• Certified Medical Assistant (CMA)

    Luke Staffing (Bethesda, MD)
    …+ Comply with regulatory, MTF, and Joint Commission quality inspection/ peer review / utilization management requirements, and applicable system applications. ... and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive… more
    Luke Staffing (01/09/26)
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  • Physician - Physical Medicine and Rehabilitation

    Luke Staffing (Fort Bragg, NC)
    …+ Comply with regulatory, MTF, and Joint Commission quality inspection/ peer review / utilization management requirements, and applicable system applications. ... and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive… more
    Luke Staffing (01/09/26)
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  • Behavioral Health Care Manager I

    Elevance Health (Atlanta, GA)
    …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... facility-based and outpatient professional treatment health benefits through telephonic or written review . Primary duties may include but are not limited to: + Uses… more
    Elevance Health (01/09/26)
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  • Physician - Neurology

    Luke Staffing (Fort Bragg, NC)
    …+ Comply with regulatory, MTF, and Joint Commission quality inspection/ peer review / utilization management requirements, and applicable system applications. ... and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive… more
    Luke Staffing (01/09/26)
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  • Registered Nurse- Community Care

    Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
    …RN possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation ... position responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the immediate practice setting.… more
    Veterans Affairs, Veterans Health Administration (01/06/26)
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  • Nurse Navigator

    UnityPoint Health (Waterloo, IA)
    …patient population, ensuring that adequate discharge plans are in place and completing utilization management and quality review activities. Care is provided ... Sign On Bonus: $7,500 + FTE/Hours per pay period: 0.9 + Department: Case Management + Shift: Mon-Friday, 0800-1630, some weekends and one holiday/year. + Job ID:… more
    UnityPoint Health (01/06/26)
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  • Residential SUD Counselor - 127 West 25th Street

    Bowery Residents Committee (Manhattan, NY)
    …and crisis intervention. Gather and review documentation as requested for utilization management reviews of clients on caseload including completion of ... MSW or CASAC-T License required. LMHC or LMSW preferred. Excellent time management skills. Bachelors strongly preferred. Knowledge of OASAS rules and regulations and… more
    Bowery Residents Committee (12/30/25)
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  • Behavioral Health - Care Manager II

    Elevance Health (Los Angeles, CA)
    …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... and outpatient professional treatment health benefits through telephonic or written review . **How you will make an impact:** + Uses appropriate screening… more
    Elevance Health (12/22/25)
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  • Customer Solution Center Member Navigator II-…

    LA Care Health Plan (Los Angeles, CA)
    …multi-departmental (Member Services, Product Network Operations (PNO), Claims, Utilization Management (UM), Pharmacy, Medicare Enrollment/Disenrollment, Sales ... translations for members' correspondence into the appropriate languages. As requested review documents submitted by C&L to ensure proper translation and culturally… more
    LA Care Health Plan (12/18/25)
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  • Assistant Manager, Clinical Pharmacy

    Atlantic Health System (Morristown, NJ)
    …including preparing clinical updates and data metrics. + Plans and implements drug utilization management and quality improvement plans. + Liaison with site ... with site and enterprise pharmacy teams to support formulary management and pharmacoeconomic initiatives + Providing drug information to...100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more
    Atlantic Health System (12/12/25)
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