• Care Review Clinician (RN)

    Molina Healthcare (Scottsdale, AZ)
    JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary ... with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2… more
    Molina Healthcare (01/17/26)
    - Related Jobs

  • Complex Care Manager, Social Worker

    Bluestone Physician Services (Eagan, MN)
    …of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of care, Bluestone patients experienced 21% ... to the emergency departments as to acute settings with the goal of reducing utilization and unnecessary costs + Work to increase coordination of care for a vastly… more
    Bluestone Physician Services (01/17/26)
    - Related Jobs

  • Adult Protective Investigator

    MyFlorida (Pensacola, FL)
    …to : Guardian Ad Litem or similar child advocate role Family Support Worker Group Home Worker Teacher's Assistant/Aide Daycare Provider/Worker Therapeutic Assistant ... Behavioral Health Technician Family Intervention Specialist Home Health Aide Nurse (LPN or RN) or similar profession Nursing Facility Assistant EMT Other welfare,… more
    MyFlorida (01/17/26)
    - Related Jobs

  • RN-Case Management

    Ascension Health (Indianapolis, IN)
    …payers for benefit optimization. + Advocate for effective and efficient utilization of clinical resources. **Requirements** Licensure / Certification / Registration: ... + Registered Nurse obtained prior to hire date or job transfer...promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans… more
    Ascension Health (01/17/26)
    - Related Jobs

  • RN Case Manager - Twin Cities - Home Health

    Good Samaritan (Robbinsdale, MN)
    …patients through consistent caseloads. Practice with autonomy and strong clinical support from an experienced interdisciplinary team. Enjoy work-life balance with ... outcomes based on an integration among established clinical, financial and utilization data. Functions in structured and unstructured health care settings described… more
    Good Samaritan (01/16/26)
    - Related Jobs

  • Medical Assistant

    WMCHealth (Hawthorne, NY)
    …judgment, methods, and skills under the direction of a Registered Nurse or Physician. Responsibilities: + Observes, monitors, and records physiological measurements. ... and filing of confidential documents; and basic Internet and email utilization . + Participate in performance improvement activities, staff trainings, weekly team… more
    WMCHealth (01/16/26)
    - Related Jobs

  • RN Observation

    Corewell Health (Grand Rapids, MI)
    …practice and research, quality of practice, professional practice evaluation, resource utilization and environmental health. Strives to achieve optimal outcomes. How ... in Nursing Required within 5 years . MI Registered Nurse (RN) Required . AHA or ARC Basic Life Support (BLS) Required within 90 days How Corewell Health cares… more
    Corewell Health (01/16/26)
    - Related Jobs

  • Psychologist 2 (NY Helps)

    New York State Civil Service (Claverack, NY)
    …level psychologist, licensed psychologist, licensed physician, licensed psychiatrist, psychiatric nurse practitioner, or licensed clinical social worker (Or in the ... psychological evaluations or completing functional behavior assessments; developing behavior support plans or writing psychological treatment plans; and/or providing… more
    New York State Civil Service (01/16/26)
    - Related Jobs

  • Services Growth Leader

    GE Vernova (GA)
    **Job Description Summary** The Growth Leader will support Build, Promote and Deploy the Service Growth Strategy in North America. Putting together standardized ... strategies as needed. + Track and improve the strategic utilization of resources. + Build a return of experience...access to Health Coach from GE Vernova, a 24/7 nurse -based resource; and access to the Employee Assistance Program,… more
    GE Vernova (01/16/26)
    - Related Jobs

  • Senior Discharge Plan Manager UPMC

    UPMC (Harrisburg, PA)
    …and placing a focus on an optimal discharge plan with timely utilization of hospital resources. This optimal discharge plan reviews discipline recommendations and ... medical and social factors, determine patient's capacity for self-care, identify support systems, outline barriers to discharge, and determine likeliness of… more
    UPMC (01/16/26)
    - Related Jobs