1090 care manager jobs found

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: This RN position supports line of business. Under minimal supervision, the Care Manager researches and analyzes members' medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. We are looking for an experienced clinician to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. ESSENTIAL FUNCTIONS: Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with members, family and providers to develop a comprehensive plan of care to address the member's needs at...

CareFirst BlueCross BlueShield Resp & Qualifications MD-DC-Northern VA PURPOSE: Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. This position will support the Federal Employee Program line of business. We are looking for an experienced professional to work remotely from within the greater Baltimore/Washington DC metropolitan areas. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. ESSENTIAL FUNCTIONS: Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with members, family and providers...

CareFirst BlueCross BlueShield Resp & Qualifications Maryland/ DC/ Northern VA PURPOSE : Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. This position will support the Federal Employee Program line of business. We are looking for an experienced clinician to work remotely from within the greater Baltimore/Washington DC metropolitan areas. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. ESSENTIAL FUNCTIONS: Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with member, family and providers to...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: a { text-decoration: none; color: #464feb;}tr th, tr td { border: 1px solid #e6e6e6;}tr th { background-color: #f5f5f5;} This role supports the Dual Special Needs Population (DSNP) in Maryland. Under minimal supervision, the Care Manager conducts thorough research and analysis of members medical and behavioral health needs, along with the key drivers influencing healthcare utilization and costs. The Care Manager partners closely with members and the interdisciplinary care team to develop and implement person-centered plans of care that promote a positive member experience, improved health outcomes, and costeffective service delivery. We are seeking a bilingual Care Manager to enhance communication, cultural responsiveness, and engagement with our diverse DSNP member population. This position is remote, with the expectation that the selected candidate resides within the greater Baltimore metropolitan area....

CareFirst BlueCross BlueShield Resp & Qualifications (Maryland-DC-Northern VA) PURPOSE: Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to optimal health and cost-effective outcomes. We are looking for an experienced professional to work remotely from within the greater Baltimore/Washington DC metropolitan areas. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. ESSENTIAL FUNCTIONS: Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with member, family and providers to develop a comprehensive plan of care to address the members needs at...

Who we are At Teva, we’re proud to be a leading innovative biopharmaceutical company, enabled by a world-class generics business. Fueled by our purpose, “we are all in for better health” and desire to be a leader in CNS, we’re dedicated to addressing patients’ needs, now and in the future. As we strive to improve access and outcomes for patients across all points of care, we’re thoughtfully expanding our US sales teams. Sales professionals at Teva are part of a purpose-driven organization with a uniquely diverse portfolio and a promising pipeline focused on core therapeutic areas. We’re investing in research, marketing, and innovation - empowering our teams to deliver patient-centric solutions that truly make a difference. If you’re ready to join a company that values your contribution and supports your growth, Teva offers the platform to bring better health solutions to patients and providers so we can address the most pressing challenges throughout the treatment journey....

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: We're hiring for a Manager, Data Analytics - Value-Based Care Reporting on the Health Economics and Reporting team at CareFirst! Purpose of the Manager, Data Analytics is to execute business objectives with data and ensure alignment with the vision of the company. Individual will organize the technology, processes and financial resources necessary to address the current and future analytics needs of the business. Provides thought leadership and acts as a subject matter expert in the designing and recommending of appropriate analytical approaches and methodologies. Provides management responsibility into data-driven insights that inform the business's strategic direction. We are looking for an experienced professional to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: Purpose of the Manager, Data Analytics is to execute business objectives with data and ensure alignment with the vision of the company. Individual will organize the technology, processes and financial resources necessary to address the current and future analytics needs of the business. Provides thought leadership and acts as a subject matter expert in the designing and recommending of appropriate analytical approaches and methodologies. Provides management responsibility into data-driven insights that inform the business's strategic direction. We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week. We are not looking for...

STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING! Strategic Staffing Solutions is currently looking for an RN Case Manager for a contract opportunity with one of our largest healthcare clients! Title: RN Case Manager - Compact License Duration: Long-term contract with opportunity to convert to FTE Location(s): Remote (Compact States) Pay Rate: $38-40/HR *100% remote - must reside in a state that is part of the Nurse Compact (multi-state-licensure) Accepted states: Colorado Georgia Indiana Kentucky Mississippi Virginia Washington State Louisiana Iowa Requirements: Must have diverse case management experience; hospice, hospital, home care, medical (acute care, ER, ICU, Med-surg, etc.). Case management experience Must have multi state compact license ROLE SUMMARY The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management...

Alkermes, Inc. In February 2026, Alkermes completed the acquisition of Avadel Pharmaceuticals plc. This acquisition added an approved product in the sleep medicine market. Position Summary: Field Reimbursement Managers (FRMs) help customers navigate and resolve fulfillment, access, and reimbursement issues for certain approved products. Working as one team, the FRM will work collaboratively with Territory Business Managers to ensure that prescribers and their office staff understand the RYZUP hub enrollment process, support services, and access. The FRM will be responsible for providing access and reimbursement support, working directly with prescribers, their office staff, and RYZUP Patient Support to provide education on these processes. Candidates for this role will need to understand the Specialty Pharmacy (SP) process and work in conjunction with RZYUP SP Liaisons to monitor cases as they are processed through the SP system, providing updates to both internal and...

