• BlueCross BlueShield of Tennessee (Chattanooga, TN)
    …reviews and appeals Conducting peer to peer reviews Medical supervision of utilization management and case management staff Reporting quality of care ... Join Our Team as a Medical Review Director - Behavioral Health! Are you a dedicated and...ensuring the highest standards of medical necessity determinations and clinical metrics analysis. You may be a great match… more
    Upward (06/28/25)
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  • TeamHealth (Bristol, TN)
    …evaluations of hospitalist staff Collaboration: foster positive relationships with nursing, case management , and specialty service lines to promote ... Description TeamHealth is seeking a hospital medicine (HM) medical director for our program at Bristol Regional Medical Center in Bristol, Tennessee. The director more
    Upward (07/06/25)
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  • Trinity Health (Augusta, GA)
    …Description St. Mary's Home care & Hospice is seeking a full time Hospice RN Case Manager $10K Sign on bonus offered Signing Bonus is not applicable to internal ... year or applicants sourced from outside firms. Hospice RN Case Manager position summary Responsible for case ...interact with the primary care physician and/or hospice medical director as needed to effectively manage patient symptoms. Position… more
    Upward (07/16/25)
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  • Highmark Health (Wexford, PA)
    …utilization management (UM) coverage requests and prepares such cases for clinical review by a pharmacist and/or medical director when required. (20%) ... errors, and fulfilling notification requirements among others. (5%) May perform other non- clinical duties as required by management and department needs.… more
    Upward (07/23/25)
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  • CenterWell Primary Care (Birmingham, AL)
    …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... Performance Improvement principles. Responsible for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care,… more
    Upward (07/24/25)
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  • HCA Healthcare (Asheville, NC)
    …reporting the identified needs to the interdisciplinary group, including Hospice Aide, Director of Clinical Services -Hospice, and Chaplain Provides appropriate ... Submit your application for the opportunity below: Registered Nurse Case Manager with our Hospice Home Care Asheville Team...vary by location. We are seeking a Registered Nurse Case Manager with our Hospice Home Care Asheville Team… more
    Upward (07/18/25)
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  • Spero Health, Inc. (Barbourville, KY)
    …to treat the whole patient. We offer medication-assisted treatment along with counseling and case management within our facilities in order to bring the most ... Job Type Part-time Description Spero Health is seeking a Medical Director to join our team in KY! This position is for a Medical Director with the ability to… more
    Upward (07/04/25)
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  • Larry H. Miller Senior Health (Meridian, ID)
    Job Type Full-time Description The Hospice RN Case Manager is responsible for coordinating and managing the care of patients in a hospice setting, providing skilled ... and overseeing the implementation of care plans. This role requires strong clinical knowledge, excellent communication skills, and the ability to manage patient care… more
    Upward (07/21/25)
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  • Abbott (New York, NY)
    …scope of the Clinical Sales Specialist (CSS) role is to provide TAVI clinical trial and commercial case support, trial enrollment & education initiatives for ... communication skills. This position collaborates with the Territory Manager, Regional Sales Director , Clinical Lead Specialist to advance market share and… more
    Upward (06/26/25)
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  • REAL Journey Academies (Ontario, CA)
    …Social Worker Supervisor is responsible for providing consultation, wellness services, ongoing case management , and a full range of social emotional prevention, ... Worker Supervisor provides a variety of direct and indirect services that include case management functions involved in identifying, assessing, and counseling a… more
    Upward (07/19/25)
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