• Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    …CNA_MOA_2023-2028.pdf (ventura.org) (https://vcportal.ventura.org/CEO/HR/MOA/docs/CNA\_MOA\_2023-2028.pdf) PAYROLL TITLE: Senior Registered Nurse - Ambulatory ... Care DISTINGUISHING CHARACTERISTICS: The Senior Registered Nurse -Ambulatory Care series is...member eligibility benefits, contracts and industry standards/guidelines; + Performs telephonic care /case management within the scope of… more
    Ventura County (12/07/25)
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  • Field Care Management Behavioral Health

    Humana (Minden, LA)
    …**(LMFT)** **OR** + LA Licensed Addiction Counselor **(LAC) OR** + Active, unrestricted Louisiana Registered Nurse **( RN )** license with at least three years ... health issues. Identifies and resolves barriers that hinder effective care . + Performs telephonic and face to...+ Experience working with both children and adults + ** Bilingual (English/Spanish) -** **​** Bilingual Language in… more
    Humana (12/17/25)
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  • Social Work Care Manager

    Elderwood (Buffalo, NY)
    …In the role of an Social Work Care Manager, you will partner with the Registered Nurse and are a critical resource for our members as you are responsible for ... the needed services are covered Elderwood IPA. + Direct telephonic and in-person engagement with individuals with chronic medical...or caregivers and reports changes in conditions to the RN Care Manager, which may require interventions.… more
    Elderwood (12/11/25)
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  • Onsite Clinical Navigator (Hybrid)

    CareFirst (Baltimore, MD)
    …experience is required in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or Compact ... hospital will conduct concurrent review of inpatient level of care , managing the timely and smooth transition from inpatient...State Licensure. + RN - Registered Nurse in… more
    CareFirst (10/09/25)
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  • Health Plan Nurse Coordinator

    Actalent (Santa Barbara, CA)
    …with HEDIS medical record abstraction. Additional Skills & Qualifications + Registered Nurse ( RN ) license. + Bilingual skills in Spanish may be ... Job Title: Health Plan Nurse CoordinatorJob Description The Health Plan Nurse Coordinator is a Registered Nurse assigned to various Health Services… more
    Actalent (12/11/25)
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  • Licensed Care Manager Fortify

    Childrens Hospital of The King's Daughters (Norfolk, VA)
    care , regulatory and accreditation requirements. + LICENSES AND/OR CERTIFICATIONS + Registered Nurse with current, unrestricted Virginia license or Licensed ... optimal health and wellness of the pediatric patient. Through telephonic outreach, the Licensed Care Manager will...EDUCATION AND EXPERIENCE REQUIREMENTS + Graduate of an accredited Registered Nursing program. BSN preferred. + 2+ years of… more
    Childrens Hospital of The King's Daughters (12/07/25)
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  • LTSS Service Coordinator-Clinician (LPNs/LCSWs)

    Elevance Health (Sarasota, FL)
    …within the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, ... responsible RN , and in conjunction with the RN , member and the health care team,...applicable state(s) required. **Preferred Skills, Capabilities, and Experiences:** + Bilingual in Spanish highly preferred. + Long-term care more
    Elevance Health (12/06/25)
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  • Behavioral Health Care Manager I (Day…

    Elevance Health (NC)
    **Behavioral Health Care Manager I - (Day Shift)** **Location** **- Virtual:** This role enables associates to work virtually full-time, with the exception of ... EST + Monday-Friday 9am-6pm EST + Monday-Friday 11am-8pm EST The **Behavioral Health Care Manager I - (Day Shift)** is responsible for managing psychiatric and… more
    Elevance Health (12/22/25)
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  • Behavioral Health Care Manager I (2nd…

    Elevance Health (NC)
    **Behavioral Health Care Manager I (2nd Shift)- North Carolina** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... North Carolina** **Work Shift:** Monday- Friday 4PM -12:30AM The **Behavioral Health Care Manager I (2nd Shift)- North Carolina** is responsible for managing… more
    Elevance Health (12/22/25)
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  • Flex Nurse Educator - Denver N, CO (Must…

    IQVIA (Denver, CO)
    …healthcare solutions, is seeking licensed healthcare professionals for the position of Flex Nurse Educator. This role supports patient care through both remote ... 5 years clinical experience in hospital, home health, pharmaceutical, or biotech settings; nurse educator background a plus + Bilingual in English/Spanish and… more
    IQVIA (12/18/25)
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