Jobs in the United States

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M
Retail Part Time Picture Framer
Michaels
PITT-ROBINSON TOWNSHIP, PA
- Part-time
Assist Store Manager in leading and managing adherence to Standard Operating Procedures (SOP’s) and Company programs to ensure compliance to applicable laws and requirements; ensure…
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Technical Supervisor
Penn Medicine
Berwyn, PA
Fiscal Management: Works with Administrative Director or Technical Manager to coordinate and collate department(s) annual capital, payroll, and non-payroll budget projection
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SM
Account Manager
Staff Management | SMX
White Haven, PA
- $55,066.97 to $68,833.71 USD / year
In the role of Account Manager II, you will be a leader at the center of the action. Responsible for overall site operations and managing a service team that consist of Account Supervisors…
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Program Manager - AVEVA PI System
Data Systems Analysts, Inc
Feasterville-Trevose, PA
The ideal candidate must have experience managing PI System deployment and/or sustainment projects
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Pharmaceutical Development Program Manager (1 of 2)
J&J Family of Companies
Spring House, PA
We are searching for the best talent for a Pharmaceutical Development Program Manager.
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A 2026 Leadership Development Program - Automotive
Sherwin-Williams Company
Huntingdon Valley, PA
…to branch operations as part of our Leadership Development Program ("LDP"). LDP is an eight (8) week program offering hands-on experience working in an industrial retail Automotive Branch…
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IT PROJECT MANAGER (PLCYPLN)
Naval Supply Systems Command
Naval Support Activity, PA
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Foster Care Case Manager
Sevita
Broomall, PA
Coordinate the development, review, and implementation of services, case management, behavior intervention plans, and treatments provided to individuals served.
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Lead Ophthalmic Technician - Radnor
Penn Medicine
Radnor, PA
Summary: The Lead Ophthalmic Technician provides the resource management skills for the Department of Ophthalmology and reports tothe Supervisor of the Ophthalmic Technicians.…
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Clinical Project Manager (Early Clinical Development, Home-Based)
IQVIA
Abington, PA
Responsible for change management on all assigned projects
Added 1 min ago
Fleet Safety Manager - 3193
The H&K Group
Skippack, PA
…Pre-employment drug testing (EOE) Great Benefits offered! Fleet Safety Manager US-PA-Skippack Job ID: 2026-3193 Category: Management The H&K Group, Inc. Overview The H&K Group, Inc. is…
Added 1 min ago
HCV/Public Housing Program Assistant
DuBois Housing Authority
DuBois, PA
We are seeking an experienced, detail-oriented HCV/Public Housing Program Assistant to support both the Housing Choice Voucher (Section 8) program and Public Housing operations. This…
Added 1 min ago
Senior Product Manager, Mobile Apps – Vehicle Productivity and Electrification Experiences
Ford Motor Company
Harrisburg, PA
Vehicle discount program for employees and family members and management leases
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Advisor - Commissioning & Qualification - GFD
Lilly
Fogelsville, PA
Coach and mentor project C&Q Leads and their teams on strategy, execution, risk-based verification, and day-to-day program management, building bench strength across GFD.
Added 1 min ago
Warehouse Laborer - GROWMARK FS, LLC - Bedford, PA
Growmark FS
Bedford, PA
Added 1 min ago
Annuities Program Director
Manulife
Remote, United States
Manage portfolio governance and steering committees. Communicate/present consolidated key insights to Program Sponsors and Senior Management audiences/stakeholders that assist in the…
Added 1 min ago
CG
SHIFT SUPERVISOR (FULL TIME)
Compass Group, North America
LEWISBERRY, PA
- $18 to $18.5 USD / hour
- Full-time
Requirement : Must have at least 2 years of supervisor/manager experience
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GL
Manager / Associate Director - Global Regulatory Strategy (Respiratory, Immunolo
GlaxoSmithKline LLC
Upper Providence, PA
- $138,600 to $231,000 USD / year
Added 1 min ago
Operations admin ii
FEDEX CORPORATION AND SUBS 12
Bridgeport, PA
Added 1 min ago
Launch & Integration Manager, re:Cycle Reverse Logistics
Amazon
Greencastle, PA
2+ years of program, project or product management, or leading product implementation experience
Added 1 min ago
FC
Maintenance technician ii
FEDEX CORPORATION AND SUBS 12
Breinigsville, PA
- $20.35 to $38.43 USD / hour
Added 1 min ago
Assistant General Manager in Waiting - Willow Grove
Signet Jewelers
Willow Grove, PA
Training – Associate Training System, Management Training System, District Manager in Training, career development and more
Added 1 min ago
HH
Medical Technologist Senior - Full Time - Rotational Hours - AVH
Highmark Health
Natrona Heights, PA
- Full-time
…specimens in one or more sections of the laboratory. Assists lab management with the daily operations of the…
Added 1 min ago
Item Processing and Imaging Mail Services Coordinator
First National Bank
Hermitage, PA
Added 1 min ago
Assistant Store Manager - Kay Jewelers - Bartonsville Square
Signet Jewelers
Stroudsburg, PA
Training - Associate Training System, Management Training System, District Manager in Training, Career Development and more

