• Developmental Disability Specialist II-…

    Fairfax County Sheriff's Office (Fairfax, VA)
    …Marriage and Family Therapist, Licensed Substance Abuse Treatment Practitioner or Clinical Nurse Specialist . + In addition, to recognize and reinforce the ... of hire + Qualified Developmental Disabilities Professional (QDDP) or Qualified Intellectual Disability Case Manager (QIDCM) - required within 1 month of hire… more
    Fairfax County Sheriff's Office (07/17/25)
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  • Insurance Specialist -Mount Sinai West-PT…

    Mount Sinai Health System (New York, NY)
    …as per department protocol (IPRO Discharge Appeals / Insurance requests) + Support Appeals Nurse / Manager by confirming status of denials + Tracking status of ... **Job Description** **Insurance Specialist MSH PT Days 4/Days Week (Days Vary)...Every Weekend** To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and… more
    Mount Sinai Health System (08/12/25)
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  • Occupational Injury Safety Specialist II

    Baylor Scott & White Health (Temple, TX)
    …health-related issues, as needed. + Acts as a liaison between injured employees, Nurse Case Managers, and Claim Specialists. Provides care for injured employees ... based on position type and/or level **Job Summary** The Occupational Injury Safety Specialist II, directed by the Safety Manager /Director, uses education and… more
    Baylor Scott & White Health (08/14/25)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light ... Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management...Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance… more
    LA Care Health Plan (07/16/25)
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  • Utilization Management Specialist

    Cleveland Clinic (Cleveland, OH)
    …and continued stays. + Maintain and support collaborative relationships with RN Case Manager , Physicians and the multidisciplinary team. + Document appropriately ... healthcare organizations in the world. As a Utilization Management Specialist , you will perform UM activities, such as admission,...to provide evidence that the UR process for the case was followed. Minimum qualifications for the ideal future… more
    Cleveland Clinic (09/18/25)
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  • Clinical Authorization Specialist

    Dana-Farber Cancer Institute (Brookline, MA)
    Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals ... Reporting to the Prior Authorization Superv isor , the Clinical Authorization Specialist is responsible for managing all work related to molecular pathology,… more
    Dana-Farber Cancer Institute (09/18/25)
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  • Health Information Management Audit…

    Beth Israel Lahey Health (Newburyport, MA)
    …Director of Health Information Management, the Health Information Management Audit Specialist handles various audit requests for the release of confidential patient ... from a variety of sources (eg Auditors, CMS, BCBS, Permedion, DPH, Nurse Audit, HCHP, DPH, Disability, Workman's Comp, EHR, attorneys, patients, insurance agencies,… more
    Beth Israel Lahey Health (09/19/25)
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  • Registered Nurse - Community Living Center

    Veterans Affairs, Veterans Health Administration (Grand Island, NE)
    …have been filled. Qualified applicants will be reviewed and referred to the hiring manager on a weekly basis. **This position is eligible for the Education Debt ... care in the CLC. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance… more
    Veterans Affairs, Veterans Health Administration (09/11/25)
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  • Case Management Assistant- CMH Care Facil…

    Carle Health (Peoria, IL)
    …The Case Assistant works under the direction of the Clinical Transition Specialist (RN Case Manager ) and/or Social Worker to establish appropriate ... , Work Experience: Certified nurse assistant Responsibilities Collaborates with the RN Case Manager and SW Case Manager to develop a plan of… more
    Carle Health (09/18/25)
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  • Outreach Care Specialist , 100% Virtual,…

    Elevance Health (Atlanta, GA)
    …through home-care and community-based services. **Title** : Outreach Care Specialist , 100% Virtual, CareBridge **Location:** Tennessee and/or Alabama residents ... granted as required by law. **Shift:** 8:00am-5:00pm CST The **Outreach Care Specialist ** is responsible for ensuring that appropriate member treatment plans are… more
    Elevance Health (09/13/25)
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