Case Management Coordinator Jobs

Become a part of our caring community Professional member of patient’s treatment team who provides skilled nursing visits in patient’s home under the direction of plan of treatment stablished with physician and input from patient/caregiver. Provides supervision for Aide and LPN as needed DUTIES AND RESPOSIBILITIES: • Provide initial and on-going assessment of client needs using the OASIS data elements incorporated into the Comprehensive Assessment. • With input from patient/caregiver and in conjunction with physician, formulates and implements plan of care. • Evaluate effectiveness of care plan and make necessary adjustments. • Provides for emotional and physical comfort and safety of client taking into consideration their rights and cultural background. • Receives and transcribes physician orders. • Notify physician and Agency supervisor of unusual reactions and/or changes in client’s condition. • Documents all appropriate observations and treatments in keeping with Agency policies and procedures. • Participates in case conferences, team meetings, staff meetings and Performance Improvement activities as assigned. • Provide supervision for Licensed Practical Nurses and/or Home Health Aide as assigned. • Provide any skilled nursing service for which appropriately trained which is prescribed under the plan of care. • Provide monthly summary of skilled services and clients outcomes to physician and Agency supervisor in keeping with Agency policies and procedures. Provides information for 60-day progress reports. • Adhere to all Agency policies and procedures including but not limited to HIPPA Privacy rule. • Maintains strict confidentiality of all patients, employee and Agency

Work Flexibility: Field-based Clinical Specialist, Joint Replacement As a Clinical Specialist at Stryker, you will help improve orthopedic surgeries around the world and play a direct role in our mission of making healthcare better. In this role, you will build deep clinical and technical expertise across both robotic (Mako SmartRobotics ™) and manual orthopedic procedures. You will support surgeons in the operating room by assisting with pre-operative planning, case preparation, system setup, and real-time procedural workflows to ensure safe, accurate , and efficient outcomes. You will gain hands-on experience working with Mako technology—including CT-based planning, implant sizing, registration, and intra-operative support—while also developing strong competency in manual procedures, instrumentation, and OR protocols. Through shadowing experienced team members, supporting product demonstrations, and participating in labs and education programs, you will learn the systems, processes, and best practices that define world-class clinical support. This role requires adaptability, steady composure, and strong problem-solving in a fast-paced surgical environment. Because patients’ needs don’t follow business hours, you will also participate in on-call coverage, including evenings, wee

Become a part of our caring community The Care Coach 1 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Coach 1 work assignments are often straightforward and of moderate complexity. Reports to the Regional Care Coach Manager. Looking for motivated Care Coach in COLLIER county FLORIDA!! We are looking for dynamic case managers that enjoy making a difference in the lives of others! You must live in Collier county in Florida. This rewarding role allows you to spend time connecting with our members to ensure they receive the services they need. The Care Coach 1 employs a variety of strategies, approaches and techniques to support a member's optimal wellness state by coordinating services & resources. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. The Care Coach 1 Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings – 75-90% local travel Assesses and evaluates member's needs and requirements in order to establish a member specific care plan Ensures members are receiving services in the least restrictive setting in order to achieve and/or maintain optimal well-being Planning and implementing interven

Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72+ million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life This role supports Medtronic's Pelvic Health portfolio, partnering with healthcare professionals, clinical teams, and sales colleagues to provide clinical and technical support that helps improve patient outcomes. The position works closely with Clinical Specialists, Sales Representatives, and regional sales leadership to support customer education, product adoption, case coverage, and territory growth initiatives across Puerto Rico. This position is based in San Juan, Puerto Rico and operates under a Flex work model. The role requires regular travel throughout Puerto Rico to support hospitals, healthcare facilities, and customer sites (driver´s license is required). Limited travel outside Puerto Rico may be required. The Associate Clinical Specialist provides clinical expertise, product support, and customer education for the Pelvic Health portfolio. This role partners closely with sales and clinical teams to support procedures, deliver training, identify growth opportunities, and help healthcare professionals achieve optimal patient outcomes while expanding product awareness across the territory. Primary Responsibilities Provide on-site clinical education and product training to healthcare professionals and customers Support customer cases and procedures by delivering technical and clinical ex

