Case Management Jobs

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.

The Case Manager 2 role within the Department of Economic Security's Division of Developmental Disabilities supports individuals with developmental disabilities and their families in Arizona. Key responsibilities include conducting onsite visits to homes and schools, developing and monitoring person-centered service plans, facilitating meetings to support member choices, and collaborating with community agencies during crises. The position requires maintaining detailed case records and ensuring compliance with state regulations. This opportunity appeals to those committed to public service by offering a comprehensive benefits package, including health insurance, retirement contributions, paid parental leave, and tuition reimbursement. The role provides significant career advancement and development opportunities within a collaborative team dedicated to strengthening communities. The position is based in Phoenix and requires a valid driver's license for travel to member locations.

This full-time Registered Nurse Case Manager role is based within a hospice care team serving Clermont County and Batavia. The position focuses on building trusting relationships with patients and families to honor individual wishes during end-of-life care. Key responsibilities include coordinating interdisciplinary communication, delivering compassionate patient care in homes and facilities, and ensuring dignity and comfort for those navigating difficult journeys. The role offers a Monday through Friday schedule with no mandatory on-call requirements. It is appealing for its supportive team culture that values growth and listening, alongside opportunities to advance into various organizational roles. Benefits include comprehensive health coverage, a 401k plan, and paid time off.

This full-time inpatient social work role at Washington Hospital involves managing a caseload of patients to coordinate care and enhance quality of life. The position requires collaboration with healthcare teams to conduct psychosocial assessments, develop care plans, and advocate for community resources. Key responsibilities include facilitating access to government programs, providing counseling to families, and ensuring compliance with documentation standards. The role offers the opportunity to work within a multidisciplinary team focused on patient independence and efficient care delivery. Candidates must hold an MSW and relevant state licenses for the DC, Maryland, or Virginia regions.

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 Case Manager within the Avera Medical Group McGreevy clinic, focusing on patient care navigation and coordination. The position involves managing care for primary care patients to promote self-management, identifying high-acuity populations, and developing care plans in collaboration with physicians and social services. Key responsibilities include triaging patients, monitoring quality measures, and ensuring compliance with treatment goals through effective communication with families and external agencies. The role offers a supportive environment rooted in compassion and teamwork, with opportunities for career development through mentorship and hands-on training. The position is based on-site at the 7th Avenue location with day shift hours.

This full-time Registered Nurse Case Manager role at Avera McKennan Hospital supports the transition of patients from acute care settings to appropriate levels of post-hospitalization care. The position involves coordinating discharges to skilled nursing facilities, home health services, and rehabilitation centers while collaborating with physicians and payors to ensure efficient, evidence-based treatment. Key responsibilities include managing complex documentation, arranging transportation and medical equipment, and participating in multidisciplinary rounds to maintain continuity of care. The role appeals to nurses seeking a compassionate, mission-driven environment with a strong emphasis on teamwork and patient advocacy. Opportunities for career development through mentorship and hands-on training are available, and the position operates on a day shift schedule within the hospital.

This full-time Registered Nurse role serves as a Case Manager within the primary care department at a facility in Sitka, Alaska. The position involves assessing patient needs to develop individualized care plans, monitoring progress, and coordinating follow-ups with specialists and primary care providers. Key responsibilities include educating patients on chronic disease management and ensuring compliance with regulatory standards through collaboration with multidisciplinary teams. The opportunity offers the appeal of working in a unique Alaskan setting with a staffing agency known for flexible workforce solutions and tailored strategies. The role is scheduled for day shifts and requires an active RN license along with strong clinical and organizational skills.

This travel nursing role is a Registered Nurse Case Manager position based in Boston, Massachusetts, supporting a healthcare facility through day shifts. The professional is responsible for integrating organizational mission goals into daily practice, managing patient care coordination, and ensuring compliance with state licensing and safety certifications. The position offers the opportunity to work with a nurse-founded agency that provides comprehensive benefits including health coverage and retirement matching. It appeals to those seeking career growth through exposure to diverse regions and facilities across the United States while maintaining the support of a long-standing staffing leader.

This 13-week travel nursing role places a Registered Nurse as a Case Manager within a hospital-based Care Management team in Olympia, Washington. The position involves coordinating patient care, conducting needs assessments, and managing discharge planning for a diverse population ranging from neonates to geriatrics. Key responsibilities include performing utilization reviews, collaborating with interdisciplinary teams, ensuring regulatory compliance, and maintaining documentation using Epic EMR. The role offers the appeal of working with a supportive agency that prioritizes flexibility and administrative ease, allowing nurses to focus on patient outcomes. The schedule consists of day shifts with floating requirements, and the position is ideal for experienced nurses seeking a new location and professional growth.

