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Added 1 min ago
Senior Program Manager of Production Programs Portfolio 1
L3Harris
Camden, NJ
Job Title: Senior Program Manager of Production Programs Portfolio
Added 1 min ago
B
Retail Front End Supervisor - Full-Time
Burlington
Princeton, NJ
- $17.92 to $19.92 USD / hour
- Full-time
Supervise all store functions and associates while in the role of Manager on Duty
Added 8 mins ago
GA
PT Assistant
Genesis Administrative Services LLC
Winfield, KS
- $27 to $29 USD / hour
…more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development…
Added 8 mins ago
GA
Physical Therapy Assistant (PTA)
Genesis Administrative Services LLC
Black River Falls, WI
- $30 to $35 USD / hour
…more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development…
Added 18 mins ago
GA
Physical Therapy Assistant (PTA)
Genesis Administrative Services
Black River Falls, WI
- $30 to $35 USD / hour
…more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development…
Added 18 mins ago
GA
PT Assistant
Genesis Administrative Services
Winfield, KS
- $27 to $29 USD / hour
…more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development…
Added 21 mins ago
Instructor I (Physical Therapist)
University of South Florida
Tampa, FL
…excel in USF‘s rich academic environment, which fosters their development and advancement. In 2025, Forbes recognized USF as one of Florida’s best large employers, ranked No. 1 among the…
Added 31 mins ago
C
Program Manager B-52 (WBD) - (Part-Time) - 01.3.11
Credence
Tinker Air Force Base, OK
- Part-time
Credence has an immediate need for a part-time Program Manager B-52 (WBD) at the senior level who will be primarily responsible for supporting the B-52 Stratofortress Division (AFLCMC WBD)…
Added 31 mins ago
Program Manager - Program Integration WAX 01.4.04
Credence
Wright-Patterson Air Force Base, OH
Credence has an immediate opening for a Program Manager- Program Integration at the senior level supporting AFLCMC/WAX at Wright Patterson AFB, OH.
Added 31 mins ago
Senior Program Manager - DCGS
Credence
Robins Air Force Base, GA
or Defense Acquisition Workforce Improvement Act (DAWIA) Acquisition Professional Development Program (APDP), any level,
Added 31 mins ago
FMS Program Manager, Senior F-16 WAM (Secret) - 205
Credence
WPAFB, OH
Support the planning and organizing of program/project activities and analysis and perform professional or technical work related to program management. The Contractor shall assist to plan,…
Added 31 mins ago
Senior Program Manager F-16 WAM (Top Secret)- 211
Credence
WPAFB, OH
Credence has an upcoming need for a Senior Program Manager who will be primarily responsible for supporting the Air Force Life Cycle Management Center WAM (AFLCMC/WAM) directorate, F-16…
Added 31 mins ago
Systems Engineer B-2 (WBZ) 01.6.07
Credence
Tinker Air Force Base, OK
…integration of technologies, integration of intelligence, and development of sustainment strategies. Capability requirements and option sets will be architecture-based to ensure the…
Added 31 mins ago
Principal Technical Manager- C3I DCGS
Credence
Warner Robins, GA
Credence has an immediate need for a Principal Technical Manager at Robins AFB, GA. The Principal Technical Manager shall support the assigned IPT and is responsible for the systems…
Added 31 mins ago
Program Manager - Aircraft Installation B-2 (WBZ) 01.6.06
Credence
Oklahoma City, OK
Credence has an upcoming need for a Program Manager - B-2 Aircraft Installation (WBZ) at the principal level to support the B-2 Division who is responsible for the modernization, test,…
Added 31 mins ago
Program Manager CROWS - 7.32
Credence
Wright-Patterson Air Force Base, OH
Credence has an immediate need for a Program Manager at the senior level who will be primarily responsible for supporting the Cyber Resiliency Office for Weapon Systems (CROWS) at Wright…
Added 31 mins ago
Systems Acquisition Manager CROWS 7.13
Credence
Wright-Patterson Air Force Base, OH
Credence has an immediate need for a Systems Acquisition Manager at the senior level who will be primarily responsible for supporting the Cyber Resiliency Office for Weapon Systems (CROWS)…
Added 31 mins ago
Program Manager CROWS - 7.36
Credence
Wright-Patterson Air Force Base, OH
Credence has an immediate need for a Program Manager at the senior level who will be primarily responsible for supporting the Cyber Resiliency Office for Weapon Systems (CROWS) at Wright…
Added 38 mins ago
Immediate School Counselor (High School)
KIPP
Jacksonville, FL
Every Wednesday is a student early release day, which allows teachers to participate in weekly professional development and content team meetings. *This doesn’t include Wellness Wednesdays…
Added 44 mins ago
Distribution Sales Manager
Beacon EmbeddedWorks
Eden Prairie, MN
The Distribution Sales Manager is responsible for driving new customer engagements. This is an exciting opportunity for strategic thinkers with strong negotiation skills who like to work…
Added 51 mins ago
Senior Project Manager
Crawford Architects, LLC
San Antonio, TX
The Senior Project Manager serves as the municipality’s lead advisor for complex, developer-led capital projects that advance public objectives. The role oversees planning, procurement,…
Added 51 mins ago
Office Manager
SWE Solutions
Itasca, IL
The Office Manager is responsible for overseeing the daily administrative and operational functions of the company to ensure efficient business operations and organizational effectiveness.…
Added 56 mins ago
BR
Store Lead (Store Manager) - ID032--Chinden Linder - Meridian, ID 83646
Black Rock Coffee Bar
Meridian, ID
- From $12.5 USD / hour
…across your location through operational execution, Team Member development, and Guest experience. You embody Black Rock's standards and values while creating an environment where people…
Added 56 mins ago
Assistant Store Manager
Carter's Retail Inc.
Allen, TX
…our founding, and we invest in our teams with training and development programs, so we all succeed together. A Carter’s career doesn’t feel like a job. It feels like connections, between…
Added 1 hour ago
Fleet Manager
Southeast Alaska Regional Health Consortium
AK · JPL
The Fleet Manager oversees the operation, utilization, maintenance, compliance, and replacement planning of the SEARHC fleet program. This position is responsible for ensuring fleet…

Closed listing

DOCTORS HEALTHCARE PLANS, INC.

