Senior Nurse, Care Management - Hybrid/Remote
Blue Shield of CA
- Remote job
Blue Shield of CA is seeking a Senior Care Management Nurse to lead care coordination for members, applying clinical judgment and independent analysis. You will determine and implement care plans based on assessments, treatment plans, and member needs, including prenatal care, chronic conditions, and poly-pharmacy. The role operates in a hybrid virtual environment with occasional in-office days, requires a CA RN license, BSN preferred, CCM certification in progress, and at least five years of #J-18808-Ljbffr Blue Shield of CA
- Centene is seeking a nurse care manager for a hybrid in-home role in the South Dallas area. You will assess complex cases, develop personalized care... ...emphasizes member advocacy and education, with flexible remote/field/office schedules. #J-18808-Ljbffr Centene...Remote workSeniorWork at officeFlexible hours
- Blue Shield of CA's Care Management team seeks a Senior Care Management Nurse to apply clinical judgment to develop and implement care plans for members, collaborating... ...and health assessments. Note: PST business hours; hybrid virtual work with occasional on-site as needed. #J...Remote jobSenior
- HomeWell Care Services GA311 is seeking a compassionate Registered Nurse Care Manager for a part-time, hybrid role in Canton, GA. You will conduct in-home assessments, develop care... ...assessments and supervision, with some remote administrative work and a flexible schedule...Remote workSeniorPart timeLocal areaFlexible hours
- ...their Prior Authorization team within the Medical Management/Health Services department. The role ensures quality care for members by supervising daily activities and... ...candidate will hold a Bachelor's degree in Nursing, possess 4+ years of related experience, and have...Remote workSeniorFlexible hours
$75.3k - $135.4k
Centene Corporation is seeking a Clinical Supervisor to oversee the utilization management team ensuring appropriate care for members. The ideal candidate will supervise day-to-day activities, collaborate on complex member care issues, and maintain compliance with healthcare...Remote jobSenior- AHS Staffing is seeking a Senior Recruiter to lead a high-performing healthcare recruiting desk in a hybrid Frisco, TX location. You will manage complex searches, build clinician pipelines,... ...exceptional candidate experiences across nursing and allied health specialties. You...Remote jobSenior
$135k - $145k
...adults and frail seniors. We specialize in... ...based, comprehensive care and coverage for... ...our Enrollment RN Manager, you’ll be the clinical... .... In this hybrid role, you’ll split... ...present and review nursing recommendations for... ...on local markets; remote roles are aligned...Remote workSeniorTemporary workPart timeWork at officeLocal areaMonday to FridayFlexible hours- Spring Health is seeking a Senior AI Care Operations Manager in New York City to own the hands-on development... ...support experiences. This role is hybrid, reporting to AI Operations leadership... ...to diagnose issues, optimize performance, and drive #J-18808-Ljbffr Remote GenieRemote workSenior
- ...Physicians, Inc. is seeking a Team Manager to oversee a diverse care coordination staff in Somerville... .... The role includes supervising Nurses, Social Workers, and... ...The position is full-time with a hybrid schedule—primarily remote, with on-site supervision duties...Remote workSeniorFull time
$137.8k - $206.8k
Job DescriptionGeneral Summary:The Senior Manager, Clinical Study Quality Lead provides study-level quality oversight for... ...research environment. This position is on-site or hybrid and is not eligible for a fully remote work arrangement.Key Duties and Responsibilities:Serve...Remote workSeniorFull timeSummer workFlexible hours2 days per week- ...dependencies to enable scalable growth. The role emphasizes independent, high-autonomy work, with collaboration to drive payer transfer, acquisitions, and expansion decisions. Hybrid NYC location preferred; remote candidates considered. #J-18808-Ljbffr Greenbrook MedicalRemote workSenior
- ...Business Administration, Health Care Administration, Nursing, or related field, or... ...in healthcare revenue management and 4 years’ related experience... ...codes within the CDM. The Senior Analyst monitors quality... ...experience.WORK SCHEDULE:Hybrid-remote with flexibility based on...Remote workSeniorFor contractorsWork at officeLocal areaMonday to Friday
- Suvida Healthcare in Georgia seeks a Nurse Care Manager to collaborate with a multidisciplinary team and manage high‑risk patients... ..., cost‑effective services across the continuum. The position offers hybrid work with clinic and remote days. #J-18808-Ljbffr Suvida HealthcareRemote work
- Navita Health in Ohio offers a Senior Manager- LICDC Counselor role that blends direct client care with leadership. You will carry a caseload while guiding quality... ...clinical and operational leadership scope in a remote/hybrid environment. #J-18808-Ljbffr Navita HealthRemote jobSenior
