• Care Management Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …Certified Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - Board Certified (CMGT-BC) Required Training Physical ... Care Management Specialist II Job Category: Clinical Department: Care...Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted… more
    LA Care Health Plan (09/06/25)
    - Related Jobs
  • Nurse (PACT Outpatient Staff)

    Veterans Affairs, Veterans Health Administration (Norristown, PA)
    Summary The Nurse Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse ( RN ) executes position responsibilities that demonstrate leadership, ... Nurse Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse ( RN ) is responsible...primary care experience, Patient Aligned Care Team (PACT) experience, Registered Nurse care management experience.… more
    Veterans Affairs, Veterans Health Administration (09/06/25)
    - Related Jobs
  • Manager, Integrated Care Management

    AmeriHealth Caritas (Charleston, SC)
    …+ Plans, organizes and directs the development and implementation of Case Management operations.; Ensures staff is properly trained, oriented ... supports the corporate Population Health Strategy.; + Directs the case management activities to be in compliance...Driver's License and car insurance. + Current and unrestricted Registered Nurse license in South Carolina strongly… more
    AmeriHealth Caritas (07/27/25)
    - Related Jobs
  • Supv Regional Care Mgmt- Integrated Care Mgmt…

    Sharp HealthCare (San Diego, CA)
    …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... Management program that includes initial and concurrent review; case management /discharge planning activities. Responsible for operational...experience, preferably in a managed care setting + California Registered Nurse ( RN ) - CA… more
    Sharp HealthCare (07/09/25)
    - Related Jobs
  • Periop Nurse Coordinator - Neuro

    Houston Methodist (Houston, TX)
    …chair, charge nurse or coordinator preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... **SERVICE ESSENTIAL FUNCTIONS** + Collaborates with anesthesia, OR charge nurse , and OR management to maximize efficiency...+ Master's degree preferred **WORK EXPERIENCE** + Five years registered nurse experience in an operating room… more
    Houston Methodist (08/08/25)
    - Related Jobs
  • Senior Denials Mgmt Specialist

    Houston Methodist (Sugar Land, TX)
    …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... functions as a support and educational resource to physicians, case management staff and management ....etc) regardless of selection below._ + On Call* No ** TRAVEL _** Travel specifications may vary by department**_… more
    Houston Methodist (07/31/25)
    - Related Jobs
  • Utilization Management Nurse

    CVS Health (Salt Lake City, UT)
    …without personal distractions to meet quality and metric expectations. **Required Qualifications** + Registered Nurse ( RN ) - active license. + 3+ Years ... initiate a Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners...Management experience. + Must have active and unrestricted RN license in the state you reside. + 5… more
    CVS Health (09/13/25)
    - Related Jobs
  • Nurse Manager, Home Care

    BAYADA Home Health Care (Sewell, NJ)
    BAYADA Home Health Care is seeking a Registered Nurse ( RN ) to fill the position of ** Nurse Manager** for our **Sewell, NJ Adult Nursing** office. This ... and home care trends through continuing education **Qualifications:** + Registered Nurse ( RN ) with a...nursing experience + Prior experience in clinical supervision or nurse management a plus but not required!… more
    BAYADA Home Health Care (09/05/25)
    - Related Jobs
  • Mobile Professional Care Manager - Blair County

    UPMC (Pittsburgh, PA)
    …Professional Counselor (LPC) OR Licensed Social Worker (LSW) OR Paramedic OR Psychologist OR Registered Nurse ( RN ). Preference will be given to those with ... Manager will work flexible hours, Monday through Friday, with travel throughout Blair County to meet with members within...care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and… more
    UPMC (08/20/25)
    - Related Jobs
  • Utilization Management Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …+ Proficient in Microsoft Office programs. **Licenses/Certifications Required Upon Hire** : Health Services\ RN - Registered Nurse - State Licensure and/or ... FUNCTIONS:** + Trains staff on standards of practice of Utilization Management and reimbursement methodologies and treatment coding. + Manages policies and… more
    CareFirst (07/12/25)
    - Related Jobs