• Medical Director - Mid West Region

    Humana (San Juan, PR)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants of health. + The… more
    Humana (09/16/25)
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  • Behavioral Health Clinic Administrator III…

    Ventura County (Ventura, CA)
    …Thorough knowledge of: behavioral health assessment, treatment, and case management practices; Behavioral Health Department clinical policies and procedures; ... Additionally, they have considerable experience in behavioral health assessment, treatment, case management practices, and substance use disorder treatment.… more
    Ventura County (09/14/25)
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  • Senior Social Worker

    Veterans Affairs, Veterans Health Administration (Dayton, OH)
    …incarcerated Veterans and post release clinical assessments; 3) Education and 4) Case Management services. The Senior Social Worker in this position requires ... adaptive to community living. The incumbent will provide outreach, case management , deflection and treatment services to...delivery area, as well as role modeling effective social work practice skills.(e) Ability to expand clinical more
    Veterans Affairs, Veterans Health Administration (09/12/25)
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  • Social Worker (PRN) - Care Management

    Trinity Health (Silver Spring, MD)
    …**Position Purpose:** Social Workers will perform beside initial and ongoing case management assessments, counseling, referral and discharge planning services ... the inpatient setting back to the community. + Review clinical supporting documentation to support the throughput of all...licensure (or license eligible). + Masters Degree in Social Work . + Previous social work experience in… more
    Trinity Health (09/17/25)
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  • Sr Utilization Review Specialist Nurse

    Houston Methodist (Houston, TX)
    …years of hospital clinical nursing experience, which includes five years in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered ... Physician Advisor to address identified educational needs for providers and utilization review/ case management team members. + Serves as the primary information… more
    Houston Methodist (08/26/25)
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  • Utilization Management RN

    Grace Hospital (Morganton, NC)
    Blue Ridge HealthCare Hospitals - Morganton Clinical Case Management THE ORGANIZATION At UNC Health Blue Ridge, we live our mission by enhancing the lives of ... because: + We are a teaching hospital + We work together to ensure our patients receive outstanding, holistic...POSITION Join our dynamic healthcare team as a Utilization Management RN, where you will play a vital role… more
    Grace Hospital (09/06/25)
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  • Medical Director of Home-Based Primary Care,…

    CareOregon (Portland, OR)
    …delivers preventative health services and palliative services; coordinates specialty care, and case management . + Educates patients and families on goal-based, ... within the primary care team and implementing effective care management and other clinical practice improvement initiatives...oversight at all times for state and federally mandated work and clinical consultation. Community Relations and… more
    CareOregon (07/19/25)
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  • Social Work Specialist/LMSW (Hybrid - Troy,…

    Henry Ford Health System (Troy, MI)
    …member data and assist with measuring outcomes. + Ensures and enters documentation of social work case management activities in a timely manner and in ... GENERAL SUMMARY: The Social Work Specialist supports and maintains the psychosocial health...record. + Assist and counsels members enrolled in a Case Management program with health related financial,… more
    Henry Ford Health System (09/20/25)
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  • VP, Healthcare Services ( Work Location:…

    Molina Healthcare (Covington, KY)
    management of the state health plan's Healthcare Services ( clinical operations) teams including Utilization Management (prior-authorization, inpatient ... review) and Care Management ( case /health management and transition of care). This...management team to achieve successful implementation of Molina clinical strategy and direction. + Develops and implements effective… more
    Molina Healthcare (08/31/25)
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  • Staff Psychologist/Clinician

    New Jersey Institute of Technology (Newark, NJ)
    …referrals. Additional Functions: -Responds to psychological emergencies as needed. -Attends C-CAPS clinical group supervision and case management meetings as ... counseling/psychotherapy to students-clients. -Provides therapeutic support, acute intervention, follow-up, case management and referral services and collaborates… more
    New Jersey Institute of Technology (07/29/25)
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