• Nurse I - RN Critical Incident/Occurrence…

    State of Colorado (Pueblo, CO)
    …26-3.1-101, position provides services & support care to at-risk/vulnerable adults including case management , clergy, physical or mental health services, safety ... actionable, and tied to CMHHIP's improvement goals. + Participate in utilization management and review activities when requested, applying clinical judgment to… more
    State of Colorado (12/03/25)
    - Related Jobs
  • Assistant Program Director

    WestCare Foundation (Lincoln, IL)
    …to illness, training, etc. + Deliver individual and group counseling services, case management services, education and community outreach services, and referrals ... in this position will be responsible for providing direct clinical and treatment supervision and training to counseling staff....+ Conduct monthly quality assurance reviews of the treatment case files to ensure compliance with program standards. +… more
    WestCare Foundation (12/04/25)
    - Related Jobs
  • Patient Care Manager/Nurse Manager II - CVOR…

    Stanford Health Care (Palo Alto, CA)
    …care and hospital system organization and administration sufficient to provide clinical management , leadership, coordination, and operational direction for ... implements staff scheduling, position controls and attendance control procedures. + Human Resources : Directs the personnel management of the employees assigned… more
    Stanford Health Care (12/24/25)
    - Related Jobs
  • Referral Management Reviewers (Bethesda,…

    Ivyhill Technologies LLC (Bethesda, MD)
    Team Ivyhill is currently seeking to hire Referral Management (Non-Nurse) Reviewers to support its contract with the Integrated Referral Management and ... National Capital Regions' premier coordinating authority for appointing and referral management services for beneficiaries in the Defense Health Network. Referral … more
    Ivyhill Technologies LLC (12/08/25)
    - Related Jobs
  • Infusion Pain Management Registered Nurse…

    HCA Healthcare (Richmond, VA)
    …work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Henrico Doctors' ... passionate about delivering patient-centered care?** Submit your application for Infusion Pain Management Registered Nurse RN PRN position and spend more time at the… more
    HCA Healthcare (11/19/25)
    - Related Jobs
  • CDI Specialist Certified

    Covenant Health Inc. (Knoxville, TN)
    …documentation reviews to assign initial DRGs and GLMOS for physician and case management to follow. + Collaborates extensively with individual physicians ... a final DRG. The CDI Specialist functions as a resource for clinical staff and other groups...DRG assignment and the validity and reliability of the case -mix index, CDI is accountable for concurrent review of… more
    Covenant Health Inc. (10/13/25)
    - Related Jobs
  • Care Manager (Remote)

    CareFirst (Baltimore, MD)
    Case Manager (ACM): Must have CCM/ACM or other RN Board Certified certification in case management . Incumbents not certified at the time of hire must have two ... along the care continuum. Identifies relevant CareFirst and community resources and facilitates program, network, and community referrals. +...years of case management experience and meet requirements to… more
    CareFirst (11/19/25)
    - Related Jobs
  • RN* Health Compliance Inspector, Acute Care Hfemsd…

    State of Colorado (Denver, CO)
    …responsible for ensuring that application materials are received by the appropriate Human Resources office before the closing date and time listed. + Description + ... + Flexible work schedules and strong work-life balance initiatives + Employee resource groups promoting inclusion, connection, and community We are committed to… more
    State of Colorado (12/17/25)
    - Related Jobs
  • Benefit and Claims Analyst

    Highmark Health (Harrisburg, PA)
    …utilizing resources to resolve customer inquiries. + Collaborate with Clinical Strategy, Sales/Client Management and other areas across the enterprise ... :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is a non- clinical resource that coordinates, analyzes, and interprets the benefits and claims… more
    Highmark Health (12/18/25)
    - Related Jobs
  • Advanced Cardiovascular Special Procedures…

    Banner Health (Chandler, AZ)
    …Provides or facilitates patient care for patient populations and serves as a resource to staff for clinical support. Promotes interdisciplinary patient care ... Arizona **Department Name:** Cardiac Cath Lab-Hosp **Work Shift:** Day **Job Category:** Clinical Care May be eligible for sign on incentive.** Health care is… more
    Banner Health (11/20/25)
    - Related Jobs