• Professional Care Manager

    UPMC (Pittsburgh, PA)
    …UPMC Children's Hospital has fulfilled this mission since its founding in 1890. The Care Manager (CM) coordinates the clinical and financial plan for patients. ... Uses InterQual criteria to justify appropriate LOC (Skilled, Rehab, Home Care , DME, etc.) and obtain all...to obtain and document authorizations. + Two years of nursing experience required. + BSN or related Bachelors degree… more
    UPMC (09/17/25)
    - Related Jobs
  • Care Manager (RN) Specialty…

    Centene Corporation (Phoenix, AZ)
    …access to needed care or services + May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources + ... workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
    Centene Corporation (09/12/25)
    - Related Jobs
  • Pediatric Care Manager (RN), ECC

    Centene Corporation (Miami, FL)
    …competitive benefits including a fresh perspective on workplace flexibility. This Pediatric Care Manager role is aligned to support Children's Medical Services ... Some local travel is required for member visits. **Registered Nurse (RN) licensed in the State of Florida.** **Two...care or services + May perform telephonic, digital, home and/or other site outreach to assess member needs… more
    Centene Corporation (09/12/25)
    - Related Jobs
  • Care Manager

    Elmcrest Children's Center (Syracuse, NY)
    Care Manager Job Details Level Experienced Job Location James Street Offices - Syracuse, NY Position Type Full Time Education Level 4 Year Degree Salary Range ... Job Category Professional Services Description Elmcrest Children's Center's Health Home Care Management program currently has a... Care Management program currently has a full-time Care Manager position available in the Syracuse… more
    Elmcrest Children's Center (09/05/25)
    - Related Jobs
  • Care Manager

    AmeriHealth Caritas (Philadelphia, PA)
    **Role Overview** The Care Manager (RN) provides support to members appropriate for care coordination and case management services in achieving their optimal ... level of health through self-management. The Care Manager (RN) is responsible for engaging...Nursing (RN) required + Current and unrestricted Registered Nurse licensure in Pennsylvania required **Experience:** + Minimum of… more
    AmeriHealth Caritas (08/27/25)
    - Related Jobs
  • Mobile Professional Care Manager

    UPMC (Pittsburgh, PA)
    UPMC Health Plan is hiring a full-time Mobile Professional Care Manager to join the Community Team. This role will work standard daylight hours Monday - Friday. ... is provided at the IRS rate. The Mobile Professional Care Manager assists UPMC Health Plan members...Three years of experience in behavioral, clinical, utilization management, home care , discharge planning, and/or case management… more
    UPMC (08/13/25)
    - Related Jobs
  • LTSS Service Care Manager (RN)

    Centene Corporation (Newark, DE)
    …long-term care plans/service plans, to include skilled and/or long-term nursing service needs + Monitors member status for complications and clinical symptoms ... - this is a field position.** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards the most complex… more
    Centene Corporation (09/04/25)
    - Related Jobs
  • Home Health RN

    HCA Healthcare (Richmond, VA)
    …We want your knowledge and expertise! **Job Summary and Qualifications** Provides coordinated skilled nursing care to patients of all age groups, in the home ... physician's orders and under the supervision of the Clinical Manager . **What you will do in this role** :...you will do in this role** : + Assesses home care patients identifying physical, psychosocial and… more
    HCA Healthcare (09/21/25)
    - Related Jobs
  • LPN, Home Health

    Humana (Belle Glade, FL)
    …for providing nursing services as ordered on patient plan of care . Report's problems/potential problems to RN/Case Manager .forward and of moderate ... The Licensed Practical Nurse participates in the nursing process by providing input to the client's plane...minimum one-year current experience in accredited hospital or accredited nursing home with two years previous to… more
    Humana (08/22/25)
    - Related Jobs
  • RN Case Manager - Clinical Supervisor (Part…

    Aveanna Healthcare (Tucson, AZ)
    …certification from AHA or ARC * Must be willing to supervise nurses providing in home skilled nursing care to infants, children, adolescents and/or adults ... Details Aveanna Healthcare is one of the nation's largest home health care companies in the United...of practice * Provide best practice in delivery of nursing care to the appropriate population and… more
    Aveanna Healthcare (09/17/25)
    - Related Jobs