- Elevance Health (WA)
- …is providing services in multiple states. **Preferred Skills, Capabilities and Experiences:** + Utilization Management and/ore Case Management experience ... **Medical Management Clinician Associate** Carelon Post Acute Solutions A...a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted… more
- Molina Healthcare (Chandler, AZ)
- … (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) ... the health plan in the development and execution of care management and utilization management programs. Develops clinical practice guidelines and oversees… more
- UPMC (Pittsburgh, PA)
- …clinical and social history, current medications, geriatric syndromes, healthcare resource utilization , and case management interventions. Updates the ... staff assigned to the geographic region of the care manager . Attends and participates in face-to-face case ...1 year of experience in clinical, utilization management , home care, discharge planning, and/or case … more
- Baylor Scott & White Health (Temple, TX)
- …responsible for assessing and coordinating patient care across the continuum to include case management , social work, utilization review and care ... **JOB SUMMARY** Manager Comphrensive Care Management RN manages...ongoing problem solving related to care coordination, discharge planning, case management and utilization review.… more
- State of Connecticut, Department of Administrative Services (Norwich, CT)
- Developmental Services Resource Management Specialist Hybrid Recruitment # 251222-1609EG-001 Location Norwich, CT Date Opened 12/24/2025 12:00:00 AM Salary $70,012* ... full time job opportunity for a Developmental Services Resource Management Specialist (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=1609EG&R1=&R3=) , supporting the Private Administration Division… more
- Global Foundries (Santa Clara, CA)
- …committed to invest in. The Silicon Photonics Business Line is looking for a Product Manager . The Product Manager will play a central role in translating the End ... - English (Written & Verbal) Preferred Qualifications: + Project management skills - ie, the ability to innovate and...information. Requests for accommodation will be considered on a case -by- case basis. Please note that only inquiries… more
- Air National Guard Units (Robins AFB, GA)
- …perform analytical and in-depth daily pay verification audits against Defense Case Management System. Notify aircrew/parachutist member in conditional incentive ... TITLE 32 EXCEPTED SERVICE POSITION. This position is for a AVIATION RESOURCE MANAGEMENT SPECIALIST, Position Description Number D2934000 at the 128th ACCS located in… more
- Highmark Health (Harrisburg, PA)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned ... and federal law standards and are within the care manager 's professional discipline. + For assigned case ...**Required** + 7 years in any combination of clinical, case / utilization management and/or disease/condition … more
- Sevita (Columbus, OH)
- …referral partners (MCOs, state referrals) and escalates potential issues (eg, unresponsive case manager , etc.); approves referral decisions to admit individuals ... team (ie, state-wide initiatives); coaches ADs on ongoing training efforts. **Financial Management :** 1. Management : Responsible for the financial performance of… more
- Mount Sinai Health System (New York, NY)
- …The Department of Social Work Services takes a leadership role in MSHP Care Management (CM), in this case , supporting an integration of primary care and ... Care Management , Health Home **Responsibilities** The Social Worker/Depression Care Manager will provide behavioral health care services to adults who receive… more