Paradigm is seeking a Bilingual Field Nurse Case Manager to cover Phoenix, AZ, and surrounding areas. This remote, home-based position involves local travel to doctors' offices, hospitals, and various locations for the medical case management of work-related injuries. Responsibilities include assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals, working closely with insurance carriers, medical care providers, attorneys, employers, and employees.

Bilingual Nurse Case Manager - Phoenix, AZ

Bilingual Nurse Case Manager

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

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 RN Clinical Manager, Home Health at CenterWell coordinates and oversees all direct care patient services provided by clinical personnel. This role involves developing, planning, implementing, analyzing, and organizing clinical operations for a specific location, managing the assignment of caregivers, overseeing the delivery of care, and ensuring compliance with regulatory agencies and third-party payers. The manager also supervises all clinical employees, participates in sales and marketing initiatives, and handles employee corrective action and discipline issues.

RN Clinical Manager, Home Health

The RN Unit Manager at Ciena Healthcare Management, Inc. is responsible for leading and managing nursing care and health education for nursing home guests. This role involves supervising nursing care provided by RNs, LPNs, CNAs, and others, implementing nursing procedures, and contributing to guest assessments and care plans. The position offers an opportunity to advance in a supportive environment with a comprehensive benefits package.

Unit 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 education and support. The position is remote and requires the candidate to reside in the CST time zone.

Care Manager (RN)

The Telephonic Nurse Case Manager I is responsible for telephonic care management within the scope of licensure for members with complex and chronic care needs. This role involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health care across the care continuum. The position is virtual, requiring residency in the State of Georgia and multistate licensure.

Telephonic Nurse Case Manager I

The Clinical Care Team Manager at Guidehealth is responsible for the day-to-day operations of an integrated multi-disciplinary clinical and clinical support structure to effectively monitor, support, and lead Value Based clinical initiatives. This includes case management, transitions of care, care coordination and continuity, provider/staff education on ACO/MA Plan clinical programs, and building and maintaining a network of community support. The role requires strong leadership, management, and interpersonal skills, as well as the ability to utilize both internal and external resources to accomplish the goals and objectives of the organization.

Remote Clinical Care Team Manager

Clinical Care Team Manager

The Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs. This role involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health care across the care continuum. The position is virtual, requiring candidates to reside within 50 miles of an Elevance Health Pulse Point location and will service members in different states, necessitating Multi-State Licensure.

Telephonic Nurse Case Manager II

Molina Healthcare is seeking a Registered Nurse with experience in Hospital Acute Care, Concurrent Review/Utilization Review, and knowledge of Interqual/MCG guidelines for an Inpatient Review Case Manager role. The position requires California licensure and involves working from home with a high degree of scheduling flexibility, including the ability to work weekends and holidays. The role focuses on assessing inpatient services for members to ensure optimum outcomes, cost-effectiveness, and compliance with all state and federal regulations and guidelines.

Inpatient Review (RN) Case Manager, California Pacific Hours

Inpatient Review Case Manager

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

The Telephonic Nurse Case Manager Senior at Elevance Health is responsible for providing care management to members with complex and chronic care needs. This role involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health across the care continuum. The position is virtual, requiring candidates to reside within 50 miles of an Elevance Health Pulse Point location and involves servicing members in different states, requiring Multi-State Licensure.

Telephonic Nurse Case Manager Senior

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)

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

The Care Manager at Centene Corporation is responsible for developing, assessing, and facilitating complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes. This includes personalized care plans and education for members and their families related to mental health and substance use disorder. The role involves evaluating member needs, recommending and facilitating care plans, coordinating between members, families/caregivers, community resources, and care providers, and ensuring compliance with regulators.

Care Manager

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