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

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

The Care Manager at SCAN is responsible for enhancing the ability of frail seniors to age in place by conducting initial and annual home assessments in collaboration with a Registered Nurse (RN). This role involves determining Nursing Facility Level of Care (NFLOC) status for MediCal/Medicare dually eligible members, satisfying requirements for SCAN's state contract and CMS requirements for Special Needs Plan (SNP) membership. The position is field/remote, based in the Palm Springs, CA area, and requires extensive travel.

Care Manager, Field

The Case Management Manager at CVS Health is responsible for overseeing acute, long term, behavioral health, and case management services. This role involves developing and implementing strategic business plans, leading complex projects, collaborating with various stakeholders, and managing a team of 50-70 employees. The position is remote but requires sitting in Arizona and involves 10-20% travel within the state.

Sr. Manager, Case Management

Senior Manager, Case Management

As a Manager on the Implementation team at HSA Bank, you will provide world-class customer service to Business Partners, Employers, Agents, Brokers, Insurance Carriers, TPAs, and employer relationships and channel partners. Using a consultative approach, you will onboard employers, develop optimal plan designs, create and maintain formal implementation plans, and ensure quality execution and employer satisfaction. This role involves mentoring new colleagues and requires a strong command of healthcare savings products and complex integration components.

Manager, Implementation

The SAIL Case Manager role involves providing clinical case management services to Sailors identified during the period of highest risk after suicidal thoughts or behaviors. This includes monitoring a Sailor's healing progress, ensuring compliance with treatment, and strengthening coping skills and resilience. The position requires teleworking full-time but must be physically located within 100 miles of a Naval Installation for background investigations and NMCI account maintenance. Surge support and travel may be required in times of crisis.

Counselor Military Support - Remote Opportunity

SAIL Case Manager

The IMA Group is seeking an experienced Field Case Manager to oversee medical treatment for individuals with workplace injuries. This role involves collaborating with insurance carriers, medical providers, attorneys, employers, and employees to ensure optimal medical care and facilitate a safe and timely return to work. The position operates on a contract basis as a 1099 independent contractor.

Field Nurse Case Manager (1099) - Tampa, FL

Field Nurse Case Manager

The Nurse Case Manager Senior at Elevance Health is responsible for collaborating with healthcare providers and/or consumers to drive personalized health management and improve health outcomes for optimal consumers. This role involves performing care management activities within the scope of licensure for members with complex and chronic care needs, ensuring medically appropriate, high-quality, cost-effective care, and implementing and coordinating a care plan.

Nurse Case Manager SR-1

Nurse Case Manager Senior

The Investigation Manager at Pratt & Whitney, a division of RTX Corporation, is responsible for coordinating the Escape Management Process, facilitating and coaching cross-functional Problem Resolution Teams, and maintaining cooperative relationships with various departments. This role requires an independent self-starter who is adaptable, has high energy, and can handle multiple issues simultaneously. The position is remote and requires U.S. citizenship due to access restrictions to certain systems.

Investigation Manager (Remote)

Investigation Manager

The Clinical Case Manager Behavioral Health at CVS Health is responsible for utilizing advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services. This role aims to promote effective utilization of available resources and optimal, cost-effective outcomes. The position is fully remote in the USA, with standard business hours Monday to Friday, no weekends or holidays.

Clinical Case Manager Behavioral Health DSNP-Spanish Speaking

Clinical Case Manager Behavioral Health

The Manager of Implementation Management at UKG Payroll Services (UKGPS) will lead the UKG Ready Implementation Organization's Onboarding Team, focusing on configuring UKGPS functionality to enable the delivery of services. This role involves overseeing tasks and responsibilities critical to customer success and business operations, requiring strong leadership and team-building skills. The position emphasizes the importance of timely and accurate completion of tasks to ensure high-quality service delivery.

Mgr. Implementation Management

Manager, Implementation Management

The Care Manager is responsible for the assessment, reassessment, care planning, and coordination of care and services for members with behavioral health conditions requiring intensive interventions and oversight. This includes developing individualized care plans, providing telephone triage, crisis intervention, and prior authorizations, and overseeing the work of assigned care support teams. The role involves working closely with primary care, community benefits, and other support opportunities to develop long-term care plans for members.

Care Manager (BH) - Health Plan - Remote

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

Elevance Health is seeking a Manager I Investigations to join their team. This role is focused on improving lives and communities through healthcare, with a strong emphasis on personal and professional growth for associates. The position operates within a Hybrid Workforce Strategy, requiring at least weekly in-person work at an Elevance Health location. Candidates must reside within 50 miles or a 1-hour commute of a relevant Elevance Health location. The role includes a comprehensive benefits package and is part of an organization dedicated to simplifying healthcare and making a positive impact on members and communities.

Manager I Investigations

As an experienced M.D. or D.O. in a managed care or healthcare administration setting, you will partner closely with the internal Case Management and Health Services Quality teams to coordinate care through evidence-based decision making. You will also lead the Quality Improvement Committee and chair the Credentialing Committee, perform outpatient case reviews, and support NCQA accreditation and quality case reviews. This role requires decisiveness, strong analytical and critical thinking skills, and the ability to influence internally and externally.

Medical Director Case Management & Quality

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