• Mobile Professional Care Manager - Blair…

    UPMC (Pittsburgh, PA)
    …to learn new software applications required. + Three years experience in a managed care environment preferred + Experience with geriatric population preferred. + ... UPMC Health Plan is hiring a full-time Mobile Professional Care Manager to join the Community Team. This role...and coordinate service plans. + Ensures that cases are managed and documentation is within established timeframes in accordance… more
    UPMC (12/08/25)
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  • 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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  • Health Home Plus Care Manager

    Lakeview Health Services (Geneva, NY)
    …of care consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members. + Develop and maintain professional ... needed + Collaborate with hospital or treatment providing staff as well as Managed Care Organizations for successful transitions of care + Address the… more
    Lakeview 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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