4459 care manager jobs found

Point32Health, Inc. Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about...

Point32Health, Inc. Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE : This Behavioral Health Care Manager will support the Maryland Dual Eligible Special Needs Plan (MD DSNP). 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. 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 member's needs at various stages along the care continuum. Identifies relevant CareFirst and community resources and facilitates program, network, and community referrals. Collaborates with member and the...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The Behavioral Health Care Manager will support the Maryland Dual Eligible Special Needs Plan (MD DSNP). 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 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 member, family and providers to develop a...

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 member, family and providers to develop...

Point32Health, Inc. Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about...

UNC Health Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Coordinates and manages staff, material and financial resources to achieve patient outcomes. Serves as a clinical role model using the nursing process to direct, provide and evaluate age specific patient care. Ensures patient care standards are carried out and validates nurse competencies. Serves as a change agent and participates in unit and organizational committees. Responsibilities: Key customers are patients, families, staff, all ancillary/support persons, physicians, peers, all other departments and staff. Assures friendly, helpful and courteous response to all customers. Other Information Other information: EDUCATION Bachelor Degree required or obtained within three years; MS in Nursing, Business or related field preferred. EXPERIENCE Three - five years...

Medline Industries Job Summary Oversee and manage the development and performance of all sales activities in the division. Staff and direct a sales team and provide leadership towards the achievement of maximum profitability and growth in line with company vision and values. Establish plans and strategies to expand the customer base in the marketing area and contribute to the development of training and educational programs for clients and Account Representatives. Job Description Responsibilities: Develop business plans and sales strategies for the market. Initiate and coordinate development of action plans to penetrate new markets. Provide timely, accurate, competitive pricing on all completed prospect applications submitted for pricing and approval, while striving to maintain maximum profit margin. Develop and implement marketing plans as needed. Maintain records of all pricings, sales, and activity reports submitted by Account Representatives. Create and conduct...

Medline Industries Job Summary Oversee and manage the development and performance of all sales activities in the division. Staff and direct a sales team and provide leadership towards the achievement of maximum profitability and growth in line with company vision and values. Establish plans and strategies to expand the customer base in the marketing area and contribute to the development of training and educational programs for clients and Account Representatives. Job Description Responsibilities: Develop business plans and sales strategies for the market. Initiate and coordinate development of action plans to penetrate new markets. Provide timely, accurate, competitive pricing on all completed prospect applications submitted for pricing and approval, while striving to maintain maximum profit margin. Develop and implement marketing plans as needed. Maintain records of all pricings, sales, and activity reports submitted by Account Representatives. Create and conduct...

Kaiser Permanente Job Summary: In addition to the responsibilities listed below, this position is also responsible for drafting and/or consulting with the legal team on complex contract templates and language; responding to inquiries about complex contract templates and language; researching, comparing, and advising on contract rates and services; developing rate methodology and strategies; collaborating with various services lines to implement rate/contract strategies to improve access and availability and service delivery expansion; interpreting and translating contract terms for senior stakeholders; acting as a role model for the negotiation and completion of companion agreements, letters of intent, and/or memoranda of understanding; and monitoring provider programs in Pay for Performance Agreements, Pay for Quality Agreements, Value Based Purchasing Contracts, and Total Cost of Care. Essential Responsibilities: Promotes learning in others by communicating information...

The MetroHealth System Location: METROHEALTH MEDICAL CENTER Biweekly Hours: 80.00 Shift: 8:00-4:30 The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County's safety-net health system operates four hospitals, four emergency departments and more than 20 health centers. Summary: Interacts with third party payers, external case managers, employers, post-acute service providers, and the interdisciplinary team throughout the case management process. Assesses patients for potential case management intervention. Negotiates benefits and care plans between patient, team, family, and payer. Monitors the effectiveness of the...

Riverside Community Care Riverside Community Care Love what you do! Peer and Care Coordinator Manager Riverside is seeking a passionate Peer and Care Coordinator Manager to join our Community Behavioral Health Center (CBHC) team in Norwood. This is a unique opportunity to join a growing team of dedicated behavioral health professionals! The Peer and Care Coordination Manager (PCC Manager) for the CBHC serves as a member of the CBHC Leadership Team and uses their own lived experience to supervise and support the care coordination and peer workforce (recovery coaches, peer specialists, and family partners) within the CBHC Program. The PCC Manager directly supervises all peers and care coordinators within the CBHC component in weekly individual supervision and provides weekly group supervision and consultation to the peers in the MCI and CCS components. The PCC Manager also provides regular consultation to managers and other team members on recovery concepts and...

Sharp HealthCare Hours: Shift Start Time: Shift End Time: AWS Hours Requirement: Additional Shift Information: Weekend Requirements: On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $56.580 - $70.170 - $83.760 The stated pay scale reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO. Placement within the range is based on years of RN experience. What You Will Do The RN CM I assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker and all members of the interdisciplinary team in the inpatient and emergency department patient care areas. This position requires the ability to combine clinical/quality considerations...

NRG Welcome to the intersection of energy and home services. At NRG, we're all about propelling the next generation of leaders forward. We are driven by our passion to create a smarter, cleaner and more connected future. We deliver innovative solutions that make our customers' lives easier-helping them power, protect, and intelligently manage their homes and businesses. To do this, we need creative and talented people to join our company. We offer a dynamic work environment and a unified and inclusive culture. NRG fosters a strong sense of belonging that leads to better collaboration and business performance. Our company programs are designed to help employees develop the skills they need for success now and in the future. In everything we do, we aim to champion our employees and bring value to our customers, investors and society. More information is available at www.nrg.com. Connect with NRG on Facebook, Instagram, LinkedIn and X. We're looking for a strategic and hands-on...

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...

Sharp HealthCare Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $32.730 - $40.910 - $45.810 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. Please Note: As part of our recruitment process, you may receive communication fromDawn, our virtual recruiting assistant. Dawn is designed to support scheduling for screening calls and interviews, helping to ensure a smooth and timely...

University of Michigan How to Apply Interested candidates are invited to submit a resume/CV and cover letter outlining their qualifications and interest in the position. Please include contact information for three professional references. Applications will be reviewed on a rolling basis until the position is filled. Job Summary The Fertility Preservation Program at Michigan Medicine provides comprehensive, integrated, multidisciplinary care for pediatric and adult patients who wish to preserve fertility before potentially gonadotoxic treatment, as well as those who need fertility care after completion of treatment. The Fertility Preservation Patient Navigator is a knowledgeable, compassionate healthcare professional who will guide patients and families through the medical, emotional, and logistical aspects of fertility preservation. The navigator serves as a liaison between patients, their medical teams and other disciplines to ensure timely access to fertility...