• Commonwealth Care Alliance (Boston, MA)
    …to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely clinical and service authorization ... review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring CCA meets CMS compliance standards in the… more
    DirectEmployers Association (10/02/25)
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  • Perfected Claims (Pasadena, CA)
    …cross-trained in all areas of case management: Intake Qualification, Medical Record Retrieval Coordination, Medical Record Review , Plaintiff Form ... based on the case 's status (Intake, Onboarding, Medical Record Retrieval, Medical Record Review , and Plaintiff Form Fulfillment). Responsible for inbound… more
    Upward (08/10/25)
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  • Stanford Health Care (Palo Alto, CA)
    …and ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as consultants to the ... America) **This is a Stanford Health Care job.** **A Brief Overview** Case Managers are licensed nursing professionals responsible for coordinating continuum of care… more
    DirectEmployers Association (08/21/25)
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  • ERP International (Luke AFB, AZ)
    …on health care and compliance with treatment. - Participate in professional peer review case conferences, research studies, or other organizations required at ... accurate and current notes in both the Mental Health records and patient medical records of all...and compliance with treatment. - Participate in professional peer review case conferences, research studies, or other… more
    DirectEmployers Association (10/24/25)
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  • Miriam's Kitchen (Washington, DC)
    …the effectiveness of the case manager's services. Create and maintain case records , including legal documentation, psychosocial assessments, case notes, ... Residents need to be referred through city systems. The Case Management Supervisor will lead the Case ...delivering quality services. Meet individually with clinical coordinators and case managers to plan and review cases,… more
    Upward (08/05/25)
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  • Permian Basin Community Centers for MHMR (Odessa, TX)
    Youth Mental Health Case Manager Job Number: 262 Location : Odessa Supervises : N FLSA : Non-Exempt Division : MH Salary: $20.65 per hour. Sign on bonus may be ... Settings : office, field POSITION SUMMARY/JOB PURPOSE: The Youth Mental Health Case Manager provides evidence-based services to children and their families in… more
    Upward (08/03/25)
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  • Accessia Health (Midlothian, VA)
    …information or case studies Proactively update patient-related information to patient record in the respective data platform to check ongoing status of case ... POSITION TITLE : Case Management Specialist REPORTS TO : Patient Services...on contracted program guidelines. Compile reporting data for supervisory review . QUALIFICATIONS Bachelor's degree in Social Work, Human Services,… more
    Upward (08/10/25)
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  • PharmaCord (Jeffersonville, IN)
    …Acquisition team immediately at ###@pharmacord.com When you join the team as the Case Manager / Patient Advocate (non-clinical), you'll have the opportunity to make ... is looking for thorough and efficient management of their records . You'll adjust your approach to their needs by...ensuring their prescriptions or cases are handled timely. The Case Manager / Patient Advocate (non-clinical) role may be… more
    Upward (08/09/25)
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  • National Youth Advocate Program (Roselle, IL)
    …by NYAP.?? + Complete and submit reunification packets and Release Requests for initial review to Lead Case Manager or Program designee.? + Submit completed ... Work with Us??Exciting Benefits and Opportunities at NYAP!?? The Case Manager I for La Jornada is responsible for...license, a reliable personal vehicle, and a good driving record . **OTHER SKILLS??** + A willingness to work flexible… more
    DirectEmployers Association (09/04/25)
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  • One Hope United (Olney, IL)
    …Try and other curricula as assigned. *Assists staff members for CQI Peer Record Review preparation in coordination with office administration assistants. *Manage ... CCBYS Case Manager I Under the assigned Supervisor, the...BS/BA degree Other Valid driver's license and acceptable driving record with OHU required levels of coverage for auto… more
    Upward (08/11/25)
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  • Luke Staffing (Agana Heights, GU)
    …professional clinical standards and clinical protocols. . Participate in Utilization Management/ Case Management meetings to review and identify . opportunities ... **INDEPENDENT LICENSED SOCIAL WORKER CASE MANAGER** **SITE OF SERVICE:** . US Naval...by use of computer) duties on unit and in-patient record that are timely, accurate, and concise. . Participate… more
    DirectEmployers Association (08/04/25)
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  • Prime Healthcare Hospice and Palliative Care (Mount Prospect, IL)
    …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of ... accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing experience preferred. At… more
    Upward (08/03/25)
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  • Alameda Health System (Alameda, CA)
    AHD Wound Care Center Case Manager, RN + Alameda, CA + Alameda Hospital + AHD Wound Care Center + Services As Needed / Per Diem - Day + Nursing + $61.68 $102.81 + ... **SUMMARY:** Under the supervision of the Clinical Manager,the AHD Wound Care Center Case Manager (RN) is responsible for providing comprehensive case management… more
    DirectEmployers Association (09/27/25)
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  • WesleyLife (Urbandale, IA)
    …and purpose. Come be a part of the revolution! ? **About the Role: Registered Nurse Case Manager** As a Registered Nurse Case Manager, you'll play a key role in ... residents at Wesley at Home. **As a Registered Nurse Case Manager, you will:** + You will have the...driver's license, reliable transportation, valid insurance, and clean driving record + Active RN license in state of Iowa… more
    DirectEmployers Association (08/28/25)
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  • Merck & Co. (North Wales, PA)
    …and validate as required, study designs, protocols, measurement questionnaires, case report forms, data analysis plans, and final reports/publications.Works with ... more junior members of the team.Present research plans and results to internal review and governance committees; to external experts and agencies (eg Public Health… more
    HireLifeScience (10/21/25)
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  • Rebekah Childrens Service (Gilroy, CA)
    …SUMMARY Provides individual, group, and family therapy as well as crisis and case management to clients ages 6-21 and their families. Reports to the Clinical ... including maintaining authority for the clinical aspects of the treatment, case management, and adjunctive services. Performance of the typical responsibilities and… more
    Upward (08/11/25)
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  • Citrus County Clerk of the Circuit Court and Comptroller (Inverness, FL)
    …files for upcoming proceedings. Process docket changes and scheduling updates in the case management system. Print and file fingerprint records , ensuring proper ... employment of a deputy clerk who has a criminal record is decided on a case -by- case...secure areas where CJI is handled, processed, or stored. Records are subject to CJIS Access Review more
    Upward (08/05/25)
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  • Allstate (Schenectady, NY)
    …need to reach new heights in your legal career. #LI-JA2 Skills Case Management, Client Communication, Court Filings, Documentation Review , Evidence Gathering, ... date. Key Responsibilities Manage all aspects of insurance defense litigation from case inception to verdict, including initial case assessment, discovery,… more
    Appcast IO CPA (10/30/25)
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  • Professional Risk Management, Inc. (Arlington, VA)
    …content or design and distribution of reference guides. (b) Analyze financial records obtained by the Investigating Agencies through internal and external data bases ... documenting the results, when requested. Specifically, the contractor will review bank statements; deposits; and debit transactions, including checks, letters… more
    Upward (08/12/25)
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  • Hawaiian Electric (Honolulu, HI)
    …of legal documents, pleadings, memoranda, motions and regulatory filings; preparation of rate case filings and participation in all aspects of rate case hearing, ... including commercial, contract, personal injury, and property damage claims, from case inception to judgment and appeals; advising officers, managers and employees… more
    DirectEmployers Association (09/13/25)
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