• AVP, Medicare Medical Services

    UPMC (Pittsburgh, PA)
    …retrospective reviews, member grievances, provider appeals, and potential quality of care concerns. + Provide expedited review and determination of medically ... and execute on our population health strategy, clinical and provider operations, and State contract and CMS...implementation of medical management initiatives to improve quality and cost effectiveness of care delivered. + Key… more
    UPMC (12/09/25)
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  • Managed Care Coordinator

    Elevance Health (Halifax, VA)
    …cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + The process does not involve clinical ... **Managed Care Coordinator** **Sign On Bonus-$1000** **Location:** The locations... Program, as required by applicable state law and contract . **How you will make an impact:** + Responsible… more
    Elevance Health (12/06/25)
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  • Regional VP, Health Services

    Humana (Tallahassee, FL)
    … efficiency, and population health outcomes through strategic provider partnerships, data-informed decision-making, and cross-functional collaboration. The RVP ... and maintain trusted relationships with CMOs and senior executive/clinical leaders at provider and care delivery partner organizations. First and foremost, this… more
    Humana (12/31/25)
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  • CFSP Managed Care Coordinator - Clay County

    Elevance Health (Hayesville, NC)
    …applicable state law and contract . **How you will make an impact:** + Provide integrated whole-person Care Management under the CFSP Care Management ... **CFSP Managed Care Coordinator** **Sign-on Bonus: $2500** **We are currently...of members with chronic illnesses, co-morbidities, or disabilities for cost -effective and efficient service utilization. + Set short- and… more
    Elevance Health (01/08/26)
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  • Licensed Clinical Care Advisor:Prevention…

    Elevance Health (Shelby, NC)
    …goals as identified during assessment. + Supports member access to appropriate quality and cost effective care and modifies plan(s) as needed. + Coordinates with ... \#HealthyBlueCareTogetherCFSP **Clinical Care Advisor - Prevention and Preservation** **$3,500 SIGN...accordance with federal/state law, scope of practice regulations or contract , the requirements are:** + Requires MS/MA in social… more
    Elevance Health (01/07/26)
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  • Departmental Specialist 13 - Care

    State of Michigan (Lansing, MI)
    …Management section within the division to assist in quality initiatives and contract requirements related to the care management requirements and initiatives ... Departmental Specialist 13 - Care Management Specialist (Adult) Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5181594) Apply  Departmental… more
    State of Michigan (01/03/26)
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  • Wound Care Specialist (RN)

    Novant Health (Wilmington, NC)
    …Design, implement, and evaluate cast effective quality and regulatory initiatives. + Provide education to the patient/significant others, health care providers ... episodic care . Document patient understanding/ outcomes of education provided. Provide feedback on effectiveness of the patient education. Monitor outcomes of… more
    Novant Health (12/24/25)
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  • Wound Care Specialist (RN) - Wound/Ostomy…

    Novant Health (Wilmington, NC)
    …Design, implement, and evaluate cast effective quality and regulatory initiatives. + Provide education to the patient/significant others, health care providers ... episodic care . Document patient understanding/ outcomes of education provided. Provide feedback on effectiveness of the patient education. Monitor outcomes of… more
    Novant Health (12/17/25)
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  • LTSS Family Care -Service Coordinator

    Elevance Health (Viroqua, WI)
    …with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non-clinical needs of members ... law._ Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to...(BH)/LTSS needs, as required by applicable state law and contract , and federal requirements. Anthem is very excited to… more
    Elevance Health (10/23/25)
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  • Project Engineer

    Stanford Health Care (Palo Alto, CA)
    …on our community and beyond. Apply today to be part of our mission to provide exceptional patient care ! **A Brief Overview** Plans, organizes, manages and is ... construction methods, building materials, sustainability, mechanical and electrical construction, cost estimation, building codes and standards, and contract more
    Stanford Health Care (01/07/26)
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