Work Flexibility: Field-based It's Time to Join Stryker! What You Will Do As the Clinical Specialist with Stryker Enabling Technologies you will provide clinical product support to hospital staff and provide on-site guidance and assistance during surgical procedures. You will provide surgeons and operating room staff with training and Clinical/Technical support in the operation of the company's navigation technologies, associated equipment and instruments to insure procedural efficiency. You will utilize proprietary software to prepare pre-operative scans for use in conjunction with the company's Enabling Technologies system, assists surgeon in preoperative planning and intra-operative guidance. You will provide prompt and accurate complaint reports per the requirements of Stryker Enabling Technologies quality system. You will provide case coverage at accounts. You will support the development and execution of the sales plan as well as grow the utilization of the navigation technologies by increasing volume with current and potential surgeons. You will actively sell the clinical benefits of the products, and build strong, positive relationships with key surgeons and OR staff at targeted accounts. <

Who we are About Stripe Stripe is a financial infrastructure platform for businesses. Millions of companies—from the world’s largest enterprises to the most ambitious startups—use Stripe to accept payments, grow their revenue, and accelerate new business opportunities. Our mission is to increase the GDP of the internet, and we have a staggering amount of work ahead. That means you have an unprecedented opportunity to put the global economy within everyone’s reach while doing the most important work of your career. About the team The Direct Surfaces Team’s mission is to make it delightful for users to manage their money. We’re rebuilding and unbundling the core of Stripe so that no matter what the business, the location or use-case there is a single place that can fulfil all financial needs: Stripe Treasury . This is a 0 → 1 new business at Stripe so if that sounds exciting we’d love to hear from you! What you’ll do Full-stack engineers at Stripe are comfortable working on new products under fluid conditions, seamlessly balancing tactical and strategic considerations. Responsibilities Scope and lead technical projects, laying the groundwork for our products to iteratively evolve and scale Design, build, expand and maintain UIs their related APIs and services Work with our partners to design and launch new features and capabilities Align our technical decisions with Stripe’s broad strategic initiatives, while also advocating for needs specific to emerging new businesses Work with engineers across the company to understand when existing infrastructure can be leveraged vs. when building a bespoke solution is prudent Develop and execute against both short- and long-term roadmaps. Make effective tradeoffs that consider business priorities, user experience, and a sustainable technical foundation Who you are We’re looking for fullstack software engineers with experience building scalable products who have an eye for detail and are hap

Firmware Engineer BIOS/UEFI Description - The Firmware Engineer is responsible for ensuring that embedded firmware meets the highest standards of quality, robustness, and long‑term reliability. This role works closely with firmware developers, hardware engineers, architecture teams, QA, and cross‑functional partners to define quality metrics, validate system behavior, improve defect detection, and build processes that prevent regressions. Responsibilities Develop, execute, and maintain comprehensive firmware test plans, including functional, regression, stress, corner-case, and long-duration reliability tests. • • • Evaluates the firmware architecture, design and development plus testing methodologies to create strategy and implement methods to bring increased quality and reliability to the firmware. Reviews firmware code and test plans including functional, regression, stress, corner-case and long-duration reliability tests. Perform root-cause analysis for firmware defects, drive containment, corrective actions, and verification of fixes. Create and manage quality dashboards, KPI, failure rates, and reliability metrics. Evaluate failure modes exposed during design, development, manufacturing and field use; propose design or process improvements to prevent recurrence. Works with product architects, firmware teams, product managers and provides critical guidance, system-level debugging and troubleshooting to various teams, as a Subject Matter Expert. Reviews and evaluates designs and project activities for compliance with systems design and development guidelines and standards; provides tangible feedback to improve product quality and mitigate failure risk. Create and manage quality dashboards , KPIs, failure rates, and reliability metrics. Validate firmware integration with hardware, BIOS/UEFI, EC, micro

