Clinical Case Manager

Job Summary:Acadia Healthcare is seeking a skilled Clinical Case Manager to join our team. As a key member of our behavioral health team, you will be responsible for managing client cases with a solid background of clinical knowledge and expertise.Key Responsibilities:Provide case management and care coordination services for clients in the...

Are you looking for a challenging role in disaster recovery and grant management? Tetra Tech is seeking a skilled Case Manager to join our team in Caguas, Puerto Rico. As a Case Manager, you will provide technical guidance and management services during the implementation of case management services. This is an in-office position in our Caguas office.Key...

Job Summary:We are seeking a skilled Case Manager to join our team at WestCare. As a Case Manager, you will play a critical role in ensuring that clients receive the individualized care and support they need to achieve their goals.Key Responsibilities:Develop and implement comprehensive case management plans that address the unique needs of each...

Job Summary:The Clinical Operations Lead LPN is responsible for overseeing the clinical staff and ensuring efficient and optimal patient care delivery in the practice. This role requires strong leadership skills and the ability to maintain high standards of clinical practice and infection control.Key Responsibilities:Maintain high standards of clinical...

Job SummaryWestCare seeks a skilled and compassionate Case Manager to join our team. In this critical role, you will work closely with clients to develop personalized case management plans, ensuring they receive the necessary support to overcome substance use and mental health challenges.Key ResponsibilitiesMaintain a comprehensive understanding of the...

OverviewHarmonyCares is a leading provider of home-based primary care services. Our mission is to deliver high-quality, coordinated healthcare to patients in the comfort of their own homes. We are a family of companies dedicated to providing personalized care to those who need it most.ResponsibilitiesThe RN Case Manager will provide skilled nursing services...

Job Title: Case ManagerTetra Tech seeks an experienced Case Manager to join our team in Caguas, Puerto Rico. As a Case Manager, you will provide technical guidance, strategic direction, and management services during the implementation of case management services. This is an in-office position in our Caguas office.

Company OverviewOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.Job DescriptionThe Clinical Investigation Healthcare Specialist will be responsible for reducing medical costs by identifying waste and error in provider billing practices. This role involves determining the accuracy of bills...

Careers that Change LivesAt Medtronic, we're committed to bringing innovative medical technologies to patients around the world. As a Clinical Specialist, you'll play a critical role in delivering exceptional customer service and support to our customers.In this position, you'll work closely with our sales and customer service teams to provide technical,...

About the RoleAt APS Health Care PR, we are seeking a skilled Clinical Health Manager to join our team. This is a critical role that requires strong clinical knowledge and excellent communication skills.Key ResponsibilitiesUtilization Review: Conduct thorough reviews of patient care plans to ensure they align with medical necessity and meet company...

OverviewUnitedHealth Group, a global leader in healthcare, empowers individuals to live healthier lives by connecting people with care, pharmacy benefits, data, and resources. As a Clinical Investigation Analyst RN, you will play a vital role in improving health outcomes by analyzing medical records and identifying opportunities for cost savings.This...

Careers that Change LivesAt Medtronic, we're committed to bringing innovative solutions to the healthcare industry. As a Clinical Specialist, you'll play a vital role in providing technical support to our customers, ensuring they receive the best possible outcomes and service.A Day in the LifeResponsibilities may include:Conducting on-site education and...

About the Role:We are seeking a highly skilled Clinical Reviewer and Coding Specialist to join our team at UnitedHealth Group. This is an exciting opportunity to work with a global organization that delivers care, aided by technology to help millions of people live healthier lives.Job Summary:The successful candidate will be responsible for conducting...

Care Manager Job SummaryAt Protalents, we are seeking a skilled Care Manager to provide intensive follow-up to members exhibiting behavior or an environment that may predispose them to non-compliance with medical treatment. This role is critical in reducing hospitalizations, costly treatments, and worsening mental health status.Key Responsibilities:- Provide...

At Tetra Tech, we are collaborating with industry-leading experts to solve the world's most complex challenges. Our innovation hubs across the globe enable you to share ideas and best practices while growing your professional network.The Unit Lead Grant Manager will be responsible for assigning Grant Specialists with caseload to review, manage, organize, and...

About the roleAbarca Health is seeking a skilled professional to join our PBM Operations & Services team as a Coverage Determination Specialist.The ideal candidate will possess strong analytical skills and the ability to communicate effectively with pharmacists, beneficiaries, and doctors.Responsibilities will include reviewing and responding to coverage...

Job Description:Operations ExpertThe Operations Expert plays a pivotal role in providing technical direction, guidance, and resources to claims, customer service, or membership associates on a day-to-day basis.Key Responsibilities:Serves as a first-line resource for operational associates, addressing workflow and technical-related processes.Provides...

Company OverviewOptum, a global organization, delivers care aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.We have a culture guided by diversity and inclusion,...

About the RoleAbarca Health is seeking a highly skilled and detail-oriented Coverage Determination Specialist to join our team. In this role, you will be responsible for creating and evaluating coverage determinations for our clients, communicating with pharmacists, beneficiaries, and doctors, and applying clinical knowledge to each case.Key...

About Abarca HealthAbarca Health is a revolutionary company that's redefining pharmacy benefits through smarter technology. Our mission is to deliver exceptional healthcare services while ensuring the satisfaction of our clients and beneficiaries.Job SummaryWe're seeking a highly skilled Coverage Determination Team Manager to oversee the Coverage...