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

Software Guidance & Assistance, Inc. is seeking a Managed Care Analyst for a contract assignment with a healthcare client in Los Angeles, CA. This role involves troubleshooting, maintenance, and optimization of existing software applications, as well as designing, building, testing, and supporting new applications within a portfolio or service line. The analyst will work closely with business owners, vendors, and other team members to evaluate and recommend solutions to complex problems, ensuring in-depth knowledge of the software application and operational workflows.

Tapestry Managed Care Analyst

Managed Care Analyst

Cambia Health Solutions, Inc is seeking a Care Management Social Worker to join their Clinical Services team. This role involves providing clinical care management, including case management, disease management, and care coordination, to meet members' healthcare needs and promote quality and cost-effective outcomes. The position offers a work-from-home option within Oregon, Washington, Idaho, or Utah and is ideal for a Social Worker looking to transition out of bedside care into a role that utilizes clinical expertise in a fresh challenge.

Care Management Social Worker

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.

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

Vitability Health is seeking a Patient Care Manager to join their team, focusing on providing remote care to patients. This role involves building trusting relationships with patients, utilizing motivational communication to drive health behavior change, and educating patients on managing their medical conditions to avoid emergency room utilization and hospitalization. The position offers a remote work opportunity and the chance to be an integral part in the development of processes and best practices for RPM patients.

Patient Care Manager Spanish speaking

Patient Care Manager

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 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

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

The Supervisor, Care Coordinator at TriWest Healthcare Alliance supervises the daily operations of care coordination services and staff. This role involves ensuring staff is informed of changes impacting their work, advising non-clinical staff, and reviewing the scope of practice for both self and associated staff. The position requires US citizenship and a favorably adjudicated DOD background investigation for those supporting TRICARE contract. Veterans, Reservists, Guardsmen, and military family members are encouraged to apply.

Supervisor, Care Coordinator

The Coordinator for Individualized Care at Cardinal Health is responsible for providing clinical specialties support and expertise in areas of advice and consulting, research, and patient care to internal business units and external customers. This role involves maintaining an understanding of patient therapies, prior approval and reimbursement processes, managing complex therapy and reimbursement questions, and ensuring adherence to performance indicators and quality standards.

Coordinator, Individualized Care

The Provider Administration Specialist is responsible for maintaining the integrity of provider information on enterprise systems, including overseeing the distribution of updated information requested by dental offices. This role involves assisting in nurturing positive relationships between the health plan, providers, and practice managers, as well as handling various administrative tasks related to provider servicing.

Provider Administration Specialist

The Outreach Care Specialist at Elevance Health is responsible for ensuring that appropriate member treatment plans are followed on less complex cases and for proactively identifying ways to improve the health of members and meet quality goals. This role involves coordinating follow-up care plans, assessing member compliance with medical treatment plans, identifying barriers to plan compliance, recommending treatment plan modifications, and coordinating referrals to local, state, or federally funded programs.

Outreach Care Specialist

The Senior Managed Services Specialist (MSS) is a customer-facing support role focused on enhancing the client's experience with Telecom Managed Solutions. This includes managing telecom invoices and inventory, contract and vendor management, and providing reporting and business intelligence. The MSS aims to deliver consultative cost reduction, cost avoidance, savings, and ROI to ensure client satisfaction.

Managed Services Specialist - Telecom Expense Management

Senior Managed Services Specialist

The Case Management Specialist at CVS Health is a member of the Care Team responsible for the care management of members enrolled in the Dual Special Needs Plan with limited health conditions. This role involves assessing member needs, gaps in care, communicating with the member's Primary Care Provider, maintaining updated individualized care plans, and participating in Interdisciplinary team meetings. The position is full-time, remote, and requires living in the Eastern Standard Time zone.

Analyst, Case Management Specialist - Must live in EST

Case Management Specialist

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Remote Managed Care Specialist Jobs Hiring Now

Care Manager

Tapestry Managed Care Analyst

Care Management Social Worker

Care Manager

Care Manager (BH) - Health Plan - Remote

Patient Care Manager Spanish speaking

Care Manager, RN

Remote Clinical Care Team Manager

RN- Care Manager

Supervisor, Care Coordinator

Coordinator, Individualized Care

Provider Administration Specialist

Outreach Care Specialist

Managed Services Specialist - Telecom Expense Management

Analyst, Case Management Specialist - Must live in EST