• Pre-Service Coordinator

    Humana (Miramar, FL)
    …referral source and provider interactions and communications. Work with Pre-Authorization, Utilization Management , Billing, Pharmacy, Home Care and DME regarding ... The Pre-Service Coordinator is responsible for all aspects of referral management and accurately process incoming requests for homecare, DME/supplies and… more
    Humana (12/24/25)
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  • Patient Navigator RN

    Baylor Scott & White Health (Temple, TX)
    …FACTORS** Strong leadership, decision making and delegation skills. Knowledge of care management , resource and utilization management . Skilled in care ... management and patient assessments. Excellent verbal and written communication skills required. Must be able to interact comfortably with physicians, nurses, clinical staff, patients, families and community agency representatives. Ability to monitor,… more
    Baylor Scott & White Health (12/23/25)
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  • Director of Care Coordination

    Diversicare Healthcare Services & Diversicare Ther (Hoover, AL)
    …current license in respective field. 2. Knowledge of healthcare reimbursement, utilization management , and discharge planning. 3. Experience providing strategic ... in and facilitate Engage/72 HR Admission meetings as part of the care management system. + Manage the restorative nursing program, integrating it with the activity… more
    Diversicare Healthcare Services & Diversicare Ther (12/23/25)
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  • Mental Health Assistant 2 (40 Hour)

    State of Connecticut, Department of Administrative Services (Bridgeport, CT)
    …Connecticut. Admissions to the psychiatric units are coordinated through a statewide Utilization Management process coordinated by the Office of the ... for independently performing the full range of paraprofessional functions in case management and crisis intervention services. EXAMPLES OF DUTIES + Participates in… more
    State of Connecticut, Department of Administrative Services (12/20/25)
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  • Social Worker (Patient Aligned Care Team-PACT)

    Veterans Affairs, Veterans Health Administration (San Antonio, TX)
    …similar role or with population served -Clinical supervision certification -Quality or utilization management experience -Former VA Trainee -Licensed to practice ... care coordination, direct clinical services, and chronic disease case management . Responsibilities VA Careers - Social Work: https://youtube.com/embed/enRhz\_ua\_UU Total… more
    Veterans Affairs, Veterans Health Administration (12/19/25)
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  • Personal Care Connector

    AmeriHealth Caritas (Philadelphia, PA)
    …the PCC supports daily functions of the Personal Service Program, Integrated Care Management , and Utilization Management initiatives. This role involves ... it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
    AmeriHealth Caritas (12/19/25)
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  • Senior Social Worker (Primary Care Mental Health…

    Veterans Affairs, Veterans Health Administration (San Antonio, TX)
    …similar role or with population served. Clinical supervision certification. Quality or utilization management experience. Former VA Trainee Reference: For more ... Independently identifies high-risk patients and provides clinical or case management services as warranted. Follows STVHCS standard operating procedures for… more
    Veterans Affairs, Veterans Health Administration (12/18/25)
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  • RN Clinical Associate

    BAYADA Home Health Care (Morristown, NJ)
    …+ Management and mentoring of Clinical Associates and field staff + Utilization Management + Developing and mentoring staff to become strong case managers ... Associate include: + A current New Jersey RN license. + Strong management and leadership experience. + Medicare Certified Home Care experience preferred, but… more
    BAYADA Home Health Care (12/18/25)
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  • Clinical Social Worker

    BJC HealthCare (St. Louis, MO)
    …of Patient Care Services. The CM Service is comprised of three departments: Case Management , Utilization Management , and Social Work. Through the Triad Model ... the Emergency Department, Outpatient Clinics, Registration sites, and Health Information Management . The Service employs registered nurses, social workers, a license… more
    BJC HealthCare (12/17/25)
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  • Director, Finance and Accounting Outsourcing (NFP…

    Cherry Bekaert (Chicago, IL)
    …to include facilitation of training, periodic meetings and other oversight. + Utilization management of staff. Service Excellence: + Promote innovative solutions ... the growth of the practice. Key Responsibilities: Client Engagement Management : + Lead and manage client engagements, both monthly...and a strategic mindset. + Proficiency in using financial management software and tools. + Ability to adapt to… more
    Cherry Bekaert (12/17/25)
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