• Mobile Professional Care Manager…

    UPMC (Pittsburgh, PA)
    …to learn new software applications required. + Three years experience in a managed care environment preferred Experience with geriatric population preferred. + ... for the better. UPMC Health Plan is hiring a full-time Mobile Professional Care Manager position to support the Population Health Case Management department. This is… more
    UPMC (12/08/25)
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  • Care Manager RN

    Centene Corporation (Tallahassee, FL)
    …infusion patients + Strong understanding of utilization management principles and healthcare managed care . + Proficient clinical assessment and critical thinking ... (eg, InterQual, Milliman Care Guidelines, NCCN). + Exposure to government-sponsored managed care programs (eg, Medicare, Medicaid). Pay Range: $55,100.00 -… more
    Centene Corporation (12/07/25)
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  • Health Home Plus Care Manager

    East House Corporation (Rochester, NY)
    …person-centered Plans of Care in accordance with Health Home and Managed Care Organization requirements. + Facilitate effective transitions of care ... by collaborating with hospitals, treatment providers, and Managed Care Organizations. + Engage family members, natural supports, and service providers in the … more
    East House Corporation (12/06/25)
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  • Care Manager (RN) Remote

    Molina Healthcare (WA)
    …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Prior experience in… more
    Molina Healthcare (12/05/25)
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  • Care Management Coordinator

    CVS Health (Harrisburg, PA)
    …a willingness to learn about care management within Medicare and Medicaid managed care . + Familiarity with community resources and services. + Navigate ... effectively **Preferred Qualifications** + Case management and discharge planning experience + Managed care experience **Education** + High School Diploma with… more
    CVS Health (12/04/25)
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  • Ambulatory Care Manager Social Worker MSW…

    Penn Medicine (Lancaster, PA)
    …to an insured vehicle. Preferred Qualifications + Knowledge of Utilization review or managed care + Experience with home visits + Licensure with Commission ... care , specialty, home health services, referrals, screenings and tests for care - managed patients. + Assist patients in problem-solving potential issues… more
    Penn Medicine (12/04/25)
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  • Care Manager BH/RN, Remote

    Magellan Health Services (Morrisville, PA)
    …and care management. Entails coordination with PA HealthChoices physical health managed care organizations, members and community providers. This is a remote ... mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and… more
    Magellan Health Services (12/03/25)
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  • Care Management Coordinator - Field…

    CVS Health (Columbus, OH)
    …Overview** As part of the bold vision to deliver the "Next Generation" of managed care in Ohio Medicaid, OhioRISE will help struggling children and their ... **Preferred Qualifications** * Case management and discharge planning experience. * Managed Care experience. * Medicaid experience. **Education** Bachelor's… more
    CVS Health (12/03/25)
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  • Nurse Care Manager

    Beth Israel Lahey Health (Wakefield, MA)
    …knowledge of Medicare Guidelines preferred 3. Experience with Medicare population in managed care preferred Must be proficient in computer skills, internet, ... relations, developing systems and procedures, developing and operating a capitated managed care infrastructure, continuous quality improvement, human resources… more
    Beth Israel Lahey Health (12/03/25)
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  • Primary Care Researcher: Open Rank…

    University of Colorado (Aurora, CO)
    …DEA Certificate. Ability to be fully credentialed with the UCH system and UPI Managed Care . **Professor** + Education: Terminal degree in Medicine or Osteopathy ... Ability to be fully credentialed with the UCH system and UPI Managed Care . **Preferred Qualifications:** + Experience leading or involvement with primary care more
    University of Colorado (11/16/25)
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