• Nurse Clinical Care Coord -Allegheny County

    UPMC (Pittsburgh, PA)
    …of health insurance experience preferred. + 1 year of experience in clinical, utilization management , home care, discharge planning, and/or case management ... clinical and social history, current medications, geriatric syndromes, healthcare resource utilization , and case management interventions. Updates the plan of… more
    UPMC (08/13/25)
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  • CIC Advanced Practice Clinician - NP / PA - Hybrid

    Commonwealth Care Alliance (Springfield, MA)
    …medical, behavioral , and social complexities that require intensive care management and care delivery. Within the CIC Program, the Advanced Practice Clinician ... influence the clinical outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for chronic disease management , closing of… more
    Commonwealth Care Alliance (10/07/25)
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  • LTSS Transition Concierge Coordinator

    Elevance Health (Columbus, OH)
    …for in-person visits, as needed, to accommodate business need. + Submits utilization /authorization requests to utilization management with documentation ... **LTSS Concierge Coordinator (Case Manager )** **Hiring statewide across Ohio** **This position is...contractual requirements for member outreach, such as coordination and management of an individual's LTSS waiver, behavioral … more
    Elevance Health (09/27/25)
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  • Assistant Vice President Facility…

    HCA Healthcare (Nashville, TN)
    …within the group(s), including staffing, maintenance, repairs, parts, operations, fleet management and vendor/contractor utilization . + Responsible for the ... invests in you as an Assistant Vice President Facility Management ? At HealthTrust, you come first. HCA Healthcare has...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (10/02/25)
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  • Clinical Social Worker Case Management Full…

    Tenet Healthcare (Detroit, MI)
    …Compliance policies, Transition Management , and other topics specific to case management . 6. Accredited Case Manager (ACM) preferred. Skills Required 1. ... Clinical Social Worker Case Management Full Time Days - 2506003347 Description :...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and… more
    Tenet Healthcare (09/30/25)
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  • Clinical Social Worker Case Management Full…

    Tenet Healthcare (Detroit, MI)
    …Compliance policies, Transition Management , and other topics specific to case management . 6. Accredited Case Manager (ACM) preferred. Skills Required 1. ... Clinical Social Worker Case Management Full Time Days - 2406004684 Description :...patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and… more
    Tenet Healthcare (09/10/25)
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  • RN UM Supervisor, Healthcare Services must reside…

    Molina Healthcare (GA)
    …of healthcare services professionals in some or all the following functions: care management , utilization management , behavioral health, care ... + Assists in implementing health management , care management , utilization management , behavioral...active and unrestricted in state of practice. Certified Case Manager (CCM), Certified Professional in Health Care Management… more
    Molina Healthcare (09/26/25)
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  • Specimen Management Clinical Consultant…

    BD (Becton, Dickinson and Company) (San Jose, CA)
    **Job Description Summary** This position reports to the Regional Business Manager and supports the Specimen Management business unit. This role observes current ... time being spent face to face interacting with BD customers. Excellent time management skills necessary, with travel up to 75%. **Job Description** **We are** **the… more
    BD (Becton, Dickinson and Company) (09/25/25)
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  • Supervisor, Healthcare Services

    Molina Healthcare (East Saint Louis, IL)
    …healthcare services professionals in some or all of the following functions: care management , utilization management , behavioral health, care ... * Assists in implementing health management , care management , utilization management , behavioral...and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management… more
    Molina Healthcare (10/09/25)
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  • Disease Management Nurse - Remote

    Sharecare (Providence, RI)
    …change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is ... according to the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare… more
    Sharecare (09/13/25)
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