• RN Case Manager - Commercial TOC

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …to work in the US Preferred Skills and Experience * 1+ years of managed care experience; eg case management/health coach, utilization management and/or auditing ... The Case Manager is a critical component of BCBSMN Care Management team as the primary clinician providing condition...exists to support member needs across the continuum of care by leveraging member partnership, case and disease management… more
    Blue Cross and Blue Shield of Minnesota (10/08/25)
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  • UM Prior Authorization Review Nurse - RN

    UCLA Health (Los Angeles, CA)
    …+ Proficient computer skills including Internet search capabilities, Microsoft Word, Excel, and Managed Care software (ie EZ Cap, Diamond, IDX) required + ... plays a vital role in ensuring the delivery of high-quality, evidence-based care . This position is responsible for reviewing and evaluating clinical documentation… more
    UCLA Health (10/03/25)
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  • Advanced Practice Provider - HealthWorks in York

    Penn Medicine (Lititz, PA)
    …Medicare, Medicaid, and Tricare programs and such other third-party-payment programs, including managed care programs in which LGMG participates. Benefits at a ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
    Penn Medicine (10/02/25)
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  • Supervisor - Cost Report, Contract Analysis

    Hawaii Pacific Health (Honolulu, HI)
    …Contract Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...Hawai'i and the Pacific Region with high quality, compassionate care . Its four medical centers - Kapi'olani, Pali Momi,… more
    Hawaii Pacific Health (09/30/25)
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  • Financial Analyst - Cost Report, Contract Analysis

    Hawaii Pacific Health (Honolulu, HI)
    …Contract Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...Hawai'i and the Pacific Region with high quality, compassionate care . Its four medical centers - Kapi'olani, Pali Momi,… more
    Hawaii Pacific Health (09/30/25)
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  • Primary Care Physician (Internal Medicine)

    Ansible Government Solutions (Fonda, NY)
    …referral and follow-up for simple to moderately complex workload that can be appropriately managed in a primary care outpatient environment to include (but not ... Ansible Government Solutions, LLC (Ansible) is currently recruiting Primary Care Physicians to provide onsite primary care ...Primary Care Physicians to provide onsite primary care services to eligible beneficiaries of the Fonda VA… more
    Ansible Government Solutions (12/23/25)
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  • Care Manager LCSW WFH

    HCA Healthcare (Asheville, NC)
    Care Coordinators + Facilitates specialty referrals, as appropriate, for conditions/needs managed outside the primary care realm + Documents efforts in ... **Description** **Job Summary and Qualifications** The Care Manager LCSW supports the patient and primary...Care Manager LCSW supports the patient and primary care relationship through care delivery enhancement. Primary… more
    HCA Healthcare (12/13/25)
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  • Care Manager RN WFH

    HCA Healthcare (Overland Park, KS)
    Care Coordinators + Facilitates specialty referrals, as appropriate, for conditions/needs managed outside the primary care realm + Documents efforts in ... **Description** **Job Summary and Qualifications** The Care Manager supports the patient and primary ... Care Manager supports the patient and primary care relationship through care delivery enhancement. Primary… more
    HCA Healthcare (10/31/25)
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  • Instructor/Assistant/Associate Professor,…

    Colorado State University (Fort Collins, CO)
    …across emergency, urgent care , and specialty services. On average, the Critical Care Team managed over 5,000 cases annually, with an additional 10,000 ... Posting Detail Information Working TitleInstructor/Assistant/Associate Professor, Emergency Critical Care Position LocationFort Collins, CO Work LocationPosition is… more
    Colorado State University (10/31/25)
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  • Certified Medical Assistant Care

    HCA Healthcare (Salt Lake City, UT)
    Care Coordinators** + **Facilitate specialty referrals, as appropriate, for conditions/needs managed outside the primary care realm** + **Document efforts in ... Do you have the PRN career opportunities as a(an) Care Coordinator PRN you want with your current employer?...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
    HCA Healthcare (10/13/25)
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