• Case Manager

    Apex Health Solutions (Houston, TX)
    …and cooperates with internal and external stakeholders. Collaborates effectively with Utilization Management , Quality Management , Pharmacy, Provider ... Summary Responsible for providing case management services and support to improve health outcomes...on a case by case basis Education Education: Registered Nurse (RN) LICENSES/CERTIFICATIONS: Registered Nurse (RN) with… more
    Apex Health Solutions (08/24/25)
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  • Behavioral Health Case Manager, Hybrid

    BlueCross BlueShield of Tennessee (Murfreesboro, TN)
    …be within 25 miles of Murfreesboro, Tennessee\. **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases as ... a hybrid role\. For approximately three days a week, you will work remotely, conducting telephonic outreach to members\. Two days a week, you will visit members in a… more
    BlueCross BlueShield of Tennessee (10/14/25)
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  • Care Manager - MD/DC/Northern VA (Remote)

    CareFirst (Baltimore, MD)
    …or GED **Experience:** 5 years clinically related experience working in Care Management , Discharge Coordination, Home Health, Utilization Review, Disease ... in nursing + CCM/ACM or other RN Board Certified certification in case management . Federal Employee Program (FEP) Book of Business (ONLY): Must have CCM/ACM or… more
    CareFirst (09/23/25)
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  • Care Manager I - Transition in Care (Remote - Must…

    Houston Methodist (Houston, TX)
    …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...FUNCTIONS** + Actively manages assigned panel of patients, using telephonic interaction as the mode of delivery that includes… more
    Houston Methodist (09/09/25)
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  • Transitional Care Coordinator LPN

    AdventHealth (Altamonte Springs, FL)
    …+ 1 year skilled nursing facility, acute care facility, or post-acute care management + Licensed Practical Nurse (LPN) - State Licensure **Preferred ... care coordinator's primary responsibility is to oversee post-acute care utilization for identified populations. The Post-acute care coordinator will...qualifications:** + Case Management + Registered Nurse State Licensure and/or… more
    AdventHealth (10/16/25)
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  • Mobile Professional Care Manager (Hybrid)

    UPMC (Jamestown, NY)
    …. + Minimum of 3 years of experience in behavioral health, clinical care, utilization management , home care, discharge planning, or case management . + ... meetings, and treatment planning sessions. + Perform face-to-face and telephonic assessments, including hospital discharge coordination as needed. + Ensure… more
    UPMC (08/30/25)
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  • Supervisor, Care Delivery Patient Access

    Commonwealth Care Alliance (Boston, MA)
    …is responsible for providing primary care, palliative care and community intensive care management to a specific panel of high risk and complex people. This patients ... Operations and in direct partnership with Care Delivery Business Ops and Clinical Management teams, the Supervisor partners in ensuring the delivery of primary care,… more
    Commonwealth Care Alliance (09/30/25)
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  • SKY Complex Care Manager- Case Manager RN- Field…

    CVS Health (Frankfort, KY)
    …do it all with heart, each and every day. **Position Summary** The Complex Nurse Case Manager is responsible for assessing members through regular and consistent in ... person or telephonic contact to assess, plan, implement and coordinate all case management activities with members to evaluate the medical and psychosocial needs… more
    CVS Health (10/01/25)
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  • RN Case Manager - Commercial TOC

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …care experience; eg case management /health coach, utilization management and/or auditing experience. * Outstanding telephonic skills. Compensation and ... Case Manager is a critical component of BCBSMN Care Management team as the primary clinician providing condition and...care between settings. Required Skills and Experience * Registered Nurse licensure in the state of Minnesota with no… more
    Blue Cross and Blue Shield of Minnesota (10/08/25)
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  • Social Work Care Manager

    Elderwood (Buffalo, NY)
    …may require interventions. + Participate in Interdisciplinary Team meetings, Disease Management , Utilization Management , and Quality Improvement activities ... Work Care Manager, you will partner with the Registered Nurse and are a critical resource for our members...the needed services are covered Elderwood IPA. + Direct telephonic and in-person engagement with individuals with chronic medical… more
    Elderwood (08/16/25)
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