Case Manager RN

Coral Gables, FL, United States

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

Closing date: Jan 28, 2027
Posting language: English
Posted: Oct 30, 2026

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Original job description

Archived listing. The details below describe a past opening.

Position Purpose: Nurse Case Manager who is responsible for coordinating the continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery and compliance with medical regime.

Responsibilities:

Performs and coordinates the initial assessments and ongoing reassessments of the patient's status.
Documents patient case information within a database system.
Performs chart review/audits monthly or as needed.
Participates in monthly case conferences by providing information pertinent to patient’s needs/goals.
Partners with the Program Director in development and review of the patient’s individualized coordination of care plan.
Ensures that the patients’ medical needs are addressed; consults with the patients’ physicians as needed, coordinating plans of treatment, and advocating for the patient when necessary.
Promotes understanding of the medical factors affecting the targeted population.
Identifies and assists patient(s) in accessing entitlements, resources, information, and referrals for psychosocial needs.
Maintains accurate and timely patient information, which is readily accessible for review and meets all requirements; assists in data collection for reporting/funding sources.
Help accomplish goals; acts as a liaison between primary care providers, specialist, and/or patient.
Advocates on behalf of patient regarding accessibility of services.
Participates in outreach activities to the entire target population, as directed.
Recommends program/service changes to meet gaps in service in the community.
Performs other duties as assigned/necessary.
To promote member safety through a pharmaceutical management program, The CM is expected to complete medication reconciliation upon discharges of members when discharge from facilities such hospitals, long term acute centers, skilled nursing facility, and as determined by member needs.
The CM will follow up with the needs of the member when dealing with DME or HHC.
The CM will offer community support when available and pertinent to the members well-being.
Improve coordination of care by facilitating communication between members of the care team, including member, family, healthcare facility, attending physician, primary care physician, specialty, ancillary and other providers (as applicable).
Identify members considered to be high-risk for complicated, long-term, and/or continuous care in order to assure appropriate coordination of care and complex case management intervention with the primary care physician and care team; members have the opportunity to opt-in or opt-out of care management programs.
To establish and maintain clinical standards – preventive health and clinical practice guidelines.
Referral of members to internal and external programs.
Appropriate coordination of member benefits through interventions such as: Transportation Appropriate approval of ambulance usage, DME and home health care services.
Steering members toward the care of participating and preferred providers.
Assist the member with accessing Medicaid resources, when applicable.
Using professional judgement, independent analysis and critical-thinking skills applies clinical guidelines, policies, benefit plans, etc. to determine the appropriate level of care, intensity of service, length of stay and place of service.
Identifies existing problems; anticipates potential problems and acts to avoid them.
Develops plan of care based upon assessment with specific objectives, goals and interventions designed to meet member’s needs.
Identifies appropriate health care resources based on member's medical needs, including but not limited to evaluating contracts and negotiating with facilities/vendors.
Works with the member/family, provider(s), and other members of the health care team to develop a plan of care that enhances the clinical outcome while maximizing the member’s benefits.
Applies evidence-based guidelines when available.
Effectively utilizes community resources and care alternatives.
Implements and coordinates interventions and other activities that lead to the accomplishment of goals established in the case management plan.
Continually reassesses services delivered to the member to determine if the goals of the plan of care are being met, whether the goals continue to be appropriate and realistic, and what actions may be implemented to enhance positive outcomes.
Monitors information from all relevant sources about the case management plan and interventions to determine the plan’s effectiveness.
Improve coordination of patient care, reduce and remove cultural and healthcare system barriers, promote timely treatment, empower and coach patients to become self-advocates, and assist patients navigate the maze of the managed care delivery system.

Essential Job Functions:

Assist SNP Case Manager Director with MBR’s HRA outreach calls.

Be the system navigator and point of contact for patients enrolled in managed care programs, assist patients with benefit coverage and access to care questions/concerns.
Provide enhanced care coordination services assisting patients in problem solving with issues related to the health care system, financial or social barriers (e.g. transportation as appropriate, prescription drugs formulary assistance, etc.)
Identify and link patients with cultural and community resources to facilitate referrals and respond to social services needs.
Collaborate with other services providers for care coordination and case management activities.
Work with patients over the phone to review and remind their plan of care and progress towards their care management goals.
Conduct outreach activities to assigned members by phone, mail or any other form of communication method to promote program engagement and marketing strategy Assist in data collection and report statistical information.
Performs other job duties as required by manager/supervisor.

Qualifications:

RN or LPN Licensure required
Managed Care experience preferred
Bi-lingual English and Spanish preferred
Ability to take action in solving problems, exhibiting sound judgement
Strong oral and written communication skills; ability to interact within all levels of the organization as well as with external contacts
Demonstrate strong organization and time management skills

Note: This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s). Duties described are not to be interpreted as being all-inclusive or specific to any individual team member. No Third Party Agencies or Submissions Will Be Accepted.

Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP

Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.

About employer

More about this job

Skills

Regulatory compliance
Provide information
Reporting
Primary care
Communication skills
Case management
Critical thinking
Patient care
Problem solving
Health care system
LPN
Time management

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