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Case Management Associate Jobs

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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Location Bureau County or surrounding area. Program Overview Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in new markets across the country. Position Summary/Mission Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Fundamental Components & Physical Requirements Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness. Uses clinical to

Bilingual RN Case Manager Location : Remote. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the continuum of care. The RN Case Manager will assess, plan, implement, coordinate, monitor, and evaluate care for assigned consumers, ensuring quality outcomes and cost-effective treatment. Key Responsibilities: Provide telephonic case management and utilization review for assigned consumers. Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes. Collaborate with healthcare providers, payors, and internal teams to coordinate care. Serve as a liaison between consumers and benefit administrators, ensuring clear communication and support. Track and report case outcomes, including cost savings and quality improvements. Qualifications: Bilingual: the ability to speak Spanish Education: RN licensure in the State of Iowa required. BSN or higher preferred. Experience: Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred. Skills: Strong communication, problem-solving, and computer skills. Ability to work independently. Full-Time Benefits - Most benefits start day 1 Medical, Dental, Vision Insurance Flex Spending or HSA 401(k) with company match Profit-Sharing/Defined Contribution (1-year waiting period) PTO/Paid Holidays Company-paid ST and LT Disability Maternity Leave/Parental Leave Subsidized Parking Company-paid Term Life/Accidental Death Insurance About HealthCheck360 HealthCheck 360 was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-spec

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Requisition Job Description Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Position Summary The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources Required Qualifications • Must reside in the state of Illinois •Must possess reliable transportation and be willing and able to travel up to 50-75% of the tim

Bilingual RN Case Manager Location : Onsite in Dubuque, IA. Also accepting remote applicants. We are seeking a compassionate and detail-oriented Bilingual RN Case Manager to join our team. This role is responsible for delivering comprehensive case management services across the continuum of care. The RN Case Manager will assess, plan, implement, coordinate, monitor, and evaluate care for assigned consumers, ensuring quality outcomes and cost-effective treatment. This role is based in our Dubuque office and is also available remotely. Key Responsibilities: Provide telephonic case management and utilization review for assigned consumers. Develop, implement, and monitor individualized care plans to ensure quality and cost-effective outcomes. Collaborate with healthcare providers, payors, and internal teams to coordinate care. Serve as a liaison between consumers and benefit administrators, ensuring clear communication and support. Track and report case outcomes, including cost savings and quality improvements. Qualifications: Bilingual: the ability to speak Spanish Education: RN licensure in the State of Iowa required. BSN or higher preferred. Experience: Minimum 2 years of clinical practice. Case management or utilization review experience strongly preferred. Skills: Strong communication, problem-solving, and computer skills. Ability to work independently. Full-Time Benefits - Most benefits start day 1 Medical, Dental, Vision Insurance Flex Spending or HSA 401(k) with company match Profit-Sharing/Defined Contribution (1-year waiting period) PTO/Paid Holidays Company-paid ST and LT Disability Maternity Leave/Parental Leave Subsidized Parking Company-paid Term Life/Accidental Death Insurance About HealthCheck360 HealthCheck 360 was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biom

NH
2mo ago

Noctrix Health is redefining the treatment of chronic neurological disorders with clinically validated therapeutic wearables. Our team of medical device specialists, neuroscientists, and consumer electronics engineers is dedicated to delivering prescription-grade therapy with an outstanding user experience. We have pioneered the world’s first drug-free wearable therapy, clinically proven to alleviate symptoms in adults with drug-resistant Restless Legs Syndrome (RLS). Be part of our mission to transform healthcare, improve lives, and drive meaningful change with Noctrix Health. The Patient Access Case Manager is responsible for guiding patients through the access and reimbursement process, coordinating with healthcare providers, insurance companies, and patients to ensure seamless access to our innovative DME device. The ideal candidate will have a strong background in patient access management, healthcare coordination, and possess excellent communication and problem-solving skills. Responsibilities: Serve as the primary point of contact for insurance companies regarding access and reimbursement for our novel DME device Guide internal teams through the reimbursement process, providing support and education on insurance coverage and prior authorization process Collaborate with internal teams to obtain necessary documentation and clinical information for prior authorization requests Coordinate with insurance companies to ensure timely and accurate processing of claims and prior authorization requests Stay up to date with insurance policies, coverage criteria, and reimbursement guidelines to provide accurate information and assist in obtaining coverage for patients Maintain accurate and up-to-date patient records, documentation, and case management notes Iden

