Medical Case Management Jobs

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.

This full-time remote Medical Case Manager role supports federal workers with occupational injuries and illnesses within Sedgwick Government Solutions. The position involves developing comprehensive case management plans, coordinating acute and chronic treatment phases, and serving as the primary communication link between patients, providers, and agencies. Key responsibilities include tracking patient improvement goals in a database and implementing services to minimize disability outcomes. The role appeals to nurses seeking a meaningful career where caring for others is central to the mission, offering the flexibility of a home-based office while collaborating with a supportive nationwide team. Success in this position requires an active nursing license, relevant workers' compensation experience, and the ability to obtain a federal security clearance.

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.

The Clinical Supervisor role within Mercy's Healthcare & Medical Services department leads multidisciplinary care teams to deliver high-quality, patient-centered clinical services. Key responsibilities include overseeing regulatory compliance, managing caseloads and documentation, and providing direct mentorship and performance feedback to clinicians. The position also involves coordinating integrated care plans with physicians and allied health professionals while driving quality improvement initiatives. This opportunity appeals to professionals seeking a compassionate, diverse, and collaborative culture that values continuous learning and meaningful impact on community health. The role supports staff development and utilizes data-driven decision-making to enhance patient outcomes.

The Diagnostic Imaging Veterinary Assistant role at Gulf Coast Veterinary Specialists supports a specialized team dedicated to advanced companion animal care. Key responsibilities include assisting radiologists and sonographers with patient restraint and positioning, monitoring vital signs during sedation, preparing medications, and performing diagnostic radiographs. The position also involves transporting patients, maintaining equipment hygiene, and managing medical records. This full-time opportunity offers a dynamic, fast-paced environment where employees can make a meaningful impact on pet health. The role is appealing due to the supportive culture, opportunities for professional growth through continuing education, and comprehensive benefits including retirement matching and health insurance. The position operates on a rotating schedule with weekend requirements.

The Ryan White Program Manager serves as a subject matter expert and leadership team member at Affinity Health Center, overseeing Prevention and Medical Case Management teams. This role ensures a holistic continuum of care for individuals living with HIV/AIDS and Hepatitis C while managing compliance with HRSA funding agreements and service standards. Key responsibilities include developing grant proposals, monitoring budgets, analyzing population health data for quality improvement, and coordinating audits and reporting for federal and state agencies. The position offers the appeal of leading a collaborative mission-driven team, participating in continuous quality improvement projects, and accessing comprehensive professional development and leadership training. The role involves direct supervision of staff and building strategic partnerships with community organizations and health departments.

This Senior Data Analyst role supports Sedgwick Government Solutions in delivering high-impact analytics to federal healthcare clients. The position involves leveraging advanced descriptive, diagnostic, and predictive analytics to transform complex data into actionable insights for internal and external stakeholders. Key responsibilities include designing and presenting data visualizations using Power BI and SQL, optimizing reporting processes, and collaborating with project teams to develop new analytical methodologies. The role appeals to professionals seeking a mission-driven environment where taking care of people is central to the work, offering opportunities to act as a subject matter expert in healthcare data trends. While the job is based in Columbus, Ohio, it offers remote flexibility with minimal travel requirements.

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.

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 travel nursing role places a Registered Nurse in a Medical-Surgical unit within Juneau, Alaska, supporting patient care in an ambulatory setting. The position involves managing patient triage, providing pain management strategies, and delivering health education to individuals with chronic conditions. Key responsibilities include performing medical screenings and assisting patients in restoring their ability to live independently. The assignment offers a flexible work arrangement with rotating shifts over an 18-week contract. It appeals to candidates seeking professional growth within a supportive, nationally recognized staffing firm that emphasizes work-life balance and provides comprehensive benefits including health insurance and retirement matching.

This travel nursing role places a Registered Nurse in the Medical-Surgical department at a facility in Juneau, Alaska. The position involves caring for patients with chronic injuries or illnesses, focusing on pain management, health education, and triage to support patient independence. Key responsibilities include providing medical screenings, managing cases, and adapting to rotating shifts of three 12-hour days over an 18-week contract. The role appeals to candidates seeking professional growth through exposure to diverse patient populations and new healthcare environments. It offers the opportunity to expand a professional network nationwide while enjoying comprehensive benefits including health insurance and retirement matching. The assignment requires a minimum of one year of experience and a valid state nursing license.

