• Managed Care Coordinator

    US Tech Solutions (Columbia, SC)
    …A typical day would like in this role: Employee will be providing telephonic case management and utilization management for our members. The expectation is ... **Job Description:** + Must be an RN in SC and have an active and...+ Strong communication skills required to provide telephonic case management to patients and to coordinate with team, providers,… more
    US Tech Solutions (10/11/25)
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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. ... coaching skills to improve CCA enrollee outcomes by impacting care access and utilization , closing care quality gaps, and optimizing member connection to medical, … more
    Commonwealth Care Alliance (08/27/25)
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  • Medical Assistant I - Gynecology (Peabody)

    Beth Israel Lahey Health (Peabody, MA)
    …to the age of the patient Cares for patients as delegated by the provider, RN or LPN within scope of practice and competence. Contributes information provided by the ... registry health data for identified patient populations Monitors patient progress by utilization of disease specific registries to proactively reach out to patients… more
    Beth Israel Lahey Health (10/10/25)
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  • VP, Healthcare Services (Work Location: Kentucky)

    Molina Healthcare (Bowling Green, KY)
    … Registered Nursing ( RN ) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), ... the state health plan's Healthcare Services (clinical operations) teams including Utilization Management (prior-authorization, inpatient review) and Care … more
    Molina Healthcare (10/18/25)
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  • Nursing Supervisor

    Monte Nido (Dedham, MA)
    … experience, and 2 years of Supervisor experience in a general inpatient or behavioral health care setting preferred. + Massachusetts RN license. CPR Certified + ... the opportunity for people to realize their healthy selves. **Nursing Supervisor** **Walden Behavioral Care** **Dedham, MA** Walden Behavioral Care is one of the… more
    Monte Nido (08/16/25)
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  • Behavior Health Care Manager II

    Elevance Health (Atlanta, GA)
    …and experience which would provide an equivalent background. Previous experience in case management / utilization management with a broad range of experience ... member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance...unrestricted license in the state of Georgia such as RN LCSW LPC (as allowed by applicable state laws)… more
    Elevance Health (10/02/25)
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  • Director of Quality

    HCA Healthcare (Largo, FL)
    …of experience in a healthcare environment + Previous experience in accreditation, quality, utilization management , or risk management required. + Knowledge ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...and Qualifications** We are seeking a Director of Quality Management . As our Director, you will provide direction to… more
    HCA Healthcare (10/17/25)
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  • Director of Quality

    HCA Healthcare (Brooksville, FL)
    …of experience in a healthcare environment + Previous experience in accreditation, quality, utilization management , or risk management required. + Knowledge ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...and Qualifications** We are seeking a Director of Quality Management . As our Director, you will provide direction to… more
    HCA Healthcare (10/12/25)
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  • Nurse Practitioner PA / Physician Assistant…

    Horizon Services, Inc. (Albuquerque, NM)
    …after 6 months, and $500 after 12 months of employment) JOB TITLE: Nurse Practitioner / Physician Assistant LOCATION: Gateway Medical Sobering - Albuquerque, New ... youth prevention, youth and adult outpatient, sobering programs, withdrawal management , and co-occurring capable residential programs to support the well-being… more
    Horizon Services, Inc. (08/13/25)
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  • Director of Nursing Oncology

    HCA Healthcare (San Antonio, TX)
    …**Preferred** : + Master's Degree in Nursing or related field; + 1-year management experience as a charge RN , clinical care manager/supervisor, or manager. ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...a day, with full accountability, for the staffing and management of patient care in each of his/her units,… more
    HCA Healthcare (09/19/25)
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