Care Manager Jobs
Care Manager jobs are open across healthcare systems, managed care organizations, insurance, and social services, from entry-level to senior and director, with specializations in utilization management, behavioral health, and geriatric care. Find a role that fits from the openings below and apply directly.
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Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.
This position comprehensively plans for targeted patient populations. Performs resource management, including denial management, utilization management, access to the appropriate level of care, discharge planning, care facilitation, and referral to other levels of care. Works collaboratively with the multidisciplinary care team to facilitate achievement of desired treatment outcomes.MINIMUM QUALIFICATIONS :
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC).
EXPERIENCE:
1. Three (3) years clinical experience.
PREFERRED QUALIFICATIONS :
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor’s degree in Nursing (BSN)
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Manages all aspects of transition/discharge planning for assigned patients in a timely manner.
2. Collaborates with all members of the multidisciplinary team to facilitate the transition/discharge process for designated caseload.
3. Monitors the patient’s progress; intervening as necessary and appropriate, to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective.
4. Provides education as needed to staff, physicians, and patients and their families to ensure effective transition planning.
5. Meets directly with the patient and/or family to assess needs and develop an individualized transition/discharge plan in collaboration with the physician team.
6. Communicates with the multidisciplinary team and post-acute providers when applicable, any complex family dynamics that may directly impact patient care and transition/discharge planning.
7. Initiates and facilitates referrals to post-acute services- including but not limited to: Homecare, Durable Medical Equipment, Hospice Care, Long Term Acute Care Facilities, Acute Rehab Facilities, and Skilled Nursing Facilities.
8. Communicates all necessary information regarding transition/discharge plan to the multidisciplinary team, patient and family.
9. Provides timely and comprehensive documentation of interactions with patient and/or families and all transition/discharge planning activities and progress according to departmental policy.
11. Assists patient/families with completion of medical power of attorney, health care surrogate, and advanced directives
12. Collaborates for appropriate resource and financial management which may include but is not limited to: financial assistance coordination/referrals, entitlement program coordination/referrals, or patient benefit coordination
13. Utilizes quality screens in the electronic record to identify potential issues including but not limited to- avoidable delays and readmissions.
14. Completes clinical reviews for patients.
15. Applies approved utilization criteria to ensure medical necessity of patient’s admissions and continued stays, and documents the findings based on department standards, policy and procedure.
16. Screens for appropriate authorization and level of care.
17. Facilitates covered day reimbursement certification for assigned patients and discusses payor criteria and issues on a case by case basis with clinical staff (ie. Peer to Peer) and follows up to resolve problems with payors as needed.
18. Educates hospital staff and physicians to payer regulations and managed care principals to prevent denials.
19. Fosters the integration of staff and/or students into the healthcare team.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in performing nursing duties throughout the work shift.
2. Must be able to lift, move, and position patients of all weights, with varying amounts of assistance in a fair manner on a regular and recurring basis.
3. Hearing within a normal range required (e.g., to assess breath sounds, heart sounds, apical pulse, monitors, etc.).
4. Visual acuity must be within normal range. Must be able to perform night driving as necessary for patient care.
5. Must be able to perform heavy work; exerting in excess of 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Working closely with others.
2. Working protracted or irregular hours.
3. Working around biohazards.
4. Working around infectious diseases.
5. Working with hands in water.
6. Working with electrical hazards associated with patient care equipment.
SKILLS AND ABILITIES:
1. Knowledge of patient’s current medical insurance coverage and limitations and the precertification requirements for Durable Medical Equipment (DME), post-acute placements, infusions, transfers etc
2. Knowledge of relevant scientific principles, established standards of care and/or research findings.
3. Knowledge of procedures and techniques involved in administering routine and special treatments to patients.
4. Knowledge of and appropriate application of the nursing process.
Additional Job Description:
Scheduled Weekly Hours:
40Shift:
Exempt/Non-Exempt:
United States of America (Exempt)Company:
PCH Princeton Community HospitalCost Center:
403 PCH Care ManagementAddress:
122 12th Street Princeton West VirginiaEqual Opportunity Employer
West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.
