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

As a Care Manager RN at CVS Health, you will be a frontline advocate for members who cannot advocate for themselves, responsible for assessing, planning, implementing, and coordinating all case management activities to evaluate the medical needs of the member to facilitate the member's overall wellness. This role involves developing a proactive plan of care, using clinical tools to conduct evaluations, applying clinical judgment, and collaborating with various stakeholders to address the full continuum of a member's health care and social determinant needs.

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, education for members and their families, and coordination with providers and community resources to address unmet needs. The role is remote and requires a compact registered nurse (RN) license, experience in case management or medical-surgical (med surg), intensive care unit (ICU) settings, and leadership experience.

Care Manager (RN)

Providence Health Plan is seeking a Clinical Program Coordinator RN to provide care coordination, case management, and care management services to members. This role involves disease management programs, triage and referral, transition of care planning, end of life care planning, and nurse education. The position offers the flexibility of 100% remote work for applicants residing in specific areas, and emphasizes the importance of patient-focused, whole-person care.

Clinical Program Coordinator RN *Remote*

Clinical Program Coordinator RN

Molina Healthcare Services works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. This role supports the Senior Whole Health business, focusing on Managed Long-Term Care (MLTC) and Medicaid Advantage (MAP) plans, and involves comprehensive assessments, case management planning, and interdisciplinary care coordination. The position is remote within the Tri-state area and requires a New York RN licensure and experience with Long-Term Services and Supports (LTSS) is highly preferred.

Registered Nurse Case Manager LTSS Remote in NY NJ or CT

Registered Nurse Case Manager

The Clinical Program Manager at Prime Therapeutics is responsible for managing client-specific clinical programs and drug strategy recommendations, including drug formulary, Utilization Management programs, and other drug therapy related products and services. This role serves as the primary point of contact for designated clients, promoting and recommending Prime standard offerings to meet client requirements, and building strong relationships with key clinical stakeholders through effective consultative services. The position offers a unique opportunity for a Pharmacist with PBM experience, allowing for travel and the chance to support sales while being a versatile team member.

Clinical Program Manager Remote

Clinical Program Manager

Case Managers at Premera Blue Cross are a dedicated team of clinicians (RNs, behavioral health professionals, and dieticians) who utilize a holistic model to help members transition towards healthier lifestyles. They engage with members facing medical, mental health, and/or substance utilization disorders, conducting holistic health assessments, developing member-centric case management plans, and providing interventions to remove barriers and promote positive behavior change. This role offers the opportunity to make meaningful impacts on members' lives, learn and grow professionally, and work in a supportive environment.

Case Manager

Molina Healthcare Services (HCS) is seeking an RN Clinician, Inpatient Review Case Manager for a night shift role. This 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 working 12-hour night shifts, rotating weekends and holidays, and is remote with a requirement for a valid California RN license and high-speed internet connectivity.

RN  Inpatient Review Case Manager California: NIGHT SHIFT

RN Clinician, Inpatient Review Case Manager

The Case Management Coordinator at CVS Health is responsible for utilizing critical thinking and judgment to collaborate and inform the case management process. This role involves facilitating appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education. The position is full-time and telework, open to candidates in the United States, with a schedule of Monday-Friday 8:00a-5:00p in the assigned market time zone.

Analyst, Case Management - TOC

Case Management Coordinator

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

The Nurse Medical Management I at Elevance Health is responsible for collaborating with healthcare providers and members to promote quality member outcomes, optimize member benefits, and promote effective use of resources. This role involves conducting pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews, ensuring compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. The position also includes consulting with clinical reviewers and/or medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process.

Nurse Medical Management I

The Case Manager Supervisor at Samaritan Daytop Village is responsible for aiding clients requiring social service assistance. This role involves interviewing and evaluating clients, formulating Independent Living Plans, locating and utilizing community resources, and relocating clients to permanent housing. The position supports the mission and goals of Samaritan Daytop Village and requires collaboration with clients and direct supervision of Case Managers.

Case Manager Supervisor

Molina Healthcare Services works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. The role involves completing face-to-face comprehensive assessments, developing and implementing case management plans, and promoting the integration of services to enhance continuity of care.

Field Case Manager, LTSS (RN) - Vietnamese Speaking ONLY - Dallas County

Case Manager, Long-Term Support Services (RN)

The Manager, Case Management at Premera Blue Cross is a supervisor role responsible for the execution and implementation of Clinical Programs' strategy and goals, as well as overseeing Clinical Programs' operations. This position involves managing and developing a team of clinical and support staff, promoting professional growth and operational effectiveness. The role is work from home and focuses on improving healthcare through case management strategies.

Manager, Case Management

Lutheran Family and Children's Services of MO is seeking a compassionate, professional Case Manager/Social Worker to provide case management, pregnancy counseling, and parenting/adoption education and support through our Parenting Services in Perry County, MO. This role involves providing and maintaining child welfare services, counseling, and case management services to pregnant women, as well as families in crisis. The position is completely remote, requiring the applicant to live in or near Perry County, MO.

Case Manager/Social Worker-PERRY COUNTY, MO

Case Manager/Social Worker

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Case Manager RN Jobs in Royse City, TX Hiring Now