Remote Care Manager: Health Coordination & Utilization
MetroPlusHealth
New York, NY
- Remote job
MetroPlusHealth in New York seeks a Care Manager to coordinate care across inpatient and outpatient settings, aiming to achieve high-quality patient outcomes while minimizing unnecessary expenses. You will collaborate with PCPs and providers to direct care to the most appropriate setting, evaluate outcomes, and support members through outreach. The role requires a NYS license as RN, LPN, or PT and 2–5 years of clinical experience in an acute or applicable care setting. #J-18808-Ljbffr MetroPlusHealth
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Care Manager: Health Coordination & Utilization in New York, NY vacancy
- Highmark Health is seeking a full-time RN Care Manager for a REMOTE role requiring weekend availability (Saturday and Sunday) and three... ...weekdays. This position centers on utilization management, applying criteria, and coordinating with Health Coach/case management to...Remote jobFull timeWeekend workWeekday work
- Right Medical Staffing seeks a qualified care manager (RN/LPN/Social Worker) for weekly in-home visits and coordinated care with PCPs. The role combines in-person assessments with telephonic follow-ups to support adherence to treatment plans and home safety education. Responsibilities...Remote jobWork from homeFlexible hours
- Centene is seeking a Care Manager to develop and facilitate complex care... ...for mental and behavioral health needs. The role focuses on... ...effective outcomes and involves remote work with opportunities for... ..., developing care plans, coordinating care with providers, and educating...Remote job
- Trillium Health Resources is seeking a Care Manager - RCT to join our team to deliver whole person-centered care... ...as the primary contact for members, coordinating services across providers and community resources. The position is remote within 75 miles of the Northern Region...Remote job
- Community Care of North Carolina Inc. is seeking a Care Manager to assess, plan, coordinate, and monitor care for enrolled populations in Cary, NC.... ...deliver holistic, cost-effective health outcomes. The position may be performed remotely within regions, with travel across...Remote job
- CCNC is seeking a Care Manager to join our care management team in Cary, NC. This role collaborates with primary care providers and community partners to coordinate a full continuum of health care services. The Care Manager will conduct member assessments, develop and evaluate...Remote job
- Community Care of North Carolina Inc. is seeking a Care Manager in Charlotte, NC. The role conducts... ..., develops care plans, coordinates services, and collaborates... ..., cost-effective health outcomes. The position... ...region/state is expected. Remote work may be possible within...Remote job
- Centene Corporation is seeking a Behavioral Health Care Manager to develop and assess complex care plans for members... ...substance use needs. The role focuses on education, coordination, and cost-effective outcomes, with remote work options and a schedule of Monday-Friday, 8:...Remote jobContract workMonday to Friday
$28.28 - $47.13 per hour
Department Name: Behavioral Health Work Shift: Day Job Category: Clinical Care The future is full... ...a Behavioral Health Utilization Care Manager , you will be... ...location will be entirely remote . This position does... ...case management, care coordination in inpatient or...Remote workWork experience placementWork at officeMonday to FridayShift work- Molina Healthcare, Inc. is seeking a remote field-based Care Manager RN to support care management and care coordination across the continuum for members in McKinley County, NM. Expect travel within the county with potential statewide requirements. The role emphasizes collaboration...Remote job
- ArchWell Health in Tampa, FL is seeking a Nurse Care Manager to coordinate and evaluate care for patients with acute and chronic conditions across the care continuum. You will work closely with the care team to develop and execute individualized care plans, ensuring regulatory...Remote job
- Author Health, LLC is seeking a committed Care Manager (RN) to coordinate comprehensive care for adults with behavioral health needs in a fully remote setting. The role focuses on improving patient outcomes, reducing avoidable ED visits, and ensuring smooth transitions...Remote job
- Author Health is hiring a Care Manager (RN) for a fully remote role based in Florida. You will coordinate care for adults with behavioral health needs and medical treatment, aiming to improve outcomes and prevent readmissions. The ideal candidate is a registered nurse...Remote job
- Highmark Inc. is seeking a full-time remote Care Manager responsible for utilization management, reviewing care appropriateness, and identifying opportunities for Health Coaching interventions. The role involves utilizing data to improve member and provider outcomes and...Remote jobFull timeWeekend work
- Highmark Inc. is seeking a full-time remote Care Management professional available on weekends and three weekdays. The role focuses on reviewing the appropriateness of health care services, applying utilization criteria, and identifying referrals to Health Coach/case management...Remote jobFull timeWeekend workWeekday work
