• Special Needs Plan- Support Social Services

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic ... with resources appropriate for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and… more
    Humana (11/06/25)
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  • Telephonic Nurse Case Manager

    Humana (Harrisburg, PA)
    …, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care . The ** Telephonic Nurse Case Manager ** will collect and ... caring community and help us put health first** The Telephonic Nurse Case Manager will be a...disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation… more
    Humana (11/06/25)
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  • Care Manager

    AmeriHealth Caritas (Philadelphia, PA)
    …services. Discover more about us at www.amerihealthcaritas.com . **Role Overview** The Care Manager (RN) assists members appropriate for case management services ... in achieving their optimal level of health. The Care Manager II is responsible for engaging...3 years clinical practice experience in medical-surgical and/or home care required. Experience with behavioral health desired… more
    AmeriHealth Caritas (10/01/25)
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  • Care Manager - Registered Nurse

    CVS Health (Harrisburg, PA)
    …compassionate. And we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) ... on managing chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans,… more
    CVS Health (10/30/25)
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  • Community Care Manager

    AmeriHealth Caritas (Norristown, PA)
    **Role Overview** The Community Care Manager assists members appropriate for care management and care coordination services in achieving their optimal ... level of health through self-management. The Community Care Manager is responsible for engaging the...clinic + 3+ years of Case Management experience, preferably telephonic within a managed care organization, desired… more
    AmeriHealth Caritas (10/11/25)
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  • UM Care Manager (RN)

    UPMC (Pittsburgh, PA)
    UPMC Health Plan is hiring a full-time UM Care Manager to support our UM Clinical Operations team. This role will primarily work Monday - Friday standard ... be given to candidates with a Pennsylvania RN license. The Utilization Management (UM) Care Manager is responsible for utilization review of health plan services… more
    UPMC (11/13/25)
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  • Ambulatory Care Manager RN (Full…

    Penn Medicine (Lancaster, PA)
    …The Ambulatory Care Management team is actively seeking a new Ambulatory Care Manager to join their dynamic and patient-centered department. This role ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
    Penn Medicine (11/07/25)
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  • (RN) Nurse Case Manager - Evernorth Health…

    The Cigna Group (Pittsburgh, PA)
    …professionals, who serve as customer advocates to coordinate, support, and guide care for our customers, families, and caregivers to assist with navigating through ... be responsible for the adoption and demonstration of the Care Solutions cultural beliefs. They will be responsible for...partners to coordinate the needs of the customer through telephonic , email, text, and chat interactions. + Collaborates with… more
    The Cigna Group (11/13/25)
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  • Case Manager , Registered Nurse - Fully…

    CVS Health (Harrisburg, PA)
    …+ This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients. ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
    CVS Health (11/07/25)
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  • Case Manager RN- Field

    Somatus (Philadelphia, PA)
    Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to ... Based Nurse Case Managers are an important part of the interdisciplinary care team. They are responsible for outreaching and scheduling member face-to-face visits… more
    Somatus (10/15/25)
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