• HC and Insurance Operations Analyst

    NTT DATA North America (Lincoln, NE)
    …team in Lincoln, Nebraska (US-NE), United States (US). **Position: Medical Claims Case Manager : Remote within the Continental United States** **Pay:** ... or legally required benefits.** **Role Overview:** We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our insurance… more
    NTT DATA North America (09/17/25)
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  • Case Manager , Registered Nurse…

    CVS Health (Tallahassee, FL)
    …and expand to change lives in new markets across the country. Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care ... skills. + Effective communications, organizational, and interpersonal skills. + Certified Case Manager is preferred. + Additional national professional… more
    CVS Health (09/24/25)
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  • RN Case Manager - Health Services…

    Sharp HealthCare (San Diego, CA)
    …a care plan for the delivery of acute or community based services. The case manager will coordinate all care, negotiate service arrangements as directed by ... This position is responsible for performing effective acute and ambulatory case management, utilization management and claims review activities, to ensure… more
    Sharp HealthCare (09/21/25)
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  • Manager Integrated Case Mgmt-SCMG…

    Sharp HealthCare (San Diego, CA)
    …Professional in Healthcare Quality (CPHQ) - National Association for Healthcare Quality; Certified Case Manager (CCM) - Commission for Case Manager ... Will Do** Under the direction of the Sharp Community Medical Group (SCMG) Director for Health Service and in...- National Association for Healthcare Quality -PREFERRED + Certified Case Manager (CCM) - Commission for … more
    Sharp HealthCare (08/29/25)
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  • Case Manager - Rare Disease…

    Amgen (Portland, OR)
    …will** **do** Let's do this. Let's change the world. In this vital role the Case Manager will experience day to day oversight and awareness of patient customer ... Regional Business Managers (RBMs), Patient Access Liaison (PAL) and Medical Science Liaison's (MSLs) to ensure current and accurate...pharmaceutical industry + 2+ years prior experience as a Case Manager + Excellent communication skills and… more
    Amgen (09/26/25)
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  • Case Manager , Registered Nurse…

    CVS Health (Topeka, KS)
    …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS… more
    CVS Health (09/02/25)
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  • Bilingual PRS Intensive Case Manager

    National Youth Advocate Program (Louisville, KY)
    …the Office of Refugee Resettlement (ORR), NYAP's **Post Release Services (PRS) Intensive Case Manager Level 3** provides post release services focused on ... This position is remote but requires in home visits across region...and intensive case management. The PRS Intensive Case Manager Level 3 will additionally connect… more
    National Youth Advocate Program (09/13/25)
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  • Case Manager Registered Nurse…

    CVS Health (Springfield, IL)
    …license in good standing in the State of Illinois is required. + Certified Case Manager is preferred. **Anticipated Weekly Hours** 40 **Time Type** Full time ... network management, clinical coverage, and policies. **Position** **Summary/Mission** Our Case Managers use a collaborative process of assessment, planning,… more
    CVS Health (09/27/25)
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  • Bilingual PRS Level 2 Case Manager

    National Youth Advocate Program (Los Angeles, CA)
    …grant from the Office of Refugee Resettlement (ORR), the **Post Release Services (PRS) Case Manager Level 2** provides Level 2 post release services including ... This position is remote but requires applicants to reside in Los...Competitive salaries and full benefits package including a 401(k), Medical , Dental, and Vision. + Pet insurance that provides… more
    National Youth Advocate Program (09/28/25)
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  • Oncology Prior Authorization Case

    University of Miami (Miami, FL)
    …Operations has an exciting opportunity for a full time Utilization Review Case Manager to work to work remote . The incumbent conducts initial, concurrent and ... retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the healthcare team for optimal and… more
    University of Miami (09/25/25)
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