Care Management Jobs

This full-time onsite role supports the Enrollment Team at ResPro Health, focusing on patient care management within the respiratory sector. Based in Jacksonville, Florida, the position involves rotating between two local practice locations to assist providers in enrolling patients into chronic care programs. Key responsibilities include conducting patient outreach to explain program benefits, verifying insurance eligibility, and maintaining accurate medical records. The role appeals to candidates seeking a collaborative environment where they can directly impact patient outcomes through empathetic communication and organizational support. Opportunities for professional training and development are available alongside a comprehensive benefits package.

The Manager Care Management HRH role is an onsite position within the UCHealth Highlands Ranch Care Management department, focusing on the daily operations of care delivery and patient transitions. The position involves developing departmental goals, managing staff relations including recruitment and performance, and monitoring budgets and regulatory compliance. Key responsibilities also include assessing patient care quality and coordinating services among patients, physicians, and other departments. The role appeals to candidates seeking professional growth through comprehensive tuition assistance and career development programs, alongside a supportive culture that prioritizes employee well-being and work-life balance.

The Manager, Care Management role operates within the Care Management department at Woman and Infants Hospital under the System Director. This position oversees daily departmental operations, provides leadership to achieve established goals, and facilitates collaboration among multidisciplinary teams, physicians, and external providers. Key responsibilities include managing acute care workflows, ensuring compliance with Medicare and Medicaid regulations, and utilizing clinical systems to optimize patient outcomes. The role is appealing for its opportunity to lead in a trusted health system known for medical research and innovative programs. Candidates will work in a collaborative environment that values ethical standards and professional growth, requiring a current RN license and relevant care management certification.

The Manager Care Management role leads a multidisciplinary team within UCHealth's Healthcare & Medical Services department. Key responsibilities include overseeing care coordination, utilization management, and safe transitions of care across hospitals and clinics. The position involves developing care protocols, ensuring regulatory compliance, and collaborating with physicians and ancillary staff to optimize patient outcomes. This opportunity is appealing for its supportive, inclusive culture that emphasizes professional growth, ongoing training, and the chance to mentor staff while leveraging data to improve population health. The role requires strong leadership skills and clinical expertise to drive quality improvement initiatives in a dynamic healthcare environment.

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.

This part-time registered nursing role within the Care Management department focuses on coordinating comprehensive care for adult patient populations. The position involves conducting detailed health assessments, developing individualized care plans with interdisciplinary teams, and educating patients on treatment and self-care strategies. Key responsibilities include facilitating communication between providers and community resources, managing healthcare utilization, and advocating for appropriate resource allocation to optimize outcomes. The role appeals to nurses seeking flexible scheduling through a PRN arrangement while contributing to a culture of continuous learning and patient-centered care. Candidates will work remotely or on-site to minimize readmissions and ensure compliance with regulatory standards.

This per diem, on-call day shift role involves serving as a Care Manager RN within the acute care setting at Providence St. Vincent Medical Center. The position focuses on guiding patients through the continuum of care by screening for post-acute needs, coordinating transitions, and developing care plans that meet regulatory standards. Key responsibilities include collaborating with the care team, providing patient education, and monitoring the effectiveness of ongoing care strategies. The role appeals to nurses seeking a supportive environment that values whole-person care and empowers staff voices. It offers the opportunity to work within a large, inclusive healthcare system known for its mission to serve vulnerable populations, fostering professional growth and a culture of mutual respect while maintaining an on-site presence in Portland.

This per diem, on-call day shift role is a Registered Nurse Care Manager position within the Care Management department at Providence St. Vincent Medical Center. The role involves coordinating patient care in an acute setting by screening for post-acute needs, planning transitions, and collaborating with a continuum care team to ensure effective care delivery. Key responsibilities include developing care plans, providing patient education, and monitoring the ongoing effectiveness of treatment strategies. The position offers the appeal of working within a supportive, patient-focused culture that values whole-person care and professional growth. As an on-site role in Portland, Oregon, it allows nurses to contribute to a comprehensive healthcare system dedicated to serving vulnerable communities while maintaining flexibility through a per diem schedule.

