• Clinical Case Manager

    Open Systems Healthcare (Washington, DC)
    Clinical Case Manager - Open Systems Healthcare At Open Systems Healthcare, our mission is to provide exceptional care to those who need it the most. As a ... assessments, and performance check-ins. + Develop and implement policies for case assignments and quality care management. + Coordinate client cases, maintain… more
    Open Systems Healthcare (12/11/24)
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  • Licensed Clinical Social Worker (LCSW)…

    VHC Health (Arlington, VA)
    Licensed Clinical Social Worker (LCSW) Case Manager Licensed Clinical Social Worker (LCSW) required Job Description Purpose & Scope: The Case ... and available resources to promote quality cost-effective outcomes. Additionally, the Case Manager ensures that identified and referred patients have… more
    VHC Health (10/17/24)
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  • Behavioral Health Case Manager ll…

    Elevance Health (Clinton, MD)
    Behavioral Health Case Manager ll - Clinical License (JR132209) **Location:** This position requires work in our Washington, DC, 609 H Street NE office up to ... DC office. **Washington, DC residents preferred.** The **Behavioral Health Case Manager ll** is responsible for performing...substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Drug and Alcohol… more
    Elevance Health (11/09/24)
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  • FML Claims Case Manager II

    Guardian Life (Washington, DC)
    …to be the best at what they do. **Position Objective** : The FML Claims Case Manager II is responsible for proactively managing Leave of Absence programs and ... Nurse and Disability Case Managers, Risk Management. The FML Claims Case Manager II recognizes the importance of compliance and regulatory adherence,… more
    Guardian Life (12/06/24)
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  • Complex Case Manager RN Pediatric…

    Highmark Health (Washington, DC)
    …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified panel… more
    Highmark Health (10/25/24)
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  • Case Manager RN- Field

    CVS Health (Alexandria, VA)
    …McLean, Vienna, Falls Church, Springfield.** **Monday-Friday Standard Business Hours.** Nurse Case Manager is responsible for telephonically and/or face to ... face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical...policies and programs are comprised of network management and clinical coverage policies. Through the use of clinical more
    CVS Health (12/13/24)
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  • Case Manager / PRN ( RN / RT / SW…

    Select Medical (Alexandria, VA)
    **Overview** **Critical Illness Recovery Hospital** ** Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...they do. Minimum requirements: + **Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or… more
    Select Medical (11/20/24)
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  • RN Case Manager LTSS

    Molina Healthcare (Alexandria, VA)
    …Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population ... with. Case Manager will be required to physically...informal ICT collaboration. + Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during… more
    Molina Healthcare (12/20/24)
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  • Case Manager ( RN / RT / SW / LPN )

    Select Medical (Alexandria, VA)
    **Overview** **Critical Illness Recovery Hospital** ** Case Manager ** _Requires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or ... and doing well by doing what is right. The Case Manager is responsible for utilization reviews...they do. Minimum requirements: + **Current licensure in a clinical discipline either as a Nurse or a Respiratory… more
    Select Medical (11/20/24)
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  • Social Work Case Manager -Licensed…

    Elevance Health (Washington, DC)
    Social Work Case Manager (licensed clinician) JR130923 **Location** : Must reside within 50 miles (and 1 hour commute) of our Washington DC office, located at ... days in our local DC office. The **Social Work Case Manager ** is responsible for ensuring effective...Manages behavioral and psychosocial needs that result in improved clinical and financial outcomes and delivers social work interventions.… more
    Elevance Health (12/17/24)
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  • Telephonic Case Manager

    Sedgwick (Washington, DC)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in… more
    Sedgwick (12/10/24)
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  • Sr Coordinator, Individualized Care ( Case

    Cardinal Health (Washington, DC)
    …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... **_What Clinical Operations and Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties… more
    Cardinal Health (12/25/24)
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  • Associate Director, Postmarketing PV Case

    United Therapeutics (Washington, DC)
    …successfully gained FDA approval for five medicines, we are always conducting new clinical trials, and we are working to create an unlimited supply of manufactured ... orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management...Act as the main point of contact and functional manager for day-to-day questions or issue escalation regarding PM… more
    United Therapeutics (12/14/24)
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  • Clinical Manager / RN - Home Health

    BrightSpring Health Services (Upper Marlboro, MD)
    Our Company Revival Home Care Agency Overview The Clinical Manager is responsible for the quality of care provided for patients in their area of responsibility. ... met and drives efficiency in care delivery processes. The Clinical Manager is accountable for overseeing the...related to patient care and the organization + Holds case conferences to ensure oversight of care, coordination of… more
    BrightSpring Health Services (11/15/24)
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  • Clinical Care Manager , Behavioral…

    Evolent (Washington, DC)
    …health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the patients and their ... enjoy working in a collaborative, team-oriented system. + CCMC (Commission for Case Manager Certification) + Knowledge and experience teaching self-management. +… more
    Evolent (11/05/24)
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  • Clinical Coordinator

    Open Systems Healthcare (Washington, DC)
    …under the direction of the Director of Nursing, Administrator. This role provides clinical administrative support associated with case management, clinical ... Position Overview: The License Practical Nurse (LPN) Clinical Coordinator is responsible for supporting Open Systems...Job Functions: + Coordinate client care by assisting with case orientation, care insight review, and care coordination efforts.… more
    Open Systems Healthcare (12/11/24)
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  • Senior Aortic Clinical Specialist…

    Medtronic (Washington, DC)
    …support for endovascular products and procedures to a wide range of clinical base including physicians, nurses, radiology technicians and operating room personnel. ... as part of your application** To find all Aortic Clinical Specialist positions please use #aorticcs in the key...Required to complete Peripheral training as well as support case coverage and sales support + Educate and provide… more
    Medtronic (12/07/24)
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  • Clinical Ops Associate Medical…

    Elevance Health (Washington, DC)
    …make an impact:** + Determines the medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization ... ** Clinical Ops Associate Medical Director - Ortho** **Location:**...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (12/17/24)
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  • Senior Manager , PV Operations

    Takeda Pharmaceuticals (Washington, DC)
    …Liaiseswithfinancial/projectmanagementforbudgetplanning + Approveactualinvoicesandconfirmaccuracyofspendandbills + Coordinate clinical and project management case ... of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature… more
    Takeda Pharmaceuticals (12/11/24)
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  • Care Manager - Remote

    Sharecare (Washington, DC)
    …+ Training in motivational interviewing preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
    Sharecare (12/04/24)
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