Care Management Manager Remote Jobs

Support patients and families in navigating health journeys by creating tailored care plans and coordinating services. Collaborate with teams while focusing on education and advocacy to enhance wellne...

Tackle the challenges of utilization management by reviewing medical records and treatment plans to ensure compliance with CMS and Medicare Advantage standards. Contribute to patient-centered care in...

Innovate patient care by coordinating medical, behavioral, and social aspects of complex cases. Engage with healthcare teams to create comprehensive plans, advocate for patients, and ensure continuity...

Join a team that empowers providers and members to enhance health outcomes through effective clinical review processes and collaboration, ensuring optimal care and cost efficiency across healthcare se...

Drive operational excellence for client accounts by translating complex data into actionable insights. Partner with cross-functional teams to enhance client relationships, monitor performance, and imp...

Manage comprehensive case management services for TRICARE beneficiaries, including assessments, care plans, and outcome monitoring while ensuring compliance with policies and regulations. Advocate for...

Champion operational excellence by leading Utilization Management programs, focusing on prior authorizations, inpatient reviews, and post-care management while collaborating with multidisciplinary tea...

Champion comprehensive health outcomes by coordinating care, assessing needs, and advocating for services for individuals and families, ensuring quality and cost-effective solutions across diverse pat...

Help us elevate healthcare by providing expert clinical support and guidance, ensuring optimal benefit determinations and quality care for our members while collaborating with a multidisciplinary team...

Champion impactful partnerships by driving engagement and success with health system/provider networks. Utilize clinical research knowledge to foster collaboration among cross-functional teams and enh...

Join a dynamic team to advance quality health care initiatives, collaborating across functions to optimize processes and drive strategic goals. Manage complex projects and improve operational efficien...

Drive quality improvement initiatives across a vast network of crisis centers, ensuring optimal performance and compliance. Lead a dynamic team, collaborate with stakeholders, and enhance impactful se...

Lead utilization management efforts by reviewing complex Home Health authorization requests, ensuring evidence-based decision-making, and collaborating with interdisciplinary teams to optimize patient...

Shape client payment policies by ensuring accuracy, delivering specialized requests, and collaborating effectively with internal and external teams to enhance service and compliance within healthcare...

Join a team that's dedicated to enhancing member health outcomes. In this remote RN Case Manager role, you'll manage care coordination and member engagement, optimizing health and satisfaction through...

Drive excellence in remote nursing care by managing cases, facilitating member engagement, and optimizing healthcare outcomes. Collaborate with teams to promote well-being while ensuring compliance an...

Partner with us to enhance member wellness and care coordination. As a remote RN Case Manager, you will support members in navigating the healthcare system while ensuring timely, effective, and equita...

Drive quality member management remotely by collaborating with health teams to enhance satisfaction and achieve personal health goals through data analysis, care coordination, and education in navigat...

Transform member health outcomes by managing care coordination, promoting wellness, and navigating health systems with patient-centric solutions. Engage in telephonic outreach, data analysis, and coll...

Elevate operational excellence by managing Utilization Management activities, ensuring compliance with policies and quality standards, and leading process improvements to enhance performance across cl...

Inspire and lead a talented software development team, ensuring seamless integrations and timely delivery of high-quality solutions that meet business needs and drive innovation across various departm...

Grow your career with a dynamic role driving medical management programs, optimizing utilization processes, and ensuring compliance while leading data-driven strategies to improve outcomes across dive...

Shape the future of cost recovery initiatives by leading vendor collaboration and cost containment strategies to enhance efficiency and achieve targets across multiple health plans while delivering ac...

Transform healthcare navigation through analytical insights and hands-on clinical support. Drive optimal member outcomes by collaborating with cross-functional teams while enhancing best practices in...

Lead the charge in enhancing patient care through strategic community engagement. Collaborate with members, providers, and organizations to deliver comprehensive healthcare solutions that address dive...