Peak Care Manager

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Peak Care Manager based in United States.

This role is an opportunity to join a health plan’s medical management team and make a direct impact on the health and well-being of high-risk members.
You will identify members who may benefit from care management and connect them with appropriate clinical, community, and in-network resources.
The position combines clinical judgment, utilization management, quality oversight, and member advocacy.
You will use health assessments, admissions information, outcomes data, and medical records to identify needs and improve care strategies.
The role also contributes to accreditation readiness, delegated program oversight, and continuous quality improvement.
Success requires strong clinical knowledge, attention to detail, sound decision-making, and the ability to collaborate across teams.
This is a full-time remote opportunity for a nurse who wants to help improve both individual outcomes and broader population health.