- Centene Management Company LLC is seeking a Remote Registered Nurse to join a high-volume inbound/outbound call center focused on care management. The role oversees care/service plans, collaborates... ...scheduling supports remote, hybrid, field or office work arrangements...Remote jobSeniorWork at officeFlexible hours
- J29, Inc is a healthcare management consulting firm focused on processing, reviewing, and analyzing medical claims and records. The Claims... ...and collaboration, working with stakeholders to support changes in care practices in the pharmacy arena. #J-18808-Ljbffr J29, IncRemote jobSenior
- ...Alliance for Health is seeking a Senior Complex Case Manager - Pediatric (RN) for a temporary... ...Supervisor (RN) and focuses on developing care plans, coordinating services, and... ...a defined temporary period, with hybrid work arrangements and remote interview options. #J-18808-...Remote workSeniorFull timeTemporary work
$29 - $52 per hour
...is a global organization that delivers care, aided by technology to help millions of... ...Minnesota, you'll enjoy the flexibility of a hybrid-remote position* as you take on some tough... ...Works with Industry Relations, Client Management, Clinical Services and assigned Pharmaceutical...Remote workSeniorHourly payMinimum wageFull timeContract workWork experience placementLocal area- ...in Stratford, CT is seeking a Nurse Care Coordinator (RN) to provide comprehensive... ...care coordination and management for individuals with intellectual... ...resources. This full-time, hybrid position combines in-field, in-office, and remote work. #J-18808-Ljbffr KenCrestRemote workFull timeWork at office
- Pathways Personnel's client in San Francisco is seeking a Senior Litigation Case Manager to provide senior-level case management and substantive... ...; the position features a 2-day in-office and 3-day remote hybrid schedule. The ideal candidate will have extensive experience...Remote jobSeniorWork at office
- TEEMA GROUP is seeking an experienced Registered Nurse (RN) Case Manager to join a collaborative care team serving frail and elderly adults in Carson, CA. The role combines clinic work with home visits in a hybrid setting, managing an assigned patient panel and coordinating...SeniorWork from home
- ...Registered Nurse: Review and EvaluationAre you a registered nurse ready to take your career... ...and program integrity through compliance management. Here, you'll champion the needs of... ...vulnerable populations, safeguard the quality of care, and influence healthcare outcomes on a...Remote workWork from home
- Blue Cross NC is seeking a Senior Strategic Advisor to join the Value Based Care Program Strategy and Operations team. You will contribute to innovation in reimbursement, care redesign, and payer/provider engagement while shaping enterprise strategy and competitive differentiation...Remote jobSenior
- RVO Health in Fort Mill, SC is seeking a Senior FP&A Associate to own the Pharmacy & Care P&L, including Cash Card and Rx on Demand. You’ll build pricing and... ...collaboration are required. Office Tue-Thu in-office; Mon and Fri remote optional. #J-18808-Ljbffr RvohealthRemote workSeniorWork at office
- ...client assessments and case planning, and ensure policy compliance. The role combines field and office supervision with remote work options in a hybrid setup. You will hire and train staff, supervise performance evaluations, and maintain confidential records in line with...Remote workSeniorWork at office
- Golden Gate Regional Center Inc. is seeking a Supervising Social Worker for the San Mateo office with a hybrid schedule spanning client homes, the office, and remote work. This role leads social workers, oversees case planning, and ensures policy and HIPAA compliance. The...Remote workSeniorWork at officeLocal area
$90k - $100k
...Job Title: Transition of Care Nurse Care Manager (Registered Nurse) – Hybrid Compensation Salary Range: $90,000 – $100,000 per year Location: Midtown... ...Manhattan, NY Hybrid (3 days onsite / 2 days remote) Position Summary As a Transition of Care Nurse...Remote workContract workShift work- Centene Corporation is hiring for a hybrid in-home care management role serving the South Dallas area (Oak Cliff, Lancaster or DeSoto). The role focuses on evaluating high-acuity members, developing and updating personalized care plans, coordinating with families & providers...Senior
- Centene Corporation is seeking a Care Management Professional in Texas to assess and coordinate services for complex, high-acuity members.... ...plans and educating families to access appropriate benefits. The hybrid position may require in-person assessments within Bell and...Senior
- ...Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. In the Patient Care Manager RN Hybrid role, you supervise and coordinate clinical services and provide nursing care to patients in their homes as prescribed...Senior
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