• Manager, Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    …with medical director, provider relations, case management and quality teams to support care coordination and integrated care . * Manages the process ... 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA) Utilization Management (Authorization) Unit is primarily responsible for… more
    Commonwealth Care Alliance (10/02/25)
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  • Community Health Worker - C3 Care

    Edward M. Kennedy Community Health Center, Inc. (Worcester, MA)
    …to support this growth. We are currently hiring a Community Health Worker - C3 Care Management based in Worcester. As an integral member of the care ... conditions, many of whom also face multiple barriers accessing care and need support to succeed with...to encourage members and their caregivers to participate in care management programs. + Develop and implement… more
    Edward M. Kennedy Community Health Center, Inc. (10/20/25)
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  • Behavioral Health Case Management

    Health Care Service Corporation (Richardson, TX)
    …clinical experience (post licensure at the independent practice level) of direct clinical care to the consumer. * Utilization management , discharge planning or ... years psychiatric clinical experience (post licensure) of direct clinical care to the consumer. * Case Management ...* Familiarity with Utilization Management or Case Management activities and standardized criteria sets. * Bilingual more
    Health Care Service Corporation (10/25/25)
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  • Care Management Processor (Must…

    Molina Healthcare (Long Beach, CA)
    …site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Provides telephone, clerical, and data entry support for the Case Management team. + Responsible for initial ... Associate degree **Preferred Experience** 3+ years' experience in an administrative support role in healthcare, Medical Assistant preferred. Bilingual Spanish… more
    Molina Healthcare (09/12/25)
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  • Sr. Care Manager, Short-term Contract…

    IQVIA (Atlanta, GA)
    …physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you ... can help provide support to patients in need of available therapies. We...for a 100% remote (work from home-WFH) contract **Sr. Care Manager** to join our team. This role may… more
    IQVIA (10/24/25)
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  • CMA Clinical Care Coordinator - Advanced…

    Gentiva (Addison, TX)
    …Holidays + Wellness Programs (Telemedicine, Diabetes Management , Joint & Spine Concierge Care ) + Education Support & Tuition Assistance (ASN to BSN, BSN to ... our **Advanced Illness Management (AIM) Program** in our Addison, TX palliative care branch. In this role you will report directly to the Clinical Manager AIM.… more
    Gentiva (10/03/25)
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  • Value Based Case Management Senior Analyst…

    Health Care Service Corporation (Mobile, AL)
    …BS in Nursing + Three to Five (3-5) years recent experience in an acute- care environment, case- management , or utilization management position (experience can ... Responsible for coordinating the delivery of cost-effective, quality -based health care services for health plan customers by development and implementation of… more
    Health Care Service Corporation (10/28/25)
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  • Program Support Worker

    Primary Health Care (Des Moines, IA)
    …spectrum of medical and dental services including family practice, behavioral health, HIV care and services, and pharmacy. PHC's Homeless Support Services is the ... the right place. Let's make a difference! Primary Health Care (PHC) was founded in 1981 by Dr. Bery...are available to help patients with benefits enrollment, case management , transportation, translation, and patient education. We currently have… more
    Primary Health Care (10/21/25)
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  • Nurse Manager

    Boston Health Care for the Homeless Program (Boston, MA)
    …unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. ... 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are...the physical and systemic barriers that our patients face. Bilingual , Bicultural, LGBTQIA identifying, Black, Indigenous, and People of… more
    Boston Health Care for the Homeless Program (10/04/25)
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  • Care Coordinator

    The Guidance Center of Westchester (Mount Vernon, NY)
    …Adult Health Home Care Coordinator PROGRAM & COST CENTER: 2600 Health Home Care Management HOURS: 35 hours/week Salary: $25 per hour JOB DESCRIPTION: The ... Guidance Center of Westchester provides care management services to adults with serious...necessary medical records and other documents to inform and support care plan + Connect members to… more
    The Guidance Center of Westchester (10/14/25)
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