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 Care Manager (RN) at Centene Corporation is responsible for developing, assessing, and facilitating complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes. This includes personalized care plans and education for members and their families. The role involves evaluating member needs, developing care plans, coordinating care, and providing education and support. The position is remote and requires the candidate to reside in the CST time zone.

Care Manager (RN)

The Sales Region Manager for Hospital Care at B. Braun Medical, Inc. is responsible for maintaining and growing the company's business by leading, motivating, and maximizing the performance of sales representatives in the Pacific Northwest, Alaska, and Hawaii. This role involves 100% achievement of the region's sales plan, annual budget planning, supervising and supporting sales activities, and managing personnel actions including hiring, training, performance management, and termination.

Sales Region Manager - Hospital Care (Pacific Northwest, Alaska and Hawaii)

Sales Region Manager - Hospital Care

The Product Line Manager, Healthcare Solutions at Belden will translate customer problems into solution capabilities offerings to generate revenue growth and increased margins. This role involves in-depth technology knowledge, business case creation, identifying new solution opportunities, and working with various teams to prepare solutions for commercial launch. The position is remote with up to 30% travel, reporting to the VP, Global Solutions, Enterprise Solutions.

PRODUCT LINE MANAGER, HEALTHCARE SOLUTIONS - REMOTE

Product Line Manager, Healthcare Solutions

The Clinical Care Team Manager at Guidehealth is responsible for the day-to-day operations of an integrated multi-disciplinary clinical and clinical support structure to effectively monitor, support, and lead Value Based clinical initiatives. This includes case management, transitions of care, care coordination and continuity, provider/staff education on ACO/MA Plan clinical programs, and building and maintaining a network of community support. The role requires strong leadership, management, and interpersonal skills, as well as the ability to utilize both internal and external resources to accomplish the goals and objectives of the organization.

Remote Clinical Care Team Manager

Clinical Care Team 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

Zoom is seeking a Manager to oversee the Mid Market Acquisition team in the Healthcare vertical, focusing on growing organizations with 50-500 employees. This role involves managing a team of Account Executives to drive outbound calls, qualify leads, identify needs, and meet or exceed sales quotas. The Manager will also assist team members with client demos, presentations, quotes, proposals, and Quarterly Business Reviews (QBRs), and conduct high-level conversations with C-Level and VP-Level Executives.

Manager, Healthcare Mid Market

The Manager Healthcare Contracting at Dignity Health MSO is responsible for overseeing the negotiation of physician and ancillary provider agreements, implementing all contracts including health plan agreements, and supporting the administration in evaluating contract terms. This role involves supervising the direct contracting team and ensuring timely information provision to all stakeholders.

Manager Healthcare Contracting

We are seeking a dedicated Chronic Care Manager to provide one-on-one attention via telephone calls to patients with two or more chronic diagnoses. The Chronic Care Manager will collect patient health information to identify risks, provide education, and encourage compliance with treatment. This role involves creating patient-specific Care Plans that outline goals and interventions to implement, monitor, and support the patient's needs as defined by the Primary Care Physician (PCP). The Chronic Care Management (CCM) program aims to support patients and promote the highest level of quality care.

Chronic Care Management

Chronic Care Manager (LPN)

The Nurse Utilization/Medical Management I at Elevance Health is responsible for collaborating with healthcare providers and members to promote quality member outcomes, optimize member benefits, and promote effective use of resources. This role involves ensuring medically appropriate, high-quality, cost-effective care through assessing the medical necessity of various services, interpreting benefits accurately, and steering members to appropriate providers or resources. The position is virtual, requiring candidates to reside within 50 miles or a 1-hour commute of an Elevance Health location in the East or Central time zones.

Nurse Utilization / Medical Management l - Medicaid

Nurse Utilization/Medical Management I

The Pediatric Care Manager, RN at Centene Corporation is responsible for developing, assessing, and facilitating complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes. This includes personalized care plans and education for members and their families. The role involves evaluating member needs, developing care plans, coordinating care, and providing education and support. This is a remote position with local travel required for member visits, and candidates must reside in Broward County, Florida, with a preference for those in Pembroke Pines, Weston, or Dania Beach.

Pediatric Care Manager, RN (ECC)

Pediatric Care Manager, RN

The Provider Relations Manager at Molina Health Plan is responsible for network development, network adequacy, provider training, and education, in alignment with the company's mission, core values, and strategic plan. This role serves as the primary point of contact between Molina Healthcare and its contracted provider network, focusing on network management, provider education, and ensuring compliance with company policies and procedures. The position is remote but requires living in Nebraska.

Provider Relations Manager

The Resource Group, a subsidiary of Ascension, is offering a 12-week internship program for Summer 2025. This remote position focuses on the active management and optimization of the TRIMEDX and Ascension relationship, supporting activities related to clinical engineering management. Interns will work on personal projects, collaborate with other interns, and learn new business and professional skills. The program aims to transform the resource and supply function within healthcare by delivering value and fostering innovation.

Intern, Healthcare Technology Management

Molina Healthcare is seeking a Case Manager RN to support members recently admitted to the hospital, ensuring a successful transition from inpatient to outpatient care. This role involves working remotely to coordinate care, conduct face-to-face and home visits, and educate members on various aspects of care. The position requires excellent computer skills, attention to detail, and the ability to multitask. Previous experience in case management, managed care, hospital, and/or home health is preferred.

Case Manager RN - Transition of Care Coach

Lap of Love is seeking a Patient Care Manager to support its Practice Operations department. This role involves overseeing active hospice patients and aftercare services, ensuring consistent quality care for families and veterinary associates. The Patient Care Manager will leverage their veterinary practice management skills to elevate end-of-life care services and lead the hospice care team using a servant leadership style.

Patient Care Manager

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