120 case manager jobs found in Philadelphia, PA

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The  Behavioral Health Field Case Manager (Central or Northern Virginia ) will wear many hats and work in a variety of environments. Sometimes, you’ll interact with members leaving the hospital, possibly with new medications or diagnoses. Or perhaps you’ll perform home visits, assisting members with safe, effective transitions from care environments to where they live. You may also act as an...

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.    As a team member of our Landmark product, we help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.   We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while doing your life’s best work.(sm)  Do you want to make a difference in healthcare? Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members in our community.  Our medical group provides home-based medical care to chronically ill...

Job Brief Current and unrestricted Registered Nurse licensure in Pennsylvania.  3+ years of clinical experience at the bedside (as a Registered Nurse) working with medically fragile pediatric patients. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven...

Review Clerk (Remote) Are you an experienced Review Clerk looking for a new challenge? Do you value care management and quality improvement? Are you motivated, energetic, and excited to become part of the Kepro team? If so, you might be our next new team member! Who we need: Provides a broad range of administrative support to a team, department and/or individual and reports to the Manager Medial Review Services. The position supports office employees with day-to-day office functions, training and non-clinical support functions (e.g. data entry and report tracking) and performs functions to support external customer access to staff and services; arrange venues; arrange conference calls, copy and organize materials for training, enter data into various software programs; answer and respond to routine calls, inquiries and questions and route calls appropriately; ensure timely and proper handling and safeguarding of confidential, private or sensitive material; performs...

Careers at Landmark , part of the Optum and UnitedHealth Group family of businesses. At Landmark, we work to deliver high quality, comprehensive care to chronically ill patients wherever they reside and whenever they need it. We focus on doing what’s right for the people we serve, even when it’s not easy. This is your opportunity to be part of a compassionate team that is setting out to change health care for complex, chronic patients. We’re looking for driven people like you because changing the status quo takes dedication. Here, we’ll invest in your personal and professional growth while giving you a unique opportunity to make a difference. Helping people feel their best is a rewarding part of doing your life’s best work.(sm) The Nurse Care Manager (NCM), is an integral part of the Interdisciplinary care team (IDT), and is responsible for the overall care management process for high acuity engaged patients. The NCM has oversight for developing, managing, and coordinating...

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) For new and existing Flexwork business, the FlexWork Implementation & Account Manager Lead will simplify and coordinate the implementation tasks and work directly with the assigned local IM to help support or lead the implementation depending on product mix sold. This role is also intended to toggle between implementation and subject matter expert account management responsibilities once implementation is complete to support the assigned SAE /AE to the case and liaise with the platform experts accordingly to ensure all of the necessary documentation and employer and member...

If you are located within De Pere, WI, Eden Prairie, MN, OR Louisville, KY, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Positions in this function are responsible for investigating, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. May...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. In this role, as a member of the Technology Enablement team the Business Analyst Consultant will be responsible for supporting operations and program level reporting to improve benefits realization and roadmap execution for Optum Enterprise Clinical Services (ECS) technology strategies. You will be accountable for supporting the benefit owner with identifying, tracking, and measuring benefits...

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)  The Senior Technical Reporting Analyst will partner with stakeholders to understand data requirements and develop tools and models such as segmentation, dashboards, data visualizations, decision aids and business case analysis to support Optum Care.   The analyst will also serve as a liaison between business users and IT report developers to understand reporting needs, develop requirements, and ensure data architecture is implemented to support alignment with business requirements.  The analyst may serve in a project manager capacity for smaller work efforts.  You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.  Primary Responsibilities:...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  In this newly created leadership role, you will have accountability for the Clinical and Administrative consulting organizations within Advisory and Implementations, which totals $220M+ in annual revenue.  You will be expected to develop and deliver solution offerings and recruit, mentor and lead a high-performing team to ensure achievement of performance expectations....

Job Brief Must be licensed to practice medicine in Pennsylvania; additional state licensures may be required within our national footprint, based on business needs. Must be Board-Certified in Internal Medicine or Family Medicine. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver...

Job Brief Must possess a unique blend of Enterprise analytics and Business analyst proficiency to best qualify. Proven background in Healthcare/Managed Care, Claims Processing & Value-Based Programs essential. Project Management highly preferred. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of...