This full-time case manager role within the FATHER Project at Family Service Rochester supports fathers facing complex challenges to improve their economic and emotional stability. Key responsibilities include conducting needs assessments, developing individualized fatherhood plans, facilitating home visits, and co-leading peer support groups. The position emphasizes collaboration with community providers and career development services to enhance family safety and well-being. The role appeals to candidates seeking a mission-driven environment that values continuous learning, cultural humility, and employee growth. FSR offers a collaborative culture with flexible scheduling, professional development opportunities, and a supportive team structure. A valid driver's license and transportation are required for this position.

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 Nurse Case Manager role is based at a Level 2 trauma center in Grand Blanc, Michigan, supporting a team dedicated to optimizing patient care pathways. The position involves conducting comprehensive patient assessments, collaborating with providers to develop individualized care plans, and serving as the primary liaison between patients, families, and the medical team. Key responsibilities include monitoring patient progress, adjusting treatment strategies, and maintaining accurate electronic health records. The role appeals to nurses seeking a supportive environment with recognition as a Best Place to Work, offering opportunities for cross-training and tuition assistance. Flexible scheduling options include full-time, part-time, and per diem shifts, with benefits such as paid parental leave, retirement plans, and adoption assistance available to eligible staff.

This part-time LMSW Case Manager role supports inpatient services at a Virginia hospital, focusing on coordinating care for a defined patient population. The position involves conducting comprehensive psychosocial assessments, developing individualized care plans, and connecting patients with community resources and financial assistance programs. Key duties include advocating for patient needs, facilitating family meetings, and ensuring compliance with documentation standards and ethical guidelines. The role offers the opportunity to work within a collaborative healthcare team dedicated to enhancing patient quality of life and independence. While the schedule includes rotating weekends and holidays, the position provides a meaningful environment for social work professionals to apply their clinical expertise in a hospital setting.

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.

This full-time LMSW Case Manager role operates within the inpatient unit at Holy Cross in Silver Spring, Maryland, supporting a defined patient population. The position involves conducting comprehensive psychosocial assessments, coordinating cost-effective 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 closely with nurses and healthcare teams to monitor patient progress. The role appeals to professionals seeking to make a direct impact on patient outcomes through a multidisciplinary approach. While the position is based on-site, it offers the opportunity to work within a supportive environment that values ethical standards and continuous learning in social work practices.

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 PRN Registered Nurse role serves as an Emergency Department Case Manager within a collaborative healthcare team. The position focuses on optimizing patient throughput by coordinating care across the continuum, from the emergency room to inpatient or outpatient settings. Key responsibilities include assessing patient status using clinical criteria, facilitating efficient discharge planning, and collaborating with physicians, social workers, and payers to ensure cost-effective treatment. The role appeals to experienced nurses seeking a position that leverages clinical expertise to improve care quality and operational efficiency. The position requires flexibility for weekend and holiday shifts and is based on-site at the hospital.

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.

This full-time RN Case Manager role is based at an acute care academic medical center in Syracuse, New York, focusing on optimizing patient care transitions and resource utilization. The position involves conducting utilization reviews to determine appropriate care levels, coordinating discharge planning and post-acute care transitions, and documenting care coordination within the EPIC system. Key duties also include ensuring compliance with payer guidelines and collaborating with emergency department teams for rapid case management. The role is particularly appealing for nurses seeking professional growth within a premier academic setting, offering a structured Monday through Friday day shift schedule. Candidates must possess a current New York State RN license, BLS certification, and specific experience in pediatric acute care hospital case management.

This full-time Licensed Master Social Worker role serves as an Inpatient Case Manager at a healthcare facility in McLean, Virginia. The position focuses on coordinating comprehensive care plans for a defined patient population to optimize independence and quality of life. Key responsibilities include conducting psychosocial assessments, advocating for community resources, managing complex legal and financial processes, and collaborating with interdisciplinary teams to monitor patient outcomes. The role offers the opportunity to work within a supportive clinical environment that values ethical standards and professional growth. The schedule involves a 40-hour work week with alternating weekends and holidays, requiring specific state licensure credentials.

This full-time inpatient social work role at St. Josephs Medical Center in Towson, MD, involves managing a caseload of patients to coordinate care and enhance quality of life. The position requires conducting psychosocial assessments, developing care plans, and connecting patients with community resources and financial aid programs. Key responsibilities include advocating for patient needs, providing counseling to families, and ensuring compliance with documentation standards. The role offers the opportunity to work within a collaborative healthcare team focused on patient independence and optimal functioning. Candidates must hold an MSW and relevant state licensure, with the position operating on a rotating schedule including weekends.