REMOTEcustomer service
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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Case Manager (RN) – Field Location: Mesquite, Balch Springs, Forney, Talty, Seagoville, Hutchins, Lancaster, Ferris, Red Oak, Cockrell Hill, Cedar Hill, Wilmer, West Dallas, Highland Park and South Dallas (Remote with local travel) Travel: Up to, 75% within territory Position Summary Nurse Case Manager (RN) for a work-from-home role that requires frequent local travel for in-home member visits and occasional visits to nursing facilities within the Dallas & Surrounding Areas in Texas In this role, you will deliver high-quality case management services through a combination of telephonic and face-to-face engagement, helping members navigate their healthcare needs and achieve improved health outcomes. Key Responsibilities Conduct comprehensive telephonic and in-person assessments to evaluate members' medical and behavioral health needs Develop and implement individualized care plans, ensuring alignment with clinical and program guidelines Coordinate and monitor ongoing care plan activities, adjusting as needed to improve outcomes Collaborate in multidisciplinary care reviews to optimize member health results Identify and escalate quality of care concerns through appropriate channels Engage members using motivational interviewing and coaching techniques to encourage healthy lifes

Here’s a summary of the role: If you’re a product manager who thrives on turning ambiguity into clarity and wants to shape how organisations handle ethics and compliance in this new AI-enabled era , this role puts you right in the middle of it. You’ll own a whistleblowing and case management platform used by major enterprises, working closely with engineering teams in London and Bangalore to create and ship features that differentiate our product from the competition – from employee reporting tools to AI-powered investigation workflows. This is a fast-moving environment where you’ll need to be comfortable with complexity, technically curious, and confident communicating across every level of the business. It’s a one-year fixed term contract covering maternity leave, with a realistic possibility of extension or permanence for the right person. Here’s a breakdown of what you’ll do (not all of it, just the important stuff): Own the product roadmap for a whistleblowing and case management platform (Vault/Speak Up), working with one other product manager and a team of 6–12 engineers to define, prioritise, and ship features Work with engineering daily to translate business requirements into well-scoped, deliverable work – managing trade-offs between speed and scope coverage in a fast-moving environment Collaborate across a portfolio of Ethics & Compliance products including policy management, compliance training, and conflicts of interest – ensuring your product connects into a broader vision Engage with product marketing, senior stakeholders, and commercial teams to communicate what you’re building, why it matters, and what’s coming next Conceptualise and shape AI-powered product features – you won’t just be managing a backlog, you’ll be acti

awsgitrest
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Job Overview Wargaming is looking for a Manual QA Engineer to join the Global IT Products department and help ensure the quality of internal corporate systems and services. You will work with a variety of products, from web applications to complex microservices and integrations, applying testing approaches and techniques based on the specific needs of each product. The role offers an opportunity to work with complex business logic, large datasets, and different types of internal systems while taking ownership of the quality of products. We also value initiative: while the core tools and approaches are defined by each product's needs, we encourage QA Engineers to identify opportunities for improvement and suggest additional tools or practices when they can bring value to the product and team. Reports to Head of Quality Assurance What will you do Independent implementation of the full cycle of project testing (functional testing of web applications, microservices, API) Product testing without ready requirements Creation and maintenance of test documentation Acceptance of builds before releases, quality control of defect fixes Monitoring of reports on errors and failures Analysis and testing of project/product requirements Evaluation of testing work Participation in team meetings What are we looking for? 2+ years of experience as a QA Engineer Strong analytical skills and experience working with big datasets, calculations, corporate applications with complex business logic Experience in testing web applications and microservices Strong knowledge of testing methodologies and software development life cycles Understanding of client-server architecture principles Experience in writing test cases and checklists Experience with bug and task tracking, documentation, and test case management tools (Jira, Confluence, TestRail) Experience working with databases (PostgreSQL, MS SQL Server) and SQL Good Excel skills and experience working with data, calculations, and spread

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E
6mo ago

We are seeking a talented Senior Litigation Counsel to join our legal team. The ideal candidate will independently manage and directly handle complex dispute matters and contribute to our firm's commitment to professional excellence and integrity. WHAT YOU'LL BE DOING: End-to-End Dispute Management: Lead and independently manage multi-jurisdictional commercial litigation, international arbitration, and financial recovery cases (UAE, UK, EU, HK etc.) Litigation Execution: Draft and file legal documents, conduct legal research, manage e-discovery, coordinate local counsels, and handle all phases of litigation (discovery, depositions, trial prep, settlement negotiations) Case & Knowledge Management: Maintain case files, calendars, and management systems; develop litigation strategies; prepare memoranda; and contribute to the firm's knowledge bases and templates WHAT WE'LL LOOK FOR IN YOU : Qualifications: Higher legal education, active admission to practice law, and 7+ years of litigation/dispute resolution experience (law firm or in-house) Legal & Technical Expertise: Strong analytical and research skills, deep understanding of civil procedure and evidence rules, and proficiency in drafting legal documents Tools: Proficiency in e-discovery, legal databases, Google Workspace, Notion, and LLMs Soft Skills: Excellent organizational, communication, and interpersonal skills with the ability to manage multiple cases and deadlines collaboratively NICE-TO-HAVE: Experience in commercial litigation, alternative dispute resolution (ADR) Familiarity with case management software, legal tech, and project management tools Flexibility for extended hours, willingness to travel (court appearances, meetings), and a commitment to continuous legal education WHY SHOULD YOU JOIN OUR TEAM? Remote work from anywhere in the world A welcoming international team of highly qualified professionals An opportunity to work with top-tier tools Access any of our global offices anytime Professi