The Nurse Manager Utilization Management role leads care management operations across utilization review, acute, emergency, and ambulatory settings within the Nevada region. The position oversees multiple disciplines to optimize patient care and financial performance while ensuring regulatory compliance. Key responsibilities include driving patient satisfaction initiatives, leading process improvement and quality assurance efforts, and collaborating with healthcare executives to enhance care transitions. This position offers an opportunity to shape enterprise-wide strategies for high-quality, equitable care within a supportive culture focused on workforce development. The role is based at the Las Vegas central office with a standard 40-hour work week and may require occasional travel to various locations for operational oversight.

The Care Manager II-IP role at Mercy Hospital Jefferson is a PRN position within the interdisciplinary Case Management department, serving patients in the emergency department and inpatient floors. The position requires a Master's in Social Work or a nursing degree with relevant acute care experience. Key responsibilities include assessing patient needs, planning and coordinating care from admission to discharge, and advocating for safe transitions to the next appropriate level of care. The role appeals to professionals seeking a dynamic environment where every day presents new challenges, fostering a collaborative culture where individual voices matter. Team members benefit from comprehensive support including tuition assistance and retirement plans while contributing to the organization's mission of compassionate, innovative healthcare.

The Inpatient Master of Social Work Care Manager role operates within the Clinical Care department at Providence St. Patrick Hospital in Missoula, Montana. This on-site position focuses on delivering comprehensive, patient-centric services to vulnerable individuals in an acute care setting. Key responsibilities include assessing patient needs, coordinating care plans, managing discharge logistics, and advocating for patients facing social, financial, or behavioral barriers. The role appeals to professionals seeking a collaborative environment that values whole-person care and mutual respect. Employees benefit from a supportive culture that empowers staff voices and offers extensive professional growth opportunities within a large, inclusive healthcare network.

The Care Manager RN role at Highmark Inc. is a remote position focused on implementing effective utilization management strategies to optimize healthcare delivery. The incumbent reviews the appropriateness of medical services, applies established criteria for resource utilization, and identifies opportunities for member referrals to health coaching or case management. Key responsibilities include analyzing qualitative and quantitative data to improve provider performance, educating providers and members on proactive care, and ensuring compliance with federal and state regulations. This position appeals to nurses seeking a flexible work arrangement with minimal travel, offering the chance to enhance member health outcomes through collaborative interventions and data-driven strategies within a supportive, mission-oriented environment.

This remote Care Manager RN role at Highmark Inc. focuses on implementing utilization management strategies to ensure appropriate healthcare resource use and improve member outcomes. Key responsibilities include reviewing the appropriateness of medical services, analyzing data to develop quality improvement strategies, and collaborating with providers and members to facilitate care interventions. The position requires a licensed Registered Nurse with clinical experience to navigate regulatory compliance and promote efficient care delivery. The role appeals to professionals seeking a flexible work arrangement with minimal travel, offering the opportunity to make a meaningful impact on population health within a supportive, mission-driven organization.

This full-time onsite Care Manager RN role within the MHS Care Management department at UCHealth Memorial Hospital focuses on coordinating comprehensive care for patients across acute, ambulatory, and specialty settings. The position involves assessing patient needs, developing care plans, and collaborating with interdisciplinary teams to ensure quality, cost-effective outcomes. Key responsibilities include advocating for patients, educating families on treatment options, and facilitating communication to minimize service fragmentation. The role appeals to nurses seeking professional growth through access to tuition assistance, degree programs, and a supportive culture that prioritizes employee well-being and recognition.

The RN Care Manager role at Intermountain Health Lutheran Hospital focuses on delivering comprehensive care management services to patients across inpatient and outpatient settings. Key responsibilities include conducting clinical screenings and assessments, developing personalized care plans, and guiding patients through self-management using motivational interviewing. The position requires collaboration with multidisciplinary teams, payers, and families to ensure efficient care transitions and regulatory compliance. This 24-hour weekly position offers an opportunity to work within a supportive culture that prioritizes employee wellness and sustainable career growth. The role combines clinical expertise with process improvement initiatives to enhance patient outcomes in a collaborative hospital environment.

This part-time inpatient role involves Registered Nurses serving as Care Coordinators within a hospital setting to manage patient transitions and optimize care utilization. The position requires assessing patient needs, determining appropriate levels of care, and developing comprehensive discharge plans for both routine and complex cases. Key responsibilities include coordinating post-discharge services, collaborating with interdisciplinary teams to resolve barriers to safe transfers, and ensuring compliance with regulatory standards. The role appeals to nurses seeking a position that combines clinical expertise with care management, offering opportunities to advocate for patients and improve system efficiency. The schedule covers days with a 20-hour work week, including weekends and holidays, and requires licensure in Washington or Oregon.