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 fully remote role within Zurich North America's Managed Care team seeks an experienced Registered Nurse to serve as a Sr Supplier Medical Process Specialist. The position focuses on vendor governance, requiring the candidate to manage supplier performance, conduct quality audits, and resolve complex operational escalations. Key responsibilities include analyzing operational data to identify improvement trends, leading meetings with internal partners and vendors, and supporting compliance efforts within claims and managed care operations. The role is ideal for professionals passionate about operational excellence and collaborative problem-solving. It offers the appeal of working for a globally recognized company known for its supportive culture, flexible work arrangements, and commitment to work-life balance, providing a platform for career growth within a leader in risk management.

This full-time Medical Surgical Registered Nurse role is based at Doctors Hospital of Augusta, specifically within the nationally recognized Burn Center. The position involves collaborating with an interdependent healthcare team to assess, plan, and coordinate comprehensive treatment plans for burn patients. Key responsibilities include managing patient care flow, administering medications, maintaining accurate medical records, and educating patients and families on treatment protocols. The role appeals to nurses seeking to work in a facility equipped with advanced technology that supports efficient bedside care. Opportunities for career growth include pathways to leadership or specialized clinical roles within a culture described as family-oriented. The hospital offers a robust benefits package including education assistance, retirement matching, and comprehensive health coverage.

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.

This full-time role serves as a Substance Use Disorder Professional or Trainee within a community mental health facility. The position involves managing client admissions, conducting individual and group counseling sessions, and developing personalized treatment plans. Key responsibilities include medication management, maintaining accurate electronic medical records, facilitating client referrals, and performing crisis intervention while adhering to strict confidentiality and safety protocols. The role appeals to candidates seeking to make a direct impact on community health by supporting individuals through recovery. It offers opportunities for professional growth through mandatory training and supervision, with a focus on collaborative care within Spokane County's social service 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 PRN Nurse Practitioner or Physician Assistant role supports Matrix Medical Network's national in-home clinical network by conducting comprehensive health assessments for older adults and at-risk individuals. Key responsibilities include performing detailed medical history reviews, administering point-of-care testing, and collaborating with primary care physicians and care teams to identify chronic conditions and close care gaps within patient homes or skilled nursing facilities. The position is appealing due to its flexible scheduling that allows providers to set their own hours across various days and times, along with opportunities for career advancement, continuing education support, and mileage reimbursement. The role operates on a remote basis with travel required to member residences.

This PRN Nurse Practitioner or Physician Assistant role focuses on conducting comprehensive in-home health assessments for older adults and at-risk individuals across the nation. The position involves visiting members at their residences or skilled nursing facilities to review medical history, perform physical exams, order point-of-care testing, and collaborate with primary care physicians to close care gaps. The role offers significant flexibility with scheduling based on provider availability during extended hours, along with opportunities for career advancement and support for obtaining additional state licensure. The position is appealing due to the mission of improving health outcomes through personalized care, a culture built on empathy and trust, and access to continuing education resources.

This 13-week travel role places a Licensed Clinical Social Worker in Mission Viejo, California, within a short-term acute care inpatient setting. The position involves conducting biopsychosocial assessments, developing individualized care plans, and coordinating complex discharge logistics for medical surgical patients. Key duties include providing crisis intervention, navigating insurance and government assistance programs, and collaborating with interdisciplinary teams to ensure comprehensive patient support. The assignment offers a flexible work arrangement with rotating shifts and is appealing due to the opportunity to work with a leading healthcare staffing agency that provides premium benefits, paid housing or stipends, and access to unlimited continuing education. The role supports professionals seeking to advance their careers through diverse clinical experiences and dedicated career guidance.

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 Behavioral Health Therapist role focuses on providing specialized care for patients with substance use disorders within an integrated healthcare team. The position involves conducting comprehensive assessments, delivering individual and group counseling, and collaborating with care teams to develop effective treatment plans. Key responsibilities include documenting patient progress, identifying at-risk individuals, and assisting in the creation of care management processes to support chronic condition self-management. The role is appealing due to its flexible full-time or part-time schedule, the opportunity to work in a collaborative environment dedicated to improving patient outcomes, and the potential for professional growth through supervision and case conferences. Travel within the service area may be required.