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

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 Care Manager at Meridian Illinois 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 telephonic, digital, home, and/or other site visits outreach to assess member needs and collaborate with resources to ensure access to needed care or services.

Care 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

Jacoby & Meyers is seeking a Case Manager to join their team, offering a full-time, remote position with a focus on interviewing new clients, setting up appointments, and managing cases using the firm's software. The role requires strong organization, communication skills, and the ability to multitask. Training will be provided for the firm's software, and the position offers a supportive culture with opportunities for growth.

Case Manager

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 Management Utilization Review Registered Nurse at Steward Health Care assumes primary responsibility for documenting medical necessity for inpatient status or placement in observation. This role involves communicating with physicians and clinicians, ensuring timely clinical information submission for payor authorization, and collaborating with allied health professionals to ensure quality care and desired outcomes in a cost-effective manner. The position requires a bachelor's degree, three to five years of acute medical/surgical experience, and three to five years of Case Management experience.

Case Mgt Utilization Review RN - REMOTE - Utilization Review

Case Management Utilization Review Registered Nurse

The RN Transplant Case Manager II at Elevance Health is responsible for providing case management and/or medical management for members receiving transplant services. This remote position involves assessing, developing, implementing, coordinating, monitoring, and evaluating care plans to optimize member health care across the care continuum. The role includes conducting assessments, coordinating resources, monitoring care plans, and collaborating with healthcare providers to ensure high-quality, cost-effective care.

RN Transplant Case Manager II (Telephonic) - Case Management

RN Transplant Case Manager II

Valor Healthcare is seeking a Telehealth Registered Nurse (RN) Program Manager for a government contract to support the Global Nurse Advice Line (NAL), providing telehealth services, customer service, and care coordination to Military Health System (MHS) eligible beneficiaries. This remote position involves leading a team of healthcare professionals, managing program implementation, and ensuring compliance with healthcare regulations. The ideal candidate will have extensive experience in supervisory healthcare roles, especially in call centers or nurse triage positions.

Remote Program Manager Registered Nurse (RN) - Government Healthcare Call Center- Program Manager

Program Manager Registered Nurse

The Care Manager, RN at Zillion Technologies Inc. is responsible for ensuring that members with complex medical and/or psychosocial needs have access to high-quality, cost-effective healthcare. This role involves holistic assessment, planning, arranging, coordinating, monitoring, and evaluation of outcomes related to members' healthcare. The position requires clinical judgment, collaboration with internal and external stakeholders, and adherence to regulatory guidelines and policies.

Care 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

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.

Join Village Care as a full-time RN- Care Manager, working remotely to provide care and support to members in the greater NYC area. This role involves managing the care needs of a diverse patient population, with a focus on care planning, coordination, and health assessments. The position offers a competitive salary, comprehensive benefits, and the opportunity to make a significant impact on patient well-being.

RN- Care Manager

AmeriHealth Caritas is seeking a Care Manager II Registered Nurse for their Foster Care Program in South Carolina. This remote position requires a BSN and an unrestricted RN license in South Carolina or a compact state. The role involves engaging directly with members through face-to-face visits in the community, monitoring and updating care plans, and collaborating with healthcare professionals to ensure members receive comprehensive care. The ideal candidate will have experience in pediatric home care or acute care, and preferably in the Foster Care System, Department of Social Services, or Department of Juvenile Justice.

REMOTE | CARE MANAGER II REGISTERED NURSE (BSN) - FOSTER CARE PROGRAM -SC

Care Manager II Registered Nurse

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Case Manager RN Jobs in Royse City, TX Hiring Now

Case Manager RN - Case Management

Case Manager (RN): Nevada, Washoe County

Case Manager, RN

Care Manager

Registered Nurse Case/Utilization Manager Compact License - Case Management

Case Manager

Nurse Case Mgr II (US) - Case Management

Case Mgt Utilization Review RN - REMOTE - Utilization Review

RN Transplant Case Manager II (Telephonic) - Case Management

Remote Program Manager Registered Nurse (RN) - Government Healthcare Call Center- Program Manager

Care Manager, RN

Case Manager - East, Middle, and West Regions

Case Manager

RN- Care Manager

REMOTE | CARE MANAGER II REGISTERED NURSE (BSN) - FOSTER CARE PROGRAM -SC