128 remote care manager jobs at 68 companies in Pennsylvania
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Health Plan Care Manager - Remote
Portland or Maine or New Hampshire or Vermont or New York or Pennsylvania or Ohio
$87k-$107k/yr RemoteFull Time
5+ YOEBachelor's degree in nursing, 5 years of current clinical experience, managed care, home health, or hospital experience, and an unrestricted RN license. CCM preferred; MSN preferred.
Current Procedural Terminology (CMS), HEDIS, case management medical record
3d
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RN II/Care Manager-ONCOLOGY (REMOTE)
Hopewell or New Jersey or New York or Pennsylvania or Connecticut or Delaware
$79k-$106k/yr RemoteFull Time
2+ YOEActive unrestricted New Jersey or compact RN license, high school diploma/GED, 2+ years clinical experience, and 2+ years health care payer experience. Bachelor's degree and CCM preferred.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Windows, intranet, internet, user acceptance testing
6d
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CARE MANAGER - NURSING
United States or Alabama or California or Colorado or Connecticut or Florida or Georgia or Illinois or Louisiana or Massachusetts or New Jersey or New York or North Carolina or Ohio or Oklahoma or Oregon or Pennsylvania or Puerto Rico or South Carolina or Texas or Utah or Virginia or Wisconsin
$98k-$108k/yr RemoteFull Time
2+ YOE2+ MgmtRequires an active unrestricted New York nursing license, nursing education, 2+ years of care planning and management experience, customer service experience, and 1+ year working with frail or elderly populations.
OSHA
1mo
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Chronic Care Manager (Remote - Compact States)
Illinois or Wisconsin or West Virginia or District of Columbia or Washington or Virginia or Vermont or Utah or Texas or Tennessee or South Dakota or South Carolina or Rhode Island or Pennsylvania or Oregon or Oklahoma or Ohio or North Dakota or North Carolina or New York or New Mexico or New Jersey or New Hampshire or Nevada or Nebraska or Montana or Mississippi or Minnesota or Michigan or Massachusetts or Maryland or Maine or Louisiana or Kentucky or Kansas or Iowa or Indiana or Idaho or Georgia or Florida or Delaware or Connecticut or Colorado or California or Arkansas or Arizona or Alabama or Missouri or Wyoming or United States
RemotePart Time
2+ YOECurrent compact RN/LPN/LVN license, minimum 2 years clinical experience, EMR and Microsoft Office proficiency, reliable high-speed internet and Windows/Mac computer, strong communication and clinical judgment.
Electronic Medical Records (EMR), Microsoft Office 365, Microsoft Teams, Microsoft Excel, Windows, Mac
2d
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Chronic Care Manager (Remote - Compact States)
Illinois or Wisconsin or West Virginia or District of Columbia or Washington or Virginia or Vermont or Utah or Texas or Tennessee or South Dakota or South Carolina or Rhode Island or Pennsylvania or Oregon or Oklahoma or Ohio or North Dakota or North Carolina or New York or New Mexico or New Jersey or New Hampshire or Nevada or Nebraska or Montana or Mississippi or Minnesota or Michigan or Massachusetts or Maryland or Maine or Louisiana or Kentucky or Kansas or Iowa or Indiana or Idaho or Georgia or Florida or Delaware or Connecticut or Colorado or California or Arkansas or Arizona or Alabama or Missouri or Wyoming or United States
$10-$16/hr RemotePart Time
2+ YOENursing graduate with current compact or applicable state license, 2+ years of clinical experience, EMR and Microsoft Office proficiency, HIPAA-compliant home workspace, reliable computer and high-speed internet.
Electronic Medical Records (EMR), Microsoft Office 365, Microsoft Teams, Microsoft Excel, Windows, Mac
2d
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Care Manager, Telephonic Registered Nurse
Kentucky or Oklahoma or Ohio or North Carolina or New York or New Jersey or New Hampshire or Pennsylvania or Missouri or Mississippi or Minnesota or Maryland or Maine or Louisiana or Iowa or Indiana or Georgia or Florida or Delaware or Arkansas or Illinois or Alabama or Wisconsin or West Virginia or Virginia or Vermont or Texas or Tennessee or South Carolina or Rhode Island
$71k-$98k/yr RemoteFull Time
3+ YOEActive unrestricted RN compact license and 3+ years of acute clinical care experience, including case management, discharge planning, and adult patient education. Requires strong assessment, critical thinking, communication, and Microsoft Office skills.
Microsoft Word, Microsoft Excel, Microsoft Outlook, auto-dialer
2d
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Discharge Care Manager Nurse, RN - Remote in Pennsylvania
Pennsylvania or Philadelphia or Scranton or Pittsburgh or Erie or Allentown
$60k-$107k/yr RemoteFull Time
5+ YOEBSN, unrestricted Pennsylvania Compact RN license, 5+ years acute inpatient experience, 2+ years discharge planning or case management, insurance product experience, and Microsoft Office proficiency.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, InterQual, MCG Guidelines
3w
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Care Manager RN - UM (Full-Time) Weekends (Remote)
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Missouri or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$68k-$106k/yr RemoteFull Time
3+ YOERequires 3 years of progressive clinical experience, RN experience, PA or eNLC licensure, regulatory knowledge, data analysis, communication, organization, and computer skills.
HIPAA
2mo
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Integrated Care Manager, Ambulatory Care Management Preventive Team
Virginia Beach or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
3+ YOEActive RN license required, BLS within 90 days (if clinical), specialty case management certification within one year of eligibility, minimum 3 years nursing experience, case management experience preferred, bachelor's in nursing preferred.
