AdventHealth: Non-profit health care system providing hospital and medical services.
5+ YOE3+ MgmtBachelor's in Nursing required (Master's preferred), active RN, 5+ years direct care management, 3+ years care management leadership, knowledge of CMS requirements, change management, strong communication and data-analysis skills.
Florida or Ohio or Georgia or Maryland or Massachusetts or South Carolina or Michigan or Maine or New York or North Carolina or Pennsylvania or Connecticut or New Jersey or Indiana or Delaware or Kentucky
$21-$41/hrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
2+ YOE2+ years in behavioral health or social services; proficiency with Microsoft Office; experience with case management or managed care preferred; ability to conduct health risk surveys and coordinate care.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft OneNote, Microsoft Teams
Northwell Health: Provides clinical healthcare services through a hospital network.
1+ YOEHigh school diploma, 1+ years relevant experience required; bachelor's or master's preferred. Care management or health home experience and NYS driver preferred. Uses motivational interviewing, panel management, care planning, and outreach.
Alignment HealthNASDAQ: ALHC: Provides Medicare Advantage plans and coordinated clinical services for seniors.
3+ YOE3 years in care management or related clinical field; prior staff development/education experience; RN or LCSW/MSW license; associate’s degree or higher in a clinical discipline; Medicare Advantage or Managed Care experience preferred.
WVU Medicine: Provides comprehensive healthcare services and academic medical research.
5+ YOE2+ MgmtBachelor's in Nursing or Master's in Social Work required; active RN or appropriate state social work license; 5+ years nursing or medical social work experience (2 in inpatient); 2 years care management or supervisory experience; care management certification preferred.
Harris Health System: Public healthcare system serving residents of Harris County, Texas.
3+ YOE2+ MgmtBSN required (or Master's in Social Work), Texas RN or social work licensure, 3 years clinical case management, 2 years management experience, specialty/case manager certification within two years, strong communication and analytical skills.
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
4+ YOERN license in Rhode Island, BLS, CCM or ACM certification, 4+ years acute care experience, care management and supervisory experience, knowledge of Cerner/InterQual/3M/Microsoft Office, strong leadership and regulatory knowledge.
Shirley Ryan AbilityLab: Provides inpatient rehabilitation care and clinical research services.
2+ YOEManage insurance authorizations, code Medicare expected length-of-stay, coordinate discharge resources, and support care managers; bachelor’s preferred and 2 years experience with community resources/healthcare systems preferred.
Illinois or Quincy or Harrisburg or Jacksonville or Champaign or Dekalb or Belleville or Marion or Carbondale or Elgin or Freeport or Mount Vernon or Effingham or Peoria or Decatur or Aurora or North Chicago or Mattoon or Naperville or Rockford or Joliet or Chicago or Waukegan or Bloomington or Galesburg or East Chicago or Cairo or Sterling or North Aurora or Springfield
$86k-$119k/yrRemoteFull Time
HumanaNYSE: HUM: Provides health insurance plans and clinical healthcare services.
5+ YOE2+ MgmtMust reside in Illinois; Associate's degree minimum; active RN or SW license; 5+ years professional experience with 2+ years management; proficiency with Microsoft Windows/Outlook/Excel/Word and MIS; knowledge of Medicaid/Medicare and care management models.
Microsoft Windows, Microsoft Outlook, Microsoft Excel, Microsoft Word, MIS, HireVue
Indiana University Health: Operates a network of hospitals and healthcare clinics.
0+ YOEBachelor's in healthcare or equivalent experience, 0–3 years care/case management experience, strong communication, Excel/Word/PowerPoint proficiency, organizational and analytical skills.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint
TriHealth: Provides comprehensive hospital, clinical, and emergency medical services.
3+ YOEBachelor's degree or equivalent experience, active RN with Ohio licensure, 3-4 years related experience, leadership and care management skills, ability to supervise 20-29 staff.
3+ YOE1+ MgmtActive Virginia RN license and ACM or CCM required; BSN required (MSN preferred); 3+ years acute care case management and 1+ year leadership experience; experience with documentation, compliance, and performance monitoring.
The Ohio State University: Public research university providing higher education and healthcare services.
Bachelor's degree required; supports care management with throughput/capacity coordination, discharge planning, and delegated functions under direction of care managers/social workers.
MDB Health Services: Delivering on-site clinical care to long-term care residents.
5+ YOE2+ MgmtRN required (BSN preferred); 5+ years care management experience and 2+ years supervisory experience; knowledge of utilization review, discharge planning, quality improvement; EMR experience; CCM/ACM a plus.
Corewell Health: Healthcare system providing medical care and health insurance services.
High school diploma or equivalent, computer skills, knowledge of communicating with community agencies; perform clerical duties, deliver and document CMS discharge notices in EPIC, and support care management workflows.
Community Health SystemsNYSE: CYH: Operates a leading network of general acute care hospitals.
1+ YOE1-2 years care coordination/case management support or healthcare administration; experience with discharge planning, insurance verification, EMR documentation, HIPAA compliance, strong communication and organizational skills.