• Field Care Manager Registered Nurse

    Humana (Kissimmee, FL)
    …understanding of AHCA regulations, NCQA and Medicaid guidelines + Managed care experience + Certified Case Manager (CCM) + Bilingual Creole or Spanish ... developmental disabilities, and learning disabilities to care services. The ECC Case Manager (CM) assists families (if applicable) to coordinate care services… more
    Humana (05/10/25)
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  • Care Transition Manager / Social Worker…

    Texas Health Resources (Azle, TX)
    …ACM - Accredited Case Manager Upon Hire Pref Or CCM - Certified Case Manager Upon Hire Pref Or Other ANCC Upon Hire Pref **Skills** Working knowledge ... **Care Transition Manager Social Worker LMSW or LCSW PRN DAYS** **! the manager is seeking HOSPITAL or INSURANCE experience !** **Work location:** Texas Health… more
    Texas Health Resources (05/07/25)
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  • Nurse Manager Care Coordination

    Dignity Health (Prescott Valley, AZ)
    …required or clinical SW license + National certification in either of the following: CCM ( Certified Case Manager ), ACM (Accredited Case Manager ) ... **Responsibilities** **Job Summary:** The Manager of Care Coordination (CC) facilitates and supports...In collaboration with the Director Care Coordination, the CC Manager implements strategies to achieve departmental and CommonSpirit Health… more
    Dignity Health (04/17/25)
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  • UM Care Manager RN - Usfhp

    Pacific Medical Centers (Seattle, WA)
    … management. **Preferred Qualifications:** + Bachelor's Degree in Nursing. + Upon hire: Certified Case Manager . **Why Join Providence?** Our best-in-class ... cost effective, appropriate utilization of health care resource. UM Nurse Case Manager perform utilization management of services and coordinates the entire… more
    Pacific Medical Centers (05/22/25)
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  • Care Manager RN - Usfhp

    Pacific Medical Centers (Seattle, WA)
    … management. **Preferred Qualifications:** + Bachelor's Degree Nursing. + Upon hire: Certified Case Manager . **Why Join Providence?** Our best-in-class ... to assure cost effective, appropriate utilization of health care resource. Nurse Case Manager manages, directs, and coordinates the entire spectrum of care for… more
    Pacific Medical Centers (04/07/25)
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  • Senior Discharge Plan Manager , RN…

    UPMC (Cumberland, MD)
    …Social Worker)/LCSW (Licensed Clinical Social Worker) or education-appropriate license required. + CCM ( Certified Case Manager )/ACM (Accredited Case ... UPMC Western Maryland is seeking a Discharge Plan Manager to join their Clinical Care Coordination and...and qualifications shown are at the Senior Discharge Plan Manager level._ Become part of a multi-disciplinary team committed… more
    UPMC (05/21/25)
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  • Medical Claim Review Nurse (RN) Remote IL &

    Molina Healthcare (WI)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare ... Management, Certified Professional in Healthcare Quality or other healthcare certification. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a… more
    Molina Healthcare (05/31/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Tacoma, WA)
    Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management ... + Certified Professional in Healthcare Quality + other healthcare certification To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive… more
    Molina Healthcare (05/16/25)
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  • Registered Nurse RN Transition Specialist

    AdventHealth (Celebration, FL)
    …+ Case Management certification - Accredited Case Manager (ACM) + Certified Case Manager (CCM) This facility is an equal opportunity employer and ... record after each significant contact and at closure of case . + Evaluates practice upon completion of case... case . + Evaluates practice upon completion of case intervention, determining whether intervention was successful and whether… more
    AdventHealth (05/31/25)
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  • Registered Nurse RN Care Manager

    AdventHealth (Ormond Beach, FL)
    …Heart Association BLS **Preferred qualifications:** + Bachelor's Degree in nursing + CCM - Certified Case Manager Upon Hire + COS-C - Certificate for ... **Registered Nurse RN Care Manager ** **-** **AdventHealth Hospice** **All the benefits and...you'll contribute:** The Home Health Registered Nurse (RN) Care Manager is a professional nurse who coordinates and directs… more
    AdventHealth (05/31/25)
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