Amerihealth Caritas

Care Manager

Philadelphia, PA, United States

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Job details

Experience: Minimum of 3 to 5 years experience with the physical health population required. 2.
Posting language: English
Posted: Oct 20, 2026

Original job description

The Care Manager (RN)assists members appropriate for care management and care coordination services in achieving their optimal level of health through self-management. The Care Manager (RN) engages members, member caregivers, and providers to assess, plan, and establish individual member goals. Will facilitate and coordinate care for the members while assuring quality and use of cost-effective resources. The position will function as a single point of contact and be an advocate for members in the care coordination program. In addition, the Care Manager will oversee these same care management activities within assigned practices to ensure the ACPA delivers high-quality care management services following Plan, NCQA, Federal/State standards and requirements. Work Arrangement: Fully Remote; must be able to Monday-Friday 8:30am-5:00pm Eastern Time Zone Responsibilities: 1. Assess members through face-to-face encounters and by telephone to determine care coordination and care management needs for all referred members. 2. Completes comprehensive person-centered assessment, inclusive of physical health history, mental health history, social determinants of health, and supportive needs 3. Coordinates physical, behavioral health, and social services. 4. Provides medication management, including regular medication reconciliation and support of medication adherence. 5. Identifies problems/barriers for care coordination and appropriate care management interventions. 6. Creates a plan of care to assist members in reducing/resolving problems and or barriers so that members may achieve their optimal level of health. Identifies goals and assigns priority with associated time frames for completion. Shares goals with the member and family as appropriate. 7. Identifies and implements the appropriate level of intervention based upon the member's needs and clinical progress. 8. Schedules follow-up calls as necessary and makes appropriate referrals. Implements actions to address member issues. 9. Documents progress towards meeting goals and resolving problems within EMR system. 10. Coordinates care and services with the Community Health Navigator and member, member caregiver as appropriate, PCP, Specialist, and Facility/Vendor Providers. 11. Provides transitional care management. Meets regularly with designated partners regarding plan-identified members for care management, assists with reducing/resolving problems and or barriers so that the ACDE Care Coordinator may provide members with high-quality care management services. 12. Participate in regularly scheduled meetings as needed. Education/Experience: 1. Minimum of 3 to 5 years experience with the physical health population required. 2. Experience working with individuals with Medicaid and Medicare populations preferred 3. Ability to work with specific care teams and other engagement community partners preferred. 4. Case management experience, preferably within a managed care organization, is desired. 5. Proficient with various technologies including Microsoft Tools and Medical Record systems. 6. Bilingual (Spanish speaking) preferred Licensure: 1. Current, unrestricted Pennsylvania or Compact RN license in good standing with experience in managing medical complexities. Skills & Abilities: 1. Demonstrate ability to be self-directed, independent, adaptive, flexible to change, and able to collaborate as a team member in a fast-paced, ever-changing environment. 2. Demonstrate awareness, attitude, knowledge, and skills needed to work effectively with a culturally and demographically diverse population. 3. Proficiency using MS Office (Word, Excel, Outlook, Teams), internet applications, and electronic medical record and documentation programs. 4. Demonstrate strong organizational and time management skills with the ability to promptly prioritize and follow through on multiple items. 5. Demonstrate knowledge and e perience in assessing members' situations, developing a care plan, and teaching self-management Our Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

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More about this job

Skills

Coordinate care
EMR
Paramedic
Case management
Microsoft Office
Microsoft Word
Microsoft Excel
Microsoft Outlook
Microsoft Teams
Time management

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Work requirements

Jobs in the United States