Care Management Manager Remote Jobs

Manage and enhance integrated care programs for dual eligible and LTSS models. Drive operational improvements, collaborate with stakeholders, and support strategic initiatives for efficient delivery o...

Unlock potential by managing effective utilization of medical services through expert clinical reviews, collaboration with healthcare professionals, and ensuring compliance with regulatory guidelines...

Manage and enhance nursing care delivery in a home health setting, ensuring compliance, clinical excellence, and operational efficiency while leading and supporting clinical staff to improve patient o...

Join a team that's dedicated to optimizing medication therapy through innovative benefit designs and clinical programs, ensuring clients achieve excellent therapeutic outcomes and economic efficiency...

Transform healthcare relationships by engaging providers in Utilization Management, enhancing compliance and patient outcomes through education and strategic support. Drive program success and foster...

Reimagine healthcare case management by leading patient advocacy and resource coordination. Collaborate with providers to optimize client care, ensuring a holistic approach tailored to individual need...

Unlock the potential of clients by delivering comprehensive care management solutions that ensure effective integration of services and resources, fostering wellness and autonomy through collaboration...

Champion the Utilization Management program by leading a team to ensure high-quality service and adherence to clinical guidelines. Collaborate across functions to drive performance, facilitate continu...

Manage claims operations and team performance to ensure compliance and efficiency. Oversee claims processing, data integrity, and reporting, while driving improvements through analysis and cross-funct...

Oversee a dynamic healthcare utilization management team, ensuring quality care through effective supervision of clinical reviews. Collaborate on initiatives to enhance processes and support team deve...

Engage in shaping comprehensive training programs for clinical staff, enhancing workflows, and ensuring compliance. Drive improvements in patient experience through educational innovation and operatio...

Advance the effectiveness of our utilization management team, ensuring compliance with best practices, improving member experiences, and managing daily operations to achieve optimal outcomes and cost...

Transform inpatient documentation accuracy and DRG assignment through focused reviews. Leverage analytics, AI tools, and electronic health records to mitigate documentation risks and enhance clinical...

Transform member wellness through personalized care planning and resource coordination. Leverage clinical expertise to assess needs, guide families, and drive optimal health outcomes in community sett...

Deliver transformative automation and AI solutions that elevate operational efficiency, enhance quality, and optimize user experiences through effective leadership and strategic partnership with opera...

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...

Drive strategic product management and governance for advanced eSource platforms, ensuring compliance and enhancing decentralized and hybrid trials. Collaborate cross-functionally to shape product vis...

Empower healthcare delivery by utilizing clinical expertise for utilization management. You'll analyze requests, determine medical necessity, and facilitate communication across departments, ensuring...

Transform patient care by managing transitions from hospital to home, ensuring seamless episodic care for Medicare and Medicaid patients through proactive follow-up and collaborative work with healthc...

Deliver strategic leadership to enhance quality of care for UPMC Health Plan members. Oversee physician collaboration and adherence to health standards while driving comprehensive solutions for utiliz...

Optimize clinical documentation and DRG assignments through targeted validation, using advanced analytics and technology. Collaborate with coding professionals to enhance documentation quality and rei...

Unlock potential by guiding clients to maximize value from innovative solutions. Collaborate cross-functionally to drive adoption, engagement, and measurable outcomes, ensuring clients achieve their s...

Join a team that's redefining care management. You'll provide comprehensive support and interventions for members and families, enhancing quality of care and health outcomes while collaborating with h...

Optimize operational leadership in healthcare by driving efficient execution and continuous improvement of ancillary services that enhance patient care and align with enterprise strategy and quality o...

Shape the future of product development by driving growth and profitability, leading cross-functional teams, conducting market research, and executing go-to-market strategies to align with the company...