This position comprehensively plans for targeted patient populations. Performs resource management, including denial management, utilization management, access to the appropriate level of care, discharge planning, care facilitation, and referral to other levels of care. Works collaboratively with the multidisciplinary care team to facilitate achievement of desired treatment outcomes.MINIMUM QUALIFICATIONS :
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC).
EXPERIENCE:
1. Three (3) years clinical experience.
PREFERRED QUALIFICATIONS :
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor’s degree in Nursing (BSN)
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Manages all aspects of transition/discharge planning for assigned patients in a timely manner.
2. Collaborates with all members of the multidisciplinary team to facilitate the transition/discharge process for designated caseload.
3. Monitors the patient’s progress; intervening as necessary and appropriate, to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective.
4. Provides education as needed to staff, physicians, and patients and their families to ensure effective transition planning.
5. Meets directly with the patient and/or family to assess needs and develop an individualized transition/discharge plan in collaboration with the physician team.
6. Communicates with the multidisciplinary team and post-acute providers when applicable, any complex family dynamics that may directly impact patient care and transition/discharge planning.
7. Initiates and facilitates referrals to post-acute services- including but not limited to: Homecare, Durable Medical Equipment, Hospice Care, Long Term Acute Care Facilities, Acute Rehab Facilities, and Skilled Nursing Facilities.
8. Communicates all necessary information regarding transition/discharge plan to the multidisciplinary team, patient and family.
9. Provides timely and comprehensive documentation of interactions with patient and/or families and all transition/discharge planning activities and progress according to departmental policy.
11. Assists patient/families with completion of medical power of attorney, health care surrogate, and advanced directives
12. Collaborates for appropriate resource and financial management which may include but is not limited to: financial assistance coordination/referrals, entitlement program coordination/referrals, or patient benefit coordination
13. Utilizes quality screens in the electronic record to identify potential issues including but not limited to- avoidable delays and readmissions.
14. Completes clinical reviews for patients.
15. Applies approved utilization criteria to ensure medical necessity of patient’s admissions and continued stays, and documents the findings based on department standards, policy and procedure.
16. Screens for appropriate authorization and level of care.
17. Facilitates covered day reimbursement certification for assigned patients and discusses payor criteria and issues on a case by case basis with clinical staff (ie. Peer to Peer) and follows up to resolve problems with payors as needed.
18. Educates hospital staff and physicians to payer regulations and managed care principals to prevent denials.
19. Fosters the integration of staff and/or students into the healthcare team.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in performing nursing duties throughout the work shift.
2. Must be able to lift, move, and position patients of all weights, with varying amounts of assistance in a fair manner on a regular and recurring basis.
3. Hearing within a normal range required (e.g., to assess breath sounds, heart sounds, apical pulse, monitors, etc.).
4. Visual acuity must be within normal range. Must be able to perform night driving as necessary for patient care.
5. Must be able to perform heavy work; exerting in excess of 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Working closely with others.
2. Working protracted or irregular hours.
3. Working around biohazards.
4. Working around infectious diseases.
5. Working with hands in water.
6. Working with electrical hazards associated with patient care equipment.
SKILLS AND ABILITIES:
1. Knowledge of patient’s current medical insurance coverage and limitations and the precertification requirements for Durable Medical Equipment (DME), post-acute placements, infusions, transfers etc
2. Knowledge of relevant scientific principles, established standards of care and/or research findings.
3. Knowledge of procedures and techniques involved in administering routine and special treatments to patients.
4. Knowledge of and appropriate application of the nursing process.
Additional Job Description:
Scheduled Weekly Hours:
40Shift:
Exempt/Non-Exempt:
United States of America (Exempt)Company:
PCH Princeton Community HospitalCost Center:
403 PCH Care ManagementAddress:
122 12th Street Princeton West VirginiaEqual Opportunity Employer
West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
Care Manager Jobs by Experience Level
Top Cities Hiring Care Managers
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Find Care Manager JobsCare Manager Job Market
Who's Hiring
- Sunrise Senior Living155
- Molina Healthcare147
- Walmart128
- CVS Health109
- Gentiva50
Top Industries Hiring
- Healthcare & Medical Services252
- Insurance16
- Science & Research8
- Education4
- Distribution & Wholesale4
What Employers Look For
The qualifications that appear most often in care manager jobs.
