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.

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

Hotel California by the Sea is seeking a dynamic, flexible, and passionate Case Manager to join their team in Bellevue, WA. The role involves providing substance use disorder counseling and case management services to clients, maintaining individual client caseloads, creating individualized treatment plans, and supporting therapeutic treatment interventions. The ideal candidate will be licensed as a SUDP and have a strong knowledge of ASAM Criteria and DSM-5.

Case Manager | SUDP | Behavioral Health | Bellevue, WA

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 RN MDS Case Manager at Providence Mount St. Vincent is responsible for working with patients, families, volunteers, and staff to provide holistic nursing care in accordance with the organization's mission and values. This role involves case management nursing, focusing on patients in long-term care, transitional care units, or equivalent settings. The position emphasizes a patient-focused approach to care, delivering services with respect, excellence, compassion, justice, and stewardship.

RN MDS Case Manager

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 Case Manager Supervisor at The Salvation Army is responsible for supervisory responsibilities associated with case management services, including administrative duties, staff onboarding, and ongoing professional development. This role ensures compliance with Standard Operating Procedures, assists in the development and implementation of comprehensive wraparound individualized service plans, and promotes a safe, inclusive, and welcoming community for residents, staff, and neighbors. The position operates under the direct supervision of the assistant director and offers a supportive environment for professional growth.

Case Manager Supervisor

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)

The Clinical Manager at Prestige Staffing in Kirkland, WA, will play a crucial role in operationalizing organizational goals, enhancing patient flow, and fostering a positive work environment. This full-time position involves overseeing all clinic operations, managing staff, ensuring compliance, coordinating patient care, and integrating operational initiatives to optimize the patient experience.

Clinical Manager (RN required)

Clinical Manager

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 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

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 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

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Case Manager Jobs in Duvall, WA Hiring Now