22h
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Managed Care Pharmacist - Managed Care/PBM
Pennsylvania, United States
RemoteFull Time
3+ YOECurrent unrestricted pharmacist license, 3 years of managed care pharmacy experience, and knowledge of regulatory standards, audits, CMS regulations, HIPAA, and pharmacy benefit programs.
Microsoft Office, Microsoft Excel, Microsoft Access
1mo
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Managed Care Director
Philadelphia, Pennsylvania, United States
RemoteFull Time
10+ YOEDevelop and execute payer contracting, reimbursement, and value-based care strategies; bachelor's required, master's preferred; 10+ years managed care/payer relations experience; negotiation, financial analysis, and presentation skills.
Microsoft Office Suite, Salesforce
22h
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Managed Care Pharmacist - Managed Care/PBM
Pennsylvania, United States
RemoteFull Time
3+ YOECurrent unrestricted pharmacy license, 3+ years of managed care pharmacy experience, Microsoft Office proficiency, and experience with regulatory standards, audits, formulary strategy, or clinical program development.
Microsoft Office, Microsoft Excel, Microsoft Access
3d
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Supervisor, Customer Care & Sales (Remote)
Alabama or Alaska or Arkansas or Arizona or Colorado or Florida or Georgia or Iowa or Idaho or Illinois or Indiana or Kansas or Louisiana or Maryland or Minnesota or Missouri or Mississippi or North Carolina or North Dakota or Nebraska or New Mexico or Ohio or Oklahoma or Oregon or Pennsylvania or South Carolina or Tennessee or Texas or Utah
RemoteFull Time
2+ YOEHigh school diploma or GED required; associate or bachelor's degree preferred. Two years of customer service, retention, sales, or supervisory experience preferred, with leadership and coaching skills.
3w
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CDI Outsourcing Manager - Remote (Solventum)
Florida or Kansas or Arizona or North Dakota or Oklahoma or Massachusetts or Maine or Montgomery County or South Dakota or Michigan or Wisconsin or Iowa or Vermont or Nebraska or Wyoming or Connecticut or Utah or Oregon or Montana or Colorado or Mississippi or New Jersey or Idaho or Delaware or District of Columbia or New Mexico or New York or Nevada or Tennessee or Ohio or Washington or Pennsylvania or North Carolina or Minnesota or West Virginia or Missouri or New Hampshire or California or Arkansas or Maryland or Alabama or Louisiana or Indiana or South Carolina or Illinois or Texas or Virginia or Kentucky
$126k-$173k/yr RemoteFull Time
7+ YOE7+ MgmtBachelor's degree plus 7 years or high school diploma/GED plus 11 years of acute-care CDI management; CCDS or RN license, acute-care experience, and travel availability required.
ICD-10-CM/PCS, APR DRGs, HACs, PSIs
3mo
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New Product Planning Manager, Digital and Connected Care
Pittsburgh or Atlanta or Parsippany or Houston or Minneapolis or Boston
$135k-$155k/yr HybridFull Time
5+ YOE5-7 years in new product planning or strategy in medical devices; experience with digital health, SaMD, AI/ML, remote monitoring; Bachelor’s in business or engineering; MBA preferred.
1mo
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Clinical Data Product Manager
Atlanta or Philadelphia or Nashville or United States
RemoteFull Time
4+ YOE4+ years B2B SaaS product management; experience with clinical and claims data, post-acute care workflows, value-based care, AI-driven analytics; Agile experience and stakeholder leadership.
MDS, OASIS, ADT, EHR, Jira, Aha!
2mo
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Care Supervisor, Programs- STA
Arizona or Arkansas or California or Colorado or Florida or Kansas or Maryland or Missouri or Nevada or New Jersey or New York or North Carolina or Oregon or Pennsylvania or South Carolina or Tennessee or Texas or Washington or Wisconsin
$128k-$160k/yr RemoteFull Time
4+ YOE2+ MgmtRequires PharmD and active U.S. pharmacist license, 4+ years in high-volume pharmacy, 2+ years supervisory experience, program and project management, regulatory compliance, stakeholder management, and pharmacy systems proficiency.
G Suite, JIRA, Looker
2w
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Care Coordination & Navigation Specialist (CCNS)
Pennsylvania or New Jersey or New York or Delaware
$50k/yr RemoteFull Time
2+ YOERequires 2+ years in care navigation, case management, community health, or healthcare support; EMR and ticketing proficiency; strong communication, organization, documentation, and caseload management skills; high school diploma or GED.
EMR, Zoom, Slack
1mo
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Client Success Manager (Value Based Care Platform)
Philadelphia, Pennsylvania, United States
$106k-$140k/yr RemoteFull Time
5+ YOEBachelor's degree required (Master's preferred),5+ years client success/account management experience in health tech or healthcare operations,experience with value-based care/Medicaid preferred,strong communication,analytical and cross-functional coordination skills,valid driver's license.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Teams, Microsoft SharePoint, CRM, Smartsheet
1mo
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Associate Claims Clinical/Care Advocacy
Alabama or Arkansas or Connecticut or Delaware or Florida or Georgia or Illinois or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maine or Maryland or Massachusetts or Michigan or Minnesota or Mississippi or Missouri or Nebraska or New Hampshire or New Jersey or New York or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or Rhode Island or South Carolina or South Dakota or Tennessee or Texas or Vermont or Virginia or District of Columbia or West Virginia or Wisconsin
$56k-$81k/yr RemoteFull Time
5+ YOE5+ years relevant experience (social worker or RN) with geriatric case management, knowledge of Medicaid/Medicare, Area Agency on Aging resources, discharge planning, strong communication and analytic skills.
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