinical Program Coordinator RN to provide care coordination, case management, and care management services to members. This role involves disease management programs, triage and referral, transition of care planning, end of life care planning, and nurse education. The position offers the flexibility of 100% remote work for applicants residing in specific areas, and emphasizes the importance of patient-focused, whole-person care.

Clinical Program Coordinator RN *Remote*

Clinical Program Coordinator RN

Molina Healthcare Services (HCS) is seeking a Registered Nurse Case Manager to support our Washington State Medicare plan. This remote position involves working with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate integrated delivery of care across the continuum, including behavioral health and long-term care. The role requires proficiency in MS Suite, the ability to work in a high-volume environment, and 25-40% local travel.

Registered Nurse Case Manager Remote with Field Travel in Spokane Whitman or Stevens WA

Registered Nurse Case Manager

The RN Nurse Case Manager I at Elevance Health is responsible for performing 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 remote but requires residency in the Central region of Virginia.

RN Nurse Case Mgr I

RN Nurse Case Manager I

The Clinical Program Manager at Prime Therapeutics is responsible for managing client-specific clinical programs and drug strategy recommendations, including drug formulary, Utilization Management programs, and other drug therapy related products and services. This role serves as the primary point of contact for designated clients, promoting and recommending Prime standard offerings to meet client requirements, and building strong relationships with key clinical stakeholders through effective consultative services. The position offers a unique opportunity for a Pharmacist with PBM experience, allowing for travel and the chance to support sales while being a versatile team member.

Clinical Program Manager Remote

Clinical Program Manager

The RN Care Coordinator at Crouse Medical Practice is responsible for coordinating all systems/services required for an organized, multidisciplinary, patient-centered care team approach. This role ensures quality, cost-effective care for the identified patient population by managing the course of treatment in collaboration with physicians, nurses, other staff, and community health care providers. The position involves directing LPN Care Coordinators and participating in Patient Centered Medical Home activities.

Registered Nurse Care Coordinator

Home Instead is seeking compassionate Caregivers to join their team, focusing on providing non-medical services to aging adults to help them remain in their homes with dignity, care, and compassion. Responsibilities include companionship, light housekeeping, meal preparation, medication and appointment reminders, assisting with grooming, bathing, toileting, and incontinence issues, and caring for clients with Alzheimer's.

Caregiver

The Care Manager II at AmeriHealth Caritas New Hampshire will support the high-risk teen population, working closely with DCYF and various agencies involved in members' care. This remote position focuses on engaging members, assessing needs, planning and establishing individual member goals, and facilitating and coordinating care to ensure quality and cost-effective use of resources. Travel may be required.

Care Manager II (RN/LCSW) New Hampshire

Care Manager II

The Remote Care Manager for Long Term Care at Healthfirst advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. This role involves conducting assessments to identify barriers and opportunities for intervention, developing care plans, generating referrals, collaborating with a multi-disciplinary health care team, and ensuring care plan goals are achieved. The position requires strong interpersonal skills, the ability to work with seniors and their families, and proficiency in various software systems.

Remote Care Manager, Long Term Care

This is a full-time, remote position with field travel required in Essex, Passaic, and Union counties of NJ, offering a hybrid work schedule. The role involves developing, implementing, and supporting health service strategies to deliver quality healthcare to members, requiring advanced clinical judgment and critical thinking skills. Responsibilities include care planning, direct provider collaboration, and effective utilization of resources in a cost-effective manner. Strong assessment, writing, and communication skills are essential.

Field Case Manager RN - Union, Essex, Passaic County NJ

Field Case Manager RN

The Care Management, Care Coordinator, Utilization Management at Hackensack Meridian Health is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. This role involves managing a designated patient caseload, planning effectively to manage length of stay, promote efficient utilization of resources, and ensure care meets evidence-based practice standards and regulatory/payor requirements. The position is remote and operates during night hours, from 11pm-7:30am.

Care Coordinator, Utilization Management

Care Management, Care Coordinator, Utilization Management

The Director, Managed Care at Navista, a Cardinal Health company, is responsible for the strategy and management of managed care contracts and relationships with payers. This role involves implementing strategic initiatives related to payer contracts, contributing to practice growth and profitability through contracting expertise, and ensuring optimal reimbursement for physician services. The position requires a seasoned leader with experience in oncology practice support, particularly in identifying and realizing payer-specific reimbursement opportunities. This is a remote role with up to 50% travel.

Director, Managed Care - Navista

Director, Managed Care

The Utilization Management Manager at Dartmouth Health is responsible for overseeing the utilization review program across multiple hospitals, ensuring regulatory compliance and appropriate financial outcomes. This role involves collaboration with program medical directors, care teams, and health plans, as well as leading departmental performance improvement activities. The position offers the option to be fully remote and requires strong communication and analytical skills.

Utilization Management, Manager. Registered Nurse, RN

Utilization Management Manager, Registered Nurse

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