Jobs at Professional Case Management

This Registered Nurse role within Professional Case Management focuses on delivering compassionate in-home skilled nursing care to clients with complex medical needs, including former energy workers and their families. Key responsibilities include performing comprehensive assessments, implementing individualized care plans, administering medications and treatments, and coordinating closely with interdisciplinary teams to ensure clinical excellence. The position offers a collaborative, growth-focused culture with comprehensive training and career advancement opportunities. Nurses will make a meaningful impact through personalized, one-on-one care while maintaining regulatory compliance and clear documentation. The work arrangement is based in the client's home, allowing for independent practice within a supportive team environment.

The Adult Protective Services Supervisor - Financial Exploitation role within the Department of Economic Security leads a specialized unit dedicated to investigating financial abuse against vulnerable adults in Arizona. Key responsibilities include supervising staff through complex investigations, reviewing financial records and audit reports, and establishing investigative protocols to ensure statutory compliance. This position offers the opportunity to make a significant impact on community safety while working within a culture that values flexibility, autonomy, and trust. The role supports a hybrid work arrangement, allowing eligible employees to work remotely within Arizona to achieve a better work-life balance.

This travel nursing role places a Registered Nurse in a Case Management and Nurse Manager capacity at a long-term care facility in Camden, Maine. The position involves overseeing patient care coordination, managing clinical operations, and ensuring high-quality outcomes within a 9-week contract. Key responsibilities include leading daily shifts, optimizing resource utilization, and supporting the facility's mission of improved patient care. The opportunity is appealing for professionals seeking flexible work arrangements with comprehensive benefits, including day-one health insurance and license reimbursement. The role offers a supportive environment with dedicated recruiter assistance and the chance to work in a new community while advancing clinical leadership skills.

The RN Admissions Coordinator - Utilization Management role operates within Carle Health's interdisciplinary team to oversee patient admissions and care transitions across Eureka and BroMenn facilities. Key responsibilities include conducting clinical assessments, coordinating with payers for preauthorization and concurrent reviews, and managing the discharge planning process to ensure appropriate levels of care. The position requires collaboration with physicians and families to optimize patient outcomes while maintaining compliance with Medicare and state regulations. This opportunity appeals to experienced nurses seeking a position that combines clinical expertise with strategic case management in a supportive environment. The role offers a hybrid work arrangement with on-site requirements at Eureka and occasional shifts at BroMenn, providing a chance to contribute to a Magnet-designated organization dedicated to community health and professional growth.

This per diem Registered Nurse role within the Inpatient Case Management department at CHA Everett Hospital focuses on delivering psychosocial assessments and care coordination for patients with psychiatric, substance abuse, and medical conditions. Key responsibilities include evaluating medical necessity for admissions, collaborating with interdisciplinary teams to optimize resource utilization, and developing post-acute care plans to facilitate safe patient transitions. The position offers the opportunity to work in a unionized environment with a day shift schedule that includes weekend rotations. The role is appealing for its alignment with a mission-driven organization dedicated to health equity and serving diverse communities, providing a supportive culture where employees can build rewarding careers while making a tangible difference in patient outcomes.

This full-time Nurse Educator role supports clinical development across multiple Washington locations including Seattle, Bellevue, Everett, and Renton. The position focuses on designing and delivering professional development programs for nursing staff to bridge competency gaps and ensure adherence to evidence-based practices. Key responsibilities include conducting needs assessments, creating educational curricula, mentoring nurses, and monitoring program effectiveness through data analysis. The role appeals to candidates seeking to influence healthcare quality through continuous learning and offers opportunities for cross-functional collaboration within a large health system. While primarily onsite, the position includes a rotating on-call weekend schedule approximately every six to eight weeks.

This Case Manager role at Pinnacle Treatment Centers supports the organization's mission to provide comprehensive addiction treatment services across the nation. The position involves developing, implementing, and evaluating patient care plans while coordinating the continuum of care for individuals with substance use disorders. Key responsibilities include managing treatment planning, facilitating access to community resources such as housing and financial assistance, and conducting educational sessions for patients and families. The role appeals to professionals seeking a meaningful career in a collaborative environment that offers significant professional growth through ongoing training, certification opportunities, and loan repayment programs. The position is based on-site with potential travel requirements up to 15 percent.

