• Social Work Case Manager

    AdventHealth (Hinsdale, IL)
    …Street, Hinsdale, IL **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance ... members of the care team). The Social Work Care Manager , in collaboration with the patient/family, care manager...and documented in a timely manner for compliance: Important Medicare Letters (IML), Medicare Outpatient Observation Notice… more
    AdventHealth (11/06/25)
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  • Social Worker Case Manager -Relief

    AdventHealth (Shawnee, KS)
    **Case Manager Relief Days AdventHealth Shawnee Mission** **All the benefits and perks you need for you and your family:** + Vision, Medical & Dental Benefits from ... Mission, Kansas. **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require assistance… more
    AdventHealth (10/07/25)
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  • Manager Compliance Coding

    Texas Health Resources (Arlington, TX)
    Manager Compliance Coding _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified candidates like you ... work hours: Monday - Friday; 8:00a-5:00p; Position Summary The Coding Compliance Manager oversees and manages auditing and monitoring activities related to billing… more
    Texas Health Resources (10/15/25)
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  • Payment Integrity Program Manager - Health…

    Molina Healthcare (Carson City, NV)
    …achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for ... years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health...At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept… more
    Molina Healthcare (10/30/25)
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  • RN, Field Care Manager

    Humana (Salem, VA)
    …Healthy Horizons in Virginia is looking for RN, Field Care Managers (Field Care Manager Nurse 2) who performs primarily face to face and telephonic assessments to ... adult and pediatric members. The RN, Field Care Manager (Field Care Manager Nurse 2) will...needs. + Collaborates with Community Health Workers (CHW), Housing Specialist and other internal and external agencies for health-related… more
    Humana (11/13/25)
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  • Nurse Case Manager -Senior Care Options…

    Fallon Health (Barnstable, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary...member, the Clinical Integration team, and Primary Care Providers, Specialist and other community partners, to ensure a cost… more
    Fallon Health (11/25/25)
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  • Assistant Nurse Manager , Full Time,…

    Atlantic Health System (Morristown, NJ)
    …to act as advocate to patients. Job Function: 02. Coordinates with Director/ Manager in maintaining a safe environment of care. Criteria: Assists in maintaining a ... as The Joint Commission, etc. Job Function: 03 Collaborates with the Director/ Manager in areas of daily operational and strategic needs. Anticipates the needs for… more
    Atlantic Health System (11/18/25)
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  • Manager , Clinical Documentation Integrity

    Sutter Health (San Francisco, CA)
    …OR DO-Doctor of Osteopathy OR Foreign trained physician + CCS-Certified Coding Specialist within 1 year + CCDS-Certified Clinical Documentation Specialist OR ... strategies + Ability to understand and communicate differences between Medicare Part A and Part B guidelines and how...knowledge, including but not limited to APR-DRG, MS-DRG, HCCs, Medicare , Medicaid & Managed Care, in order to design… more
    Sutter Health (11/15/25)
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  • Manager , Coding Education and Quality

    Carle Health (Champaign, IL)
    Overview The Manager over Coding Education and Quality is responsible and accountable for initial and ongoing education and audit of providers, Carle coding team ... coders to assure a high level of coding quality and accuracy for Carle. The manager organizes and coordinates the coding audit teams to achieve goals and reviews and… more
    Carle Health (11/12/25)
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  • Lab Operations Manager - Phlebotomy and Lab…

    Marshfield Clinic (Rice Lake, WI)
    …the most exciting missions in the world!** **Job Title:** Lab Operations Manager - Phlebotomy and Lab Support WEST region **Cost Center:** 201641056 Lab-Clinical ... covers the Western side of the service area.** The Lab Operations Manager is responsible for managing laboratory services within Marshfield Clinic Health System… more
    Marshfield Clinic (11/27/25)
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