• LTSS Service Coordinator-LPN Case Manager…

    Elevance Health (Pinellas Park, FL)
    …within the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, ... Coordinator - Clinician** works under the direction/supervision of an RN , with overall responsibility for the member's case, as...evaluation, coordination and management of member's needs, including physical health, behavioral health,… more
    Elevance Health (09/09/25)
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  • Nurse Case Manager - Part Time, Days

    Nuvance Health (Poughkeepsie, NY)
    …preferred. Must have current RN license. Preferred experience in Utilization Review/ Management .Company: Vassar Brothers Medical Center Org Unit: 1190 ... case from physiological and economic perspectives. Has overall accountability for the utilization management and transition management for patients within… more
    Nuvance Health (07/19/25)
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  • Behavioral Health Case Manager, Hybrid

    BlueCross BlueShield of Tennessee (Murfreesboro, TN)
    …be within 25 miles of Murfreesboro, Tennessee\.** **Job Responsibilities** + Supporting utilization management functions for more complex and non\-routine cases ... linkage, patient education, and reducing readmissions\. This hybrid position involves telephonic outreach and weekly visits to local Acute Inpatient Psychiatric… more
    BlueCross BlueShield of Tennessee (08/19/25)
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  • Palliative LICSW

    Commonwealth Care Alliance (Boston, MA)
    …Intensive Care (CIC) programing is responsible for providing care delivery and care management to a specific panel of high risk and complex people. This panel ... significant medical, behavioral, and social complexities that require intensive care management and care delivery. Supervision Exercised: * No, this position does… more
    Commonwealth Care Alliance (06/25/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Los Angeles, CA)
    …IT platforms. + Outstanding organizational skills. + Prior experience in case management and utilization management , particularly with complex psychiatric ... disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. **Location:** Virtual: This role enables… more
    Elevance Health (09/05/25)
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  • Community Health Worker

    Commonwealth Care Alliance (Boston, MA)
    …Community Health Workers (CHWs) are key supports to interdisciplinary care management teams and complement and support enrollees' needs, goals, and preferences. ... skills to improve CCA enrollee outcomes by impacting care access and utilization , closing care quality gaps, and optimizing member connection to medical, behavioral… more
    Commonwealth Care Alliance (08/27/25)
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  • Manager, CIC Advanced Practice Clinician - NP…

    Commonwealth Care Alliance (Boston, MA)
    …Intensive Care (CIC) programing is responsible for providing care delivery and care management to a specific panel of high risk and complex people. This panel ... with significant medical, behavioral, and social complexities that require intensive care management and care delivery. Within the CIC Program, the Manager, Clinical… more
    Commonwealth Care Alliance (08/19/25)
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  • Senior Care Manager Transition of Care

    Centene Corporation (Chicago, IL)
    …Clinical Social Worker (LCSW) in the state of Illinois** + **Experience in case management and/or utilization management ** + **Background in an inpatient ... pre-admission and post-discharge medication reconciliation. Works with the care management and coordination teams to identify complex care transition support… more
    Centene Corporation (08/21/25)
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  • Senior Care Manager Transition of Care

    Centene Corporation (Springfield, IL)
    …(LCSW, LCPC, LMSW, etc.) in the state of Illinois** + **Experience in case management and/or utilization management ** + **Background in an inpatient hospital ... pre-admission and post-discharge medication reconciliation. Works with the care management and coordination teams to identify complex care transition support… more
    Centene Corporation (07/24/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Independence, OH)
    …states or territory of the United States required. + Previous experience in case management / utilization management with a broad range of experience with ... offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty programs… more
    Elevance Health (09/06/25)
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