• Health Information Management Technician 1

    New York State Civil Service (Rome, NY)
    …the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility .* If you are employed by state government you may be able to ... to teams.* Responds to record and information requests.* Maintains current Guardian/ Advocate information in TABS.* Special projects as assigned by TABS Coordinator.*… more
    New York State Civil Service (10/11/25)
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  • Registered Nurse 2 (Community)

    New York State Civil Service (NY)
    …the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility .* If you are employed by state government you may be able to ... primary medical specialists, hospitals, and various clinical staff as necessary.* Advocate for individuals' health care needs.*Maintains ongoing communication with… more
    New York State Civil Service (10/10/25)
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  • Physician Manager 20 - Medical Director

    State of Michigan (MI)
    …our environment and the public health; enforce state laws and regulations; advocate for children, families, and victims of discrimination; support our state's ... Prior military service may also allow seniority credits to accelerate eligibility for longevity bonuses and additional personal leave accrual. Tax-Advantaged… more
    State of Michigan (10/01/25)
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  • Director Utilization Management

    Healthfirst (NY)
    …other Operations leaders including but not limited to Care Management, Clinical Eligibility , Behavioral Health, and Appeals and Grievances teams to align utilization ... fostering engagement, communication, and adoption of new technologies or processes** + ** Advocate and actively participate as the clinical voice on various clinical… more
    Healthfirst (11/29/25)
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  • Case Manager Registered Nurse - Field (Southwest…

    CVS Health (Kalamazoo, MI)
    …can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... Our Care. Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and… more
    CVS Health (11/28/25)
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  • Transition of Care CM - Registered Nurse

    CVS Health (Oklahoma City, OK)
    …facility or telephonically, within a defined geographical area and care setting. + Advocate for the member throughout the care continuum to ensure access to ... **Preferred Qualifications** + Experience in utilization management + Knowledge of Medicare/ Medicaid and NCQA regulatory transitions of care criteria + Bilingual… more
    CVS Health (11/28/25)
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  • Case Manager RN - Field - Passaic County

    CVS Health (Newark, NJ)
    …can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... (ICM) Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and… more
    CVS Health (11/27/25)
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  • Care Manager, Registered Nurse - Field - Passaic…

    CVS Health (Haddonfield, NJ)
    …can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... (ICM) Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and… more
    CVS Health (11/27/25)
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  • Direct Support Professional

    Maxim Healthcare (Reading, PA)
    …by virtue of the agency's or registry's participating as a provider in a Medicaid waiver or other publicly funded program providing home and community based services ... Vision, Health Advocacy (company paid if enrolled Medical) and Health Advocate Employee Assistance Program Retirement and Financial Security: Health Savings Account,… more
    Maxim Healthcare (11/27/25)
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  • Nurse Manager - Utilization Review

    Huron Consulting Group (Chicago, IL)
    …accreditation requirements, ensuring compliance with Maryland state law, Medicare, Medicaid , and third-party payer standards. Oversees completion of utilization ... own. We help them transform for the future. We advocate . We make a difference. And we intelligently, passionately,...year. All benefits and programs are subject to applicable eligibility requirements. Huron is fully committed to providing equal… more
    Huron Consulting Group (11/27/25)
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