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 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.

Christiana Care Hospital in Newark, DE is seeking a RN Case Manager with experience in Discharge Planning in an Acute Care Hospital Setting. The role involves coordinating care, driving patient progression to establish a discharge plan, and functioning as an interdisciplinary team member. The position offers a 15K sign-on bonus, no holidays or weekends, and a day shift schedule.

RN CASE MANAGER - DAY SHIFT - 15K SIGN-ON BONUS! - RELOCATE TO DELAWARE

RN Case Manager

The Case Manager at Goodwill of North Georgia provides case management and related services to participants, focusing on the program's financial, mission, training, continuous quality improvement, and marketing goals. This role involves conducting interviews, maintaining contact with referring agencies, providing vocational counseling, and ensuring the highest quality of services for program participants. The Case Manager also plays a key role in advocating for participants and coordinating supervision across services.

Case Manager - Decatur Lawrenceville Hwy.

The Case Management Specialist at CVS Health is responsible for the care management of members enrolled in the Dual Special Needs Plan, focusing on those with limited health conditions and usually stratified as low risk. This role involves working closely with other members of the Care Team to improve member's health outcomes, address social determinants of health, and connect members with community-based organizations. The specialist will assess member's needs, gaps in care, communicate with the member's Primary Care Provider, maintain updated individualized care plans, and participate in Interdisciplinary team meetings.

Analyst, Case Management Specialist

Case Management Specialist

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

The Case Aide provides direct logistical support to facilitate the resettlement of newly arrived refugee individuals and families. Responsibilities include transportation of clients, provision of interpretation services, and completion of administrative tasks. This role requires a high school diploma strongly preferred, with a Bachelor's degree in social work or related field preferred, and a minimum of 1 year of relevant experience. The position is part-time, in-person, and based in Atlanta, GA.

Case Aide

The Reimbursement Case Manager is responsible for customer service and case management, working interactively with patients, healthcare providers, pharmacies, and manufacturer clients. This role involves managing case loads, validating patient information, conducting benefit investigations, and providing exceptional customer service. The position is fully remote, requiring candidates to reside in Texas, Florida, or North Carolina.

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)

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 Assistant Manager at MAC is a dynamic and inspirational role focused on leading, coaching, and developing a team of Sales Associates to achieve sales, customer service, and operational targets. This position requires proven supervisory, coaching, and retail operations skills in a fast-paced retail environment. The role offers a chance for ambitious self-starters to start a long-term career in prestige beauty, with a culture that values diversity, progressive career opportunities, outstanding training, and a competitive remuneration and benefits package.

MAC Assistant Manager - Full Time - Perimeter Mall - Atlanta, GA

Assistant Manager

The Field Service Case Manager at Sunrun is responsible for coordinating the effective execution of field service work through direct Sunrun branch and/or partner relationships. This role involves customer obsession, excellent communication, and a strong desire to succeed. The manager will work closely with field crews, leaders, and centralized support teams to ensure jobs are ready for action and completion to drive the best possible customer experience.

O&M Case Manager

Field Service Case Manager

Christiana Care Hospital is seeking a Registered Nurse (RN) for our Weekend Incentive Program (WIP) with experience in Utilization Management in an Acute Care Hospital Setting. The Utilization Management Nurse will work closely with ED providers to review medical necessity and collaborate for discharge planning, as appropriate. This role involves ensuring the delivery of efficient and effective health care while evaluating the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provision of the applicable health benefits plan.

CASE MANAGER (RN) – UTILIZATION MANAGEMENT – WEEKEND INCENTIVE PROGRAM (WIP) - RELOCATE TO DELAWARE

Case Manager (RN) - Utilization Management

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Case Manager Assistant Jobs in Decatur, GA Hiring Now