The Clinical Program Manager at Prime Therapeutics is responsible for managing client-specific clinical programs and drug strategy recommendations, including drug formulary, Utilization Management programs, and other drug therapy related products and services. This role serves as the primary point of contact for designated clients, promoting and recommending Prime standard offerings to meet client requirements, and building strong relationships with key clinical stakeholders through effective consultative services. The position offers a unique opportunity for a Pharmacist with PBM experience, allowing for travel and the chance to support sales while being a versatile team member.

Clinical Program Manager Remote

Clinical Program Manager

The Care Manager RN at HCA Healthcare supports the patient and primary care relationship through care delivery enhancement, including telephonic outreach, care management, preventive services, and self-management. This role is integral to the Division Care Coordination team, assisting primary care providers and practices in meeting quality improvement initiatives. The position requires working from home but must be based in the San Antonio, Texas area or willing to relocate.

Care Manager RN WFH

Care Manager RN

As a Care Manager RN at CVS Health, you will be a frontline advocate for members who cannot advocate for themselves, responsible for assessing, planning, implementing, and coordinating all case management activities to evaluate the medical needs of the member to facilitate the member's overall wellness. This role involves developing a proactive plan of care, using clinical tools to conduct evaluations, applying clinical judgment, and collaborating with various stakeholders to address the full continuum of a member's health care and social determinant needs.

Molina Healthcare Services (HCS) is seeking an RN Clinician, Inpatient Review Case Manager for a night shift role. This position involves assessing, facilitating, planning, and coordinating integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. The role requires working 12-hour night shifts, rotating weekends and holidays, and is remote with a requirement for a valid California RN license and high-speed internet connectivity.

RN  Inpatient Review Case Manager California: NIGHT SHIFT

RN Clinician, Inpatient Review Case Manager

The Manager, Case Management at Premera Blue Cross is a supervisor role responsible for the execution and implementation of Clinical Programs' strategy and goals, as well as overseeing Clinical Programs' operations. This position involves managing and developing a team of clinical and support staff, promoting professional growth and operational effectiveness. The role is work from home and focuses on improving healthcare through case management strategies.

Manager, Case Management

The Case Management Coordinator at CVS Health is responsible for utilizing critical thinking and judgment to collaborate and inform the case management process. This role involves facilitating appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education. The position is full-time and telework, open to candidates in the United States, with a schedule of Monday-Friday 8:00a-5:00p in the assigned market time zone.

Analyst, Case Management - TOC

Case Management Coordinator

Case Managers at Premera Blue Cross are a dedicated team of clinicians (RNs, behavioral health professionals, and dieticians) who utilize a holistic model to help members transition towards healthier lifestyles. They engage with members facing medical, mental health, and/or substance utilization disorders, conducting holistic health assessments, developing member-centric case management plans, and providing interventions to remove barriers and promote positive behavior change. This role offers the opportunity to make meaningful impacts on members' lives, learn and grow professionally, and work in a supportive environment.

Case 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

The RN Manager - Clinical Documentation Improvement at SSM Health oversees and manages the daily operations and activities of the regional Clinical Documentation Improvement (CDI) program. This role promotes consistent and standardized operations and documentation across the network, builds and maintains productive inter/intra-departmental and vendor work relationships, and optimizes operations through extensive collaboration with physicians, nursing, coding, quality, and leadership.

RN Manager - Clinical Documentation Improvement

Lutheran Family and Children's Services of MO is seeking a compassionate, professional Case Manager/Social Worker to provide case management, pregnancy counseling, and parenting/adoption education and support through our Parenting Services in Perry County, MO. This role involves providing and maintaining child welfare services, counseling, and case management services to pregnant women, as well as families in crisis. The position is completely remote, requiring the applicant to live in or near Perry County, MO.

Case Manager/Social Worker-PERRY COUNTY, MO

Case Manager/Social Worker

The Clinical Program Manager at Stryker's Sports Medicine Business is responsible for overseeing a multifaceted clinical studies program, including IDE, post-approval, post-market surveillance, feasibility, marketing studies, and surgeon-initiated studies. The role emphasizes managing program cost, schedule, and performance while prioritizing effective teamwork, decision-making, and issue resolution. The position involves maintaining consistency in clinical study processes, overseeing operational aspects of trials, adhering to SOPs, GCP, and country regulations, and contributing to the clinical development strategy.

Clinical Program Manager, (Remote)

The Remote Case Manager - Utilization Management at Healthfirst is responsible for providing case management services for assigned member caseloads, including pre-certification, assessment, coordination, documentation, and reporting on the appropriateness and medical necessity of treatments and service utilizations. This role involves collaboration with PCPs and other medical providers to coordinate treatments, collateral services, and service authorizations, ensuring appropriate access and utilization of network and community resources.

Remote Case Manager - Utilization Management

The Case Manager Supervisor at Samaritan Daytop Village is responsible for aiding clients requiring social service assistance. This role involves interviewing and evaluating clients, formulating Independent Living Plans, locating and utilizing community resources, and relocating clients to permanent housing. The position supports the mission and goals of Samaritan Daytop Village and requires collaboration with clients and direct supervision of Case Managers.

Case Manager Supervisor

The Senior Care Manager (RN) at Centene Corporation is responsible for assessing, planning, and implementing complex care management activities to enable quality, cost-effective healthcare outcomes. This role involves developing personalized care plans for members, addressing issues, and educating members and their families/caregivers on services and benefit options. The position requires the RN to reside in Washington and offers a comprehensive benefits package.

Senior Care Manager (RN)

The Utilization Management Manager at Dartmouth Health is responsible for overseeing the utilization review program across multiple hospitals, ensuring regulatory compliance and appropriate financial outcomes. This role involves collaboration with program medical directors, care teams, and health plans, as well as leading departmental performance improvement activities. The position offers the option to be fully remote and requires strong communication and analytical skills.

Utilization Management, Manager. Registered Nurse, RN

Utilization Management Manager, Registered Nurse

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