• Case Manager - Utilization…

    Prime Healthcare (Anaheim, CA)
    …high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, ... their admission and across the continuum of the health care management . Works on behalf of the...skills. Preferred qualifications: 1. Minimum 5 years of acute care experience preferred.2. Certified Case Manager (CCM)… more
    Prime Healthcare (08/08/25)
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  • Nurse Manager Care Coordination

    Dignity Health (Prescott Valley, AZ)
    … coordination department, including staff supervision, team building, and performance management . + Coordinates, implements, and evaluates care coordination ... Care Coordination. + Assists with the daily operations of care coordination, including staff supervision, budget management , and resource allocation… more
    Dignity Health (08/14/25)
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  • Utilization Review Manager

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …to meet regulatory requirements and ensure correct billing * Works collaboratively with Inpatient Care Management , Patient Accounting, Patient Admission and ... *_SUMMARY:_* We are currently seeking a*Utilization Review Manager * to join ourTransitional Care Team.Thisis...present medical necessity data and outcomes and partners with care management leadership to develop action plans… more
    Minnesota Visiting Nurse Agency (08/08/25)
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  • Utilization Management Manager

    CareFirst (Baltimore, MD)
    …+ Proficient in utilization management processes, standards, and managed care . + Knowledge of medical-necessity decisions (ie, inpatient , acute, outpatient, ... **PURPOSE:** Manages the utilization of referral services. Enhances quality of care by assuring compliance with policies, including safety, infection control,… more
    CareFirst (07/12/25)
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  • Manager II Medical Management

    Elevance Health (Walnut Creek, CA)
    ** Manager II Medical Management ** **Location:** This role requires associates to be in-office **3** days per week, fostering collaboration and connectivity, ... considered for employment, unless an accommodation is granted as required by law._ The ** Manager II Medical Management ** will be responsible to manage a team of… more
    Elevance Health (09/04/25)
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  • RN Case Manager - Comprehensive Care

    Vanderbilt University Medical Center (Nashville, TN)
    …identifies patients with complex clinical needs that require a coordinated plan of care . * Develops case management plan that includes strategies or alternative ... others. * Case Management (Intermediate): Demonstrates mastery of case management in practical applications for complex clinical care coordination. Possesses… more
    Vanderbilt University Medical Center (08/17/25)
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  • Associate Clinical Manager for Palliative…

    Penn Medicine (Philadelphia, PA)
    …of the University of Pennsylvania is seeking an experienced APP to join the inpatient Palliative Care Program as a Clinical Coordinator for its Advanced Practice ... Provider (APP) group. Palliative Care specialists provide pain and symptom management , psychosocial support, and advance care planning for patients and… more
    Penn Medicine (08/07/25)
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  • Care Manager Behavioral Health

    Centene Corporation (Austin, TX)
    …and Starr County (Texas)** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards ... are accessible to members + Maintains accurate documentation and supports the integrity of care management activities in the electronic care management more
    Centene Corporation (07/27/25)
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  • Care Manager LCSW

    Providence (San Pedro, CA)
    **Description** Care Management within the Department of Psychiatry includes a collaborative practice with patients, caregivers, nurses, social workers, ... and care coordination along a continuum through effective transitional care management . Recognizing the patient's right to self-determination, the… more
    Providence (07/17/25)
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  • Manager - Health Information…

    St. Mary's Healthcare (Amsterdam, NY)
    …experience and one (1) year management experience required.. Acute care hospital coding (ambulatory and inpatient ) preferred. Bachelors Degree required ... Union Top Workplace . We are the first acute care hospital in the Capital Region to earn the...are met for direct reports. . Reviews scanning, analyzes inpatient and outpatient records for complete and timely documentation,… more
    St. Mary's Healthcare (07/18/25)
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