This full-time Medical Case Manager role supports government and public sector clients within Sedgwick's Healthcare & Medical Services department. The position involves reviewing medical documentation, conducting virtual or on-site assessments, and developing individualized care strategies to facilitate recovery and return-to-work. Key responsibilities include collaborating with providers and claims adjusters to ensure appropriate care, educating stakeholders on treatment plans, and maintaining accurate case documentation. The role appeals to clinical professionals seeking a mission-driven environment where they can apply their expertise to improve public health outcomes. It offers a collaborative culture focused on professional growth, continuous learning, and the opportunity to make a meaningful impact on individuals and public programs.

The Manager Care Management RN role at Swedish Edmonds leads the Case Management department within a large not-for-profit healthcare system. This position serves as a liaison between patients, families, physicians, and community agencies while overseeing daily operations including staff supervision, discharge planning, and utilization management. Key responsibilities involve establishing clinical standards, analyzing patient data to improve care quality, managing departmental budgets, and collaborating with multidisciplinary teams to optimize resource utilization. The role appeals to nursing leaders seeking to drive process improvement in a culture that values whole-person care, mutual respect, and professional growth. The position is full-time and on-site, offering opportunities to support a diverse workforce and contribute to the organization's mission of serving the community.

The Clinical Denials Management Program Coordinator RN role operates within Patient Financial Services at a nationally recognized hospital. The position manages clinically based appeals between the organization and external payers while serving as a liaison for Case Management and other departments. Key responsibilities include reviewing denials against InterQual guidelines, constructing clinically oriented appeal letters, tracking denial trends, and developing corrective action plans to reduce future denials. The role also involves providing educational sessions to staff on reimbursement changes and denial prevention strategies. This position is appealing due to the organization's reputation for excellence, its award-winning workplace culture, and a commitment to fostering a dynamic, inclusive environment. The role requires a current California RN license and significant case management experience.

The Community Integrated Case Manager role at Community Bridges, Inc. serves as a vital liaison between shelter housing programs and clinical medical homes for individuals facing behavioral health challenges. Key responsibilities include assessing patient needs, developing individualized treatment plans, coordinating access to essential services like employment and healthcare, and documenting progress accurately. This position appeals to those seeking a mission-driven career within a nationally recognized non-profit that prioritizes recovery and dignity. The role offers significant professional growth through ongoing training, a supportive leadership team, and a culture focused on work-life balance. Employees benefit from an extensive package including five weeks of PTO, comprehensive health coverage, and a 401K match. The position operates across multiple state-of-the-art facilities in Arizona, providing a dynamic environment for compassionate professionals.

This full-time Consulting Case Manager role operates within the nonprofit and healthcare sectors, focusing on guiding clients through complex financial challenges. The position involves overseeing financial cases from inception to completion, developing strategic financial plans aligned with business objectives, and conducting detailed analyses to support client decision-making. Key responsibilities include ensuring regulatory compliance, preparing comprehensive reports, and maintaining strong client relationships. The role appeals to professionals seeking career advancement in a mission-driven environment that values integrity and strategic problem-solving. It offers a dynamic, fast-paced setting where individuals can leverage their healthcare industry knowledge and financial expertise to make a tangible impact.

This role involves serving as a Qualified Developmental Disabilities Professional supporting adults and children with intellectual and developmental disabilities across various Virginia locations. Key responsibilities include managing records, conducting and approving assessments, overseeing Individualized Service Plans, and coordinating with support coordinators. The position requires strong documentation skills and familiarity with state regulations. The opportunity appeals to professionals seeking to make a meaningful impact in the disability services sector while utilizing their supervisory and case management expertise. A valid Virginia driver's license is required, and the role involves some travel to meet clients and attend meetings in the Richmond and Hampton Roads areas.

The Behavioral Health Case Manager role at Bell Hospital involves providing comprehensive care coordination for patients of all ages within the behavioral health department. Key responsibilities include conducting psychosocial assessments, developing discharge plans, and connecting patients with community resources such as housing, therapy, and financial assistance programs. The position requires collaboration with interdisciplinary teams to ensure safe transitions from inpatient care to community settings. This full-time night shift opportunity appeals to licensed professionals seeking to make a direct impact on patient recovery and community reintegration. The role offers a supportive environment focused on patient-centered advocacy and professional growth within a large health system.

This fully on-site leadership role in Miami Lakes focuses on managing the Senior Case Management Department, serving as the engine for the firm's settlement operations. The position involves leading a high-volume team of case managers, driving monthly settlement results, and overseeing performance metrics, workflow efficiency, and quality control. Key responsibilities include conducting coaching sessions, managing escalations, and developing future leaders within the department. The role appeals to results-driven individuals seeking a high-growth environment where leadership impact is direct and visible, offering significant opportunities for professional advancement in a fast-paced, performance-oriented culture.

