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

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

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

The Manager of Foster Care Case Management at UnitedHealthcare will lead a care management team, overseeing day-to-day clinical operations and health plan clinical initiatives to support achieving quality and affordability targets. This role involves managing a program, region, or collection of Pod teams, including process improvement, execution of clinical decision processes, and team management, including performance management and implementation of program initiatives. The position offers the flexibility to work remotely from Kansas.

Manager, Foster Care Case Management - Remote in Kansas

Manager, Foster Care Case Management

TorkLaw is seeking a motivated Case Manager responsible for handling the pre-litigation phase of personal injury cases from inception to settlement. This role involves strategic management of client cases, file organization, streamlined communication, legal document preparation, evidence and record compilation, property damage claim resolution, lien negotiation, deadline tracking, medical treatment coordination, and case progress oversight. The position offers opportunities for growth and requires a candidate with excellent communication, organizational skills, and the ability to work well in a team.

Case Manager for a Personal Injury Firm (Work from Home)

Case Manager

The Manager at KPMG will participate in the execution of external audit engagements, including for SEC registrants, evaluating client companies' business processes and environments to identify risks of accounting fraud and noncompliance. The role involves analyzing company data to identify financial trends, potential liabilities, and risks impacting valuation, and researching technical accounting issues under various standards. The position requires a deep understanding of KPMG's Audit Methodology.

MANAGER(S) SHORT HILLS, NJ

Manager

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

An agency in San Diego is seeking a Case Manager to join their team. The ideal candidate will be able to communicate effectively with a wide variety of stakeholders, including intended parents and surrogates, as well as clinic partners and attorneys. This role is a primary brand representative, requiring likability, emotional intelligence, and trustworthiness. The position involves identifying problems and proposing solutions from a systems-perspective, using modern technology tools, and navigating complex conversations. This is a remote position.

UPMC is seeking a Clinical Case Manager to support the Workers' Compensation Claims Administration team. This remote position may require occasional travel to the downtown Pittsburgh office for meetings and trainings. The role involves assisting the claims staff and clients in the medical and disability case management of all assigned cases, including attending physician appointments, coordinating appointments, and utilizing standardized duration resources to guide return-to-work timelines.

Clinical Case Manager (RN) - Workers' Compensation

Clinical Case Manager

The Case Management Specialist at CVS Health is a 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, gaps in care, communicating with the member's Primary Care Provider, maintaining updated individualized care plans, and participating in Interdisciplinary team meetings. The position is full-time, remote, and requires living in the Eastern Standard Time zone.

Analyst, Case Management Specialist - Must live in EST

Case Management Specialist

EisnerAmper is seeking a Consulting Manager to join the Forensic, Litigation & Valuation Services (FLVS) practice. This role involves leading a range of client services related to business valuation, forensic accounting, transaction advisory, litigation support, bankruptcy & restructuring, and other complex financial analysis. The position offers the opportunity to manage your days in support of work/life balance, join a culture that values diversity, equity, and inclusion, and develop new skills and relationships within the firm.

CONSULTING MANAGER - FORENSIC, LITIGATION & VALUATION SERVICES

Consulting Manager - Forensic, Litigation & Valuation Services

The Children Case Manager at Spectraforce Technologies Inc will be a field-based role responsible for providing care management to assist with the coordination of care for members, including assessing health care needs, referring to health plan providers, providing education on benefits, and offering community resources to address social determinants of health needs. The role involves documenting in an electronic health record and requires compliance with care management policies and procedures.

Children Case Manager/Case Manager/ Foster Care Coordinator

Children 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

The Case Manager role at Motion Recruitment Partners involves serving as a team member on a multidisciplinary team, coordinating care, resources, and/or services for members to achieve optimal clinical and resource outcomes. This position requires a RN, RD, or LCSW with 3 years of clinical and/or case management experience. The role is remote but requires residing in North Carolina or one of the specified states. The contract duration is 3+ months.

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Case Manager Jobs in Dunellen, NJ Hiring Now

Reimbursement Case Manager

Case Manager (RN): Nevada, Washoe County

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

Case Manager, RN

Manager, Foster Care Case Management - Remote in Kansas

Case Manager for a Personal Injury Firm (Work from Home)

MANAGER(S) SHORT HILLS, NJ

Registered Nurse Case/Utilization Manager Compact License - Case Management

Case Manager

Clinical Case Manager (RN) - Workers' Compensation

Analyst, Case Management Specialist - Must live in EST

CONSULTING MANAGER - FORENSIC, LITIGATION & VALUATION SERVICES

Children Case Manager/Case Manager/ Foster Care Coordinator

Medical Case Manager - CA

Case Manager