20 Case Management Specialist jobs

United States (Remote)

About the Role We are seeking Registered Nurses with at least 5 years of clinical experience — bedside nursing, case management, clinical nurse…

United States (Remote)

From $37.00 / hour

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw…

United States (Remote)

From $37.00 / hour

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw…

United States (Remote)

$19.00 – $24.00 / hour

Description WHO WE ARE: GlobalHealth is a fast-growing Medicare Advantage HMO health insurer.

United States (Remote)

$50.00 – $53.00 / hour

Why Brighton PRN/REMOTE At Brighton/Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care…

United States (Remote)

$65–70K / year

Scope: The Medical Review Specialist is a Registered Nurse who conducts the Utilization Review process by obtaining medical information and…

United States (Remote)

$56.4–90.4K / year

Job Summary: Complex Population Service Determination Specialist II is responsible for processing medical necessity and noncommunity supports and…

United States (Remote)

$83–132.8K / year

Job Summary: The Manager, Utilization Management is responsible for the oversight of all utilization management activities ensuring consistency of…

United States (Remote)

$82.7–96.5K / year

Job Description A bit about this role: The Clinical Guide Part A will be part of the Utilization Management team, responsible for inpatient,…

United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.

Glenview, Illinois, US (Hybrid)

$23.00 – $39.00 / hour

Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.

Addison, Illinois, US (Hybrid)

$23.00 – $39.00 / hour

Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.

United States (Remote)

$56.2–101K / year

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to…

United States (Remote)

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

$26.00 – $32.00 / hour

About Cardiac Care Alliance (CCA) Cardiac Care Alliance is a Management Services Organization (MSO) committed to building a high-performance…

United States (Remote)

$120–170K / year

Job Description A bit about this role: Our Devoted Medical Transitions of Care (TOC) Advanced Practice Provider (APP) roles include both Nurse…

United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.

San Francisco, California, US (Hybrid)

$90–100K / year

Are you an LVN who loves patient care but is ready to step away from traditional clinical settings and dive into the fast-paced world of health tech?

United States (Remote)

$27.00 – $49.00 / hour

Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse.

United States (Remote)

$63.1–94.7K / year

Thank you for considering a career at Ensemble!