• Manager Medical Necessity Review & Appeals…

    Emanate Health (Covina, CA)
    **Current Emanate Health Employees - Please log into your Workday account to apply** Everyone at Emanate Health plays a vital role in the care we deliver. No ... you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health...ranked company in the country. **J** **ob Summary** The Manager , Medical Necessity Review & Appeals is responsible for… more
    Emanate Health (09/11/25)
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  • Case Manager RN- Field (Wayne and Macomb…

    CVS Health (Lansing, MI)
    …home health care coordination experience preferred + Certified Case Manager preferred **Education** + Associates required, BSN preferred **Business Overview** At ... At CVS Health , we're building a world of health...it all with heart, each and every day. **Case Manager RN** WFH Flexible **Position Summary** Help us elevate… more
    CVS Health (09/07/25)
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  • Nurse Case Manager Lead

    Elevance Health (Overland Park, KS)
    …implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to ... services appropriate to their health needs. Performs duties telephonically or virtually as needed....treatment plans + Assists in problem solving with providers, claims or service issues + Assists with development of… more
    Elevance Health (09/06/25)
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  • Provider Relationship Account Manager

    Elevance Health (Independence, OH)
    **Provider Relationship Account Manager ** Carelon Behavioral Health Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, ... an accommodation is granted as required by law._ A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health more
    Elevance Health (09/05/25)
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  • Case Manager Registered Nurse - Field…

    CVS Health (Warren, MI)
    At CVS Health , we're building a world of health...it all with heart, each and every day. **Case Manager Registered Nurse** WFH Flexible This role will be ... and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we… more
    CVS Health (09/02/25)
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  • Manager Revenue Cycle

    Swedish Health Services (Seattle, WA)
    **Description** ** Manager Revenue Cycle (Remote) at Swedish Physicians Billing** **Schedule:** 1.0 FTE, Day Shift (M - F flexible hours) **Location:** Redmond, ... Washington **Job description:** The Business Office Manager over Revenue Cycle coding is responsible for the...for the timely, accurate, and comprehensive review of provider claims to optimize reimbursement and ensure compliance with all… more
    Swedish Health Services (08/30/25)
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  • Manager - Risk Management

    Hawaii Pacific Health (Honolulu, HI)
    Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other ... and Wilcox - specialize in innovative programs in women's health , pediatric care, cardiovascular services, cancer care, bone and...and security of the environment, and/or result in costly claims and lawsuits with subsequent financial loss to the… more
    Hawaii Pacific Health (08/27/25)
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  • Case Manager Registered Nurse- Field…

    CVS Health (Charleston, WV)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Summers, Monroe, Greenbrier, Pocahontas, Kanawha, and Fayette.** The Case Manager RN (CM RN) is responsible for telephonically and/or… more
    CVS Health (08/01/25)
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  • Clinical Risk Manager - Risk Management…

    Mount Sinai Health System (New York, NY)
    **Job Description** The Clinical Risk Manager in the Department of Risk Management and Patient Safety is responsible for the day to day risk management activities ... for The Mount Sinai Health System, including investigating, managing and analyzing risk management...and conducting risk management educational programs. The Clinical Risk Manager is responsible for the coordination and investigation of… more
    Mount Sinai Health System (07/12/25)
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  • Pharmacy Program Manager

    CVS Health (Charleston, WV)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...with heart, each and every day. The Pharmacy Program Manager is an individual contributor (non-people manager )… more
    CVS Health (09/13/25)
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