This full-time Acute Care Registered Nurse role at Memorial Hermann Health System focuses on delivering evidence-based care to diverse adult populations in a fast-paced hospital environment. The position involves assessing patient needs, administering medications, monitoring vital signs, and coordinating care with interdisciplinary teams including physicians and therapists. Key responsibilities also include providing patient and family education, maintaining accurate electronic medical records, and adhering to strict safety and infection prevention protocols. The role appeals to candidates seeking a culture of innovation, inclusivity, and continuous professional growth, with opportunities to mentor new staff. The position requires an active RN license and BLS certification, with a BSN preferred, and offers comprehensive benefits including medical, dental, vision, and retirement plans.

This full-time Inpatient Registered Nurse Care Manager role operates within the acute care environment at Providence St. Peter Hospital in Olympia, Washington. The position focuses on delivering patient-centric care management for at-risk individuals, with key responsibilities including comprehensive care assessment, discharge planning, resource utilization review, and ensuring regulatory compliance. The role appeals to nurses seeking a collaborative culture built on mutual respect and whole-person care, offering opportunities for professional growth and career advancement within a large, inclusive healthcare organization. The position requires an active Washington nursing license and acute care experience, and it is an on-site role with multiple shift options available.

This 13-week travel nursing role places a Registered Nurse in the Neuro Intensive Care Unit at a Level I Trauma and Teaching Hospital in Albuquerque, New Mexico. The position involves managing complex patient cases such as traumatic brain injuries, stroke, and post-neurosurgery care, while performing specialized procedures like EVD insertions and ICP monitoring. Key responsibilities include maintaining 1:2 patient ratios during night shifts, floating to other critical care units as needed, and collaborating with an interdisciplinary team. The opportunity is appealing for its exposure to a high-acuity environment with advanced equipment and the potential to work in a new tower facility. The role requires a valid driver's license and adherence to strict compliance protocols, offering a chance for professional growth in a critical care setting.

This 12-week travel nursing role is based in the Progressive Care Unit at a hospital in Augusta, Georgia, focusing on adult and geriatric patients. The position involves managing complex care for patients with cardiac, respiratory, and neurological conditions, including telemetry monitoring and medication administration. Key responsibilities include floating between medical-surgical and progressive care units, utilizing the Epic electronic health record system, and collaborating with interdisciplinary teams to ensure patient safety. The role offers the appeal of professional growth through exposure to diverse clinical scenarios and a supportive community of travel nurses. The schedule consists of three 12-hour night shifts per week with required floating, providing flexibility for those seeking short-term assignments in a high-acuity environment.

This 13-week travel nursing role places a Registered Nurse in the Progressive Care Unit at a short-term acute care facility in Salem, Oregon. The position involves managing telemetry, interpreting cardiac rhythms, and administering cardiac drips for adult patients with complex conditions. Key responsibilities include non-invasive airway management, IV care, and floating to support various adult inpatient units as needed. The role offers the appeal of working with a diverse patient population in a collaborative environment while utilizing Epic for documentation. The schedule consists of night shifts, four days per week, with floating requirements within the nurse's scope of practice.

This 13-week travel nursing role places a Registered Nurse in the Progressive Care Unit at a short-term acute care facility in Salem, Oregon. The position involves managing telemetry, interpreting cardiac rhythms, and providing care for patients with complex conditions such as dysrhythmias and cardiac drips. The nurse will work night shifts with a patient ratio of 1:4 to 1:6 and may float to other adult inpatient units as needed. The role appeals to experienced clinicians seeking professional growth through diverse clinical environments and the opportunity to expand their healthcare network. The position offers flexibility in assignment duration and location while allowing nurses to bring fresh perspectives to patient care teams.

The Value-Based Care Principal Director role within Accenture's Strategy & Consulting team advises public sector health, provider, and payer organizations on value-based care strategy and transformation. Key responsibilities include designing operating models, developing implementation roadmaps, and guiding clients through complex decisions regarding incentives, performance measurement, and care model changes. The position requires managing large-scale engagements, leading diverse teams, and building trusted relationships with C-suite executives and state agencies. This opportunity appeals to professionals seeking to lead enterprise-wide healthcare transformation at a global scale, offering access to extensive training, mentorship, and a collaborative culture focused on innovation. The role involves significant travel, up to 80%, to support client engagements across various locations.

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 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.