The Regional Clinical Manager at VMS BioMarketing is responsible for leading a team of Clinical Educators to deliver quality HCP and patient education programs for a newly prescribed therapy for a chronic neurological disorder. This role involves providing leadership, coaching, and development to the team, ensuring superior field-based execution, and working cross-functionally with internal and client team members to achieve goals. The position is field-based and reports to the Sr. Director, Field Educator Networks.

Regional Clinical Manager/Neurology (Remote)

Regional Clinical Manager

The Senior Manager, Medical Affairs at Dexcom Corporation will effectively manage multiple, diverse projects with minimal direction, reporting into the VP of Medical Affairs. This role involves bringing the medical affairs perspective to the product development process in partnership with R&D, requiring cross-functional engagement, literature searches, and KOL/SME engagement to gather and communicate medical insights. The position also plays a significant role in risk mitigation, overseeing the design and implementation of global medical inquiry, and collaborating closely with Clinical Affairs.

Sr Manager Medical Affairs

Senior Manager, Medical Affairs

Molina Healthcare Services (HCS) is seeking a Registered Nurse Case Manager for its Maternity Care Management program. This remote position, based in the Western NY region, involves supporting members through their maternity care journey, including prenatal, birth, and postpartum care. The role includes comprehensive assessments, developing and implementing care plans, conducting home visits, and ensuring quality, cost-effective care. New York RN licensure is required, and bilingual Spanish speakers are encouraged to apply.

Registered Nurse Case Manager Maternity Care Remote In New York

Registered Nurse Case Manager Maternity Care

The Clinical Program Manager at WPS Health Solutions is responsible for improving the operational and financial health of the clinical organization. This role involves identifying best practices, cost-saving opportunities, and assisting with network and benefit design. The manager will work closely with clinical leadership, product, and sales teams to develop and implement programs, ensuring timely completion of key deliverables. The position requires strong communication skills, the ability to secure stakeholder buy-in, and a focus on driving efficiencies and optimizing clinical processes.

Clinical Program Management - Remote

Clinical Program Manager

A large healthcare insurance company local to the Philadelphia area is seeking a fully remote Case Management RN to join their Care management team. The role involves telephonic or onsite review of hospital admissions, determining alternative settings when appropriate, promoting efficient and high-quality use of the healthcare delivery system, and facilitating timely and dynamic discharge planning. The RN will collaborate with the hospital utilization review department, attending physicians, and members/families as appropriate.

Utilization Management RN - REMOTE (PA, NJ, DE)

Utilization Management Registered Nurse

The Care Manager, Behavioral Health at Magellan Health Services is a remote position supporting Louisiana, requiring a license in Louisiana. This role involves authorizing and reviewing utilization of mental health and substance abuse services, collecting and analyzing utilization data, assisting with discharge planning and care coordination, and participating in quality improvement projects. The position requires strong organization, time management, and communication skills, as well as knowledge of utilization management procedures, mental health and substance abuse community resources, and providers.

Care Manager, BH - Remote (Louisiana license required)

Care Manager, Behavioral Health

The Care Manager Transition of Care at Centene Corporation performs care management duties to assess, plan, and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost-effective care. This role involves completing medication review for pre-admission and post-discharge reconciliation, working with care management and coordination teams to identify transition support services, and facilitating the transition into active care management based on member needs.

Care Manager Transition of Care (CA Only)

Care Manager Transition of Care

The Manager, Provider Relations at Molina Healthcare is responsible for facility provider training and education, in alignment with the company's mission, core values, and strategic plan, and in compliance with all relevant regulations. This role serves as the primary point of contact between Molina Healthcare and contracted provider network, managing and coordinating Provider Services activities for the state health plan. The position involves overseeing the daily operations of the department, developing health plan-specific provider engagement strategies, and leading the facility external provider representatives.

Manager, Provider Relations

This job involves implementing effective utilization management strategies, including reviewing the appropriateness of health care services, applying criteria to assure appropriate resource utilization, identifying opportunities for referral to a Health Coach/case management, and resolving quality issues. The role monitors and analyzes the delivery of health care services, educates providers and members, and develops strategies to improve provider performance/satisfaction and member satisfaction. Responses to customer inquiries and interventions or alternatives are offered.

Care Manager Behavioral Health (Remote)

Care Manager Behavioral Health

Randstad US is seeking Care Coordinators for a temporary role in Lewisville, Texas. This position involves operational and customer service tasks, including creating and completing accurate referrals and applications, resolving patient questions and concerns, and entering information into proprietary software. The role requires a bachelor's degree and offers a starting pay of $19.99 to $20 per hour. Testing is required and must be completed within 24 hours.

care coordinator

Care Coordinator

The Manager, Clinical Systems (IRT) will work with a cross-functional team of internal stakeholders and technology suppliers to support the implementation and maintenance of interactive response technology (IRT) solutions to support a clinical trial. This role involves providing technical oversight to ensure IRT solutions adhere to the study protocol, industry regulations, best practices, and company policies.

clinical systems manager

Clinical Systems Manager

The Care Manager at CareFirst is responsible for researching and analyzing members' medical and behavioral health needs and healthcare cost drivers. They work closely with members and the interdisciplinary care team to ensure an effective plan of care and positive member experience, leading to optimal health and cost-effective outcomes. This role involves identifying members with acute/complex conditions, engaging with them and their providers to develop comprehensive care plans, and facilitating program and community referrals.

Care Manager (MD-DC-Northern VA) (Remote)

Care Manager

The Care Manager at Magellan Health Services is responsible for authorizing and reviewing utilization of mental health and substance abuse services in both inpatient and outpatient care settings. This role involves collecting and analyzing utilization data, assisting with discharge planning and care coordination, providing member assistance with mental health and substance abuse issues, and participating in special quality improvement projects. The position requires collaboration with other clinical team members, interaction with Physician Advisors, and participation in network development activities.

Care Manager (UM/UR) - Remote, Idaho Licensed

The Medical Case Manager at Crawford & Company is responsible for providing effective case management services in an appropriate, cost-effective manner. This role involves reviewing case records, analyzing data, evaluating medical status, identifying needs and obstacles to resolution, and facilitating return to work. The position requires local field case management travel within the Sacramento, CA region and offers a great work-life balance, monthly bonuses, free continuing education, and license and certification reimbursement.

Medical Case Manager - CA

Medical Case Manager

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

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