REMOTEproject management
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C
Cordance
📍 Minnesota, United States• Remote
7 days ago

Cordance is dedicated to accelerating the growth of vertically focused business-to-business (B2B) software-as-a-service (SaaS) companies through acquisition and long-term tactical and financial guidance. We’re experienced operators and subject-matter experts with a passion for software and building businesses. We partner with founders to help them scale their businesses and realize their companies’ full potential. We look for businesses with strong leadership and high potential for profitable growth, and work together to increase year-over-year revenue, company efficiency, and impact. Cordance envisions that all companies we work with achieve their full potential. We embrace what makes each company great and build on those foundations. We believe in elevating a company as it scales, delivering dignity to the organization and its employees, and sharing a passion for building a legacy. About Campus Kaizen Campus Kaizen, a business unit of Cordance, delivers Guardian Case Management — a purpose-built software platform for K–12 school districts and higher education institutions. Guardian centralizes sensitive case workflows including Title IX, HR, Bullying, Employee Relations, Behavioral Intervention Teams (BIT), Student Conduct, and more, replacing spreadsheets and disconnected systems with secure, compliant processes. Our platform enables districts and institutions to improve response times, strengthen documentation, and manage cases with greater transparency, consistency, and efficiency. Position Overview As an Implementation Specialist, you’ll be the bridge between our customers and our technology teams, ensuring that each customer’s onboarding experience is seamless, structured, and aligned with their business goals. You’ll manage the end-to-end implementation process for new and expanding customers, working closely with sales, product, support, and success teams to ensure successful launches with measurable outcomes. This is a hands-on role ide

REMOTEaisalesforceproject management
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AC
Appian Corporation
📍 Mclean• $150K – $275K/yr
3mo ago

Here at Appian, our values of Intensity and Excellence define who we are. We set high standards and live up to them, ensuring that everything we do is done with care and quality. We approach every challenge with ambition and commitment, holding ourselves and each other accountable to achieve the best results. When you join Appian, you’ll be part of a passionate team dedicated to accomplishing hard things, together. At Appian, we support our federal customer’s mission by delivering solutions using our cloud-based platform technology. Appian’s Customer Success organization works closely with our federal customers, advising and supporting them on how to architect and deliver Appian based-solutions. To support this goal, Appian Customer Success, is looking for an Solution Architect to help us to grow our federal business and work closely with customers to design integrated solutions and make compelling offers. As a Solution Architect supporting the Department of War, you will serve as a key technical leader within Appian’s Customer Success team and a trusted advisor to mission, program, and technology stakeholders. In this role, you will define integrated Appian solutions that support DoW modernization priorities, using Appian as an agility layer to connect mission processes, legacy systems, enterprise data, and operational workflows. You will help customers design solutions that leverage Appian platform capabilities, including process automation, case management, integration, and Data Fabric, to improve mission outcomes across DoW business, logistics, readiness, acquisition, and enterprise information environments. To be successful in this role, you will: Advise customers on the technical design, architecture and implementation of Appian solutions on a customer’s private cloud or on-premise hosting solution, and/or integrating Appian government cloud offerings with the customer’s infrastructure Support the sales cycle through the creation of high-value, dif

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AC
Appian Corporation
📍 Mclean• $150K – $275K/yr
3mo ago

Here at Appian, our values of Intensity and Excellence define who we are. We set high standards and live up to them, ensuring that everything we do is done with care and quality. We approach every challenge with ambition and commitment, holding ourselves and each other accountable to achieve the best results. When you join Appian, you’ll be part of a passionate team dedicated to accomplishing hard things, together. At Appian, we support our federal customer’s mission by delivering solutions using our cloud-based platform technology. Appian’s Customer Success organization works closely with our federal customers, advising and supporting them on how to architect and deliver Appian based-solutions. To support this goal, Appian Customer Success, is looking for an Solution Architect to help us to grow our federal business and work closely with customers to design integrated solutions and make compelling offers. As a Solution Architect supporting the U.S. Army, you will serve as a key technical leader within Appian’s Customer Success team and a trusted advisor to Army mission, program, and technology stakeholders. In this role, you will define integrated Appian solutions that support Army modernization priorities, using Appian as an agility layer to connect mission processes, legacy systems, enterprise data, and operational workflows. You will help customers design solutions that leverage Appian platform capabilities, including process automation, case management, integration, and Data Fabric, to improve mission outcomes across Army business, logistics, readiness, acquisition, and enterprise information environments. To be successful in this role, you will: Advise customers on the technical design, architecture and implementation of Appian solutions on a customer’s private cloud or on-premise hosting solution, and/or integrating Appian government cloud offerings with the customer’s infrastructure Support the sales cycle through the creation of high-value, diff

