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Keywords: Manager, Clinical Care Case Management - Remote, Location: Philadelphia, PA

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Manager, Clinical Care Case Management - Remote

and value inside and outside the exam room for all patients. Job Description The Manager, Clinical Care is primarily... that will effectively monitor, support, and lead Value Based clinical initiatives. This includes but is not limited to case management...

Company: Guidehealth
Location: Philadelphia, PA
Posted Date: 07 Jun 2025
Salary: $110000 per year

Clinical Care Reviewer – Utilization Management, Registered Nurse, Licensed Clinical Social Worker or Behavioral Health

Management team where your clinical expertise helps shape better outcomes. We're hiring Clinical Care Reviewers across multiple... with Clinical Insight. Whether you’re an experienced utilization review nurse, a sharp case manager, or a behavioral health...

Posted Date: 27 Jun 2025

Pediatric Shift Care Utilization Management Review Nurse

Reviewer refers the member to a Special Needs/Pediatric Shift Care Case Manager and works collaboratively with that Case... Management experience, preferably within a managed care organization. Experience utilizing evidence based clinical decision...

Posted Date: 22 May 2025

Care Manager

coordination and case management services in achieving their optimal level of health through self-management. The Care Manager (RN.... Responsibilities Assess members to determine care coordination and case management needs for all referred members. Completes...

Posted Date: 25 Jun 2025

Transition Care Manager

more about us at . Role Overview Under the Direction of the Supervisor, the Transition Care Manager is responsible for completing... policies and procedures. The Transition Care Manager will assess and processes discharge planning needs across all disciplines...

Posted Date: 25 Jun 2025

Care Manager

for care coordination and case management services in achieving their optimal level of health through self-management. The Care... member goals. Assess members to determine care coordination and case management needs for all referred members. Completes...

Posted Date: 15 Jun 2025

Care Manager

for care coordination and case management services in achieving their optimal level of health. The Care Manager II... of experience as a case manager, preferably providing telephonic case management. Certification as a case manager preferred...

Posted Date: 01 Jun 2025

Care Manager II

Role Overview The Care Manager II supports members in achieving optimal health through self-management. Engaging... coordination program members, overseeing care management activities within assigned practices to meet Plan, NCQA, Federal/State...

Posted Date: 01 Jun 2025

Transition Care Manager

including but not limited to PCP, home care, skilled nursing and rehabilitation services, DME, pharmacy, case management... more about us at . Responsibilities: Under the Direction of the Supervisor, the Transition Care Manager is responsible for completing preventative...

Posted Date: 01 Jun 2025

Home Care Registered Nurse

, has an immediate need for a Full-time Registered Nurse Case Manager for the greater Philadelphia area (Northeast Philadelphia..., our integrated virtual care program that helps patients avoid preventable ER visits and hospitalizations. It enhances our clinical...

Company: Trinity Health
Location: Philadelphia, PA
Posted Date: 27 Jun 2025

Regional Account Manager - Upstate NY

Fill, Sales Operations, Marketing, senior management, clinical staff and other functions to assist in both addressing... working with case management/discharge planning and other referral sources within a hospital infusion environment Experience...

Company: Walgreens
Location: Philadelphia, PA
Posted Date: 04 Apr 2025

Health Coach

Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide...) Registered Nurse licensure. Three years any of combination of clinical, case management and/or disease/condition management...

Posted Date: 05 Jun 2025