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Case Management / Permanent Jobs
Car Injury Claims Advocate
A company is looking for a Car Injury Claims Advocate. Key Responsibilities Investigate and process injury claims in accordance with company policies and laws Gather and evaluate police reports, medical records, and witness statements Communicate claim status and outcomes to relevant parties
California Licensed Utilization Review Clinician
A company is looking for a Utilization Review Clinician - ABA. Key Responsibilities Evaluates member's care and health status related to Applied Behavioral Analysis (ABA) services Performs prior authorization reviews to determine medical appropriateness in accordance with ABA guidelines Analyzes
Utilization Review Analyst
A company is looking for a Utilization Company Analyst (Remote). Key Responsibilities Screen incoming requests and analyze for completeness and correctness Prepare case information and materials for submission to nursing staff for utilization Company Serve as a liaison with clients and internal
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Montana Licensed Case Manager
A company is looking for a Case Manager to support the Montana Employment and Training Project in Eastern MT. Key Responsibilities Promote working relationships with customers and monitor their engagement and progress Assist customers in acquiring services that facilitate program goals, including
Licensed Behavioral Health Clinician
A company is looking for a Utilization Review Clinician - Behavioral Health. Key Responsibilities Evaluates treatment for mental health and substance abuse to ensure appropriateness of care Performs prior authorization and concurrent reviews related to behavioral health services Analyzes member
New York Licensed Care Manager
A company is looking for a Care Manager Transition of Care. Key Responsibilities Evaluate member needs through post-discharge assessments and medication reconciliation Develop care/service plans and collaborate with healthcare teams to support member transitions Facilitate education and
Washington State Licensed Care Manager
A company is looking for a Care Manager Transition of Care. Key Responsibilities Evaluate member needs through post-discharge assessments and medication reconciliation Develop care/service plans in collaboration with healthcare teams to support member transitions Facilitate communication and
Washington State Licensed Utilization Review Clinician
A company is looking for a Utilization Review Clinician - BH. Key Responsibilities Evaluates member's treatment for mental health and substance abuse to ensure medical appropriateness Performs prior authorization and concurrent reviews related to mental health and substance abuse Analyzes
California Dental Case Manager
A company is looking for a Dental Case Manager in California. Key Responsibilities Receive, manage, and resolve referrals for Medi-Cal members' case management services Conduct assessments to develop and adjust comprehensive care plans for Medi-Cal members Collaborate with a multi-disciplinary
Ohio Licensed Nurse Case Manager
A company is looking for a Nurse Case Manager to support patients in pediatrics, NICU, and OB-GYN settings. Key Responsibilities Independently manage complex health care cases and assess patient needs through various communication methods Facilitate and implement interventions based on care
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