RN Care Manager - Telephonic Medicare/Medicaid Cases
MJHS
Elderplan and HomeFirst in New York, NY, are expanding opportunities in Medicare and Medicaid managed care. This role provides telephonic assessments of members' medical, psychosocial, physical, and spiritual needs, building a Person-Centered Service Plan (PCSP) from UAS-NY assessments. As an RN, you will collaborate with the interdisciplinary team, respond to changes in member condition, educate on Advanced Directives, and participate in Interdisciplinary Care Team meetings. #J-18808-Ljbffr MJHS
- AmTrust Financial Services, Inc. is seeking a Telephonic Medical Case Manager (RN) to provide comprehensive telephonic case management and drive medically... ...may involve utilization review, pharmacy oversight, and care coordination. The position is remote in Pennsylvania and...SuggestedRemote job
- CVS Health is seeking a Care Manager RN to coordinate SNP member care, assess needs, and create... ...plans. This remote role emphasizes telephonic engagement and interdisciplinary collaboration... ...with 3+ years nursing and 2+ years in case management; BSN preferred. Benefits...SuggestedRemote work
- CVS Health is seeking an ICM Case Manager to develop proactive care plans for Medicare/Medicaid members. You will collaborate with providers, community organizations,... ...complex health and social needs. The role requires RN licensure in NJ, 3+ years of clinical practice, and...SuggestedRemote job
$45 - $60 per hour
...alternative application process. New Jersey-RN Case Manager FullTime Non-Management IC Atlantic... ...Organizational Overview Ponos Care is a physician-led, value-based... ...Infusion / RPM / LTSS (Hybrid / Telephonic Role) supports Medicaid populations through proactive telephonic...SuggestedHourly payFull timeLocal areaImmediate startRemote work- Ponos Care is seeking a New Jersey-RN Case Manager to support Medicaid populations through telephonic outreach, assessments, and care coordination across multiple states. This role blends remote case management with travel-based infusion therapy, RPM, and LTSS responsibilities...SuggestedRemote work
- ...hiring an Integrated Nurse Case Manager/RN for Maternal Health/Perinatal... ...Virginia. The role requires both telephonic and face‑to‑face assessments... ...developing and monitoring care plans, coordinating with the... ...; case management and Medicaid experience are #J-18808-Ljbffr...Monday to Friday
$105k - $115k
...Job Description Managers for a Managed Care Plan servicing New York. The RN Care Manager position... ...as a Hybrid - Remote Case Manager, working primarily... ...will provide telephonic and in-person case management... ...Working knowledge of Medicare and Medicaid regulations...Permanent employmentWork at officeImmediate startRemote workTrial period1 day per week$75.73k - $128.96k
.... Presbyterian Hospital is hiring a RN Case Manager that will provide clinically-based case... ...of effective and efficient patient care. The role integrates utilization... ...80,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health...Daily paidReliefShift workNight shiftWeekend work- ...opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding... ...Management this position will provide case management to our members including medical... ...candidates BSN for new graduates NYS RN license required CCM preferred 1 year...
- ...Provide in-house, facility, telephonic, and home visits to high-risk... ...interventions, patient assessments, care-plan development, clinical... ...instruction Conduct initial case-management assessments, obtain patient... ...Valid, active Registered Nurse (RN) license in the state of...Work experience placementWork at office
- ...Administrator or Clinical Manager. May be requested, by... ...total patient care by conducting comprehensive... ...REGISTERED NURSE Manage a case load of patients, and may supervise, other RN’s, LPN’s, HHA’s assigned... ...requirements, including Medicare and Medicaid regulations. May be...Work at office
- ...Longitudinal Care Manager The Longitudinal Care Manager... ...Qualifications: Current NYS RN license Experience in case management, care... ...Knowledge of D-SNP, Medicare, and Medicaid programs and eligibility... ...Preferred: Experience with telephonic care management or...Remote job
$112.35k
...Children's Care Manager (RN) Job Ref: TE0176 Category: Professional... ...to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange... ...regarding specific cases. Provides information... ...medical benefits. Provides telephone triage and crisis intervention...Full timeWork at officeLocal areaShift work$118.13k - $155.79k
Discover Where Amazing Works Case Manager - RN - Inpatient Units- Brooklyn Methodist - Days... ...in Park Slope, Brooklyn, this acute-care teaching hospital has been providing... ...% clinical reviews for managed care, Medicare and Medicaid admissions Completing concurrent and...Full timeMonday to FridayDay shift$85k - $95k
