Jobs in the United States

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Added 3 mins ago
TU
Patient Support Associate
Theranica USA, Inc.
Remote, United States
- $20 to $27 USD / hour
Must have a quiet environment to work, free from distractions · Must be based in Central, Mountain or Pacific Time Zone and/or willing to work PST hours
Added 3 mins ago
Senior Development Manager (Institutional Giving)
Raspberry Pi Foundation
Remote, United States
Location: CA, US. Remote in CA, with regular travel (including international) to meet funders
Added 3 mins ago
Configuration Analyst II
Healthcare Management Administrators
Remote, United States
Communicates status updates and risks to senior analysts and Plan Configuration Manager.
Added 3 mins ago
Senior Product Manager
Packback
Remote, United States
Packback sits at the intersection of AI and education, and we are hiring a Senior Product Manager to help decide what we build next. You will lead discovery and delivery across several…
Added 3 mins ago
Industry Marketing Manager, Batch Industries
Seeq
Remote, United States
The Industry Marketing Manager for Batch Operations is responsible for turning Seeq’s industry strategy, industry solutions priorities, and market insights into focused go-to-market plans,…
Added 3 mins ago
Senior Campaign Manager
Seeq
Remote, United States
…Chemicals, as well as emerging ones. As Senior ABX Marketing Manager, you'll drive the execution of these programs and measure their…
Added 3 mins ago
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Senior Manager, Client Management Operations
Jobgether
Remote, United States
- $94,500 to $152,250 USD / year
…applications and next steps. Our partner is looking for a Senior Manager, Client Management Operations based in the United…
Added 3 mins ago
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Senior Analyst, Finance Systems
Jobgether
Remote, United States
- $100,000 to $115,000 CAD / year
The Senior Analyst, Finance Systems will play a hands-on role in a broad finance technology transformation program. You will contribute to ERP enhancements and implementations, data…
Added 3 mins ago
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Paid Social Strategist
Jobgether
Remote, United States
- $86,500 to $99,500 USD / year
Deep hands-on experience with Meta Ads Manager and strong working knowledge of TikTok Ads Manager.
Added 7 mins ago
Senior Compliance Officer - Institutional Asset Management & Capital Markets
First Citizens Bank
Raleigh, NC
This is a remote role that may be hired in several markets across the US. With preferred locations in New York, NY, San Francisco, CA or Charlotte, NC where the role would be hybrid coming…
Added 11 mins ago
Technical Product Manager – AI-Native Platform for Life Sciences
MaxIT Consulting - Max Corporate Group
Los Altos · Los Altos, CA
Candidates must live in or relocate to the Bay Area and must already be authorized to work in the United States
Added 11 mins ago
Product Manager, Technical Specs – AI Products & B2B SaaS (Bay Area)
MaxIT Consulting - Max Corporate Group
Los Altos · Los Altos, CA
Candidates must live in or relocate to the Bay Area and must already be authorized to work in the United States
Added 11 mins ago
Associate Product Manager, Technical – AI Platform for Life Sciences
MaxIT Consulting - Max Corporate Group
Los Altos · Los Altos, CA
Candidates must live in or relocate to the Bay Area and must already be authorized to work in the United States
Added 11 mins ago
Junior Technical Product Manager – AI Products, Specs & APIs (Bay Area)
MaxIT Consulting - Max Corporate Group
Los Altos · Los Altos, CA
Candidates must live in or relocate to the Bay Area and must already be authorized to work in the United States
Added 17 mins ago
TechOps Administrator
The RealReal
Perth Amboy, NJ
…located in Perth Amboy, New Jersey and will report to the TechOps…
Added 19 mins ago
Quality Analyst - Outpatient, Healthcare
EXL Talent Acquisition Team
United States
This is a remote opportunity. The Quality Analyst oversees work performed by the Outpatient audit program to ensure that EXL’s standard of accuracy is met. Audits are performed by…
Added 26 mins ago
Lead Project Manager-Clinical Operations
Humana Inc.
Remote, United States
WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office
Added 33 mins ago
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Staff Talent Operations Engineer
Jobgether
Remote, United States
- $135,000 to $180,000 USD / year
…shape the future of talent operations within a fast-growing, remote-first technology environment focused on AI, data science, and…
Added 33 mins ago
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Senior Data Pipeline Engineer
Jobgether
Remote, United States
- $100,000 to $130,000 USD / year
…and collaborate closely with data operations leadership. This remote opportunity offers the chance to contribute your expertise within a mission-driven nonprofit organization focused on…
Added 33 mins ago
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Project Manager
Jobgether
Remote, United States
- $150,000 USD / year
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Project Manager based in the United States.
Added 35 mins ago
Principal Quality Assurance Engineer
Westinghouse Electric Company
Cranberry Twp, PA
Added 36 mins ago
Senior Product Manager, Mobile Apps – Vehicle Productivity and Electrification Experiences
Ford Motor Company
Harrisburg, PA
…help us redefine the future of mobility. As a Digital Product Manager at Ford, you will work cross-functionally to ensure the products we build will meet and elevate our customers’…
Added 38 mins ago
Telephonic Case Manager - 19568
Genex Services, LLC.
Wayne, PA
RN Compact license required URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC)
Added 38 mins ago
Senior Manager, Data & Analytics & Governance
Saint-Gobain
MALVERN, PA
We are looking for a Senior Manager of Data Governance who can turn vision into reality and help us build a strong, scalable, and business-aligned data foundation. In this role, you will be…
Added 38 mins ago
S
Territory Manager - Iowa
Saint-Gobain
Malvern, PA
- $72,000 to $108,000 USD / year
Valid driver's license required · Must live in territory

Amerihealth Caritas

Care Manager

Philadelphia, PA, United States

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Job details

Experience: Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience.
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 market delivers high-quality care management services following Plan, NCQA, Federal/State standards and requirements. Work Arrangement: Fully Remote; must be able to accommodate a Monday-Friday 8:30am-5:00pm Eastern Standard Time schedule. Responsibilities: 1. Assess members through 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. 12. Participate in regularly scheduled meetings as needed. Education/Experience: 1. Minimum of 3 to 5 years experience with the behavioral health population preferred. 2. Experience working with individuals in Home Health preferred. 3. Managed Care experience preferred 4. Ability to work with specific care teams and other engagement community partners preferred. 5. Case management experience, preferably within a managed care organization, is desired. 6. Proficient with various technologies including Microsoft Tools and Medical Record systems. Licensure: 1. Current, unrestricted RN Pennsylvania or Compact license in good standing. 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 experience 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. For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement. 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. Discover more about us at www.amerihealthcaritas.com.

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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