• Physician Advisor

    Virginia Mason Franciscan Health (Burien, WA)
    …Participate in review of long-stay patients, in conjunction with the Director/Manager of Case Management and to facilitate determination of the most appropriate ... state utilization and quality regulations * Act as physician liaison between case management /utilization management and providers to communicate the need for… more
    Virginia Mason Franciscan Health (12/18/25)
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  • Utilization Review Nurse

    Albany Medical Center (Albany, NY)
    …of three years clinical experience in an assigned service.* Recent experience in case management , utilization management and/or discharge planning/home care ... in a high volume, acute care hospital preferred. PRI and* Case Management certification preferred.* Assertive and creative in problem solving, critical thinking… more
    Albany Medical Center (12/03/25)
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  • Nurse Care Manager

    Beth Israel Lahey Health (Wakefield, MA)
    …illness and disability. The Care Manager upholds the current standards of professional case management practice, and reports to the Post-Acute Program Director. ... on at risk cases with interdisciplinary team. Documents in the case management record clear, concise, timely notes that addresses patient problems, barriers,… more
    Beth Israel Lahey Health (12/03/25)
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  • Medical Principal - Gastroenterologist

    The Cigna Group (Bloomfield, CT)
    …**Summary description of position** : A Medical Principal performs medical review and case management activities. The physician provides clinical insight to the ... customers. He/she will serve as a clinical educator and consultant to utilization management , case management , network, contracting, pharmacy, and service… more
    The Cigna Group (12/03/25)
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  • SOT Process and Product Owner

    Ford Motor Company (Dearborn, MI)
    …further development needs and opportunities for team skill enhancement. High-Velocity Case Management & Risk Mitigation: Drive the continuous improvement ... of case management processes (eg, PEGA-based systems), focusing on enhancing efficiency, reducing resolution times, and improving data quality. Analyze case more
    Ford Motor Company (12/03/25)
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  • Rehabilitation Therapist

    University of Rochester (Rochester, NY)
    …**Responsibilities:** GENERAL PURPOSE Primarily responsible for providing Targeted Case Management and Psychiatric Rehabilitation services across ... timely, high-quality, and efficient care. The CCBHC TR will provide case management services to support patients around goals aimed at providing… more
    University of Rochester (11/27/25)
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  • Clinical Quality and Regulatory Specialist

    Highmark Health (Pittsburgh, PA)
    …and delegation follow up. Manages the oversight, development and maintenance of case management policies and procedures related to ensure accreditation and ... within the corporation to resolve issues and ensure activities coincide with Case Management processes. Provides consultation to the department. Monitors… more
    Highmark Health (11/15/25)
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  • Utility Assistance Program Specialist

    MAAC (Metropolitan Area Advisory Committee) (CA)
    …Conduct comprehensive audits of case files to ensure eligibility determinations, case management activities, and documentation are accurate, complete, and in ... duties as assigned QUALIFICATIONS AND SKILLS Knowledge of: + Eligibility and/or case management practices and procedures + Applicable laws, regulations, policies… more
    MAAC (Metropolitan Area Advisory Committee) (12/25/25)
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  • Residential Care Provider (RCP) - SA/MH…

    State of Georgia (Clayton, GA)
    …smoothly by maintaining a safe, structured, and supportive environment while assisting the Case Management team with basic tasks that support client progress and ... ensuring or encouraging client group activity, providing transportation, and/or limited case management . Duties & Responsibilities: + Determines the individuals'… more
    State of Georgia (12/24/25)
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  • Mental Health Assistant 2 (40 Hour)

    State of Connecticut, Department of Administrative Services (Waterbury, CT)
    …work/life balance tailored to all employees DISCOVER THE OPPORTUNITY TO: + Provide case management , care coordination, and skill-building support to young adults ... by a multidisciplinary team and include individual, group, and family therapy; case management ; psychosocial skill-building; and employment support. The program… more
    State of Connecticut, Department of Administrative Services (12/23/25)
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