The 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 virtual and requires a minimum of 3 years of clinical experience, a BA/BS in a health-related field, and current, unrestricted RN license in applicable states.

Nurse Case Mgr I

Nurse Case Manager I

The Nurse Case Manager at argenx is responsible for serving as the single point of contact for patients and their caregivers, providing educational training and support about generalized Myasthenia Gravis (gMG) and argenx's products and support services. They manage patient cases across regions, communicate insurance coverage updates, educate on financial assistance programs, coordinate logistical support for therapy, and collaborate with various teams to resolve reimbursement issues. The role requires excellent communication, time management, and problem-solving skills, and involves regional travel for patient education.

Nurse Case Manager - Gulf South (AR, MS, LA)

Nurse Case Manager

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

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

Cambia Health Solutions, Inc is seeking a Care Management Nurse to join their team, offering a work from home opportunity within Oregon, Washington, Idaho, or Utah. 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 is part of a candidate pool for future opportunities, allowing candidates to be considered for all suitable positions as they become available.

Remote Care Management Nurse (Future Opportunities)

Care Management Nurse

UPMC is seeking a Clinical Case Manager to support the Workers' Compensation Claims Administration team. This remote position may require occasional travel to the downtown Pittsburgh office for meetings and trainings. The role involves assisting the claims staff and clients in the medical and disability case management of all assigned cases, including attending physician appointments, coordinating appointments, and utilizing standardized duration resources to guide return-to-work timelines.

Clinical Case Manager (RN) - Workers' Compensation

Clinical Case Manager

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

The Nurse Case Manager II at Elevance Health is responsible for collaborating with healthcare providers and/or consumers to drive personalized health management and improve health outcomes for optimal consumers. This role involves performing care management activities within the scope of licensure for members with complex and chronic care needs, ensuring medically appropriate, high-quality, cost-effective care, and developing care plans to address individual needs.

Nurse Case Manager II

Join our team as a Reimbursement Case Manager under the general oversight of the operational program leadership. In this role, you will be responsible for managing customer service and case management tasks, collaborating with patients, healthcare providers, pharmacies, and manufacturer clients to support various reimbursement and patient assistance functions. This position involves responding to patient and provider inquiries and documenting all interactions in compliance with HIPAA regulations.

Reimbursement Case Manager

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

As a Remote RN Case Manager at Guidehealth, you will partner with clinical teams to provide complex case management and strengthen the connection between patients and their primary care physician/medical practice staff. This role involves assisting patients to achieve their highest level of wellness by managing a specific patient population with complex medical conditions, social-economic, and/or mental health co-morbidities. The position is fully remote, supporting clients in the eastern time zone, with a strong preference for candidates living in the Eastern or Central time zone.

Remote RN Case Manager- Bilingual Korean / English

Remote RN Case Manager

The Medical Case Manager at Crawford & Company is responsible for providing effective case management services in an appropriate, cost-effective manner. This role involves reviewing case records, analyzing data, evaluating medical status, identifying needs and obstacles to resolution, and facilitating return to work. The position requires local field case management travel within the Sacramento, CA region and offers a great work-life balance, monthly bonuses, free continuing education, and license and certification reimbursement.

Medical Case Manager - CA

Medical Case Manager

The Nurse Case Manager Senior at Elevance Health is responsible for collaborating with healthcare providers and/or consumers to drive personalized health management and improve health outcomes for optimal consumers. This role involves performing care management activities within the scope of licensure for members with complex and chronic care needs, ensuring medically appropriate, high-quality, cost-effective care, and implementing and coordinating a care plan.

Nurse Case Manager SR-1

Nurse Case Manager Senior

Paradigm is seeking a Bilingual Field Nurse Case Manager to cover Phoenix, AZ, and surrounding areas. This remote, home-based position involves local travel to doctors' offices, hospitals, and various locations for the medical case management of work-related injuries. Responsibilities include assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals, working closely with insurance carriers, medical care providers, attorneys, employers, and employees.

Bilingual Nurse Case Manager - Phoenix, AZ

Bilingual Nurse Case Manager

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

+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!

Remote RN Manager - Case Management Jobs Hiring Now