The Case Manager at Goodwill of North Georgia is responsible for providing case management and related services to participants, focusing on the program's financial, mission, training, continuous quality improvement, and marketing goals. This role involves conducting interviews, maintaining contact with referring agencies, providing vocational counseling, and ensuring the highest quality of services for program participants. The Case Manager also plays a key role in advocating for participants and coordinating supervision across services.

Case Manager - Smyrna

Case Manager

As an experienced M.D. or D.O. in a managed care or healthcare administration setting, you will partner closely with the internal Case Management and Health Services Quality teams to coordinate care through evidence-based decision making. You will also lead the Quality Improvement Committee and chair the Credentialing Committee, perform outpatient case reviews, and support NCQA accreditation and quality case reviews. This role requires decisiveness, strong analytical and critical thinking skills, and the ability to influence internally and externally.

Medical Director Case Management & Quality

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

Molina Healthcare Services works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. This role supports the Complex Adult Case Management program, requiring a Registered Nurse with previous Case/Care Management and managed care experience, particularly in managing complex/chronic medical conditions and knowledge of community resources for social determinants of health concerns. The position is remote, requiring residence in New York and familiarity with upstate and downstate regions.

Registered Nurse Case Manager Complex Care Remote in New York

Registered Nurse Case Manager Complex Care

The Clinical Case Manager BH at CVS Health is a full-time telework role based in Maricopa County, Arizona, requiring up to 50% travel within an assigned region. This role involves utilizing clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program. The position focuses on applying critical thinking, knowledge in clinically appropriate treatment, and evidence-based care to provide care coordination, support, and education for members through the use of care management tools and resources.

Clinical Case Manager BH

This is a full-time, remote position with field travel required in Essex, Passaic, and Union counties of NJ, offering a hybrid work schedule. The role involves developing, implementing, and supporting health service strategies to deliver quality healthcare to members, requiring advanced clinical judgment and critical thinking skills. Responsibilities include care planning, direct provider collaboration, and effective utilization of resources in a cost-effective manner. Strong assessment, writing, and communication skills are essential.

Field Case Manager RN - Union, Essex, Passaic County NJ

Field Case Manager RN

The Behavioral Health Case Manager at Molina Healthcare will work remotely to support the Medicaid Behavioral health population, requiring excellent computer skills and attention to detail. This role involves multitasking between systems, talking with members on the phone, and entering accurate contact notes in a fast-paced environment. Local travel to the office in Troy, MI, for team meetings or trainings may be required.

Case Manager - (SUD)

Behavioral Health Case Manager

CVS Health is seeking a self-motivated, energetic, and detail-oriented Bilingual Case Manager RN for a full-time remote role with 50-75% travel required for face-to-face visits in Seminole, Orange, Brevard, and Osceola Counties. The role involves telephonic and/or face-to-face assessing, planning, implementing, and coordinating all case management activities with members to evaluate their medical needs and facilitate their overall wellness. The position offers a competitive salary, full benefits, and promotes autonomy through a standard Monday-Friday working schedule.

Bilingual - Case Manager RN - Orange County, FL

Bilingual Case Manager RN

The Complex Case Manager RN - Oncology at Highmark Health is responsible for overseeing a specified panel of members with varying health status and clinical needs. This role involves assessing health management needs, identifying appropriate clinical interventions, and managing an active case load of members enrolled in case management. The incumbent will conduct outreach, develop care plans, and monitor quality outcomes for the panel. The position requires a high level of clinical judgment, teamwork, and the ability to work with diverse populations.

Complex Case Manager RN - Oncology (Remote)

Complex Case Manager RN - Oncology

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

Emory Healthcare is seeking a dedicated PRN Social Work Case Manager to join their Social Work Case Management team at Emory University Hospital Midtown. The role involves coordinating clinically complex patient care needs across the health care continuum, assessing patients for transition needs, facilitating high quality clinical and cost outcomes, and collaborating with Utilization Review to address barriers to care delivery and reimbursement.

Social Work / Case Manager / PRN

Social Work Case Manager

Emory Healthcare is seeking a Registry Registered Nurse Care Manager for patient care coordination from admission through discharge, ensuring smooth transitions of care and high quality clinical and cost outcomes. This role involves procuring and securing post-acute services, coordinating and advocating for patients and families, and identifying and addressing potential barriers to care coordination/discharge planning. The position offers a $48 per hour rate with a minimum of 4 shifts per month.

Inpatient Care Manager Registered Nurse / RN

Inpatient Care Manager Registered Nurse

The Care Manager Specialist at CVS Health is a key 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, identifying gaps in care, communicating with the member's Primary Care Provider, maintaining updated individualized care plans, and participating in Interdisciplinary team meetings. The specialist will work closely with other team members to improve health outcomes, address social determinants of health, and connect members with community-based organizations.

Analyst, Case Management Specialist

Case Management Specialist

The RN Nurse Case Manager I at Elevance Health is responsible for performing 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 remote but requires residency in the Central region of Virginia.

RN Nurse Case Mgr I

RN Nurse Case Manager I

The RN, Care Coordinator at Chapters Health System is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Group (IDG), and providing palliative and supportive care. This role involves working closely with patients and families to ensure their comfort and care, managing emotional stress, and coordinating services across all Company lines.

RN, Care Coordinator

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RN Case Manager Jobs in Union City, GA Hiring Now