- Active registered nurse (RN) or licensed clinical social worker (LCSW) licensure required
- Certified Case Manager (CCM) credential preferred or required within a defined timeframe
- Two or more years of clinical experience in acute care, managed care, or community health
- Proficiency with electronic health records and care management platforms such as Jiva or Interqual
- Knowledge of utilization management criteria, including Milliman or MCG guidelines
- Strong documentation skills and familiarity with Medicare and Medicaid regulations
Tips for Your Care Manager Job Search
Tailor your resume to care setting
Hiring managers in acute care, managed care, and community health read resumes differently. Highlight the setting you're targeting, inpatient discharge planning reads very differently to a payer than experience coordinating community-based services for a nonprofit.
List your case management certification prominently
CCM, ACM, or CPHQ after your name catches a recruiter's eye before they read a single bullet. Place your credentials directly after your name in the header, not buried in a skills section at the bottom.
Apply early to roles that fit
Migrate Mate lists care manager openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Filter for your preferred patient population
Care manager roles vary sharply by population, pediatric, geriatric, behavioral health, or complex chronic conditions each require different competencies. Search by population type to avoid applying to roles where your clinical background won't translate well.
Prepare a utilization review scenario for interviews
Most care manager interviews include a scenario where you must justify a level-of-care decision or manage a denial. Practice walking through your clinical reasoning and documentation process out loud before your interview, not just in your head.
Negotiate scope before you negotiate salary
Care manager caseloads vary wildly. Before accepting an offer, ask for the average active caseload, on-call expectations, and whether the role includes telephonic, field, or hybrid duties, these factors affect your day-to-day more than title does.
Care Manager Jobs: Frequently Asked Questions
Which companies are hiring the most care managers?
The companies hiring the most care managers right now include Sunrise Senior Living, Molina Healthcare, and Walmart, with the largest share of openings in California, Texas, and New York, based on current listings on Migrate Mate as of August 2026. Payers, large health systems, and managed care organizations consistently post the highest volume of openings.
How many care manager jobs are remote?
About 54% of care manager openings are fully remote or hybrid as of August 2026, making it one of the more flexible clinical roles available. Telephonic utilization management and payer-side case management positions are the most likely to be fully remote, while hospital-based and field care management roles typically require an in-person presence.
How do you become a care manager?
Start by earning a clinical degree in nursing or social work and obtaining your state license, since most employers require an RN or LCSW. Gain direct patient care experience in a relevant setting such as acute care, behavioral health, or home health. Then pursue the Certified Case Manager credential through the Commission for Case Manager Certification, which validates your skills to payer and health system employers alike.
Can you get hired as a care manager with limited experience?
Yes, but you'll need to position your existing clinical experience strategically. Roles in managed care call centers, case management assistant positions, or disease management programs often serve as entry points. Emphasize any discharge planning, patient education, or resource coordination you've done in your clinical role, and consider pursuing your CCM eligibility as soon as you meet the hours requirement to accelerate your candidacy.
What does the care manager interview process look like?
Most care manager interviews begin with a recruiter screen focused on licensure, certification status, and setting preference. A hiring manager interview follows, typically including clinical scenario questions where you walk through a utilization review decision or a complex discharge plan. Some employers add a panel interview with physicians, social workers, or quality staff, particularly for senior or leadership roles.
Where can I find and apply to care manager jobs?
You can find and apply to care manager jobs on Migrate Mate, which lists current openings from employers across the United States. Search through the available roles, find the ones that match your license, specialty, and preferred setting, and apply directly to each listing.
See All 3,876+ Care Manager Jobs
Find roles that match your experience and apply in just a few clicks.
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