- CVS Health (Springfield, IL)
- …enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we ... are comprised of network management, clinical coverage, and policies. Our Case Managers use a collaborative process of assessment, planning, facilitation, care… more
- Sutter Health (Burlingame, CA)
- …team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and ... experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and… more
- Sutter Health (Auburn, CA)
- …team, nursing management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and ... experience. This position works in collaboration with the Physician, Utilization Manager, Medical Social Worker and bedside RN to assure the timely progression and… more
- Washington County Mental Health Services (Montpelier, VT)
- …financial, and other resources. + Collaborate with other professional service providers for case review and consultation. + Create treatment plans tailored to ... Services, Inc. NOTICE OF OPEN POSITION School Based Services Case Manager September 2025 For more than 50 years,...each individual's complex needs, as identified by the treatment team. +… more
- YMCA of Greater Seattle (Seattle, WA)
- …to the YMCA of Greater Seattle for you and your household + Medical , Dental, Vision, and Life insurance + Retirement with generous employer contributions + ... key social-emotional skills, and integrate the approach into transition planning and case management. + Ensure non-disruption of academic progress of young people on… more
- Amentum (Springfield, VA)
- Amentum is seeking a **Senior Continuous Evaluation/Vetting (CE/CV) Case Control Specialist III** to support the National Geospatial-Intelligence Agency (NGA) and ... CE alerts, EAFR, RapBack, and walk-in notification. + Validate, research, review , create reportables, create cases, and forward to personnel security… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Accountabilities: Level I + Functions as a clinical reviewer of medical records, researching and investigating complex medical cases. Interprets ... management, medical directors and legal, where appropriate, to ensure complex issues are addressed appropriately. + Prepares comprehensive summary reports and… more
- CenterWell (Houston, TX)
- …other duties and responsibilities as required + Participate in and lead interdisciplinary review of and coordination around complex patients + Maintain patient ... and supportive consultation to other team members, handling escalated complex cases + Develop care plans leveraging 5Ms Geriatric...in accordance with HIPAA + Document patient encounters in medical record system in a timely manner + Follow… more
- CenterWell (Las Vegas, NV)
- …other duties and responsibilities as required . Participate in and lead interdisciplinary review of and coordination around complex patients . Maintain patient ... and supportive consultation to other team members, handling escalated complex cases . Develop care plans leveraging 5Ms Geriatric...in accordance with HIPAA . Document patient encounters in medical record system in a timely manner . Follow… more
- MTC (Marion, OH)
- **Pay: $23.61 per hour** **Work schedule:** Full-Time **Benefit package includes:** + Medical , vision, and prescription drug benefits + Dental benefits + Life ... lives with Management & Training Corporation (MTC)! At the **North Central Correctional Complex in Marion, Ohio** , our foundation is based upon the philosophies of… more