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Care management Remote Jobs

213 fresh jobs found

LTSS Service Care Manager (RN)
Remote-KS, United States

Centene Corporation

Holistic care management Service authorization Hemophilia Holistic care Treatment options Personalized care plans Clinical Guidelines Quality of care Care Planning +31

USD 52K+

Case Manager/Care Coach
Work at Home - Wisconsin, United States

Service plan development Advocacy services Psychosocial assessment Grievances Family Care Human services Medical Services Assist Long Term Care +53

USD 53K+

Care Coordinator II
Remote-AR, United States

Centene Corporation

Service assessments Education on Benefits Member Outreach Home visits Service coordination Guidelines Service plan Regulatory Guidelines Health Plan +17

USD 55K+

Staff Vice President, Medicare Quality & Affordability Strategy
Remote-MO, United States

Centene Corporation

Clinical vendor management Medicare cost trend analysis Data-driven care models Business process excellence Affordability Process excellence Value-Based Care Models Contract implementation Health management +37

Exec Senior Full Time

USD 182K+

Integrated Nurse Case Manager
Sentara Health Plans Wise - Remote, United States

Coordinate RN license Discharge planning Health Plan Clinical assessments Care Coordination RN Claims Care management +13

USD 111K+

Care Manager (RN) - Hudson County
Remote-NJ, United States

Centene Corporation

Resource Coordination Home visits Personalized care plans Social determinants Complex Care Management Resource support Foster care Service Assessment Social Determinants of Health +30

USD 55K+

Care Manager, Fluent in Bengali - 100% Remote
Remote - NY, United States

Community Health Practices Electronic Documentation Systems Fluency in Bengali Pediatric Clinical Experience Paperless database modules Intervention LMSW Electronic Documentation LMHC +16

USD 71K+

Integrated Nurse Case Manager
Sentara Health Plans Roanoke - Remote, United States

Coordinate RN license Discharge planning Health Plan Clinical assessments Care Coordination RN Claims Care management +13

USD 111K+

ABA UM Reviewer
Remote US, United States

MCG criteria Accreditation Process Interpreting Criteria Computer-Based Review Community Groups Payer policies Judgement MCG Medical Director +57

Senior Mid Full Time

USD 78K+

Process Improvement Lead - Medicaid/DSNP Implementations
Remote US, United States

Clinical process improvement CGX Business Process Microsoft Applications Project leadership Processes Efficiency Six Sigma Vision +61

Senior Mid Full Time

USD 94K+

Care Manager (RN) - Morris, Warren, and/or Sussex County
Remote-NJ, United States

Centene Corporation

Home visits Digital Outreach Personalized care plans Social determinants Complex Care Management Resource support Foster care Service Assessment Social Determinants of Health +26

USD 55K+

Supervisor, BH Care Coordination - Remote in Virginia Only
Sentara Health Plans Richmond - Remote, United States

Behavioral health coordination RN licensure Educational Services Supervisory Care Coordination RN Coordination Care management Case Management +6

USD 127K+

Manager, Care Management
Remote-MI, United States

Centene Corporation

Clinical administration Family care planning Member Outreach Provider experience Clinical Data Management Quality care Care Planning Healthcare outcomes Clinical Data +31

USD 100K+

Care Manager (RN)
Remote-NY, United States

Centene Corporation

Personalized care plans Social determinants Complex Care Management Resource support Foster care Service Assessment Social Determinants of Health Service plan Healthcare outcomes +27

USD 55K+

Care Manager, Bilingual Spanish - 100% Remote
Remote - NY, United States

Pediatric Clinical Experience Electronic Documentation Systems Paperless database modules Intervention LMSW Electronic Documentation LMHC Spanish fluency LMFT +17

USD 71K+

Care Manager, Remote
Remote - NY, United States

Electronic Documentation Systems Community Health Practices Paperless database modules Intervention LMSW Electronic Documentation Cantonese Korean LMHC +20

USD 71K+

Care Management Clinical Support Coordinator, Case and Disease Gov Programs *Remote*
Beaverton, OR, United States

Lean Principles Telephonic Outreach Motivational interviewing Healthcare systems Utilization management PHP Care Coordination Lean Coordination +12

