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1 to 50 of 80 for Case Management

  • 100% Remote Job Full-Time Employee
    TN, LA, AL, VA, MS 
    The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...
  • New! Yesterday
    100% Remote Job Full-Time Employee
    NJ 
    As a Nurse Case Manager, you would be providing clinical assessments and recommending an appropriate level of clinical care based on protocols and your clinical judgment over the phone. This position allows you to make an impact on the lives of many...
  • 100% Remote Job Full-Time Employee
    Richmond, VA 
    Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Perform...
  • 100% Remote Job Full-Time Employee
    NY, GA, FL, TX, CT, PA, NJ, MA 
    The Registered Nurse Care Manager plans and manages behavioral and/or physical care with members and their beneficiaries and works with clinicians and health care team members. The Care Manager facilitates care and medical attention and addresses...
    100 Top Companies To Watch for Remote Jobs The U.S. Department of Defense recognizes this employer as a Military Spouse Employment Partner (MSEP)
  • 100% Remote Job Full-Time Employee
    TX 
    Manages a queue of technical or complex therapy and reimbursement questions from customers and applies judgment in resolving service and problems falling within established limits of authority and knowledge. Meets key performance indicators including...
  • New! 2 days ago
    100% Remote Job Full-Time Employee
    US National 
    Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. Conducts assessments to identify barriers and opportunities for intervention. Develops care plans that align with the physician's treatment...
    100 Top Companies To Watch for Remote Jobs The U.S. Department of Defense recognizes this employer as a Military Spouse Employment Partner (MSEP)
  • Hybrid Remote Job Full-Time Employee
    Phoenix, AZ 
    Assess high risk patients' acuity and needs to initiate engagement for enrollment in Care Management. Support chronically stable patients as they transition from the inpatient setting or emergency department to ensure all needs are met.
  • New! 4 days ago
    Hybrid Remote Job Full-Time Employee
    Marlborough, MA, Waltham, MA 
    Responsibilities include conducting in-person home visits and documentation of assessments into an electronic statewide database. create care plans and coordinate services with a network of vendor agencies. Role involves communication and consultation...
  • New! 4 days ago
    Hybrid Remote Job Full-Time Employee
    London, United Kingdom UK
    Facilitate the care of practice patients to include treatment, preventative care, screening and patient education, provide continuing care to patients across the whole practice population, and Provide health maintenance and health promotion services.
  • 100% Remote Job Full-Time Employee
    San Diego, CA 
    Responsible for handling the pre-litigation phase of our personal injury cases from inception to settlement. They establish caring relationships with clients & collaborative partnerships with our staff attorneys and support team. They have extensive..
  • 1 week ago
    100% Remote Job Full-Time Employee
    PA 
    The Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality, cost-effective outcomes for patients and...
  • 1 week ago
    100% Remote Job Full-Time Employee
    MI 
    Handle in and outbound calls delivering world-class service to our members. Educate kidney health and related co-morbid conditions as well as optimizing renal replacement therapy by educating members on the types of dialysis and transplant options.
  • 1 week ago
    100% Remote Job Full-Time Employee
    West Conshohocken, PA 
    You will use your strong organizational and planning skills to design and oversee the delivery of care plans for each patient on your panel. In this telephonic role, you will serve as the primary point of contact for your patients, creating meaningful...
  • 9 days ago
    100% Remote Job Full-Time Employee
    Washington, DC 
    Support team as they conduct compliance and law enforcement actions for petitioning and approved institutions. Conduct open-source analysis to guide Federal Adjudicative decisions. Two years of relevant experience. Proficient in Microsoft Word, Excel...
  • 100% Remote Job Full-Time Employee
    Las Vegas, NV 
    Duties include, but are by no means limited to: opening and setting up new client files, opening and reporting claims to insurance companies, placing statutory lien holders on notice, drafting representation letters, requesting police reports, ordering...
  • 100% Remote Job Full-Time Employee
    San Diego, CA 
    Our Case Manager Assistants are responsible for handling pre-litigation personal injury cases from inception to settlement. Their duties include, but are by no means limited to: opening and setting up new client files, opening and reporting claims to...
  • Hybrid Remote Job Full-Time Employee
    Merced, CA, Salinas, CA, Scotts Valley, CA 
    Work with and educate members, families, providers, external agencies and internal departments on the Case Management Program and provide assistance as needed. Participate in Quality Improvement studies, to continually evaluate the program's...
