• USAA (Phoenix, AZ)
    …requirements. Details the results of a reasonable investigation within the appropriate case management system. May contact members for additional information or ... you'll do: Under direct supervision, completes reasonable investigations of moderately complex Fraud and Non-Fraud Credit Card, Debit Card and Deposit transactional… more
    JobGet (05/04/25)
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  • Manager Complex Case

    Highmark Health (Harrisburg, PA)
    … :** **JOB SUMMARY** This job will lead a team of Registered Nurse Complex Case Managers that deliver case management services to a specified panel of ... regulatory agency requirements and applicable standards of practice for case management . + Other duties as assigned...Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature… more
    Highmark Health (05/02/25)
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  • Complex Case Manager RN - (Remote)

    Highmark Health (Harrisburg, PA)
    …manage an active case load of members in his/her panel that are enrolled in case management . The incumbent conducts outreach to members enrolled in case ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job has primary...regulatory agency requirements and applicable standards of practice for case management including those published by CMSA… more
    Highmark Health (04/29/25)
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  • Clinical Social Worker Case

    Tenet Healthcare (Detroit, MI)
    Clinical Social Worker Case Management Contingent Days - 2506001069 Description : DMC Sinai-Grace Hospital is DMC’s largest hospital, offering a ... and prevent avoidable readmissions. This position integrates national standards for case management scope of services including: Transition Management more
    Tenet Healthcare (04/28/25)
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  • Director Clinical Case Management

    HCA Healthcare (Nashville, TN)
    …integrity. We care like family! Jump-start your career as a Director Clinical Case Management today with HCA Healthcare. **Benefits** HCA Healthcare, offers a ... location._** Come join our team as a Director Clinical Case Management . We care for our community!...cases. + Provides subject matter expertise and oversight in complex care management and discharge planning. +… more
    HCA Healthcare (04/27/25)
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  • Case Management Analyst III

    NANA Regional Corporation (Herndon, VA)
    …in support of the Federal Agency and reporting: Obtain data from case management systems. + Perform in-depth analysis of complex processing issues. + Prepare ... Akima Global Logistics (AGL) seeks a Case Management Analyst III located in...and trends. + Performs work under minimal supervision. Handles complex issues and problems and refers only the most… more
    NANA Regional Corporation (04/09/25)
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  • Manager, RN - In-Patient Hospital Case

    Mount Sinai Health System (New York, NY)
    **Job Description ** The Nursing Clinical Manager (NCM) for Case Management is responsible for the day to day management of the Case Managers. This ... The NCM reports to and assists the Director of Case Management in providing ongoing education to...interdisciplinary rounds on units as warranted. 2. Meets with Case Managers, as warranted, to review medically complex more
    Mount Sinai Health System (02/18/25)
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  • Case Manager- Case Management

    Arnot Health (Elmira, NY)
    Job Description MAIN FUNCTION: The Case Manager coordinates,...is BSN prepared will be a leader in the Case Management practice. The Case Manager ... procures services resources for and manages the care of complex patients to facilitate achievement of quality and cost,...the guidelines. ** 3. Identifies the appropriate patients for Case Management services. ** 4. Maintains a… more
    Arnot Health (02/06/25)
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  • Case Management Analyst II

    NANA Regional Corporation (Herndon, VA)
    …Southeastern United States capable of evaluating and improving a federal agency's case management program by analyzing data, schedules, processes, and outcomes ... program effectiveness. Data Analysis encompassing the collection, interpretation, and analyzation of case management data to identify trends, patterns, and areas… more
    NANA Regional Corporation (04/07/25)
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  • Manager Case Management (Obstetrics…

    Excellus BlueCross BlueShield (Rochester, NY)
    …Job Description : Summary: This position serves as the expert and leader for case management activities and overall coordination within the Case ... position oversees the clinical and administrative operations and implementation of Case Management activities, including systematic approaches to improve member… more
    Excellus BlueCross BlueShield (05/04/25)
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