Alkermes, Inc. In February 2026, Alkermes completed the acquisition of Avadel Pharmaceuticals plc. This acquisition added an approved product in the sleep medicine market. Territory Business Manager (TBM) will report directly to the Regional Business Director (RBD). Will be responsible for selling Alkermes products in the Atlanta South territory and supporting promotional efforts on our products approved to treat certain sleep disorders. Ideal candidates should be proven sales achievers and live in the territory. This will be done by having thorough product, disease state and market knowledge and sound selling skills. He/she will utilize available resources to help educate healthcare providers. Finally, he/she will use their analytical ability to determine appropriate targets and will use approved resources accordingly. Responsibilities ESSENTIAL AREAS OF RESPONSIBILITY: * The TBM will demonstrate a strong understanding of all aspects of Alkermes products, related disease...

Alkermes, Inc. In February 2026, Alkermes completed the acquisition of Avadel Pharmaceuticals plc. This acquisition added an approved product in the sleep medicine market. Position Summary: Field Reimbursement Managers (FRMs) help customers navigate and resolve fulfillment, access, and reimbursement issues for certain approved products. Working as one team, the FRM will work collaboratively with Territory Business Managers to ensure that prescribers and their office staff understand the RYZUP hub enrollment process, support services, and access. The FRM will be responsible for providing access and reimbursement support, working directly with prescribers, their office staff, and RYZUP Patient Support to provide education on these processes. Candidates for this role will need to understand the Specialty Pharmacy (SP) process and work in conjunction with RZYUP SP Liaisons to monitor cases as they are processed through the SP system, providing updates to both internal and...

Alkermes, Inc. In February 2026, Alkermes completed the acquisition of Avadel Pharmaceuticals plc. This acquisition added an approved product in the sleep medicine market. Territory Business Manager (TBM) will report directly to the Regional Business Director (RBD). Will be responsible for selling Alkermes products in the Utah territory and supporting promotional efforts on our products approved to treat certain sleep disorders. Ideal candidates should be proven sales achievers and live in the territory. This will be done by having thorough product, disease state and market knowledge and sound selling skills. He/she will utilize available resources to help educate healthcare providers. Finally, he/she will use their analytical ability to determine appropriate targets and will use approved resources accordingly. Responsibilities ESSENTIAL AREAS OF RESPONSIBILITY: * The TBM will demonstrate a strong understanding of all aspects of Alkermes products, related disease states...

Alkermes, Inc. In February 2026, Alkermes completed the acquisition of Avadel Pharmaceuticals plc. This acquisition added an approved product in the sleep medicine market. Territory Business Manager (TBM) will report directly to the Regional Business Director (RBD). Will be responsible for selling Alkermes products in the San Francisco territory and supporting promotional efforts on our products approved to treat certain sleep disorders. Ideal candidates should be proven sales achievers and live in the territory. This will be done by having thorough product, disease state and market knowledge and sound selling skills. He/she will utilize available resources to help educate healthcare providers. Finally, he/she will use their analytical ability to determine appropriate targets and will use approved resources accordingly. Responsibilities ESSENTIAL AREAS OF RESPONSIBILITY: The TBM will demonstrate a strong understanding of all aspects of Alkermes products, related disease...

STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING! Strategic Staffing Solutions is currently looking for a Case Manager RN for one of our largest clients in Detroit, MI! Job Title: Case Manager RN Duration: 6 months Location: Detroit, MI Schedule: Remote (Must be local to Michigan) W2 pay rate: $38 hourly, no paid days off, no paid holidays. Medical coverage is available. 1-year contract with opportunity for extension and conversion 100% REMOTE Requires Current, active, and unrestricted Michigan Registered Nurse (RN) license. Even though the job is fully remote, the candidate must be licensed in the state of Michigan - not just any compact/multistate license unless it specifically includes Michigan. ENGAGEMENT DESCRIPTION: The Case Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person-centric care management program to a diverse health plan population with a variety of health and social needs. They serve as the single...

STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING! Strategic Staffing Solutions is currently looking for an RN Case Manager for a contract opportunity with one of our largest clients located in Detroit, MI! Title: RN Case Manager Location: Detroit, MI (Remote however must be local to Michigan) Duration: 12+ Months W2 Schedule: Monday - Friday 8-5 Pay Rate: up to $41/HR Role Summary The Case Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs. They serve as the single point of contact for members, caregivers, and providers using a variety of communication channels including phone calls, emails, text messages and the online messaging platform. The Case Manager RN uses the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the member's health across...