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

Illumia Health, part of Gentiva, is seeking a Remote Care Manager AIM (Advanced Illness Management) Full Time RN to join their team. This role involves working with patients, their families, PCP, IDT, and other health care professionals to provide and coordinate high-quality end of life care. The position offers a comprehensive benefits package, professional growth opportunities, and the chance to work in a supportive and inclusive environment.

Care Manager AIM RN - Care Manager

Care Manager AIM RN

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

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

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

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 Program Implementation Manager, Target: Aortic Stenosis at the American Heart Association will be responsible for the day-to-day site recruitment, site consultation, and project management of activities for the Target: Aortic Stenosis Initiative. This role involves identifying and building relationships with prospective new and existing customers, providing in-depth process and quality improvement consultation, and managing site-level and system-level evidence-based metrics to support improved clinical care and outcomes. The position requires collaboration with physician leadership, C-suite leadership, and site clinical teams, and involves a significant amount of independent work with minimal supervision.

Program Implementation Manager, Health Care

The Assistant Manager Caregiver role at Assisting Hands offers a supportive environment for individuals looking to grow their career in leadership, with a focus on caregiving. This position involves teaching new caregivers, assisting with new cases, and providing active companionship, among other duties. The role is designed for those looking to prove their leadership skills while working with both clients and at the agency's office. The company offers competitive earnings, career growth opportunities, and a reliable schedule, along with training and development.

Assistant Manager Caregiver

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

The Medical Informatics Program Manager at CommonSpirit Health leads the identification and design of physician-facing technologies to optimize the provider experience, support quality, safety, and operational efficiency goals. This role involves direct partnership with Clinical Informatics, IT, and divisional clinicians for EHR deployment, optimization strategy, and clinical workflow standardization. The position is remote with some travel required.

Medical Informatics Program Manager

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 Medical Management Team Lead, RN at McLaren Health Care is responsible for providing clinical oversight of staff and functions to meet organizational goals in utilization, disease, case, and medical management. This role involves expert knowledge of screening criteria, clinical criteria, and research abilities, independent judgment within the scope of practice, and participation in the medical management of members across all product lines. The position emphasizes member advocacy through education on managed care, disease management, and PCP treatment plans, while also monitoring utilization patterns and collaborating on complex cases.

Medical Management Team Lead, RN, MI - Remote - McLaren Careers

Medical Management Team Lead, RN

The Care Manager/Coordinator (RN/SW) at AmeriHealth Caritas is responsible for engaging members, their caregivers, and providers to assess, plan, and establish individual member goals for achieving optimal health through self-management. This role involves facilitating and coordinating care, ensuring quality and cost-effective resource use, and acting as a single point of contact and advocate for members in the care coordination program. The position also includes overseeing care management activities within assigned practices to ensure high-quality services in line with Plan, NCQA, Federal/State standards.

Care Manager II - Remote Philadelphia area only

Care Manager II

The Manager-Clinical Services at Acadia Healthcare is responsible for overseeing and supporting all clinical operations in assigned areas, including service provision, treatment, and access. This role involves reviewing and analyzing clinical and operational performance results, staff management, developing and implementing behavioral health processes, and ensuring compliance with accreditation standards and funding agency requirements. The position requires a Master's degree, community-based experience, and a strong focus on patient safety and satisfaction.

Manager-Clinical Services - Master's Required (ACT)

Manager-Clinical Services

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

+bia1E/9Ura0W56PK0QRs1nb0fPaPw1LecFl73e1Zno=

0yryKyiv//5ZYlTDMV3LFPtHwym9DzfhaGKkhjLWumc=

1PbXZCkmjsWX/JPZ0zDz35M1CdhIEEhFhVTF9UZbsUw=

3eZiYdEf1GWONV+R64EHcPPvLb4v6J0JWgZreMFwQRo=

If QUICK_APPLY_SKIP_SUBMIT is set to true these providers will ignore the setting and still submit.

7UWw5juL5kSuktDEYRAJaZaaSr/dkptNWDM6YczaXvQ=

7veoecbDe4L73TGHP2ISin46xsmdddCOKtRpfQxjDN8=

8yxkMFFydubARRB/A0n8dt2+tN+s0Qba5Bm+ZhR6A74=

917BuR4psrYXtoUglgzOqK2gT6nHiFac0vaL7OlNrj4=

BTHovjnwfD7MxYTZVgYObuyOKROSVx/I0X5yo3nLGw8=

CLGiSKlyYhMQqU9L5I5y5Kcwm5S4f77Utdfa8ExP9Bw=

HRzePCbXb7ufZUWsFxKsWQyEIUrwU5VCFht/1iNmtTo=

Id0yBc3Lk10hOWDAGUFDOHeLqi73qkOki+HsqthrqY8=

MltczCjhmN0jRgow3UO+iDMtltW8AfF7hJYVp339Mbk=

NI/PueuALd9KIOo3aGPg/youiuzzXOlUegGuLsVspks=

PX9iho18hgd+if3tD3rS2RRXrbzlHq613z5WXlVZ7+k=

VUOVNO4gG3SQXJg1E5TYU50XsmIaCxqBNHZWw48U8/0=

Y1UD/mVBFR+4WXoXRwyYrTpXnLvnt4lZ1G/TbY1bWR4=

dCG5zdM4/wqhDoKFVboNOhuBLLEkQ95fHprPrsJVaxM=

fr9JCYJNVqBBC7QlJK+AFZY+8NEptSjJEpTFKNeRx4U=

h+e82EFLmuH1BOGKDTUyfliYoBDF4Tq54kkm9H1Q67M=

kF6veelbgshOJpV3Mn6vB3mb3LuydeEVDSOxtIHM8N8=

kbjXyyPP5adVqoaL7EYbdoyqDzFqF5a+VbOBN3j1bVg=

lWPMwjsh2VXkQjRFxWpjkQ/+Yx1eEx75EAWbIUFwV2Y=

mA5rgLX7i0lO6F1oJJxlP+y/1rvzscLgYBBk6pyKBWE=

p1flkibS2FOOSRZRb3dJqhHmZ8tmXXoyz3YXr0O9NUo=

pZVrGsKBFfWx3aTAH3sKk4BlHpV1jgUZyoszy851/n8=

u8Ak4aZwDDE5inqS+1aY1R2zXd+nIapHkAsGcAr3yzo=

Sharing EarnBetter with your community helps us offer our amazing service for free forever!

Medical Care Manager Jobs in Pottstown, PA Hiring Now