• Clinical Risk Management Analyst (RN) - Day Shift,…

    Trinity Health (Syracuse, NY)
    …visitors, vendors, various regulatory and professional agencies. **SUPERVISED BY:** Manager of Risk Management **SUPERVISES:** None **CAREER PATH:** Management ... the Department of Health as required by law. **_Specific Activities_** + Conducts case finding by daily review of reported events and other information retrieved… more
    Trinity Health (11/20/25)
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  • Product Owner Consultant - Fusion (Remote)

    CareFirst (Baltimore, MD)
    …an in-depth knowledge of agile process and principles and/or product manager experience. **Preferred Qualifications:** + Medicare/ Medicaid and Facets experience ... hired at the top of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to experience, internal equity, and… more
    CareFirst (11/19/25)
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  • Quality RN - Hoffner

    CenterWell (Orlando, FL)
    …for the development, implementation and management oversight of the company's Medicare/ Medicaid Stars Program. The Stars Improvement, Clinical Professional 2 work ... in Nursing + 3+ years of managed care experience + 3+ years of case management experience + Bilingual; English and Spanish preferred, not required, unless otherwise… more
    CenterWell (11/19/25)
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  • Spanish Interpreter

    University of Rochester (Rochester, NY)
    …satisfaction + Informs patients of available supports as appropriate (Social Worker, Case Manager , Care Coordinator, Financial Coordinator, Chaplain, etc.) + ... 13166: Improving Access to Services for Persons with Limited English Proficiency, Medicaid Managed Care Requirements (42 CFR 438.10) The US Department of Health… more
    University of Rochester (11/19/25)
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  • Registered Nurse - Acute - Surgical/Ortho (with…

    Marshfield Clinic (Marshfield, WI)
    …needs. Spiritual support is available 24/7 from Chaplains and local ministries. Case managers and Social Workers assist in discharge planning, and linking patient's ... excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must immediately notify… more
    Marshfield Clinic (11/19/25)
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  • Member Appeal & Grievances Triage Admin…

    Fallon Health (Worcester, MA)
    …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... Payment Waiver form and requests such documentation as necessary. + Assigning case files to the department staff for appeal/grievance management. + Providing… more
    Fallon Health (11/18/25)
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  • Sr. Consultant, Change Management

    Cardinal Health (Baton Rouge, LA)
    …successful implementation. . Build strong partnerships across Patient Access, Case Management, Specialty Hubs, Pharmacy Operations, IT, and executive leadership. ... appealing and compelling communications (infographics, Veeva Engage posts, slides, manager huddle scripts) tailored to diverse audiences-from frontline teams to… more
    Cardinal Health (11/15/25)
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  • Pediatric Nurse Practitioner

    Chenega Corporation (Maxwell AFB, AL)
    …ALASKA, LLC** Maxwell AFB, AL The **Pediatric Nurse Practitioner** (NP) will be the Primary Care Manager (PCM) for a panel of up to 1,300 patients. As a PCM, the NP ... + Identify and manage specific pediatric illnesses. + Prepare and review case histories and clinical records of newborns, infants, children, and adolescents up… more
    Chenega Corporation (11/13/25)
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  • Director, System Payer Contracting (On-site)

    Albany Medical Center (Albany, NY)
    …and hospital clinical leadership, legal, compliance, billing, finance, IT, case and utilization management, quality, credentialing, and other related departments. ... value-based enterprise financial acumen + Demonstrated leader of people and manager of resources. + Demonstrated success in orchestrating, leading, and overseeing… more
    Albany Medical Center (11/13/25)
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  • Pathologists' Assistant

    Marshfield Clinic (Marshfield, WI)
    …postmortem examination to include dissection of tissues and dictation of case information. Performs 1-2 autopsies per year. Additional responsibilities include ... excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must immediately notify… more
    Marshfield Clinic (11/10/25)
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