• Clinical Navigator (Onsite)

    CareFirst (Baltimore, MD)
    …or other levels of care. Utilizing experience and skills in both case management and utilization management , the Onsite Clinical Navigator will leverage ... considerations to determine medical necessity, appropriate level of care and case management to engage members/enrollees, their families and other support systems in… more
    CareFirst (08/14/25)
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  • Divisional Director of Social Services

    The Salvation Army (Syracuse, NY)
    …Term Life Insurance for Employee + Long Term Disability Insurance + Eligibility for supplemental insurance plans including Short Term Disability, AFLAC, and ... Voluntary Term Life + Flexible Spending Account + Eligibility for Federal Student Loan Forgiveness Program + Tax Deferred Annuity (403B) + Christmas Bonus SCOPE AND… more
    The Salvation Army (08/12/25)
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  • Registered Nurse - Acute - Surgical/Ortho (with…

    Marshfield Clinic (Marshfield, WI)
    …(HRSA), Nurse Corps Loan Repayment Program. To learn more about program eligibility , application process and expectations please review the Nurse Corp Loan Repayment ... Portfolio (CNAP) clinical ladder, refer to program documents for eligibility to advance/maintain CNAP level. **CERTIFICATIONS/LICENSES** _The following licensure(s),… more
    Marshfield Clinic (06/29/25)
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  • Data Governance Manager

    Emory Healthcare/Emory University (Atlanta, GA)
    …in-network vs. out-of-network monitoring, benefits, etc.), financial options, focusing on Medicaid screening and charity assistance eligibility . + Ensure that ... equipped to educate patients about their financial responsibilities, insurance eligibility /benefits, referral/authorization status, payment options, and available support options.… more
    Emory Healthcare/Emory University (09/04/25)
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  • Representative, Patient Access

    Trinity Health (Ann Arbor, MI)
    …third-party authorizations, referrals) and contacts physicians and Case Management /Utilization Review personnel, as needed. Obtains and verifies the ... of services patients will receive. At point of service, performs insurance eligibility and determines benefit verification, utilizing EDI transactions and payer web… more
    Trinity Health (07/22/25)
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  • Human Services Counselor III

    MyFlorida (Orlando, FL)
    …services agency in lieu of an Associate's degree. + Completion of Medical Case Management AETC Southeast AIDS Education course within 30 days of hire. + At least ... to a personal vehicle. + Emergency Duty . PREFERRED QUALIFICATIONS: + Eligibility Experience + Experience conducting program assessments and home visits. + Current… more
    MyFlorida (07/09/25)
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  • Telephonic Nurse Care Manager

    Humana (Frankfort, KY)
    …utilizing Motivational Interviewing and solution-oriented approaches to identify gaps in care, eligibility for assistance and/or need for care management program ... Nurse Care Manager 2** will be part of the Humana Military Care Management team, providing a comprehensive, whole person care approach for Disease Management more
    Humana (09/16/25)
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  • Care Coordination Master Social Worker

    Virginia Mason Franciscan Health (Burien, WA)
    …FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility , and more! Sign on bonus available. **Responsibilities** JOB SUMMARY / ... ill, and vulnerable patients. 2. Advocacy and education: patient/family self-care management ; patient/family health management education; bioethics referrals and… more
    Virginia Mason Franciscan Health (09/12/25)
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  • Project Manager 2

    New York State Civil Service (Albany, NY)
    …and manage small to medium sized projects throughout the project/product management lifecycle (Initiating through Closeout) following ITS and industry standard ... site (SharePoint/Teams) for all PM artifacts.* Develop and manage Project/Product Management Plan to be used/followed for project/product implementation and releases… more
    New York State Civil Service (09/09/25)
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  • Registered Manager Local Specialty

    Walgreens (Las Vegas, NV)
    …proper service to customers. Responsible for building relationships, overseeing the clinical management of patients and growing the business at the site. Performs ... Responds to special needs of customers, as requested. **Patient/Clinical Management ** + Collaborates with providers to determine appropriateness of therapy.… more
    Walgreens (09/05/25)
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