RN Case Manager Job Type: Full-time Description Yearly continuing education allowance Medical... ...all aspects of a patient’s care (medical, behavioral, functional, and... ...managed care preferred. Knowledge of Medicare and Medicaid regulations and insurance benefits preferred...Full timeWork at office- MaziCTools is seeking a qualified RN Case Manager for a fully remote, full-time role. You will... ...coordinate case management activities telephonically or face-to-face with members, ensuring... ...requires an active RN license, 3+ years acute-care experience, 1+ year computer and multi-...Remote jobFull time
$60.52k - $129.62k
...surrounded by passionate colleagues who care deeply, innovate with purpose, hold... ...family and one community at a time. Remote RN Case Manager 100% Remote | Nationwide Opportunity |... ...and coordination. What You'll Do Conduct telephonic assessments to evaluate members'...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayRotating shiftAfternoon shift$110k
...Job Description Job Description New York Community Care is seeking a dynamic Geriatric RN Case Manager with Oasis experience for our Brooklyn office. As Case Manager, you will play an integral role in the day-to-day functions of the agency. This position offers...Full timeWork at officeImmediate startRemote work$114k - $143k
Overview RN Clinical Care Manager/Case Manager - New York The RN Clinical Care Manager/Case Manager is responsible for developing and maintaining long-term relationships with physicians, physician office staff, and Healthmap members engaged in Healthmap’s Kidney Management...Full timeTemporary workWork at office$62.7k - $100.4k
## Community Based Care Manager RNApplylocations: Georgia Mobiletime... ...agency, member’s home, telephonic or electronic communication... ...effective care coordination and case management* Facilitate... ...required* Three (3) years Medicaid and/or Medicare managed care experience is...Hourly payWork at officeLocal areaWork from homeHome officeFlexible hoursWeekend workAfternoon shift- ...Health Plans is seeking an Integrated Nurse Case Manager/RN for Maternal Health/Perinatal in Central Richmond, VA. The role involves telephonic and face-to-face assessments for low and high-risk pregnant members, coordinating care across OB-GYN, Labor and Delivery, and...
$54.1k - $116.76k
...passionate colleagues who care deeply, innovate... ...Summary The Care Manager—Registered Nurse... ...is dedicated to telephonic engagement with... ...The Care Manager RN supports other members... ...management within Medicare and Medicaid managed care.... ...experience 2+ years of case management,...Hourly payFull timeTemporary workWork at officeLocal areaWork from homeShift work$40 per hour
Santa Barbara Cottage Hospital is seeking a part-time Telephonic Nurse Case Manager to facilitate timely medical care and return-to-work outcomes for injured workers. This role, requiring a minimum of 2 years in workers' compensation and strong communication skills, involves...Remote jobHourly payPart time- ...looking for a dedicated nurse to provide comprehensive case management, addressing members' medical, social, psychological,... ...s Degree in Nursing or a BSN, along with a valid NYS RN license. Experience in managed care or similar settings is preferred. Join us in making a...
- ...Job Description Nurse Case Managers EagleOne is a family owned Nurse Case Management company... ...unique needs of our clients. From national telephonic and field case management to... ...Skills and Competencies desired: Active RN licensure in state of employment Bachelor...Full timeWork at officeRemote workMonday to Friday
- ...is dedicated to telephonic engagement with members... ...of their care. ~ Compiles all... ...evidence-based disease management education and... ...context of the CM RN role. Minimum... ...Minimum 2+ years of case management,... ...care management for Medicare and/or Medicaid members. Experience...Work at office
- CVS Health is seeking a Remote RN Case Manager to guide members through complex healthcare needs with personalized care planning and advocacy. This 100% remote, nationwide role... ...schedule and no travel. You will conduct telephonic assessments, develop care plans,...Remote jobMonday to Friday
$31 - $38 per hour
...solutions, and comprehensive care navigation together in... ...You 27ll Actually Do Telephonically coordinate wellness and disease management for members with chronic... ...initiate referrals to case management, prenatal, wellness... ...Registered Nurse (RN) program with a current,...Hourly payRemote work$50 - $53 per hour
...Job Description Job Description RN Case Manager needed to provide Case Management to the developmentally disabled within OPWDD group homes. 20-40 hours a week depending on your availability with some flexibility in regard to the hours and days a week. Job Duties...- ...Posted Friday, August 21, 2026 at 4:00 AM POSITION OVERVIEW: The RN Case Manager is a direct link between medical services and the ICF/IRA... .... The RN Case Manager is responsible for the complete nursing care and performance of all routine medical procedures within the scope...Work at officeLocal areaFlexible hours1 day per week
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