Become a part of our caring community Services represent one of the organization’s most consequential sources of capability, capacity, transformation and external spend. The Associate Vice President, Services Procurement will lead the enterprise strategy for contingent workforce, outsourcing and offshoring, consulting and clinical services, converting third-party services into measurable business outcomes, workforce agility, operating leverage and sustainable value. The AVP will serve as the senior Procurement partner to leaders across the Insurance segment and Corporate Services, helping shape operating-model, workforce and transformation decisions before sourcing begins or a supplier solution is selected. The leader will bring deep expertise in global business services, business process outsourcing, workforce solutions and complex professional services. The mandate is to strengthen business-case quality, establish clear make, buy, build, automate and partner choices, create fit-for-purpose commercial models, manage transitions and hold providers accountable for committed outcomes. Success will be measured by whether business leaders make better services and workforce decisions, transformations deliver their promised value, and suppliers improve performance and innovation. Key Responsibilities Serve as the Strategic Services Partner to Business Leaders Serve as the senior Procurement relationship leader and trusted commercial advisor to Insurance segment and Corporate Services leadership. Develop a deep understanding of business strategy, operating plans, transformation roadmaps, workforce needs and financial commitments, and translate them into integrated services, workforce and supplier strategies. Engage upstream of supplier selection to frame the problem, test demand and assess make, buy, build, automate, offshore, outsource

Become a part of our caring community The Grievances and Appeals Representative 4 role in the Internal Review Team is responsible for managing appeal denials, by reviewing clinical documentation, determining whether further action is needed, and validating final determinations in coordination with clinical and internal Humana partners. Key Responsibilities: Manage Level 1 appeal cases , ensuring accuracy, completeness, and compliance with CMS requirements Review clinical documentation to support appeal determinations and escalation decisions Coordinate with clinical teams and internal partners to finalize appeal outcomes Investigate and resolve member and provider issues with a focus on timely resolution Maintain high productivity and quality standards in a production-driven environment Ensure strict adherence to confidentiality and compliance regulations Independently prioritize and manage multiple high-volume case assignments Proactively embraces change and supports smooth transitions in a dynamic work environment Use your skills to make an impact Required Qualifications: 1&#43; year of grievance & appeals and/or customer service experience Strong data entry skills Proficiency in Microsoft Office Applications Experience in a production-driven environment Experience prioritizing and delivering multiple assignments Strong commitment to confidentiality and high-quality results Preferred Qualifications: Associate's or Bachelor's degree 2–4 years of grievance and appeals experience Medical claims processing experience Previous inbound call center experience Experience wi

Work Flexibility: Field-based Stryker Position Title: Upper Extremities Sales Associate What you will do The Upper Extremities Sales Associate will partner closely with Sales Representative(s) in the area to quickly learn the medical device industry and Upper Extremities business, and then contribute to the growth of that business in the assigned territory. He/she will partner with the Sales Rep(s) in all aspects of the sales call pattern, including but not limited to, covering cases in the assigned territory, marketing and promotion of the products in the assigned accounts, building of sets, managing inventory, and, as they learn and grow, beginning to convert customers to Stryker. Attend surgeries in which Stryker Upper Extremities products are used, to ensure all products are available for surgeon use in each case and to instruct surgeons regarding product use and functionality. Educate and inform doctors, nurses, and appropriate staff personnel as to the proper use and maintenance of Stryker products, product functionality and updates, changes to product portfolio, and educational programs. Work with sales teams to contact customers in order to identify sales opportunities, deliver excellent customer service, and further develop the customer relationship. Identify the needs of new prospects, in conjunction with the assigned Sales Representative, and develop appropriate responses. Following extensive product training, tailor Stryker’s promotional message based upon knowledge of the customer, advise on appropriate product selection, answer customer questions about product functionality and distinguish Stryker products from those of Stryker’s competitors. Perform field calls for the account(s) and assigned territory. Assist in the implementation of new sales plans and effective mark

