• Transplant Care Nurse (Remote)

    Highmark Health (Annapolis, MD)
    …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans to… more
    Highmark Health (01/10/26)
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  • CAR-T Cell Therapy Experience Lead-Central

    IQVIA (Indianapolis, IN)
    …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... of this account management team, reporting to the Senior Manager , CAR-T Cell Therapy Experience Lead. The role will...to access CARVYKTI. You will facilitate successful CARVYKTI(R) product utilization of the sites by advising them on order… more
    IQVIA (01/07/26)
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  • Patient Placement Coord Team L- Patient Placement…

    UTMB Health (Galveston, TX)
    …Health Requisition # 2506825 The Patient Placement Coordinator Team Leader (non- RN ) functions independently in an advanced placement role, providing consistent ... direction during their shift to optimize patient throughput and maximize bed utilization . This position serves as a resource for departmental processes, offering… more
    UTMB Health (12/04/25)
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  • Director of Nursing - Telemetry

    HCA Healthcare (San Antonio, TX)
    …in Nursing or related field; + 1-year management experience as a charge RN , clinical care manager /supervisor, or manager . **Minimum License, Certificates, ... patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill...of Science in Nursing + Three years of recent RN acute care experience + Employee completes initial and… more
    HCA Healthcare (01/18/26)
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  • Director of Specialty Surgical Services PCU

    HCA Healthcare (San Antonio, TX)
    …in Nursing or related field; + 1-year management experience as a charge RN , clinical care manager /supervisor, or manager . **Minimum License, Certificates, ... patient care area, and for the acquisition, development, and utilization of resources (human and material) needed to fulfill...of Science in Nursing + Three years of recent RN acute care experience + Employee completes initial and… more
    HCA Healthcare (01/10/26)
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  • Mgr Quality Care Mgmt

    Covenant Health Inc. (Knoxville, TN)
    Overview Manager , Quality & Care Management Full Time, 80 Hours per pay period, Day shift Fort Sanders Regional Overview: Fort Sanders Regional Medical Centeris a ... in quality improvement principles, regulatory, and Care Management standards. The manager is responsible for budget management, staffing, hiring, discipline, and… more
    Covenant Health Inc. (01/16/26)
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  • Nurse Reviewer I

    Elevance Health (Costa Mesa, CA)
    The ** Nurse Reviewer** is responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by ... ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or… more
    Elevance Health (01/17/26)
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  • Care Coord

    UnityPoint Health (Des Moines, IA)
    …continuity through elimination of fragmentation of care/service and facilitates the effective utilization of resources. Serves as educator and a central source of ... case management plan to include: clinical needs, barriers to quality care, effective utilization of resources and pursues denials of payment and referrals in a… more
    UnityPoint Health (01/16/26)
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  • Healthcare Management Services (HCMS) Director…

    Elevance Health (Tampa, FL)
    …complexity. **How you will make an impact:** + Oversees case and utilization management execution/decision making for managed member populations. + Is accountable to ... Healthcare Management Program including disease management, case management, and utilization management. + Partners with Provider Relations, Quality Management,… more
    Elevance Health (01/09/26)
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  • Regional Payer Account Director - Mid Atlantic

    Organon & Co. (Dover, DE)
    …as well as other extended account team members to maximize appropriate utilization of Organon products. Integrates Senior Leadership into the overall business ... regional level, as required. Leads Organon 's efforts to maximize appropriate utilization of its portfolio while bringing resources and solutions to customers that… more
    Organon & Co. (11/25/25)
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