The Behavioral Health Case Manager, RN at Health Plans, Inc. is responsible for the coordination of services and cost-effective management of health care resources to meet individual members' health care needs and promote positive health outcomes. This role involves communication with members, physicians, and other health care professionals, telephonic assessment for discharge outreach, determination of case management outcomes, advocacy for health benefit plan options, and ensuring excellent communication among the member, family, and health care team.

Behavioral Health Case Manager, RN (Remote)

Behavioral Health Case Manager, RN

Lap of Love is seeking a Patient Care Manager to support its Practice Operations department. This role involves overseeing active hospice patients and aftercare services, ensuring consistent quality care for families and veterinary associates. The Patient Care Manager will leverage their veterinary practice management skills to elevate end-of-life care services and lead the hospice care team using a servant leadership style.

Patient Care Manager

The Patient Enrollment Manager at Lumata Health is responsible for overseeing the efficient and effective enrollment of patients into the Continuous Care Program. This role involves leading a team of enrollment and eligibility specialists, developing enrollment strategies, and ensuring compliance with regulatory requirements. The position requires strong organizational skills, leadership abilities, and a deep understanding of patient enrollment processes.

Patient Enrollment Manager

The Care Manager RN at HCA Healthcare supports the patient and primary care relationship through care delivery enhancement, including telephonic outreach, care management, preventive services, and self-management. This role is integral to the Division Care Coordination team, assisting primary care providers and practices in meeting quality improvement initiatives. The position requires working from home but must be based in the San Antonio, Texas area or willing to relocate.

Care Manager RN WFH

Care Manager RN

Join the Community Care team at CVS Health as a Care Manager RN, utilizing best-in-class operating and clinical models to provide life-changing care to members. This full-time telework position involves less than 10% travel and focuses on delivering enhanced human-centric health care by collaborating with members, providers, and community organizations. The role includes assessing, planning, facilitating, coordinating, evaluating, and advocating for options and services to meet an individual's and family's health needs.

Mandarin Case Manager RN

The 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 ongoing follow-up and monitoring.

Care Manager (RN)

The Nurse Case Manager Senior at Elevance Health is responsible for collaborating with healthcare providers and/or consumers to drive personalized health management and improve health outcomes for optimal consumers. This role involves performing care management activities within the scope of licensure for members with complex and chronic care needs, ensuring medically appropriate, high-quality, cost-effective care, and implementing and coordinating a care plan.

Nurse Case Manager SR-1

Nurse Case Manager Senior

The 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 virtual and requires a minimum of 3 years of clinical experience, a BA/BS in a health-related field, and current, unrestricted RN license in applicable states.

Nurse Case Mgr I

Nurse Case Manager I

Molina Healthcare Services (HCS) is seeking a Registered Nurse Case Manager for their Complex Adult Case Management program. This remote position, based in New York, involves supporting members with high need potential by assessing, facilitating, planning, and coordinating integrated delivery of care across the continuum, including behavioral health and long-term care. The role requires a nurse with previous case/care management and managed care experience, preferably with knowledge of managing complex/chronic medical conditions and community resources for social determinants of health concerns.

Registered Nurse Case Manager Complex Care Remote in New York

Registered Nurse Case Manager Complex Care

The Provider Relations Manager at Molina Health Plan is responsible for network development, network adequacy, provider training, and education, in alignment with the company's mission, core values, and strategic plan. This role serves as the primary point of contact between Molina Healthcare and its contracted provider network, focusing on network management, provider education, and ensuring compliance with company policies and procedures. The position is remote but requires living in Nebraska.

Provider Relations Manager

The Supervisor, Care Management - Long-Term Support Services at Centene Corporation supervises the care coordination team to promote the quality and efficacy of care management delivery for long-term care members. This role involves monitoring and reviewing documentation for compliance, assigning caseloads, working on escalated cases, educating the team, evaluating performance, providing coaching, and assisting with onboarding. The position is remote, based in Pennsylvania, and requires 25% travel within the state.

Supervisor, Care Management - LTSS

Supervisor, Care Management - Long-Term Support Services

The Executive Relationship Manager, Patient Support at the American Cancer Society will assist the Chief of Staff and Chief Patient Officer in managing external relationships critical to the Patient Support Pillar. This role involves overseeing and managing all external relationships, liaising with various stakeholders, ensuring effective communication, and supporting the Chief Patient Officer in preparation for external meetings. The position requires strong interpersonal, relationship management, and project management skills, as well as the ability to work collaboratively across departments.

Executive Relationship Manager, Patient Support

The Program Implementation Manager, Target: Aortic Stenosis at the American Heart Association will be responsible for the day-to-day site recruitment, site consultation, and project management of activities for the Target: Aortic Stenosis Initiative. This role involves identifying and building relationships with prospective new and existing customers, providing in-depth process and quality improvement consultation, and managing site-level and system-level evidence-based metrics to support improved clinical care and outcomes. The position requires collaboration with physician leadership, C-suite leadership, and site clinical teams, and involves a significant amount of independent work with minimal supervision.

Program Implementation Manager, Health Care

The Patient Access Services Manager is responsible for overseeing the operations of patient access services, including patient registration, insurance verification, pre-certification, financial counseling, and front desk services. This role ensures efficient and effective patient access processes, enhances patient experience, and ensures compliance with regulatory requirements and organizational policies. The position requires a minimum of 5 years of experience in patient access, registration, or related roles within a healthcare setting and a bachelor's degree in healthcare administration, business administration, or a related field.

Patient Access Services Manager

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 serving 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 deliver high-quality services in line with Plan, NCQA, Federal/State standards.

Part-time Care Manager II - Remote Philadelphia area only

Part-time Care Manager II

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