• Disease Management Nurse - Remote

    Sharecare (Providence, RI)
    …change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals...and to take the pre and post tests to review competency during orientation. Yearly competency tests are required… more
    Sharecare (09/13/25)
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  • Clinical Appeals Coordinator

    Centene Corporation (Salem, OR)
    …**Remote position.** **Pacific Standard Time is strongly preferred RN or LPN with utilization review , case management , and appeals experience in a ... clinical nursing or case management experience. Managed care or utilization review experience preferred. **License/Certification:** LPN, LVN, or RN license.… more
    Centene Corporation (10/11/25)
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  • RN Case Manager

    HCA Healthcare (Tallahassee, FL)
    …is acceptable for position if current and compliant** + **Certification in Case Management , Nursing, or Utilization Review , preferred** + **Three years ... and assess observation patients for appropriateness in observation status + Performs utilization management reviews and communicates information to third party… more
    HCA Healthcare (08/10/25)
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  • Case Management Registered Nurse

    HCA Healthcare (Highlands, NC)
    …Case Management Registered Nurse opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. **Unlock ... in their positions. Join our Team as a(an) Case Management Registered Nurse and access programs to assist with...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (09/19/25)
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  • Healthcare Information & Management Systems…

    Spokane County (Spokane, WA)
    …Writes and generates reports for review by CSD leadership for effective management of utilization and performance measurements and goals. + Documents the ... Healthcare Information & Management Systems Data Analyst (OPEN & PROMOTIONAL) Print...BI tool. 04 Describe your experience working within the behavioral health system within WA State. Provide specifics on… more
    Spokane County (08/26/25)
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  • Psychologist 1/2 - Long Island EOA#: 2025-364

    New York State Civil Service (NY)
    …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... of target behaviors, to provide treatment for target behaviors* Review and analyze behavior data* Provide individual counseling and...was a substantial diminution of the emotional, social, or behavioral condition of an individual who was a witness… more
    New York State Civil Service (10/01/25)
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  • Licensed Clinical Social Worker

    CenterWell (Tallahassee, FL)
    …short-term interventions, and connection to community-based resources. This role brings behavioral health expertise and addresses social determinants of health to ... and outcomes. This role requires a deep understanding of how socio-economic, behavioral , and environmental factors impact a patient's ability to engage in healthcare… more
    CenterWell (10/11/25)
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  • Psychiatric Tech - Extended Day Child

    Hartford HealthCare (Torrington, CT)
    …clinicians by taking attendance, documenting the group activity, assisting with behavioral management and utilizing treatment plan interventions for patients ... program participants through redirection, modeling, verbal and non-verbal reinforcements 4. Utilization of behavioral medication point based level systems.… more
    Hartford HealthCare (08/25/25)
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  • Operations Management Area Director

    Sevita (Somerset, KY)
    …elders with complex medical or rehabilitative needs, attendant care and case management . This allows seniors to obtain quality healthcare while remaining active and ... person we serve. **Remote must live in the state of Kentucky** **Operations Management Area Director** Everybody needs a job but only extraordinary people work here.… more
    Sevita (10/04/25)
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  • Medical Management Clinician

    Elevance Health (Independence, OH)
    …or equivalent. Requires a minimum of 4 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN ... _‐_ _centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs._ **Medical… more
    Elevance Health (09/10/25)
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