• Care Manager (Remote)

    CareFirst (Baltimore, MD)
    …School Diploma or GED. **Licenses/Certifications:** + **Upon Hire Required:** RN - Registered Nurse - Compact State Licensure RN- Registered Nurse in MD, VA, ... years clinically related experience working in Care Management, Discharge Coordination, Home Health, Utilization Review, Disease Management or other direct patient… more
    CareFirst (05/19/25)
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  • RN-Ambulatory Pediatric Gastroenterology

    Albany Medical Center (Albany, NY)
    …I trauma center for more than three million people in 25 counties and is home to the region's only level IV neonatal intensive care unit (NICU), and the region's ... the practice physician and/or advanced practice provider (APP) and the supervision of the Nurse Manager (RN) and/or Nurse Supervisor (RN), the RN may provide… more
    Albany Medical Center (04/23/25)
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  • Care Manager

    AmeriHealth Caritas (Southfield, MI)
    …monitor, and update the care plan through regularly scheduled follow-up contacts based on the Member/caregiver progress, needs and preferences. + Establishes points ... Science in Nursing preferred. + Current and unrestricted Registered Nurse licensure.; + 3+ years of clinical experience at...working with medically fragile patients in an acute care, home care, or special needs clinic. + 3+ years… more
    AmeriHealth Caritas (04/23/25)
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  • Care Management Supervisor - (Hybrid)

    CareFirst (Baltimore, MD)
    …and manage health care costs. We are looking for an experienced Registered Nurse and people leader with UM/CM experience living within the greater Baltimore ... of care for a smooth transition to the next level of care or home . Applies sound clinical knowledge and judgment when assisting the Clinical Navigator throughout the… more
    CareFirst (04/17/25)
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  • Care Manager (RN) - Somerset and/or Union County

    Centene Corporation (Trenton, NJ)
    …to ensure member has timely access to needed care or services + May perform telephonic , digital, home and/or other site outreach to assess member needs and ... reside in Somerset and/or Union County to travel for home visits within these regions. Travel up to 75%...employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate +… more
    Centene Corporation (05/25/25)
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  • Internal Medicine Physician

    Bozeman Health (Bozeman, MT)
    …have at least 3-5 years of outpatient clinic experience including experience with value- based payment programs and a collaborative team model of care. Bozeman Health ... APCs across 3 locations + Geriatric, palliative care, and home care teams + NCQA Level 3 Patient Centered...days per week, including 8 Saturdays per year + Telephonic call after hour rotation + Clinic hours Mon-Sat… more
    Bozeman Health (05/14/25)
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  • Care Manager (RN) - Bergen and/or Passaic County

    Centene Corporation (Trenton, NJ)
    …to ensure member has timely access to needed care or services + May perform telephonic , digital, home and/or other site outreach to assess member needs and ... reside in Bergen and/or Passaic County to travel for home visits within these regions. Travel up to 75%...employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate +… more
    Centene Corporation (04/26/25)
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  • Clinical Services Associate (Medical Assistant)

    Penn Medicine (Philadelphia, PA)
    …Mon-Fri, Onsite **Summary** : The incumbent will split their time between two community- based primary care sites 1) Penn Family Medicine at Pennsylvania Hospital and ... 2) The Penn Medicine School Based Health and Wellness Center (SBHWC) at West Philadelphia...geriatric. + Clerical / Other Accountabilities: Responsive and proactive telephonic patient care - including care coordination with specialists,… more
    Penn Medicine (05/08/25)
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  • Medical Case Manager (Sussex County, Delaware)

    Highmark Health (Dover, DE)
    …**Job Description :** **JOB SUMMARY** **This job is a full time community based position requiring frequent travel within the assigned territory in DE. The incumbent ... will travel to members' homes, nursing facilities, and other community based settings.** This job assures that members with complex medical and/or psychosocial needs… more
    Highmark Health (03/21/25)
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  • Care Manager - Interdisciplinary Team - Hybrid…

    Healthfirst (NY)
    …health outcomes. + Liaise between service providers such as doctors, nurse practitioners, social workers, discharge planners, and community- based service ... **Duties and Responsibilities:** + Provides telephonic (and occasional onsite) care management to support...barriers and opportunities for intervention. + As needed, conduct home visits to high-risk members who need additional interventions.… more
    Healthfirst (04/03/25)
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