Remote Manager, Care Management (CA RN Unrestricted License)
$98K - $147K *
Lead a high-performing team in outpatient case management, ensuring quality care delivery and optimal resource utilization while promoting team development and regulatory compliance in a fully remote...
2 weeks ago
Care Management Manager (Hybrid)
$99K - $185K *
Join a team that's dedicated to optimizing patient care through innovative management and assessment of the FEP PPO care management program. Oversee high-risk member interventions and collaborate acro...
3 weeks ago
Senior Director, Complex Care Management and Utilization Management - 2947
$120K - $150K *
Transform integrated care delivery for complex populations as a strategic senior leader. Oversee national Complex Care Management and Utilization Management programs to improve health outcomes, ensure...
3 days ago
Senior Director, Complex Care Management and Utilization Management - 2947
$120K - $150K *
Elevate integrated care delivery by strategically leading Complex Care Management and Utilization Management programs, ensuring alignment with value-based care principles and driving health outcomes f...
3 days ago
$90K - $115K *
Grow your career with a pivotal role overseeing remote clinical operations, coaching your team to excellence while collaborating with care providers. Manage performance and ensure quality client care...
3 weeks ago
Care Manager - Behavioral Health (Remote)
$72K - $143K *
Support care coordination for Medicare enrollees by developing tailored plans addressing medical and behavioral health needs. Collaborate with interdisciplinary teams to ensure positive outcomes throu...
2 weeks ago
Care Manager - Behavioral Health (Remote)
$72K - $143K *
Inspire optimal health outcomes by coordinating care for Medicare Advantage members. Collaborate with interdisciplinary teams to assess needs, develop comprehensive plans, and facilitate access to beh...
2 weeks ago
$94K - $141K *
Lead the charge in delivering exceptional clinical services and coordinating an interdisciplinary team to ensure high-quality home health care that meets individual patient needs and adheres to applic...
2 weeks ago
$72K - $104K *
Transform patient care through effective management, coordination, and support for seamless transitions across health services. Utilize a collaborative approach to optimize individual health outcomes...
Reposted 3 days ago
$72K - $104K *
Unlock seamless patient care by coordinating transitions across health services. Engage patients, assess needs, and implement strategies to ensure optimal health outcomes while navigating insurance pr...
Reposted today
ECM Clinical Manager (LCSW/LMFT)
$90K - $115K *
Lead the charge in remote clinical oversight, managing a team to enhance patient care through effective enrollment, individualized care plans, and collaborative support with the broader healthcare tea...
3 weeks ago
$80K - $100K *
Transform your career by overseeing department operations, ensuring optimal clinical and financial outcomes while collaborating with a diverse healthcare team. Shape care management strategies aligned...
2 weeks ago
$61K - $111K *
Join a dynamic interdisciplinary team to coordinate and manage care for Medicare beneficiaries. Advocate for patients while navigating medical and community resources to enhance health outcomes and pa...
Reposted 3 weeks ago
Clinical Guide Part A: Utilization Management Nurse
$85K - $95K *
Join a team that's dedicated to evaluating medical necessity in inpatient and post-acute services. You'll collaborate with clinical staff to ensure compliance with CMS guidelines, while making impactf...
Today
Clinical Guide Part A: Utilization Management Nurse
$85K - $95K *
Lead the charge in Utilization Management by reviewing inpatient, behavioral health, and post-acute services to ensure compliance with CMS and Medicare Advantage standards while evaluating medical nec...
Today
Supervisor, Behavioral Health Utilization Management
$75K - $135K *
Join a team that leads the behavioral health utilization review process, ensuring high-quality care for members while managing a skilled team. Play a crucial role in compliance, performance monitoring...
5 days ago
$85K - $90K *
Optimize patient care experience by coordinating seamless administrative support, ensuring physicians can focus on clinical excellence. Use your attention to detail and hospitality mindset to enhance...
Reposted yesterday
Telephonic RN Case Manager, SNP (Bilingual Preferred)
$77K - $116K *
Drive comprehensive care coordination for members with chronic needs, optimizing health outcomes through effective nursing assessments, collaboration, and education while maintaining a strong focus on...
2 weeks ago
$75K - $105K *
Join a team that's pivotal in ensuring accurate client payment policies. You'll manage medical policy integrity while conducting research and analysis, collaborating with internal teams, and providing...
6 days ago
Clinical Manager - Home Health
$89K - $97K *
Join a mission-driven team as a Home Health Clinical Manager, overseeing patient-centered care while mentoring clinicians, ensuring quality compliance, and enhancing operational efficiencies for impro...
2 weeks ago
Director Utilization Management MedStar Family Choice
$120K - $238K *
Lead the strategic direction of centralized utilization management to enhance service delivery, ensure compliance, and improve clinical outcomes. Collaborate across teams to optimize processes, drive...
1 week ago
$120K - $238K *
Lead strategic case management initiatives across health plans, driving quality outcomes and regulatory compliance. Supervise teams, optimize care programs, and support innovative care delivery models...
1 week ago
$120K - $238K *
Lead the charge in strategic case management initiatives, enhancing enrollee care across multiple health plans while optimizing operations, ensuring compliance, and fostering quality outcomes through...
1 week ago
$124K *
Join a team that's dedicated to enhancing patient care through comprehensive Case Management for individuals with traumatic brain injuries, ensuring their health needs are met with compassion and prof...
6 days ago
Medical Director II, Utilization Management
$280K - $345K *
Join a collaborative team and lead initiatives in Utilization Management, ensuring quality medical service delivery while mentoring staff and enhancing efficiency within a fast-growing health plan org...
3 weeks ago