The role involves an Inpatient Registered Nurse Care Manager position at Providence Alaska Medical Center in Anchorage, focusing on coordinating comprehensive care for at-risk patients within an acute care setting. Key responsibilities include conducting patient assessments, developing care plans, managing resource utilization, overseeing discharge planning, and ensuring regulatory compliance. This position appeals to nurses seeking to work at the top of their scope with opportunities for broad clinical and operational growth in a supportive, patient-centered culture. The team values flexibility and teamwork, offering a meaningful environment to develop as a well-rounded leader. The position is full-time and on-site, providing a chance to serve a diverse community in an extraordinary Alaska setting.

This full-time Registered Nurse role serves as a Clinical Case Consultant within the CalAIM Enhanced Care Management program in Santa Clara County. The position acts as a clinical leader for a multidisciplinary team, providing oversight to care coordinators, conducting case consultations, and ensuring care plans are evidence-based and culturally responsive. Key responsibilities include facilitating seamless care transitions, analyzing outcomes for quality improvement, and leading training initiatives for non-clinical staff. The role requires 50% field travel to conduct community-based outreach across multiple counties. The position is appealing due to its mission-driven focus on supporting vulnerable populations, including those experiencing homelessness or serious mental illness. It offers a fully remote work arrangement within California, comprehensive benefits including paid volunteer time, and a culture that prioritizes professional development and internal growth.

This 13-week travel nursing role places a Registered Nurse as a Case Manager within a Washington hospital setting. The position focuses on coordinating medical care for high-risk patients, ensuring cost-effective treatment plans, and educating physicians on regulatory criteria such as InterQual and CMS standards. Key responsibilities include managing discharge planning, preventing service duplication, and collaborating with the healthcare team to deliver quality outcomes across diverse patient populations. The role appeals to professionals seeking rapid professional growth through exposure to varied clinical environments and patient demographics. It offers immediate start availability, comprehensive benefits including health coverage from day one, and the opportunity to build transferable adaptability skills while working in a dynamic healthcare setting.

The Case Manager role within the Community Health division of the United Planning Organization supports the Permanent Supportive Housing Program by guiding clients toward housing stability and self-sufficiency. Key responsibilities include conducting biopsychosocial assessments, developing individualized service plans, coordinating access to health and employment resources, and liaising with property management to ensure suitable living arrangements. The position appeals to professionals seeking to advance the mission of uniting people with opportunities through trauma-informed care and community partnership. While the role requires some travel to client sites and occasional evening availability, it offers hybrid flexibility with remote work options available after six months. The position provides a supportive environment for those dedicated to serving diverse populations facing complex challenges.

This full-time Case Manager role at Klamath Basin Behavioral Health supports the organization's mission to promote mental wellness across diverse communities. The position involves assessing client needs, creating and evaluating personalized care plans, and coordinating with healthcare providers to ensure integrated care. Key responsibilities include monitoring client progress, maintaining accurate records, advocating for necessary services, and facilitating group sessions. The role appeals to professionals seeking a collaborative environment where they can make a direct impact on client well-being. Benefits include comprehensive medical, dental, vision, and life insurance, along with a 401k plan. The position requires a valid driver's license for local travel and offers the opportunity to work within a caring team dedicated to mental health services.

This 3+ month contract role serves as a Case Management Coordinator within a healthcare support team, focusing on Medicaid Long Term Care enrollees. The position involves assessing member needs, developing proactive care plans, and coordinating services such as prior authorizations and medication reviews to enhance overall wellness. Key responsibilities include conducting comprehensive evaluations, monitoring care plan progress, and utilizing motivational interviewing to encourage healthy lifestyle changes. The role appeals to professionals seeking to make a direct impact on member outcomes through a collaborative, multidisciplinary approach. A Bachelor's degree in Social Work or a related field is required, with Spanish language skills and long-term care experience being advantageous. The position supports flexible work arrangements and offers opportunities for professional growth in a mission-driven environment.

This full-time inpatient social work role at a Virginia hospital focuses on coordinating care for a defined patient population. The position involves conducting comprehensive psychosocial assessments, developing individualized care plans, and advocating for community resources to enhance patient independence and quality of life. Key responsibilities include facilitating access to government programs, providing supportive counseling to families, and collaborating with the healthcare team to optimize outcomes. The role offers the opportunity to work within a multidisciplinary environment that values ethical standards and patient-centered care. While the position is based in Arlington, Virginia, it requires specific state licensure and involves direct patient interaction in an inpatient setting.