USD 46K+

Care Manager (RN) (State)
Remote-CA, United States

Centene Corporation

Digital Outreach Social determinants Personalized care plans Complex Care Management Resource support Foster care Social Determinants of Health Service Assessment Healthcare outcomes +26

USD 52K+

Utilization Management Nurse
Lewiston, ID, United States

Cambia Health Solutions

Disease Management DO Clinical Care Utilization management Quality improvement Clinical expertise Care management Auditing Nursing +16

USD 83K+

Integrated Case Manager/RN- Fairfax, Woodbridge, NOVA!
Sentara Health Plan - Northern Virginia Remote, United States

Behavioral health services Health care coordination Chronic Illness Management RN license Telephonic assessments Health Plan Experience Discharge planning Health Plan Clinical assessments +21

USD 111K+

Senior Care Manager
Remote-NY, United States

Centene Corporation

Member education Personalized care plan Treatment options Substance Use Disorders Home visits Quality care Social determinants Service coordination Substance use +40

Senior Full Time

USD 73K+

Care Coordinator II
Remote-AZ, United States

Centene Corporation

Service assessments Education on Benefits Member Outreach Home visits Guidelines Service plan Regulatory Guidelines Referrals Care Coordination +17

Entry Mid Full Time

USD 55K+

Client Engineer III
Mississippi WFH, United States

Inter-disciplinary care team Interdisciplinary Team Collaboration Person-centered planning Health Assessments Critical Listening Clinical Standards Health Equity Trauma-Informed Care Culturally competent care +46

Senior Mid Full Time

USD 61K+

Care Manager Mom and Baby Beginning - RN
Mississippi WFH, United States

Maternity care Person-centered planning Critical Listening Health Assessments Interdisciplinary Teamwork Clinical Standards Health Equity Trauma-Informed Care Disease Management +44

USD 55K+

LTSS Service Care Manager - Behavioral Health
Remote-TX, United States

Centene Corporation

Mental health assessments Community Resource Coordination Holistic care management Service authorization Holistic care Treatment options Substance use Clinical Guidelines Foster care +41

USD 52K+

Supervisor, Care Management (RN)
Remote-FL, United States

Centene Corporation

Member Outreach Provider experience Digital Outreach Member engagement Pediatrics Quality care Telephonic Outreach Performance Evaluation RN +18

USD 85K+

Member Health Assessor
Mississippi WFH, United States

Cultural Sensitivity Problem identification Provider engagement Compassion Health education Customer Care Resolution Enrollment Eligibility +26

Entry Mid Full Time

USD 31K+

Manager, MBB
Dayton WFH, United States

Maternity care Managed healthcare Problem identification Staff training Microsoft Visio Staff Development Engagement Strategies Resolution Motivational interviewing +32

USD 81K+

Transition of Care Manager -RN or LSW - Must live in MS
Mississippi WFH, United States

Inter-disciplinary care team LSW Person-centered planning Health Assessments Critical Listening Clinical Standards Health Equity Trauma-Informed Care Disease Management +44

USD 55K+

Care Manager NICU - RN
Mississippi WFH, United States

Inter-disciplinary care team NICU Person-centered planning Telephonic Communication Critical Listening Clinical Standards Health Equity Trauma-Informed Care Disease Management +43

USD 55K+

Psychiatrist Pod Lead
Remote

Diagnostic assessments Psychiatric care Collaborative care Evidence-Based Care Clinical Leadership Crisis Intervention Medication management Primary Care Treatment Planning +10

Senior Full Time

USD 270K+

Behavioral Health Utilization Management Clinician I - MHP or SUDP
Spokane, Washington, United States; Seattle, Washington, United States

Community Health Plan of Washington

Workflow systems Clinical Guidelines Discharge planning Community Health Clinical Experience Utilization Review Patient advocacy Utilization management Care Coordination +11

USD 73K+

Bilingual LCSW/LMFT/LPCC (Care Management, Remote)
Merced County, California

Mental health resources CRM databases Evidence-based Interventions Evidence-Based Approaches Data-Driven Technology Interdisciplinary Care Therapeutic Interventions Health Literacy LPCC +23

USD 90K+

Manager, Recovery and Resiliency Services
Remote NM Albuquerque 87102, United States

