population health manager

Alignerr

<div>
 
 Population Health Informaticist (AI Training)
 
 
 
 
 About The Role
 
 
 
 At Alignerr, we partner with the world's leading AI research teams to build and train cutting-edge AI models. We're looking for Population Health Informaticists to bring their expertise to a field where data science meets public health &mdash; and where your insights will directly shape how AI understands and reasons about population-level health challenges.
 
 
 This is a unique opportunity to apply your analytical skills to meaningful AI projects, working flexibly and remotely on your own schedule.
 
 
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 Organization: Alignerr
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 Type: Hourly Contract
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 Location: Remote
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 Commitment: 10&ndash;40 hours/week
 
 
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 What You'll Do
 
 
 
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 Evaluate and improve AI-generated content related to population health data, epidemiology, and public health analytics
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 Apply your expertise to assess the accuracy, depth, and quality of AI outputs covering health metrics, disparities, and intervention strategies
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 Identify gaps, errors, or oversimplifications in AI reasoning around community health trends and outcomes
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 Provide structured, expert feedback that helps AI systems better understand population health concepts
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 Work independently and asynchronously &mdash; on a schedule that suits you
 
 
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 Who You Are
 
 
 
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 Experience working with healthcare, public health, or population-level datasets
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 Strong analytical skills with the ability to evaluate complex health data and interpret trends
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 Familiarity with data visualization, dashboards, or reporting tools used in public health contexts
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 Ability to translate complex data concepts into clear, actionable insights
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 Detail-oriented and comfortable providing structured written feedback
 
 
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 Nice to Have
 
 
 
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 Background in epidemiology, biostatistics, health informatics, or a related field
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 Experience with data annotation, quality assessment, or evaluation frameworks
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 Familiarity with population health management platforms or surveillance systems
 
 
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 Why Join Us
 
 
 
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 Work on cutting-edge AI projects with top research labs and institutions
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 Fully remote and flexible &mdash; work on your own schedule, from anywhere
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 Freelance perks: autonomy, variety, and collaboration with a global expert community
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 Contribute to AI that could meaningfully improve how health systems understand and serve populations
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 Potential for ongoing work and contract extension
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</div>

Population Health Informaticist

Capital Blue Cross

<div>
 Position Description
 
 
 
 Base pay is influenced by several factors including a candidate&rsquo;s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates. The salary range displayed has not been adjusted for geographical location. This range has been created in good faith based on information known to Capital Blue Cross at the time of posting and may be modified in the future. Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental &amp; Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.
 
 
 
 At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it&rsquo;s why our employees consistently vote us one of the &ldquo;Best Places to Work in PA.&rdquo;
 
 
 The Care Manager is responsible for the coordination of services for members who meet established criteria, with an emphasis on education/self-management and promoting quality care and cost-effective outcomes. The Care Manager uses a collaborative process to assess Member needs, review options for services and resources, develop and implement a plan of care, coordinate resources, monitor progress, evaluate Member status, discharge Members, and fully document the individualized member care management process and outcome. The care manager will address, medical, psychosocial, clinical needs, and behavioral health needs including members with mental health and substance use disorder needs. Care Managers provide counseling and referrals to community/local/state programs; collaborate with caregivers, providers, community agencies, behavioral health, and other resources to coordinate care to achieve member&rsquo;s optimal health status. The Care Manager is responsible for the management and oversight of a caseload of moderate - high risk Members with complex medical/behavioral /psychosocial needs.
 
 
 
 Responsibilities And Qualifications
 
 
 
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 Uses a collaborative process and serves as a liaison between the participant, family and significant others, behavioral and medical physician(s) and other members of the treatment team. Develops prioritized goals and health actions that assist participants with the implementation of appropriate self-directed care decisions and support improvement in health and self-reliance. Advocates for members and families by helping them to coordinate care and navigate resources to reduce barriers and meet healthcare needs.
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 Analyzes and evaluates referrals for potential enrollment of Members into Care Management Program(s) using established criteria. Conducts assessments to obtain information for a participant-centered plan of care and determination of acuity level, functional status, psychosocial status, and barriers. Obtains consent forms necessary for candidates accepted into the Care Management Program.
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 Applies established criteria for discharge and discharges the Member from the Care Management Program(s) when the criteria are met.
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 Conducts all care management activities, including documentation, in accordance with established departmental policies and procedures. Complies with all Clinical Management and corporate policies and procedures.
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 Builds relationships with members, their families, and implements interventions that move assigned members toward goals of improved knowledge, self-management, and long term care outcomes of stabilization.
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 Identifies and reports quality of care issues in accordance with established departmental policies and procedures. Maintains member confidentiality at all times.
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 Attends company and departmental meetings and training sessions as required.
 
