• Utilization Review Specialist Nurse (RN)…

    Houston Methodist (Houston, TX)
    …the plan of care and ensures prompt notification of any denials to the appropriate case manager , denials, and pre-bill team members, as well as management. The ... with the physician and all members of the interprofessional health care team to facilitate care and communication with...to facilitate care and communication with payers, and external case managers. Intervenes, as necessary, to ensure the plan… more
    Houston Methodist (11/02/25)
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  • Case Coordinator

    Sevita (Augusta, GA)
    …Identifies any discrepancies to accounting staff. + Coordinates utilization with the Case Manager relative to program participant's incentive account + Performs ... and foremost in accordance with the Company's mission. **SUMMARY** **The Case Coordinator is responsible for providing organizational assistance and programmatic… more
    Sevita (12/18/25)
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  • Case Worker

    University of Miami (Miami, FL)
    …. The Department of Family Medicine and Community Health is currently seeking a full time Case ... campus. Case Worker coordinates services for respective population , including providing information about professional development opportunities, quality… more
    University of Miami (12/20/25)
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  • Nurse Care Manager

    Beth Israel Lahey Health (Wakefield, MA)
    …to: The Care Manager supports the primary/specialty care physicians in population health management by focusing care coordination attention on the at-risk ... a difference in people's lives.** BILHPN has oversight of population health and is responsible to ensure...and emotional impact of illness and disability. The Care Manager upholds the current standards of professional case more
    Beth Israel Lahey Health (12/03/25)
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  • Help Those Arriving-Bilingual Case Managers…

    Samaritan Daytop Village (Bronx, NY)
    …studies required; Bachelor's Degree (BA or BSW) preferred + At least one year of prior Case Manager experience, preferably with the Homeless population ... Help Those Arriving in NYC Bilingual Case Managers Needed! Non-profit specialists can work anywhere...8 AM - 4 PM A nationally recognized comprehensive Health and Human Services Agency, with over 60 programs… more
    Samaritan Daytop Village (12/31/25)
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  • Registered Nurse (RN) Care Manager

    Bon Secours Mercy Health (Kilmarnock, VA)
    …the state in which they are working or covered by compact (required) Accredited Case Manager Certification (ACM) from American Case Management Association or ... At Bon Secours Mercy Health , we are dedicated to continually improving ...Case Manager (CCM) from Commission for Case Manager Certification or American Nurses Credentialing… more
    Bon Secours Mercy Health (12/20/25)
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  • Field Care Manager Behavioral Health

    Humana (Fredericksburg, VA)
    …high risk pregnant and post-partum population with BH needs + Field Case Management Experience + Knowledge of community health and social service agencies ... help us put health first** The Behavioral Health Care Manager (Field Care Manager... outcomes, reducing care gaps, and supporting Virginia's Medicaid population with comprehensive, integrated behavioral health care… more
    Humana (12/20/25)
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  • Assistant Nurse Manager , Mental…

    Baystate Health (Greenfield, MA)
    …Educator and Manager **7)** Facilitates staffing models necessary to support case volumes and acuity **8)** Evaluates clinical processes and workflows to ensure ... for all positions at a given grade across the health system. Typically, a new hire can expect a...$116,604.00 - $134,035.00 - $158,558.00 **Summary:** The Assistant Nurse Manager (ANM) works in partnership with the nurse … more
    Baystate Health (12/02/25)
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  • RN Behavioral Health - Care Manager

    Molina Healthcare (Louisville, KY)
    …lives in Kentucky and must be licensed for the state of Kentucky Case Manager RN will work with KY Medicaid population providing telephonic case ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If you… more
    Molina Healthcare (11/02/25)
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  • Licensed Professional Mental Health

    Veterans Affairs, Veterans Health Administration (Corpus Christi, TX)
    …posted until filled. The first cutoff for consideration is: 11/28/2025. The Mental Health Integrated Services (MHIS) Program Manager is directly responsible to ... and practice areas. Direct Clinical Service: As a licensed, practicing clinical Mental Health Counselor, the MHIS Program Manager is responsible for the… more
    Veterans Affairs, Veterans Health Administration (11/21/25)
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