• UnitedHealthcare (Wichita, KS)
    …intervention Complex cases will have additional oversight by masters level case manager , including review of assessments and care plans What are the reasons ... - competitive base pay, a full and comprehensive benefit program , performance rewards, and a management team who demonstrates...within the community health setting in a healthcare role 1 + years of experience working with multi-system children … more
    Upward (07/21/25)
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  • UnitedHealthcare (Grapevine, TX)
    …are fully represented and supported by the health care team Visit Medicaid members in their homes and/or other settings, including community centers, hospitals, ... together competitive base pay, a full and comprehensive benefit program , performance rewards, and a management team who demonstrates...community health setting or in a health care role 1 + years of experience in long-term care, home health,… more
    Upward (07/21/25)
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  • Contra Costa County, CA (Martinez, CA)
    …County Health Services? The Contra Costa Health Department is seeking to fill one ( 1 ) Utilization Review Manager position in Contra Costa Health Plan, located in ... business. We are seeking a strategic, experienced, and collaborative Utilization Review Manager to lead our Utilization Management Department across all lines of… more
    Upward (07/19/25)
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  • Molina Healthcare (Long Beach, CA)
    …have a current active unrestricted license in the state of KY Case Manager will work remotely supporting Medicaid Behavioral health population. Excellent ... the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. Job… more
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  • The Blossoms at Midtown Rehab and Nursing Center (Little Rock, AR)
    …Exciting Benefits! Under the direction of the Administrator, the Business Office Manager manages all business functions and personnel including but not limited to ... payable, resident trust funds and other assigned duties. The Business Office Manager ensures the financial systems are accurate, efficient, and in accordance with… more
    Upward (07/11/25)
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  • Astor Services (Bronx, NY)
    …an average caseload of 30 children who meet eligibility of NYS Children's Health Home program . The Care Manager guides program enrollees and their caretakers ... care and support to help our clients thrive. Care Manager Description: The Care Manager for this...in the community to identify children eligible for the program . *Identifies areas requiring supportive services. *Maintains a valid… more
    Upward (07/16/25)
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  • UMass Memorial Health (Worcester, MA)
    …or related program . 2. SBB and ASCP certification. Experience/Skill: Required: 1 . Five to eight years' experience in a progressive role in Transfusion Medicine ... Sunday) Scheduled Hours: 8:00 am to 4:30 pm Shift: 1 - Day Shift, 8 Hours (United States of...pertaining to business and financial operations. Serves as project manager as needed. 11. Assures that the Department of… more
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  • Enterprise Management (Baltimore, MD)
    …property access and maintenance needs, and ensuring daily operations align with program expectations. ALTERNATE TITLE(S): House Manager COMPANY: HolBrock Estates ... or inspections. Collect tenant mail daily and submit all collected items to Operations Manager 5 in accordance with program policy. Conduct and document monthly… more
    Upward (07/03/25)
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  • State of New Mexico (Albuquerque, NM)
    …Individuals served by the Health Care Authority Developmental Disabilities Supports Division Medicaid Waiver program . .: Ideal Candidate The ideal candidate has: ... and wellness. Why does the job exist? The Staff Manager /Pre-Service Manager will: Provide Pre Services to...disabilities (IDD) served by the Developmental Disabilities and Supports Medicaid Waiver. How does it get done? The Staff… more
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  • Baton Rouge General (Baton Rouge, LA)
    …Minimum 3 years of hospital utilization review experience preferred At least 1 year of supervisory experience preferred Graduate from an Accredited School of ... Participation Familiarity with reimbursement models (Commercial, Managed Care, Medicare, Medicaid ) Solid understanding of healthcare law, clinical trajectories, and… more
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  • Trinity Health (Chelsea, MI)
    …by the Patient Access Lead. Other duties as needed and assigned by the manager . Maintains a working knowledge of applicable Federal, State, and local laws and ... regulations, Trinity Health's Organizational Integrity Program , Vision, Mission, Core Values, Standards of Conduct, as well as other policies and procedures to… more
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  • Cole Health (Schertz, TX)
    …and follow HIPAA guidelines. Other Responsibilities That May Be Assigned 1 . Advertising Attendance Reward Program . 2. Rescheduling client appointments ... daily schedules. The receptionist reports to the executive office manager . The Interpreter/Translator position requires exceptional reading and comprehension skills,… more
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  • IMA Medical Group (Lakeland, FL)
    …ordinances. IMA Medical Group participates in E-Verify, as required by the Florida Medicaid program . IMA Medical Group maintains a drug-free workplace in ... are excited to announce an opening for a Care Manager at our South Lakeland office! In this role,...for potential enrollment of members to the Disease Management program . Applies critical thinking skills and problem-solving techniques to… more
    Upward (06/21/25)
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  • CareStar, Inc. (Mount Vernon, OH)
    Case Manager - Knox & Surrounding Counties Company: CareStar, Inc. Location: Knox County, OH (and surrounding areas) Job Type: Full-Time | Remote with Field Visits ... about helping others live healthier, more independent lives. As a Case Manager , you'll work directly with individuals to assess their needs, develop personalized… more
    Upward (07/07/25)
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  • Advocate Aurora Health (Charlotte, NC)
    …patients to enhance and personalize management of health-related needs. The Care Manager assesses needs, plans, coordinates, and evaluates services of patients with ... most appropriate care setting. Care Managers focus on five primary areas: 1 ) population management, 2) patient self-management support, 3) transitions in care, 4)… more
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  • MASS (Boston, MA)
    MassHealth, the Massachusetts Medicaid agency, is seeking an A ssociate Finance Manager to join the Finance team. Managing $19B in state and federal funds ... decision-making, and strategic planning. Working cross-functionally with finance and program staff, the manager will facilitate collaborative problem-solving… more
    Upward (07/20/25)
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  • Abby Care (Boston, MA)
    …Case management/supervisor experience and pediatric/adult care experience preferred. Knowledge of Medicaid paid family caregiving program and HHA scope of ... Nurse to join our team as a RN Case Manager . This role will report into the Director...Metropolitan Area, specifically in Quincy, MA. The RN Case Manager at Abby Care is responsible for overseeing the… more
    Upward (07/18/25)
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  • Health eCareers (Orange, CA)
    …is eligible for telework in California.** Duties & Responsibilities: 95% ‐ Program Support Participates in a mission‐driven culture of high‐quality performance, with ... services. Identifies cases needing case management or escalation to a supervisor, manager , or director and routes according to established guidelines. Provides input… more
    Talent (07/17/25)
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  • Molina Healthcare (Long Beach, CA)
    …LVN or Licensed Behavioral Health professional in Texas to join Molina as a Case Manager working with our Medicaid members in the service delivery area of San ... an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or master's degree in a social science, psychology,… more
    Upward (07/11/25)
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  • View Point Health (Covington, GA)
    Description View Point Health Job Title: Program Manager (Community Service) Job Code: SSP031/Social Services Program Coord 2 Shift: Full-Time (40 hours per ... experience; or two (2) years of experience at the lower-level Social Services Program Coord 1 (SSP030) or position equivalent. Note: Some positions require… more
    Upward (07/20/25)
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