The Case Manager RN at CVS Health is a remote position responsible for utilizing a collaborative process of assessment, planning, facilitation, and advocacy to meet individual's benefit plan and/or health needs. This role involves assessing health status and care coordination needs, inpatient review, discharge planning, developing and implementing case management plans, and monitoring and evaluating the plans. The position requires independent judgment, strong decision-making, interpersonal skills, and the ability to manage multiple priorities.

Case Manager RN - Case Management

Case Manager RN

The Clinical Social Worker - Case Management provides diagnostic evaluations and subsequent brief focused treatment using a variety of evidenced-based treatment interventions and various treatment modalities including individual, family, marital, and group psychotherapies. This role involves evaluating and providing therapeutic intervention for patients requesting mental health services, communicating with outside agencies regarding treatment plans, providing crisis intervention services, and ensuring patient safety in the provision of care.

Clinical Social Worker - Case Management - LCSW - LPC - LMFT - Aurora

Clinical Social Worker - Case Management

The Case Manager at BlueCross BlueShield of Tennessee supports utilization management functions for complex and non-routine cases, serves as a liaison between members, providers, and internal/external customers in health care coordination, and oversees highly complex cases to ensure effective implementation of interventions and efficient utilization of benefits. This role involves performing essential case management activities including assessment, planning, implementation, coordination, monitoring, and evaluation.

Case Manager - East, Middle, and West Regions

Case Manager

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.

Jacoby & Meyers is seeking an experienced Case Manager to join their team. This role involves interviewing new clients, setting up appointments, collecting information and documentation to build client cases, and ensuring compliance with appointment schedules. The position offers full training on the firm's software and requires a proactive, organized, and detail-oriented individual with strong communication skills and the ability to multitask. This is a full-time, remote position with a pay range of $25.00 to $40.00 per hour.

Experienced Case Manager

Under the supervision of a Licensed Clinical Social Worker, the Associate Behavioral Health Case Manager provides integrated and coordinated case management services for specialized behavioral health integrated services teams including Developmental Pediatrics and Autism, Gender Health, and Eating Disorders. Responsibilities include assisting with referrals, follow-up case management tasks, directly interacting with patients and families, and supporting specialized work of the teams.

Associate Behavioral Health Case Manager - Child - Autism - LSW - LPCC - LMFTC - Westminster

Associate Behavioral Health Case Manager

As a Manager Case Management at Guidehealth, you will lead the department in meeting complex care management goals. This role involves managing outreach to patients identified by Blue Cross Blue Shield based on ICD 10 codes, readmissions, and ER visit frequency. Responsibilities include project management, supervision of Case Managers, and working towards meeting Key Performance Indicators around program enrollment. The ideal candidate will have a Registered Nursing Degree and 5+ years of nursing experience in an acute care setting, with care management experience being a plus.

Remote Manager Case Management

Manager Case Management

The Nurse Case Manager II at Elevance Health is responsible for 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 5 years of clinical experience, a BA/BS in a health-related field, and current, unrestricted RN license in applicable states.

Nurse Case Mgr II (US) - Case Management

Nurse Case Manager II

OnPoint Medical Group is seeking a Medical Assistant to join our team in Westminster, focusing on providing quality healthcare in a comprehensive manner. The role involves assisting providers during examinations and treatments, documenting patient information, maintaining supplies, and ensuring a safe and healthy work environment. This position requires a high school diploma or GED, graduation from an accredited healthcare program, and strong computer skills. Nationally recognized certifications such as CMA are strongly preferred.

Medical Assistant - OnPoint Family Medicine at Westminster

Medical Assistant

The Registered Nurse Case/Utilization Manager is responsible for patient case management, including longitudinal engagement, coordination for discharge planning, transition of care needs, and outpatient patient management through the care continuum. This role involves identifying, screening, tracking, monitoring, and coordinating the care of patients with multiple co-morbidities and/or psychosocial needs, developing action plans or discharge plans, and providing continuity of care in collaboration with the hospital/physician team and ambulatory care team. The position offers the flexibility to work remotely from anywhere within the U.S.

Registered Nurse Case/Utilization Manager Compact License - Case Management

Registered Nurse Case/Utilization Manager

Join our team as a Reimbursement Case Manager under the general oversight of the operational program leadership. In this role, you will be responsible for managing customer service and case management tasks, collaborating with patients, healthcare providers, pharmacies, and manufacturer clients to support various reimbursement and patient assistance functions. This position involves responding to patient and provider inquiries and documenting all interactions in compliance with HIPAA regulations.

Reimbursement Case Manager

The Care Manager Specialist at CVS Health is a key member of the Care Team, responsible for the care management of members enrolled in the Dual Special Needs Plan with limited health conditions. This role involves assessing member needs, identifying gaps in care, communicating with the member's Primary Care Provider, maintaining updated individualized care plans, and participating in Interdisciplinary team meetings. The specialist will work closely with other team members to improve health outcomes, address social determinants of health, and connect members with community-based organizations.

Analyst, Case Management Specialist

Case Management Specialist

As a Case Manager, RN at CAI, you will be responsible for assisting in the holistic assessment, planning, arranging, coordinating, monitoring, and evaluation of outcomes and activities necessary to facilitate member access to healthcare services. This full-time, remote position involves effective communication, education of members, collaboration with healthcare providers, and developing individualized care plans to meet member needs.

Case Manager, RN

Molina Healthcare Services (HCS) is seeking a RN (Registered Nurse) Case Manager for Washoe County, Nevada. This remote position involves assessing, facilitating, planning, and coordinating integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. The role requires collaboration with multidisciplinary team members, conducting face-to-face or home visits, and maintaining a case load for regular outreach and management. Travel within the county for member visits is required, with mileage reimbursement.

Case Manager (RN): Nevada, Washoe County

Case Manager (RN)

The Supervisor Case Management at BlueCross BlueShield of Tennessee is responsible for monitoring productivity and performance based on departmental goals, identifying areas for quality improvement, ensuring updated processes are implemented, supervising staff, coordinating clinical interfaces, and facilitating the implementation of clinical management programs. This role requires a Registered Nurse with an active license in Tennessee or a license in their state of residence if participating in the Nurse Licensure Compact Law, and experience in healthcare, clinical, and leadership roles.

Supervisor Case Management - Middle Grand Region, TN - Select Community

Supervisor Case Management

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