 
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 Skills
 
 
 
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 Strong communication skills and the ability to positively interact with customers, peers, leadership, family members, caregivers, visitors, contracted agencies/personnel and the general public.
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 Superior clinical process, critical thinking, and problem-solving skills; and ability to handle critical situations.
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 Excellent written, oral communication, listening, and organizational skills.
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 Ability to use computer system while conversing telephonically
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 Able to demonstrate strong customer service skills, including tact and diplomacy, both in person and telephonically when communicating with internal and external customers
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 Ability to appropriately prioritize workload and assignments and perform accurate, detailed and timely completion of assigned duties.
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 Ability to work autonomously and as part of an interdisciplinary team
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 Demonstrates sound judgment that affirms the rights and responsibilities of Member&rsquo;s, families, health care professionals and health care organizations.
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 Ability to operate a personal computer (PC), including proficiency in Microsoft Office Products.
 
 
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 Knowledge
 
 
 
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 Knowledge of NCQA standards for Population Health Management for health plan accreditation, DMAA standards for disease management and CMSA Standards of Practice for Case Management, Act 68, , CMS and ERISA.
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 Maintains knowledge of evidence-based guidelines for chronic conditions/care management.
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 Knowledge of clinical and managed care principles and operations.
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 Knowledge of current and emerging medical treatment modalities and best practice guidelines with the ability to analyze and interpret medical and benefit coverage interrelationships.
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 Knowledge of adult learning principles, motivational interviewing, and intrinsic coaching techniques.
 
 
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 Experience
 
 
 
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 At least three (3) years&rsquo; recent/related experience; care management, home health, medical/surgical behavioral health, and/or critical care preferred. Health plan experience preferred. Additional experience related to specialized positions (Oncology, Transplant, Maternity, Behavioral Health) will also be considered.
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 Experience in health coaching and motivational interviewing techniques preferred.
 
 
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 Education And Certifications
 
 
 
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 Registered Nurse with active licensure in home state; additional state&rsquo;s licensure as needed/required to meet customer needs
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 Certified Case Management certification within 2 years of employment.
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 Compact license preferred
 
 
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 Physical Demands
 
 
 
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 Ability to travel to provider, facility, employer group and/or member locations using own vehicle, if appropriate.
 
 
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 About Us
 
 
 
 We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a caring team of supportive colleagues, and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career.
 
 
 And by doing your best, you&rsquo;ll help us live our mission of improving the health and well-being of our members and the communities in which they live.
 
 
 Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association. We are an equal opportunity employer and do not discriminate on the basis of race, color, religion, national origin, gender, sexual orientation, gender identity, age, genetic information, physical or mental disability, veteran status, or marital status, or any other status protected by applicable law.
</div>

RN Care Manager

Heritage NY Medical, PC

Job Overview We are seeking a dynamic and detail-oriented Project Manager who will be responsible for overseeing and coordinating operational, administrative, and strategic healthcare projects to support organizational goals, improve workflow efficiency, and enhance patient care operations. This role will ensure projects are implemented successfully, completed within established timelines, and aligned with regulatory and operational standards.The Project Manager will support initiatives related to population health, quality improvement, provider operations, care coordination, compliance, patient engagement, and administrative process improvement. The ideal candidate will possess strong healthcare administrative experience, exceptional organizational skills, and the ability to manage multiple projects in a fast-paced healthcare environment.Responsibilities<ul><li>Lead and manage healthcare administrative and operational projects from initiation through implementation and completion.</li><li>Develop project plans, timelines, workflows, deliverables, and performance tracking tools.</li><li>Coordinate project activities among the clinical operations department, provider offices, operations teams, clinical and non-clinical staff, and management.</li><li>Monitor project progress to ensure timelines, objectives, and organizational goals are achieved.</li><li>Support implementation of healthcare operational initiatives, population health programs, quality improvement activities, and workflow optimization projects.</li><li>Analyze operational processes and identify opportunities for improved efficiency, productivity, patient experience, and regulatory compliance.</li><li>Assist with development and implementation of policies, procedures, and operational standards.</li><li>Prepare reports, dashboards, presentations, meeting summaries, and project status updates for management review.</li><li>Track and monitor key performance indicators (KPIs), quality metrics, patient engagement outcomes, and operational performance data.</li><li>Coordinate meetings, project timelines, training sessions, and follow-up activities related to assigned initiatives.</li><li>Ensure projects remain compliant with CMS, Medicare, Medicaid, HIPAA, NCQA, and organizational requirements.</li><li>Support provider relations and coordination activities with contracted primary care offices and external healthcare partners.</li><li>Assist with implementation and oversight of care gap closure initiatives, preventive health programs, and patient outreach workflows.</li><li>Identify project risks, operational barriers, and workflow challenges and develop corrective action plans.</li><li>Maintain accurate project documentation, records, and communication logs.</li><li>Support audits, compliance reviews, accreditation preparation, and regulatory readiness activities.</li><li>Collaborate with management to prioritize strategic initiatives and organizational goals.</li><li>Maintain confidentiality of patient, provider, and organizational information in accordance with HIPAA regulations.</li><li>Perform additional administrative and operational duties as assigned.</li></ul>Qualifications<ul><li>Bachelor&rsquo;s degree in Healthcare Administration, Business Administration, Public Health, Nursing, or related healthcare field required.</li><li>Master&rsquo;s degree preferred.</li><li>Minimum of 3&ndash;5 years of healthcare administrative, healthcare operations, project management, or population health experience required.</li><li>Experience working within healthcare organizations, managed care, physician practices, Medicaid, Medicare, or value-based care environments strongly preferred.</li><li>Strong understanding of healthcare operations, provider workflows, care coordination, quality initiatives, and regulatory standards.</li><li>Knowledge of CMS, Medicaid, Medicare, NCQA, HIPAA, and healthcare compliance requirements preferred.</li><li>Experience managing healthcare operational projects, process improvement initiatives, and interdisciplinary workflows preferred.</li><li>Excellent organizational, leadership, communication, and problem-solving skills.</li><li>Ability to prioritize multiple projects and manage competing deadlines effectively.</li><li>Strong analytical and reporting skills with attention to detail.</li><li>Proficiency with Microsoft Office Suite, electronic medical records, project management systems, and reporting platforms.</li><li>PMP certification or healthcare project management certification preferred.</li></ul>Pay: $75,000.00 - $90,000.00 per yearBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Employee assistance program</li><li>Flexible spending account</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: Hybrid remote in Garden City, NY 11530