Job Brief Talented professional must possess a unique blend of Enterprise analytics and Business analyst and Project Management proficiency to best qualify. Proven background in Healthcare/Managed Care, Claims Processing and Value-Based Programs are essential. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years...

Responsibilities: PerformCare provides access to the NJ Children's System of Care.The Behavioral Health Care Manager is responsible for the daily functions of the clinical department including triage of calls, care coordination and utilization management. The Behavioral Health Care Manager facilitates access to behavioral health, substance use and intellectual/developmental disabilities therapeutic services, ensuring that every youth receives the right services at the right time as part of an integrated service plan. The emphasis of this work is to maintain youth at home, in school and in the community. The Behavioral Health Care Manager makes timely intensity of services determinations based on urgency of need , including the management of emergencies which includes access to mobile response services. The Behavioral Health Care Manager makes timely intensity of services determinations or refers to higher level review when indicated. Provides linkage to community services as...

Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services....

Job Description Copywriter for a member email marketing/engagement project At this point, the initiative is for commercial Independence Blue Cross and AmeriHealth membership. There are 8 messaging workstreams planned for 2023, and the copywriter would attend weekly meetings to understand the scope and goals of each email, work within our process to write standard and variable email copy, incorporate edits from multiple reviewers, and update copy based on A/B testing. **This position can range from 10-40 hours per week, candidate must be flexible pending workload. Position Title: Copywriter Our organization is looking for dynamic individuals who love to learn, thrive on innovation, and are open to exploring new ways to achieve our goals. If this describes you, we want to speak with you. You can help us achieve our vision to lead nationally in innovating equitable whole-person health. At Independence Blue Cross everyone can feel valued, supported, and comfortable to be...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. In this key leadership role, you will oversee the development and execution of service delivery commitments to continuously drive cost performance, productivity and profitable growth. Effectively oversee Revenue Cycle Services day-to-day operations servicing our Hospital clients. You will be accountable for leading Revenue Cycle Services best practices initiatives targeting delivery of...

See yourself at Radian? We see you here too. At Radian, we see you. For the person you are and the potential you hold. That's why we've embraced a new way of working that lets our people across the country be themselves, be their best and be their boldest. Because when each of us is truly seen, each of us gives our best - and at Radian, we'll give you our best right back. Studies have shown that job seekers may hesitate to apply for jobs unless they meet every single qualification listed. We strive to see the potential in each applicant, so if you're excited about this role but your experience or education level doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles. See Yourself as a Physical Security Program Manager The Physical Security Program Manager is responsible for establishing, monitoring, and maintaining the physical security controls and functions for...

Freelance Software Developer Are you interested in helping to train AI models to write better code? How it works: We have several open projects where we are looking for talented developers to help train generative artificial intelligence models to write better code. You can work on all of our projects remotely. Hours are flexible, so you can work whenever is best for you. Your earnings from ongoing projects are sent out weekly. All you have to do is apply to this opportunity, and we will reach out to you with next steps if it's a good mutual fit. You Will: Work on various projects to train generative AI models. Some examples of projects you might work on: Rank a series of code responses that were produced by an AI model. Write pieces of code with reasoning to show an AI model how to respond to prompts. Edit code written by an AI model to fix bugs and improve performance. Preferred Qualifications: These are not must-have...

IDBS is a dynamic and innovative company providing purpose-built software solutions to address the data management challenges prominent across the BioPharma lifecycle and supply chain. Leveraging more than 30 years of experience in life science informatics, we are uniquely positioned to deliver a portfolio of innovative BioPharma knowledge management technologies to streamline the capture, analysis, reporting and sharing of data required to accelerate the next generation of life-changing therapies. Cloud-native and analytics-centric, our platforms enable customers in research, development and manufacturing to efficiently and compliantly access critical data and insights to make faster, smarter decisions with greater confidence. IDBS serves thousands of users across hundreds of organizations around the globe. Our predominant customer base is Life Sciences and includes 23 of the top 25 pharmaceutical companies and more than 250 small and medium-sized pharma and BioPharma companies,...