Magellan Health Remote-first

Resiliency principles Community systems Recovery services Wellness strategies Recovery principles Peer support services Peer support Substance use Psychology +19

USD 64K+

Temp Registered Nurse Medicare Case Manager - Remote (Virginia Only)
Sentara Health Plans Williamsburg - Remote, United States

Health care coordination Chronic Illness Management RN license Telephonic assessments Health Plan Clinical assessments Acute care Care Coordination RN +17

USD 94K+

Manager, Behavioral Health Care Management/RN/LCSW/LPC/LCAS- Remote in VA!
Sentara Health Plans Community Care, United States

Quality Outcome Indicators Addiction recovery Claims analysis Human services Staff Development Healthcare Management NCQA LPC Health Plan +32

Senior Mid Full Time

USD 153K+

OB Care Manager (RN)
Remote-FL, United States

Centene Corporation

Telephonic care management Telephonic case management Compliance Documentation Resource Coordination Social determinants Personalized care plans Healthcare Education Complex Care Management Resource support +30

USD 55K+

Strategic Sourcing Manager- Remote
Sentara Supply Chain, United States

Product trials Product standardization Cost reduction Healthcare Management Strategic sourcing Accreditation Care management Consultation Sourcing +10

USD 132K+

Care Coordinator II
Remote-MO, United States

Centene Corporation

Education on Benefits Service assessments Member Outreach Home visits Service Assessment Service plan Guidelines Regulatory Guidelines Health Plan +18

Entry Mid Full Time

USD 55K+

Dir, Recovery and Resiliency
Remote NM Albuquerque 87102, United States

Magellan Health Remote-first

Recovery principles Peer support services Cultural Sensitivity Peer support Network management Substance abuse Security Controls Training Programs Technical Assistance +15

Senior Mid Full Time

USD 93K+

Care Manager (RN)
Remote-DE, United States

Centene Corporation

Digital Outreach Social determinants Personalized care plans Complex Care Management Resource support Foster care Service Assessment Social Determinants of Health Service plan +25

USD 55K+

Sr. Director-Clinical Informatics and Analytics (Full-Time Remote, North Carolina Based)
Morrisville, North Carolina, United States

Alliance Health

Clinical Software Systems Operational analysis Clinical data analysis KPI metrics Electronic health record Population health FHIR Documentation standards HL7 +39

Senior Full Time

USD 113K+

CA Licensed Nurse Care Manager, Adult
Seattle, WA

Included Health

Telephonic Care Medical Record Systems Spanish Speaking Compassionate care Healthcare navigation Disease Management In-person care Manual Dexterity Specialty care +24

Senior Mid Full Time

USD 25K+

Manager, Clinical Care
Rockford, IL, United States

Population health management Quality measures EMR systems Health education Predictive Analytics Care Coordination RN Care management EMR +14

USD 95K+

CA Licensed Nurse Care Manager, Adult
Denver, CO

Included Health

Medical Record Systems Telephonic Care Acute case management Spanish Speaking Healthcare navigation Disease Management Computer Systems In-person care Manual Dexterity +26

USD 25K+

RN Care Manager - Ambulatory Care Management, Hybrid-Remote
Flexible Hybrid

Patient Transitions Quality measures EPIC RN Clinical expertise Care management Zoom Case Management Patient care +10

USD 129K+

Security Compliance Principal
Any city, TX, US, 99999

Gainwell Technologies

Security education SOC 1 MMIS Information Systems Security Policy compliance Audit compliance Access controls Posting SOC +38

Senior Full Time

USD 113K+

Manager Service Delivery (Remote in US)
Any city, TX, US, 99999

Gainwell Technologies

Product Implementation System Performance Monitoring Infrastructure solutions Staff training Healthcare Industry Knowledge Processes Staffing Functions Claims management +32

USD 93K+

Care Manager (RN)
Remote-AR, United States

Centene Corporation

Resource Coordination Social determinants Personalized care plans Complex Care Management Resource support Service Assessment Foster care Service plan Social Determinants of Health +27

USD 55K+

Medical Review Nurse
REMOTE OPTIONS, PHOENIX

State of Arizona

Prospective Review Retrospective review Concurrent review Health Care Delivery Claims review Health care services Policy compliance Medical Documentation Peer review +68

USD 71K+

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