Project Manager - Healthcare Operations

Sentara

<div><div>Sentara Medical Group Clinical Administration is now hiring a Full-time RN Integrated Care Manager.
Hours: 36 hours weekly, dayshift
Location: Remote in Virginia Beach, VA
Overview
Responsible and accountable for the provision and facilitation of comprehensive care coordination services and quality outcomes for patients across the continuum. Promotes effective utilization and monitoring of health services, collaborates and communicates with the healthcare team and patient/caregiver to manage care and transitions. Develops and/or implements a comprehensive care plan based on assessment and evaluation of patient/caregiver needs. Functions in one of the following practice settings: Acute Care, Service Lines, Ambulatory/Community-based, Home Health, and Long-Term Care.
Education
<ul><li>Diploma RN/ADN/BSN/MSN</li>
</ul>Certification/Licensure
<ul><li>RN License - Virginia/Compact/Multistate</li>
<li>Basic Life Support (BLS) required within 90 days from hire</li>
</ul>Experience
<ul><li>RN Nursing experience 3 years required</li>
<li>Case Management experience 3 years preferred</li>
<li>Previous experience with the pediatric population preferred</li>
</ul>Keywords : Integrated Care Manager, RN, Case Manager, Talroo-RN, Monster</div></div>

RN Integrated Care Manager

PAM Health

<div><div>If you&rsquo;re looking for a schedule that fits your lifestyle, check out PAM Health.</div><div></div><div> 
Some things that our hospital can offer YOU:</div><ul><li>
Opportunities for growth and advancement</li><li>
Flexible scheduling</li><li>
Employee Bonus Referral Program</li><li>
Supportive leadership</li></ul><div> 
OT, PT, RN, RRT, SLP, LSW</div><div></div><div> 
The Case Manager is responsible for the interdisciplinary coordination of care for a designated patient population. The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level of care. Assesses and identifies discharge needs and coordinates appropriate discharge plan. Works collaboratively with the interdisciplinary team to facilitate achievement of desired financial and quality outcomes. The Case Manager will also maintain and enhance payor relationships.</div><ul><li> 
Education and Training: Licensure in the state where the hospital resides is preferred. Professional disciplines of the designated case manager may include occupational therapist, physical therapist, registered nurse, respiratory therapist, speech therapist, or (licensed) social worker. Current BLS certification required.
</li><li>Experience: Three (3) to five (5) years of inpatient experience, preferably in an acute, IRF, or LTACH setting.</li></ul></div>

