• Medical Director (Medicare)

    Molina Healthcare (Ann Arbor, MI)
    …managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease management , and evidence-based ... regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management more
    Molina Healthcare (09/12/25)
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  • HRLDP Specialist

    Corning Incorporated (Corning, NY)
    …leave, family building support, fitness, company-paid life insurance, disability, and disease management programs. + Company-wide bonuses and long-term ... global Human Resource (HR) Function provides an integrated talent management system that delivers a workforce that is Corning's...by the HR Function through the facilitation of Talent Management offerings, as well as programs and processes that… more
    Corning Incorporated (09/12/25)
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  • Market CMO

    CenterWell (Norfolk, VA)
    …excellence in age-friendly senior primary care including health promotion & prevention, disease management , effective specialist & hospital co- management , ... care team, combining clinical practice experience with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care… more
    CenterWell (09/12/25)
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  • Assistant Chief Medical Officer

    HCA Healthcare (Dallas, TX)
    …review/ management . + Consults with facility-level staff regarding delegated utilization management and disease management operations under managed care ... The ACMO provides senior-level leadership to the infection control, risk management , safety, and medical staff credentialing functions, ensuring the collaboration… more
    HCA Healthcare (09/12/25)
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  • Associate Medical Director

    CenterWell (Daytona Beach, FL)
    …excellence in age-friendly senior primary care including health promotion & prevention, disease management , effective specialist & hospital co- management , ... our primary care team, combining clinical practice with leadership and operational management to ensure high-quality patient care and alignment with Value-Based Care… more
    CenterWell (09/11/25)
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  • Care Coordination Licensed Clinical Social Worker

    Virginia Mason Franciscan Health (Lakewood, WA)
    …a full spectrum of health care services, from routine wellness to complex disease management , all grounded in rigorous research and education. Our comprehensive ... ill, and vulnerable patients. 2. Advocacy and education: patient/family self-care management ; patient/family health management education; bioethics referrals and… more
    Virginia Mason Franciscan Health (09/11/25)
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  • RN, ACO Nurse Care Manager- Community Health

    Baystate Health (Springfield, MA)
    …ensure patients understanding of discharge instructions and assess for further care management needs. + Providing disease management /complex care ... **ACO Nurse Care Manager i** s responsible for the management of care for a defined group of patients...for a defined group of patients including complex care management , transitions of care, as well as coordination of… more
    Baystate Health (09/09/25)
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  • Physician Advisor

    Virginia Mason Franciscan Health (Tacoma, WA)
    …a full spectrum of health care services, from routine wellness to complex disease management , all grounded in rigorous research and education. Our comprehensive ... and take on the role as leader of the Hospital's utilization review/ management committee, which is charged with adhering to regulatory requirements while ensuring… more
    Virginia Mason Franciscan Health (09/06/25)
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  • Care Manager WFH

    HCA Healthcare (Overland Park, KS)
    …empanelment processes + Schedules appointments related to preventive care, chronic disease management , and/or integrated behavioral health + Prepares and ... to patients to guide them through transitions of care, care management , preventive services, and self- management . The Care Manager acts as an integral member of… more
    HCA Healthcare (09/05/25)
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  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (Salt Lake City, UT)
    …division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing… more
    CVS Health (09/02/25)
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