• Medical Claim Review Nurse (RN)

    Molina Healthcare (Warren, MI)
    …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 (09/06/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Omaha, NE)
    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 (08/20/25)
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  • Senior Manager Clinical Health Services…

    CVS Health (Trenton, NJ)
    …of the regulations, standards, and policies which relate to Medicaid Care Management + Certified Case Manager (CCM) **Education** + **If RN:** BSN preferred ... heart, each and every day. **Position Summary** The Senior Manager Clinical Health Services is a key member of...organization and development of high performing teams. The Senior Manager is also responsible for ensuring the functioning of… more
    CVS Health (08/27/25)
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  • Care Manager RN - Oncology

    UCHealth (Colorado Springs, CO)
    …degree in Nursing. + State licensure as a Registered Nurse (RN). Preferred: Certified Case Manager (CCM). Relevant licensure/certification as determined at ... years of nursing experience. Preferred: Acute care and 1 year Case Management experience. Summary: Works collaboratively with physicians, interdisciplinary teams,… more
    UCHealth (08/30/25)
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  • Registered Nurse Transition Specialist FT Days

    AdventHealth (Minneola, FL)
    …+ Case Management certification Accredited Case Manager (ACM) + Certified Case Manager (CCM) This facility is an equal opportunity employer and ... or high emergency room utilization. Evaluates practice upon completion of case intervention, determining whether the intervention was successful and whether the… more
    AdventHealth (09/13/25)
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  • Licensed Clinical Social Worker

    AdventHealth (Orange City, FL)
    …+ Doctorate degree + Accredited Case Manager (ACM), or + Certified Case Manager (CCM) This facility is an equal opportunity employer and complies ... with the attainment of healthcare goals. Works closely with Case Managers, Physicians, Nursing staff, spiritual support and others,...Association BLS + 1 year of direct clinical with case management experience preferable in a health or mental… more
    AdventHealth (09/04/25)
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  • LPN - Member Health Assessor -South Carolina

    Molina Healthcare (Columbia, SC)
    …of the following: Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health ... of South Carolina. Member Health Assessor will be partnering with Behavioral Health Case Managers and meeting with Medicaid members to complete/sign care plans and… more
    Molina Healthcare (08/08/25)
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  • Sr Spec-Integrated Care Mgmt - Utilization…

    Sharp HealthCare (San Diego, CA)
    …in Nursing; Master's Degree; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case ... Manager (ACM) - American Case Management Association (ACMA) -PREFERRED + Certified Case Manager (CCM) - Commission for Case Manager more
    Sharp HealthCare (08/02/25)
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  • Social Work Specialist PRN

    AdventHealth (Deland, FL)
    …Licensed Master Social Worker (LMSW) + Accredited Case Manager (ACM) + Certified Case Manager (CCM) This facility is an equal opportunity employer ... Social Work Specialist, in collaboration with the patient/family, care manager nurses, nurses, physicians and the interdisciplinary team, ensures patient-centered… more
    AdventHealth (08/07/25)
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  • Transition of Care Coach

    Molina Healthcare (Rio Rancho, NM)
    …Certification + Licensed Clinical Social Worker (LCSW) + Advanced Practice Social Worker (APSW) + Certified Case Manager (CCM) + Certified in Health ... public health or social work. **Required Experience** + 1-3 years in case management, disease management, managed care or medical or behavioral health settings.… more
    Molina Healthcare (09/11/25)
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