Case Manager - PRN Days | Luling LTACH/Rehab

ASSISTED LIVING FACILITY, Rego Park, NY

Assisted living facility has an immediate opening for a Case Manager position.Qualified applicants must have:- A bachelor's or master's degree from an accredited college or university with major work in human resources or service delivery, and at least one year of full-time experience in the provision of services to a dependent adult population.OR:- An associate degree from an accredited college or university with major work in human resources or service delivery, and three years of full-time experience in the provision of services to a dependent adult population.Responsibilities include, but are not limited to:- Overall case management of individuals participating in The Program.- Initial and periodic evaluations.- Orienting new residents and their families to the daily routine.- Assisting each resident to adjust to life in the facility.- Encouraging resident participation in facility and community activities.- Assisting residents with obtaining social services and medical services.- Providing individual case management services as are necessary to support the resident in maintaining independence.compensation: Competitive salary and benefits package. EOE employment type: full-timeBenefit Conditions:<ul><li>Waiting period may apply</li></ul>This Job Is:<ul><li>A job for which military experienced candidates are encouraged to apply</li><li>A job for which all ages, including older job seekers, are encouraged to apply</li></ul>Work Remotely<ul><li>No</li></ul>Job Type: Full-timePay: $18.00 - $21.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Vision insurance</li></ul>Education:<ul><li>High school or equivalent (Preferred)</li></ul>Experience:<ul><li>Caregiving: 1 year (Preferred)</li></ul>Work Location: In person

Case Manager / Assisted Living Facility

Your Health Organization

<div>We are seeking a Clinical Scheduler to fill our Care Manager role assist with all clinical scheduling needs for our Aiken patients. The role serves as the central scheduling and operational coordinator for a single interdisciplinary care team, ensuring that patients receive the appropriate number and type of in-person encounters required under the Your Health proactive, value-based care model.
This position will be working in the Aiken office daily. This is a full-time, salary-based 8-hr position (8:00AM-5:00PM) (Monday-Friday).
About
We are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. Our services include comprehensive primary care, specialty services, and pharmacy support, tailored to meet diverse patient needs. Committed to excellence and innovation, our team collaborates closely with facilities and families to ensure accessible, coordinated, and compassionate care.
Why Choose a Career at Your Health?
Providing high quality care for our patients is the center of what we do, and we provide the same care for our employees. Here are some of the benefits that are available to our employees.
<ul><li>Competitive Compensation Package with Bonus Opportunities</li>
<li>Employer Matched 401K</li>
<li>Free Visit &amp; Prescriptive Services with HDHP Insurance Plan</li>
<li>Employer Matched HSA</li>
<li>Generous PTO Package</li>
<li>Career Development &amp; Growth Opportunities</li>
</ul>
What Are We Looking For?
Your Health is currently looking for a Care Manager to join our growing Primary Care family. A successful Care Manager is responsible for coordinating all in-person facilitator visits and in-person provider encounters for patients assigned to their care team. Through effective scheduling and coordination, the Care Manager ensures that patients receive consistent monitoring, engagement, and care team oversight. Your Health&rsquo;s model of care is based on frequent patient engagement, coordinated interdisciplinary services, and proactive monitoring, which has consistently been shown to reduce hospitalizations and improve patient outcomes.
The Care Manager works closely with Directors of Population Health (DPH), providers, facilitators, and specialty population health divisions to ensure that clinical recommendations are translated into a clear and organized patient visit schedule.
The following is a list of essential functions, which may be subject to change at any time and without notice. Management may assign new duties, reassign existing duties, and/or eliminate function(s)
Areas of Responsibility:
<ul><li>Appropriately register, verify and timely schedule patients according to the Company&rsquo;s care model.</li>
<li>Ensure new patients are being tracked and followed until scheduled.</li>
<li>Schedule appointments for patients according to care model including follow-ups with healthcare providers based on availability, medical urgency, and patient preferences.</li>
<li>Ensure all disciplines with schedules are fully optimized.</li>
<li>Ensure patients are being followed and scheduled appropriately when discharged from an in-patient facility.</li>
<li>Ensure TCM appointments are scheduled promptly and within the required window.</li>
<li>Ensure strong documentation is implemented.</li>
<li>A multitude of software systems (including tracking systems) will be utilized to ensure patient follow-up and better patient outcomes.</li>
<li>Interact with patients via email, patient portal, telephone, AthenaText, in-person, etc. to gather 
necessary information, schedule and confirm appointments, and provide pre-appointment 
instructions.</li>
</ul>
Qualifications
<ul><li>High school diploma or equivalent required, while an Associate's or Bachelor's Degree in Healthcare is preferred.</li>
<li>Preferred CMA, LPN or RN</li>
<li>Previous experience in a medical or healthcare setting, preferably a scheduling or administrative role.</li>
<li>Familiar with medical terminology, procedures, and insurance verification purposes.</li>
<li>Strong organizational and time management skills, with the ability to multitask and prioritize 
responsibilities effectively.</li>
<li>Excellent communication and interpersonal skills with the ability to build strong relationships at all levels of the organization.</li>
<li>Strong problem-solving abilities</li>
<li>Ability to work effectively under pressure.</li></ul></div>

Care Manager/ Clinical Scheduler

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