awsazuregcp
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Airbnb was born in 2007 when two hosts welcomed three guests to their San Francisco home, and has since grown to over 5 million hosts who have welcomed over 2 billion guest arrivals in almost every country across the globe. Every day, hosts offer unique stays and experiences that make it possible for guests to connect with communities in a more authentic way. The Community You Will Join: The Community Support Engineering (CSE) China Foundations team works together with our US partners to co-own the Community Support foundations systems, collectively empowering every step of the customer support journey. We're building the next-generation case management platform that gives a 360-degree view of every customer interaction, helping ambassadors resolve guest and host issues faster. At the same time, we're developing the centralized supervisor portal alongside agent quality systems that turn performance insights into actionable coaching signals. Our routing platform connects Airbnb customers to the right ambassador, through the right channel, at the right time. The team also provides AI-powered solutions to support TechOps around system inconsistencies and incidents to ensure high availability and reliability of critical CS flows. The Difference You Will Make: We are seeking an experienced Engineering Manager to lead the China Routing and Data Service team. In this role, you will: Ramp up on the team’s technology, product, and business goals, including hands-on work to develop a deep technical understanding. Lead, mentor, and grow a high-performing engineering team in a fast-paced environment. Foster a team culture that emphasizes product thinking, technical depth, and customer-centric problem solving. Drive and partner closely with teams across CSE to understand business cases and deliver intuitive, scalable routing and data solutions. Set clear priorities and strategic direction in collaboration with cross functional partners.. Improve team processes to strengthen coll

The Incident and Escalation Management team (IEM) is part of Datadog's Global Support Engineering (GSE) organization. IEM exists to continuously improve Datadog's overall customer experience during incidents and other critical moments. We're looking for experts with a background in incident management and escalation handling to provide fast incident response, clear ownership, and calm, confident communication for our global customer base. In this individual contributor role, you will play a key part in customer communication, technical engagement, and incident management for our global customers. You will also implement processes and automations, use the same incident and case management tools we build for our customers, and help shape how they evolve. At Datadog, we place value in our office culture — the relationships and collaboration it builds and the creativity it brings to the table. We operate as a hybrid workplace to ensure our Datadogs can create a work-life harmony that best fits them. What you'll do: Lead the response to our most complex, ambiguous, and high-impact incidents and escalations from start to finish. Set the response strategy, drive cross-functional coordination, and maintain clear ownership through resolution. Navigate competing priorities across multiple critical customer situations, independently assessing business and technical impact and determining the appropriate response and escalation strategy. Represent IEM to regional Support, Sales, and Engineering leadership, building the standing and relationships that let you drive a response when a situation moves faster than process allows. Lead communications during highly sensitive, public, or large-scale incidents, adapting communication strategies for customers, internal leadership, and other stakeholders. Act as a trusted incident and escalation partner across Support, Engineering, Product, and other teams, influencing decisions and driving alignment when ownership or the path to resoluti

javascriptpythonai
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D
12 days ago

The Incident and Escalation Management team (IEM) is part of Datadog's Global Support Engineering (GSE) organization. IEM exists to continuously improve Datadog's overall customer experience during incidents and other critical moments. We're looking for experts with a background in incident management and escalation handling to provide fast incident response, clear ownership, and calm, confident communication for our global customer base. In this individual contributor role, you will play a key part in customer communication, technical engagement, and incident management for our global customers. You will also implement processes and automations, use the same incident and case management tools we build for our customers, and help shape how they evolve. At Datadog, we place value in our office culture — the relationships and collaboration it builds and the creativity it brings to the table. We operate as a hybrid workplace to ensure our Datadogs can create a work-life harmony that best fits them. What You'll Do: Drive incidents and escalations to resolution from start to finish, including triage, coordination with our support, engineering and product teams. Own the response and keep customers and internal teams informed throughout. Independently coordinate cross-functional stakeholders through complex incidents and escalations, making the call on prioritization, response strategy, and when to pull in additional teams or leadership. Own communications during active incidents, including sensitive, large-scale, and publicly visible events, adapting the message for customers, internal teams, and leadership. Lead projects that deliver operational improvements to how IEM detects, manages, and communicates during incidents and escalations as Datadog and its products evolve. Create, maintain, and improve incident and escalation documentation, runbooks, and training materials, and lead retrospectives that turn individual incidents into durable process cha

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