• Mgr- Care Management /RN

    Northern Light Health (Ellsworth, ME)
    …Assumes a leadership role with the interdisciplinary team to achieve optimal clinical and resource outcomes including supervision of care managers, social ... Northern Light Maine Coast Hospital Department: Care Management Position is located: Northern Light Maine Coast...the fragmentation of healthcare delivery systems. Serves as a resource to nursing care units. Able to provide age-appropriate… more
    Northern Light Health (12/22/25)
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  • Care Management Navigator I

    Rush University Medical Center (Chicago, IL)
    …of a care management team that is responsible for promoting effective resource utilization to achieve an optimal clinical outcome. The Care Management ... and/or level of care management processes. In accordance with the case management external faxing policy and HIPPA guidelines, communicates clinical… more
    Rush University Medical Center (11/03/25)
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  • Utilization Management Nurse Consultant,…

    CVS Health (Baton Rouge, LA)
    …and education related to utilization management . * Serve as a clinical resource for internal and external partners. Key Competencies: * Family-centered ... review tools (eg, InterQual, MCG) and regulatory requirements. * Experience in utilization management , case management , or care coordination. * Experience… more
    CVS Health (12/19/25)
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  • Social Worker (Patient Aligned Care Team-PACT)

    Veterans Affairs, Veterans Health Administration (San Antonio, TX)
    …care coordination, direct clinical services, and chronic disease case management . Responsibilities VA Careers - Social Work: ... education on advance directives and advanced care planning; providing social work case management ; acting as an patient/family member/caregiver advocate with… more
    Veterans Affairs, Veterans Health Administration (12/19/25)
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  • Senior Manager, Corporate Risk Management

    UPMC (Pittsburgh, PA)
    …Federal and State regulations relative to utilization management , case management , discharge planning, community resources /eligibility criteria, ... of Risk Management + Serves as a resource to team members on clinical operations....among all health care providers while maximizing use of resources is required. + The ability to prepare and… more
    UPMC (12/20/25)
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  • Periop Nurse Coordinator

    Houston Methodist (Houston, TX)
    …Coordinator position is an experienced Operating Room Nurse, serving as a clinical resource , assumes leadership responsibilities with high-level contributions in ... situational awareness, using teachable moments to improve safety. + Serves as a clinical resource and leader for complex and/or highly specialized patient care… more
    Houston Methodist (11/14/25)
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  • Open Rank Adolescent Behavioral Health Therapist…

    University of Colorado (Aurora, CO)
    …+ Balance job expectations around caseload, clinical contact and outcomes, and case management including paperwork. + Provide clinical evaluations and/or ... active MST clients, which include daily contact via individual and family counseling, case management , staffing, advocacy, etc. in their home environment and… more
    University of Colorado (11/19/25)
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  • RN Care Mgr II

    Covenant Health Inc. (Lenoir City, TN)
    …or changes the plan as needed to meet the patient's needs. Outcomes/ Clinical /Fiscal/ Resource Management : + Utilizes statistical analysis techniques to ... education of staff and patients and serving as a clinical resource and consultant to the health...of the patient's clinical condition. Secures needed resources via a multidisciplinary approach to care management… more
    Covenant Health Inc. (12/04/25)
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  • Medical Director -Spine

    CVS Health (Sacramento, CA)
    …members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business ... clinical quality and effective use of health care resources . **This is a remote based (work at home)...direction in support of medical management programs through participation in clinical team… more
    CVS Health (10/28/25)
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  • Medical Management Clinician Senior (US)

    Elevance Health (Miami, FL)
    Med Management Clinician Senior- Licensed Nurse **Location:** Miami, FL **Hybrid 1** : This role requires associates to be in-office 1-2 days a week, fostering ... : Monday - Friday, 8:00AM - 5:00PM Eastern Time The **Medical Management Clinician Senior** is responsible for ensuring appropriate, consistent administration of… more
    Elevance Health (12/24/25)
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