• Clinical Case Manager - Behavioral…

    CVS Health (Edison, NJ)
    …any issues related to assigned membership. While this position is tele-work the care manager must work normal business hours. The Case Manager will also ... appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for, ... Case management and/or discharge planning experience + Managed Care experience + Crisis intervention skills… more
    CVS Health (07/29/25)
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  • RN Case Manager Evenings

    HCA Healthcare (Gainesville, FL)
    …dynamic Case Management RN to join our team. The RN Case Manager facilitates the interdisciplinary plan of care with a focus on evaluating the ... Do you have the career opportunities as a(an) RN Case Manager you want in your current...in accordance with the NFRMC Utilization Review Plan and managed care contractual agreements. + Submits clinical… more
    HCA Healthcare (06/21/25)
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  • Case Manager Registered Nurse - Must…

    CVS Health (Harrisburg, PA)
    …Long Term Care , and Infusion nursing. **Preferred Qualifications** -Certified Case Manager (CCM) certification -3+ years' experience with Microsoft Office ... with heart, each and every day. **Position Summary:** The Case Manager RN role is 100% remote... Management in an integrated model -Discharge Planning experience - Managed care experience **Education** -Associates Degree in… more
    CVS Health (08/01/25)
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  • Mobile Social Services Case Manager

    UPMC (Pittsburgh, PA)
    UPMC Health Plan is hiring a full-time Mobile Social Services Case Manager to join the Community Team. This role will work standard daylight hours Monday - ... of residence, and in facilities. The Mobile Social Service Case Manager will coordinate programs, services, and...software applications required. + Three years experience in a managed care environment preferred + Five years… more
    UPMC (07/24/25)
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  • RN/Social Worker Case Manager

    Henry Ford Health System (Jackson, MI)
    …Troy and elsewhere as needed, with some remote work day options. GENERAL SUMMARY: The Case Manager is an interdependent member of the patient-centered care ... health care , rehabilitative medicine, community health or managed care preferred. + Knowledge of preventive...for Case Management Certification (CCMC) or Accredited Case Manager (ACM) by the American … more
    Henry Ford Health System (07/18/25)
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  • Case Manager , RN (Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …Must demonstrate proficiency with the Microsoft Office Suite. + Experience in interpreting managed care benefit plans and strong knowledge of government program ... Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for… more
    Excellus BlueCross BlueShield (06/18/25)
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  • Clinical Case Manager

    Volunteers of America Los Angeles (Los Angeles, CA)
    Clinical Case Manager Location:Los Angeles, CA Job ID:3713 Salary:$30.65 - $32.26 Per Hour Area of Interest:Clinical Division:Adult Services Shift Type:Day About ... order to prepare individuals for further success. The Clinical Case Manager I provides Intensive Case...- accompany participants to activities and services + Coordinate Care and Case Management as part of… more
    Volunteers of America Los Angeles (06/04/25)
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  • Case Manager - Emergency Department

    Houston Methodist (The Woodlands, TX)
    …planning, utilization management, case management, performance improvement and managed care reimbursement + Understanding of pre-acute and post-acute ... At Houston Methodist, the Case Manager (CM) position is a...positive language principles + Knowledge of Medicare, Medicaid and Managed Care requirements + Progressive knowledge of… more
    Houston Methodist (08/01/25)
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  • Hospital to Home Case Manager

    CDPHP (Albany, NY)
    …values and invites you to be a part of that experience. The Hospital to Home Case Manager (RN) is responsible and accountable for coordinating the care of ... and other CDPHP business areas. The Hospital to Home Case Manager will navigate a variety of... delivery systems is preferred. + Experience in home care , medical office setting, hospital or managed more
    CDPHP (08/03/25)
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  • Medical Case Manager

    Highmark Health (Dover, DE)
    …3 years of experience in working in Acute Care / Managed Care /Medicaid and Medicare populations. + Case Management Certification + Proficiency in ... Work, Counseling, Education, or related field and 3 years' experience in Acute or Managed Care / experience with Medicaid or Medicare populations. OR + Bachelor's… more
    Highmark Health (07/22/25)
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