Case Management Jobs

This role serves as a Patient Care Coordinator within the Case Management team, focusing on optimizing patient outcomes through strategic care planning and utilization review. The position involves collaborating with physicians and multidisciplinary teams to develop comprehensive discharge plans, conduct daily utilization reviews, and ensure compliance with Medicare regulations and health plan benefits. Key responsibilities include monitoring care progression, identifying cost-effective protocols, and maintaining continuity of care across skilled nursing facilities and community services. The position offers the opportunity to work in a collaborative Labor/Management Partnership environment that values the nursing vision and continuous quality improvement. While the role is primarily administrative, it includes direct patient care duties to maintain clinical competency.

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 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.

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 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.

The RN Admissions Coordinator - Utilization Management role operates within Carle Health's interdisciplinary team to manage 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 facilitating safe transitions from acute care to appropriate levels of care such as swing beds or home. The position requires collaboration with physicians and families to optimize patient outcomes while ensuring compliance with Medicare and state regulations. This opportunity appeals to nurses seeking a purpose-driven career in a Magnet-designated organization that values professional growth, community impact, and a supportive culture. The work arrangement involves on-site presence at Eureka with occasional afternoons at BroMenn based on census needs.

This full-time Case Manager RN role at Methodist Hospital focuses on guiding patients and families through their rehabilitation and care journey. The position involves coordinating services, developing individualized treatment plans, and conducting psychosocial assessments to ensure safe transitions and quality care. Key responsibilities include educating patients on insurance benefits and discharge criteria while collaborating with an interdisciplinary team to support recovery goals. The role is appealing due to the hospital's reputation as a top-ranked facility offering extensive benefits, including comprehensive health coverage, a 401(k) match, and robust education support. The position is based on-site within a supportive culture that prioritizes compassion and professional growth.

The Case Manager RN role at Methodist Hospital involves supporting patients and families throughout their care journey within a comprehensive medical facility. Key responsibilities include coordinating services, developing individualized treatment plans, conducting psychosocial assessments, and facilitating clear communication among the interdisciplinary team to ensure safe transitions. The position is appealing due to the organization's strong commitment to employee growth, including extensive education support and a robust benefits package. Working in a top-ranked hospital known for advanced specialties like robotics and stroke care, the role offers a collaborative environment that prioritizes compassion and excellence.

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 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.

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 Case Manager Generalist role at Volunteers of America Los Angeles supports vulnerable individuals by coordinating comprehensive human services. The position serves as the primary point of contact for a caseload, conducting assessments to identify barriers and developing individualized care plans. Key responsibilities include linking clients to essential resources, advocating for them before various agencies, and providing ongoing coaching to help them achieve their goals. This on-site position offers the opportunity to work within a mission-driven non-profit dedicated to strengthening families and building communities. The role is ideal for those passionate about social services who can navigate complex challenges while fostering client growth and stability.

The Case Manager Lead role at Volunteers of America Los Angeles involves leading a team of case managers to support vulnerable veterans and families in achieving housing stability and self-sufficiency. Key responsibilities include assigning and monitoring case loads, conducting comprehensive client assessments, developing service plans, and performing regular file audits to ensure compliance. The position requires a blend of office administration and field outreach to connect clients with essential community resources. This opportunity appeals to those passionate about social services, offering a chance to mentor staff and drive meaningful change within the community. The role is based on-site in the Los Angeles area.

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 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.

The South Carolina Department of Social Services seeks a Case Manager for Child Welfare Investigations to protect and strengthen families in Union County. The role involves conducting timely initial investigations of child abuse and neglect reports, performing safety assessments using the FAST tool, and developing safety plans to mitigate risks. Key responsibilities include collaborating with law enforcement and legal partners, engaging absent parents and family members to build support teams, and maintaining thorough case documentation within state systems. This position offers a meaningful mission to support vulnerable children and families within a structured career path featuring professional development, certification requirements, and a comprehensive benefits package including health insurance and retirement plans. The role requires a valid driver's license and the ability to travel for field work and emergency shelter duties.

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 travel nursing role places a Registered Nurse in a Case Manager capacity within the Dallas, Texas healthcare system. The position involves coordinating patient care plans, managing discharge logistics, and collaborating with multidisciplinary teams to ensure efficient treatment outcomes. The assignment is offered through Host Healthcare, which provides comprehensive support including day-one medical coverage, housing stipends, and travel reimbursements. The role appeals to nurses seeking flexibility and professional growth, featuring priority access to assignments across the United States and a dedicated recruiter to assist with logistics and career development throughout the journey.

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.

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 full-time Case Manager role is based onsite in Albuquerque at a mission-driven Federally Qualified Health Center dedicated to serving underserved communities. The position focuses on coordinating comprehensive care for patients by conducting assessments, developing individualized care plans, and connecting individuals with essential community resources such as housing, transportation, and food assistance. Key responsibilities include collaborating with medical and behavioral health teams, advocating for patient needs, and maintaining accurate electronic health records. The role appeals to professionals seeking to make a tangible impact on social determinants of health within a supportive environment. The organization offers a robust benefits package including medical, dental, vision, retirement matching, and paid time off, alongside opportunities for professional growth in a collaborative, inclusive culture.

The Medical Director, Medical Management role at Highmark Inc. leads a physician team responsible for ensuring utilization management aligns with current clinical standards. Key duties include conducting electronic reviews of escalated cases to determine medical necessity, engaging in peer-to-peer discussions, and advising multidisciplinary teams on complex care scenarios. The position also involves developing clinical protocols and managing special projects to improve member care. This opportunity appeals to physicians seeking to impact population health within a collaborative environment that values critical thinking and professional growth. The role is primarily office-based with occasional travel up to 25 percent.

The Medical Director, Medical Management role at Highmark Inc. leads a physician team responsible for overseeing utilization management and ensuring clinical standards align with current regulations. Key duties include conducting electronic reviews of escalated cases to determine medical necessity, participating in multidisciplinary case management teams, and developing clinical protocols. The position offers the opportunity to influence care quality for members while working within a collaborative environment that values physician expertise. The role is primarily office-based with minimal travel requirements and supports professional growth through involvement in special projects and guideline development.

This role involves serving as an RN Case Manager for a specialized team providing in-home care to former nuclear weapons workers with chronic and terminal illnesses. The position is based in Washington and focuses on conducting weekly home visits to perform physical assessments, ensure home safety, manage medication planners, and oversee skilled and non-skilled caregivers. Key responsibilities include collaborating with regional directors to coordinate care plans, supervising clinical personnel, and maintaining accurate clinical documentation. The position is appealing due to its mission-driven nature, offering the satisfaction of enhancing clients' quality of life and peace of mind. It features a flexible schedule that allows for a strong work-life balance, paid drive time, and comprehensive benefits including medical, dental, vision, and a 401k match.

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.