  • 11 days ago
    100% Remote Job Full-Time Employee
    US National 
    Handle incoming referrals on a daily basis from different channels. Speak with prospective clients to gather necessary clinical information, answer questions about the matching process, and ultimately schedule them with the therapist best suited for them.
  • Hybrid Remote Job Full-Time Employee
    NY 
    Supervise the Nurse Evaluators in a designated region to assure quality, productivity, and timeliness of work completion. Oversee the training and development of Nurse Evaluators. 4+ years RN experience in-home care Prior experience using the UAS-NY...
    Company is considered to be a Military Friendly employer by militaryfriendly.com. The U.S. Department of Defense recognizes this employer as a Military Spouse Employment Partner (MSEP) This employer is one of the well-respected Barron's 400 stock index
  • 100% Remote Job Full-Time Employee
    US National 
    Confirm that daily encounters are properly input into Sales Force tracker platform. Collect face sheets for all patients seen and store in FFT EMR. Complete Patient Registration in FFT EMR capturing demographic data efficiently, and accurately from...
  • 100% Remote Job Full-Time Employee
    MS 
    Coordinate psychosocial services for members identified as having special needs and assisting members with utilization of medical and/or behavioral resources related to case management, disease management and discharge planning. Coordinate psychosocial...
    Employer is a Fortune 500 Company This employer is ranked by Fortune as a company dedicated to addressing society's biggest challenges. Employer is a Forbes Global 2000 company, a ranking of the biggest, most powerful public companies in the world This employer is recognized by DiversityInc as a company with exceptional diversity-management achievements The U.S. Department of Defense recognizes this employer as a Military Spouse Employment Partner (MSEP) This employer is ranked by Fortune as one of the World's Most Admired Companies. The Human Rights Campaign named this employer as one of the Best Places to Work. This company is listed as a Top 50 Employer for Equal Opportunity by Equal Opportunity Magazines. Company is one of the S&P 500, a leading index of public large-cap American stocks This employer is one of the well-respected Barron's 400 stock index
  • 100% Remote Job Full-Time Employee
    MI, IN, KY, TN, GA, FL, OH, NC, SC, WV, VA, PA, DC, CT, NJ, NY, RI, NH, ME, MD, DE, VT, ND, SD, NE, KS, OK, TX, MN, IA, MO, AR, LA, WI, IL, MS, AL 
    Establish key performance metrics and reports to clearly communicate targets, pinpoint performance improvement areas and effectively coach the team to drive conversions of prospective patients into new patients.
  • 19 days ago
    100% Remote Job Full-Time Employee
    WI 
    Coordinate the day-to-day implementation of contractual requirements within the state's Medicaid guidelines. Duties include training, enrolling, reporting, auditing, and complying with contract deliverables as well as ensuring company best practices...
  • 19 days ago
    100% Remote Job Full-Time Employee
    AK, AR, AZ, CA, CO, FL, GA, IA, ID, KS, KY, ME, MI, MN, MO, MT, NM, NC, NH, NV, OK, OR, SC, SD, TN, TX, UT, WA, WI 
    Engage target members (those who are facing medical, mental health and/or substance utilization disorders) and build a relationship that will support open and constructive dialog on sensitive topics. Conduct initial holistic health assessments that...
    100 Top Companies To Watch for Remote Jobs
  • 3 weeks ago
    100% Remote Job Full-Time Employee
    Woodland Hills, CA 
    Large bankruptcy firm in Woodland Hills has partnered with company in their search for a fully remote bankruptcy case manager. Review, prepare, and process data received from clients. Research missing contact information for creditors. Correspond ...
  • 100% Remote Job Full-Time Employee
    OH, FL 
    Lead projects and operations for care management activities, such as interactions with patients leaving the hospital and multi-month guidance for patients with persistent health needs. Help clinical teams monitor cost of care effectiveness using data...
  • 100% Remote Job Full-Time Employee
    US National 
    Practitioner will utilize their clinical experience and critical thinking in a collaborative process to review and facilitate appropriate health services and benefits for members, with an emphasis on specialty drugs that treat complex or chronic...
  • 100% Remote Job Part-Time Freelance
    US National 
    Review patient clinical charts to initiate comprehensive patient-centric eConsult submissions to specialists. Review and analyze specialist consultant responses escalating any clinical quality concerns to Clinical Operations team. Synthesize specialist...