- BLEHEALTH, LLC seeks a Lead Care Manager (LVN) to collaborate with chronically ill members and their families, providers, and community resources in a team approach. You will coordinate services, engage eligible members, oversee ECM implementation, and advocate for patients...Remote job
- AllMed Medical Management is seeking a Clinical Quality Assurance Coordinator to support 100% remote utilization review services. The role focuses on applying evidence-based guidelines to determine medical necessity and ensure accuracy and regulatory compliance across reviews...Remote job
- ...seeking a Clinical Quality Assurance Coordinator to perform quality utilization reviews and ensure medical... ...evidence-based guidelines. This 100% remote role supports Pacific Time Zone operations... ...high-quality clinical outcomes. #J-18808-Ljbffr AllMed Medical ManagementRemote job
- ...Us Vitability Health of New Jersey is dedicated... ...patient-centered care to individuals... ...personalized care management. Job... ...effectively to care coordinators. This position offers... ...flexibility to work remotely. Key Responsibilities... ...modifications. Utilize telehealth...Remote work
Vitability Health
United States4 days ago $59.3k - $80.9k
...Become a part of our caring community At... ...Horizons is more than a health plan. We're human... ...telephonic care manager, assessing and... ...specialists, SDOH coordinators, and care management... ...Nurse will utilize clinical expertise... ...: While this is a remote position, occasional...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeFlexible hours- Jackson Health System in Miami, FL seeks a Clinical Denials Coordinator to support the Utilization Review team within Revenue Cycle. Responsibilities include reviewing denied accounts, identifying trends, and leading efforts to improve recovery outcomes across Emergency...Remote job
- Blue Zones Health is seeking a remote Utilization Management Coordinator to support inpatient and outpatient UM teams, handling authorizations, coordinating with... ...organized, detail-oriented, and experienced in managed care operations, able to work independently in a fully...Remote job
- Oak Street Health is seeking a Care Coordinator in Utilization Management to oversee daily UM operations remotely. You will collaborate with physician reviewers, payers, and vendors to optimize workflows and improve care quality while meeting performance metrics. A 40-...Remote jobFull time
- WellSense Health Plan is seeking a Clinical Care Manager to provide holistic care management across the continuum... ...Boston area. Responsibilities include coordinating services, addressing social... ...health, and ensuring appropriate utilization of healthcare services. #J-18808...Remote job
- Banner Health is seeking a Behavioral Health Utilization Care Manager to oversee utilization reviews and authorize services across inpatient, residential, and outpatient settings. You will collaborate with hospitals, providers, and care teams to ensure medical necessity...Remote job
- WellSense Health Plan is seeking a Clinical Care Manager to provide holistic medical care management for members across... ...reduce costs. This is a full-time remote position based in Massachusetts.... ...individualized care plans, coordinate services, and guide members through...Remote jobFull time
- Molina Healthcare, Inc. seeks a TX licensed Behavioral Health Professional (LPC, LMSW, or LCSW) to support Medicaid members with... ...Primarily telephonic work with occasional in-person meetings, coordinating care across team members and community resources. Prior MCO experience...Remote jobLocal area
$2,500 per month
...Become a part of our caring community The Field Care Manager, Behavioral Health performs primarily face... ...timely, high-quality, and coordination services that meet... ...Responsibilities: Utilize high-quality, evidence... ...Workstyle: This is a remote position that will...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayHumana CenterWell Home Health Orangeburg
United States3 days ago- CVS Health is seeking a Case Management Coordinator for a work-from-home role serving members in Arizona, with travel to Pinal and Maricopa Counties. You will coordinate care, document processes, and support members using evidence-based criteria. Ideal candidates have...Remote jobWork at officeWork from home
- ...seeking a Clinical Quality Assurance Coordinator (RN) to lead quality utilization reviews and ensure medical... ...based guidelines. The role is 100% remote, requiring a strong knowledge of HIPAA... ...providers, document findings, and support management on compliance concerns while...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Care Manager: Health Coordination & Utilization. Be the first to apply!
Related searches
- director of memory care New York, NY
- care manager New York, NY
- memory care director New York, NY
- urgent care medical director New York, NY
- care operations manager New York, NY
- care project manager New York, NY
- social services supervisor New York, NY
- ambulatory care manager New York, NY
- health care project manager New York, NY
- director of managed care New York, NY