managed care jobs in Philadelphia

Jefferson Health seeks an experienced RN Manager to lead operations of our Cancer Center in Philadelphia. In this role, you will oversee oncology nursing teams, ensure safe, evidence-based care, and optimize patient flow and experience. Responsibilities include staff scheduling, coaching, and evaluation; collaboration with physicians and interdisciplinary...

←Back to all jobs at New Century Home Care LLC Case Manager/ Care Coordinator (Bilingual) JOIN OUR TEAM AT NEW CENTURY HOME CARE !New Century Home Care offers an excellent benefit package that includes Generous Paid Time Off, Paid Holidays, Health Insurance, Life insurance, and 401K.JOB SUMMARY:Providing coordinated care to patients...

Company OverviewShriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice,...

Required skills & experience Masters Degree in Social Work, behavioral sciences, or another related field.Currently licensed as an LCSW or LMSW in the State of MA2+ years of previous experience working in care management and/or with chronic illness within a medical environment in home health or hospice.Ability to take calls remotely on some nights and...

Company DescriptionAll applicants must apply to the position through the following linkhttps://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=36479&clientkey=703E6F23E139A9E15CD4746A9D25637DThe mission of the Health Federation of Philadelphia is to improve access to and quality of health care services for under served and vulnerable individuals...

Overview We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional and compassionate homecare services to patients who need our help the most.We are seeking talented, passionate individuals to join our team as a Patient Care Manager and help our patients live happier...

    You deserve a job you love   Volt is immediately hiring Care Management Coordinator in Philadelphia, PA   As a Care Management Coordinator, you will: Apply critical thinking and judgement skills based on advanced medical knowledge to cases utilizing specified resources and guidelines to make case determination. Utilizes resources such as; InterQual,...

We can’t wait to share our passion for aviation with you! Join a team that works hard, cares for each other and offers plenty of opportunities to grow.At Piedmont Airlines, our strength is the way we deliver industry-leading service to our customers and airline partners. To continue our standard of excellence, Piedmont is seeking a motivated, reliable...

The Clinical Care Manager (CCM) is responsible for delivering integrated, whole person care management to individuals with complex behavioral needs. The CCM facilitates care coordination across multiple systems, ensures timely utilization management (UM) activities, and promotes collaboration between providers, members, and support systems to improve health...

Join our dedicated team and contribute to making a significant difference in the lives of our patients and their families. If you are passionate about leading a team to achieve excellence in home health care, we welcome your application. JOB TITLE: Patient Care Manager LOCATION: Philadelphia, PA FULL-TIME DIRECT HIRE Seeking an innovative and...

Overview We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional and compassionate homecare services to patients who need our help the most.We are seeking talented, passionate individuals to join our team as a Patient Care Manager and help our patients live happier...

Summary The Client Care Manager is responsible for developing and maintaining relationships with clients and caregivers. This includes staffing, scheduling, and supervision of field staff to meet the client’s needs. Strong communication, problem-solving skills and making the proper client-caregiver match are necessary for long-term services with JEVS Care...

Esperanza Health CenterIntensive Care Manager (ICM)Department: Behavioral Health ServicesSupervisor: MAT SupervisorWork Hours: 40 hours per week, Monday–FridayLocation: K&A Clinic — Kensington & AlleghenySalary Range: $50,000 – $57,000 annually (commensurate with degree, licensure, and experience)Status: Full-Time, ExemptREQUIRED...

Are you an experienced RN ready to step away from direct field visits and into a pivotal leadership role? Our client is seeking a Patient Care Manager (PCM) to lead their clinical team in Philadelphia. As the "heartbeat" of the office, you will oversee the coordination of care, ensure strict regulatory compliance, and mentor a multidisciplinary team of...

A Client Innova Solutions Is Immediately Hiring for Utilization Management RN Position type: Part Time – Contract Duration: 03 Months Location: Philadelphia, PA As a Utilization Management RN you will: Utilizes resources such as; InterQual, Care Management Policy, Medical Policy and Electronic Desk References to determine the medical appropriateness of...

Company DescriptionWhy You Should Work For Us:HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including:...

Full-time Description Company name: Philadelphia Corporation for AgingTitle of position: AGING CARE MANAGER IPosition type: Full TimePay range: $60,480.00 - $72,032.65 (Varies based on experience) Location: PCA Main BuildingTHE ORGANIZATIONA private nonprofit organization founded in 1973, Philadelphia Corporation for Aging (PCA) is a large agency that...

The Clinical Care Manager is responsible for utilization management by conducting utilization review activities, population management, cross-system consultation, provider management and treatment quality monitoring. The Clinical Care Manager must utilize clinical knowledge of best practices and evidence based treatments to ensure CBH members receive timely...

The Clinical Care Manager is responsible for utilization management by conducting utilization review activities, population management, cross-system consultation, provider management and treatment quality monitoring.The Clinical Care Manager must utilize clinical knowledge of best practices and evidence based treatments to ensure CBH members receive timely...

Position Purpose:Partner with internal and external stakeholders to support Centene's Provider Network team and help achieve company goals through cost-saving initiatives. Serve as a key stakeholder across multiple markets supporting all lines of business, compiling and analyzing financial information, leading complex financial projects, and providing...