  • 100% Remote Job Full-Time Employee
    Ann Arbor, MI 
    Responsible for providing expertise and direction to our state contracts and supporting leadership in expanding upon our growing portfolio of state-based Medicaid waivers and home and community-based efforts.
  • 100% Remote Job Full-Time Employee
    US National 
    Partner with Psychiatric Mental Health Nurse Practitioners to conduct a 3-way hybrid initial consultation. Act as a qualified liaison for a seamless appointment experience for Patients and direct patient care providers. PCP or Registered Nurse.
  • 23 days ago
    Hybrid Remote Job Full-Time Employee
    Manchester, United Kingdom UK
    Carrying out screening assessments over the phone with individuals wishing to engage with EAP services, focusing on strengths as well as difficulties.To identify current supports available to individuals contacting the service and develop goal plans.
  • 23 days ago
    Hybrid Remote Job Freelance
    Glasgow, United Kingdom UK
    Carrying out screening assessments over the phone with individuals wishing to engage with EAP services, focusing on strengths as well as difficulties. To conduct risk assessments and implement risk management plans as appropriate, with the support of...
  • 23 days ago
    Hybrid Remote Job Full-Time Employee
    Dublin, Ireland 
    Carrying out screening assessments over the phone with individuals wishing to engage with EAP services, focusing on strengths as well as difficulties. To conduct risk assessments and implement risk management plans as appropriate, with the support...
  • 100% Remote Job Full-Time Employee
    Brick, NJ 
    Provides direct patient care for MAT, substance use and other psychiatric disorders both in-person and via telemedicine. Works closely with Health Practice Administrator, Lead Clinician, and other team members to ensure seamless integration of...
  • 100% Remote Job Full-Time Employee
    Verona, NJ 
    Provides direct patient care for MAT, substance use and other psychiatric disorders both in-person and via telemedicine. Works closely with Health Practice Administrator, Lead Clinician, and other team members to ensure seamless integration of...
  • Hybrid Remote Job Part-Time Employee
    Savannah, GA 
    Completing in person visits at medical providers, which may include hospitals, physician offices, therapy providers, rehabilitation facilities or other providers as needed.Performs 3-point contact on new files.Providing necessary updates to all parties.
  • Hybrid Remote Job Full-Time Employee
    Oakland, CA 
    Completing in person visits at medical providers, which may include hospitals, physician offices, therapy providers, rehabilitation facilities or other providers as needed. Completing in person visits with employers as warranted & requested. Review files.
  • Hybrid Remote Job Part-Time Employee
    Columbia, SC 
    Serves as a patient advocate, coordinator, and liaison between the patient, healthcare providers, and insurance companies. A Field Nurse Case Manager's primary role is to ensure that patients receives high-quality and cost-effective healthcare services.
  • Hybrid Remote Job Employee
    Los Angeles, CA 
    Completing in person visits at medical providers, which may include hospitals, physician offices, therapy providers, rehabilitation facilities or other providers as needed. Completing in person visits with employers as warranted and requested.
  • 100% Remote Job Full-Time Employee
    US National 
    Developing and evolving the vision for the service line. Provide direct patient care and available for clinical escalations. Managing vendors and technology needed to achieve success (e.g. on-call service technology to connect with members needing care...
  • 100% Remote Job Full-Time Employee
    US National 
    Conduct monthly adherence calls and build relationships with patients to get ahead of any product access challenges and educate on the importance of maintaining therapy as prescribed by their provider. 5+ years' experience with specialty providers in...
  • Hybrid Remote Job Full-Time Employee
    Merced, CA, Salinas, CA, Scotts Valley, CA 
    Supervises a team within the Quality and Health Programs Unit, acts as a subject matter expert, and provides guidance on Quality and Health Programs functions, including Health Education and Disease Management Programs and Cultural and Linguistic ...
  • 28 days ago
    Hybrid Remote Job Full-Time Employee
    Saint Paul, MN 
    Individual Case Management: Provide drop in case management for ACS clients before and after group sessions and as needed for discrete case management needs like help completing paperwork, understanding school and health documents and making external...
  • 29 days ago
    100% Remote Job Full-Time Employee
    US National 
    Work with assigned advisors to process and monitor new business submissions, answer post-sale questions, and manage issues through to resolution. Complete suitability review for annuity applications using system tool and set criteria for making...
    A Training Magazine Top 125 for successful learning and development programs. The Human Rights Campaign named this employer as one of the Best Places to Work. These employers are recognized as having top programs to support adoptive families.