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 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

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)

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

The Behavioral Health Care Manager at PerformCare Pennsylvania is a key member of the collaborative care team, responsible for utilization management, case and care management, and coordinating behavioral health care for members. This role involves working closely with members, their families, behavioral health providers, and medical providers to ensure comprehensive and quality care. The position is remote and requires a Master's Degree in Social Work, Mental Health Counseling, Psychology, or Nursing, along with a relevant Pennsylvania license.

Behavioral Health Care Manager--PerformCare Pennsylvania

Behavioral Health Care Manager

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 Case Manager at Cardinal Health is responsible for handling inbound calls, managing workload of inbound faxes, investigating and resolving patient/physician inquiries and concerns, entering detailed information into company proprietary software, placing outbound calls for patient follow-ups, and interacting with patient referral sources and internal team members. This role requires flexibility to work any of the company's shift schedules during normal business hours and will be performed remotely with specific internet requirements.

Case Manager

ManTech is seeking a Program Manager to lead and oversee program management services for a large scale, enterprise IT services global contract. The role involves comprehensive program management, ensuring effective governance using Agile methodologies, coordinating with third-party vendors, and managing cross-functional teams in a rapidly changing environment. This remote position requires strong leadership skills, a deep understanding of Agile methodologies, and the ability to manage in a dynamic environment.

Program 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 Supervisor, Care Coordinator at TriWest Healthcare Alliance supervises the daily operations of care coordination services and staff. This role involves ensuring staff is informed of changes impacting their work, advising non-clinical staff, and reviewing the scope of practice for both self and associated staff. The position requires US citizenship and a favorably adjudicated DOD background investigation for those supporting TRICARE contract. Veterans, Reservists, Guardsmen, and military family members are encouraged to apply.

Supervisor, Care Coordinator

The Coordinator for Individualized Care at Cardinal Health's Sonexus Health subsidiary is responsible for handling inbound calls, managing workload of inbound faxes, investigating and resolving patient/physician inquiries and concerns, entering detailed information into company proprietary software, placing outbound calls for patient follow-ups, and interacting with patient referral sources. This role requires strong communication, customer service skills, and the ability to work independently and prioritize multiple assignments.

Coordinator, Individualized Care

As a Managed Care Enrollment Specialist I at Burrell Behavioral Health, you will work remotely to enroll and revalidate providers with various managed-care payers, ensuring they are properly credentialed to deliver high-quality care. This role involves acting as a liaison between external organizations and providers, streamlining communication, and simplifying processes. The position offers a comprehensive benefits package, telemedicine, an employee assistance program, paid time off, and promotes a workplace culture that values employee wellbeing.

Managed Care Enrollment Specialist I (Remote)

Managed Care Enrollment Specialist I

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 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

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