Remote RN Care Manager

Humana Inc. seeks a Manager of Care Management to lead a Stars-focused team delivering targeted telephonic outreach, closing care gaps, and connecting members with resources.You will guide associates to promote quality, accountability, and member-centered outcomes, reporting to the Associate Director of Care Management. You will influence performance, triage...

Highmark Health is seeking a full-time RN Care Manager for a REMOTE role requiring weekend availability (Saturday and Sunday) and three weekdays. The position focuses on utilization management, coordinating care, and improving provider and member satisfaction through data-driven strategies.Responsibilities include implementing review processes, educating...

CVS Health is seeking a Population Health Care Manager RN in Arizona to coordinate care for chronic conditions, educate providers, and advocate for members across healthcare teams.The role is telework-based from Maricopa County with 10–25% travel to provider locations. Full-time hours are 40 per week, Monday–Friday, 8am–5pm AZ time, with orientation...

Leading MLTC in the NY area is seeking experienced REMOTE Care Managers CANDIDATES MUST RESIDE IN THE METROPOLITAN NEW YORK ARE Responsibilities Perform assessments of members’ medical, psychosocial, physical and spiritual nee ds.Develops, implements, and monitors person centered service pl an.Ensures continuity of care across all healthcare settings by...

Humana Inc. is seeking a Utilization Management Registered Nurse to interpret and support coordination, documentation and communication of medical services and benefit determinations.You will report to the Manager of Utilization Management and support post-acute care services across SNF, home health, and DME to ensure members receive appropriate care in the...

Highmark Inc. is seeking a Case Manager to provide comprehensive case management services, coordinating care, assessing member needs, and developing care plans to optimize outcomes while containing costs. You will collaborate with physicians and providers, document activities per regulations, and mentor junior staff. Experience in complex case management and...

CompanyCompany : Highmark Inc.Job DescriptionJob Description :JOB SUMMARYThis is a full-time REMOTE position requiring weekend availability (Saturday and Sunday) in addition to three weekdays. This job implements effective utilization management strategies including: review of

Humana is seeking an Utilization Management Registered Nurse to interpret and support coordination, documentation, and communication of medical services and benefit determinations. The role reports to the Manager of Utilization Management as part of the One Home/Home Solutions Utilization Management team handling post-acute care services such as SNF, Home...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for providing comprehensive case management services to members, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes. The Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while...