• Case Manager RN - Bilingual

    Somatus (Mclean, VA)
    …+ Diabetic educator experience + ICU, Cardiology or Critical Care experience + Telephonic case management experience + Experience with discharge planning + Solid ... utilizing basic nursing knowledge, experience and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management… more
    Somatus (08/14/25)
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  • Disease Management Nurse - Remote

    Sharecare (Frankfort, KY)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
    Sharecare (08/13/25)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …Licensed Clinical Social Worker (LCSW); Current and unrestricted California License or Registered Nurse ( RN ); current and unrestrited California License. ... aggregate progress and individual ECM member cases. May use telephonic , onsite, or written methods and both group and...care with internal LA Care departments such as Care Management (CM), Utilization Management (UM),… more
    LA Care Health Plan (07/16/25)
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  • Care Management Supervisor (Hybrid)

    CareFirst (Baltimore, MD)
    …required in addition to the required work experience. **Licenses/Certifications Upon Hire Required:** RN - Registered Nurse Active State Licensure and/or ... health care costs. **We are looking for an experienced Registered Nurse and people leader with UM/CM...Compact State Licensure. **Experience:** 5 years experience in Utilization Management or Case Management … more
    CareFirst (07/09/25)
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  • Case Manager

    Apex Health Solutions (Houston, TX)
    …TX area; will consider remote deployment on a case by case basis Education Education: Registered Nurse ( RN ) LICENSES/CERTIFICATIONS: Registered Nurse ... and cooperates with internal and external stakeholders. Collaborates effectively with Utilization Management , Quality Management , Pharmacy, Provider… more
    Apex Health Solutions (08/24/25)
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  • Care Manager I - Transition in Care (Remote - Must…

    Houston Methodist (Houston, TX)
    …Houston area.** At Houston Methodist, the Care Manager I position is a licensed registered nurse ( RN ) who works collaboratively with the interprofessional ... healthcare team to provide professional nursing care and disease management to various population groups identified in the hospital...ambulatory care preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
    Houston Methodist (09/09/25)
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  • Mobile Professional Care Manager (Hybrid)

    UPMC (Jamestown, NY)
    …Counselor (LPC), Licensed Social Worker (LSW), Licensed Mental/Behavioral Health Professional, or Registered Nurse ( RN ) + CPR certification required based ... services field with a master's degree, or a licensed Registered Nurse . + Minimum of 3 years...3 years of experience in behavioral health, clinical care, utilization management , home care, discharge planning, or… more
    UPMC (08/30/25)
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  • R&E Nurse - Med Care Services- Advanced

    Health Advocates Network (Harrisburg, PA)
    …hour *W2 Minimum Qualifications Possession of a current license to practice as a Registered Nurse issued by the Pennsylvania State Board of Nursing; or ... Nursing. Resources possessing non-renewable temporary practice permits must obtain licensure as a Registered Nurse within the one-year period as defined by the… more
    Health Advocates Network (08/27/25)
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  • Social Work Care Manager

    Elderwood (Buffalo, NY)
    …Responsibilities In the role of an Social Work Care Manager, you will partner with the Registered Nurse and are a critical resource for our members as you are ... may require interventions. + Participate in Interdisciplinary Team meetings, Disease Management , Utilization Management , and Quality Improvement activities… more
    Elderwood (08/16/25)
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  • Clinical Care Manager

    WellSense (Manchester, NH)
    …background check + Current unrestricted, applicable, state license to practice as a Registered Nurse + Regular and reliable transportation and the ability to ... circumstances. **Job Summary** The Clinical Care Manager provides holistic medical care management services for members throughout the continuum of care by assessing… more
    WellSense (08/22/25)
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