Work Flexibility: Field-based Overview As a Clinical Specialist at Stryker, you will help improve orthopedic surgeries around the world and play a direct role in our mission of making healthcare better. In this role, you will build deep clinical and technical expertise across both robotic (Mako SmartRobotics™) and manual orthopedic procedures. You will support surgeons in the operating room by assisting with pre-operative planning, case preparation, system setup, and real-time procedural workflows to ensure safe, accurate, and efficient outcomes. You will gain hands-on experience working with Mako technology—including CT-based planning, implant sizing, registration, and intra-operative support—while also developing strong competency in manual procedures, instrumentation, and OR protocols. Through shadowing experienced team members, supporting product demonstrations, and participating in labs and education programs, you will learn the systems, processes, and best practices that define world-class clinical support. This role requires adaptability, steady composure, and strong problem-solving in a fast-paced surgical environment. Because patients’ needs don’t follow business hours, you will also participate in on-call coverage, including evenings, weekends, and holidays, to ensure uninterrupted support for urgent cases and time-sensitive customer needs. What You Will Do Gain competency in solo case coverage for manual and robotic procedures through hands-on training. Assist surgeons with pre-operative CT-based planning, implant sizing, and positioning using advanced software. Support full case preparation, including instrumentation checks, equipment setup, and OR readiness. Troubleshoot technical issues confidently and efficiently in the operating room. Learn and supp

Work Flexibility: Hybrid As a Portfolio Manager on Stryker’s Knee team , you will help shape the future of the Partial Knee portfolio by identifying customer needs, supporting new product development, and building the business case for commercialization. You’ll leverage research, market intelligence, and cross-functional collaboration to bring forward-thinking strategies to life and support our mission of moving patient lives. What you will do: Develop portfolio and product strategies by translating customer, patient, and market insights into compelling value propositions and growth opportunities. Leverage qualitative and quantitative market research, Voice of Customer (VOC), competitive intelligence, and third-party data to identify customer needs, industry trends, and market opportunities. Partner cross-functionally throughout the New Product Development (NPD) process , helping advance new products from concept through commercialization. Build financial business cases and ROI models to evaluate new product opportunities and support investment decisions. Develop market assessments, volume forecasts, and commercialization strategies grounded in market dynamics, customer insights, risk, and uncertainty. Partner with Product Marketing to develop go-to-market and product launch strategies for new products. Identify opportunities for customer acquisition, retention, market expansion, and portfolio growth , evaluating the financial tradeoffs associated with each. Partner with Clinical Affairs and Product Marketing to develop clinical evidence, publication, and messaging strategies that support portfolio objectives. Lead Product Lifecycle Ma

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. Position Summary This is a remote work from home role anywhere in the US but must be able to work EST hours. Working hours will be Monday-Friday 8am-4:30pm EST. No weekends, holidays, or travel will be required. The Clinical Case manager is a licensed Clinical Social Worker position. This role partners with a registered nurse case manager to utilize a collaborative process of assessment, planning, and advocacy to meet a member’s benefit plan and/or health needs. Responsibilities include researching available options and resources for members with financial, transportation, safety and housing needs. Population spans the entire lifecycle. All member contact is done telephonically or via electronic exchange. This position works to empower members to make positive lifestyle and medical choices and works as a team with other clinical staff to assist members with community resources for medical, financial and behavioral health. Required Qualifications Must live in North Carolina Master's Degree in Social Work

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. CVS is looking to add a Sr Analyst, Pharmacy Underwriter. In this role, you would be responsible for supporting both new business and renewal case specific ASC (self-insured) Pharmacy Pricing, as well as developing financial offers that are both competitive and profitable. In this role, you would provide support with financial responses for Request For Proposal questionnaires. The ideal candidate is able to anticipate customer needs and requirements as well as to facilitate and negotiate using tact and diplomacy. They will be involved in training, projects, and mentoring others. Works primarily on complex or high visibility cases, markets or underwriting methods. **Candidates must have both underwriting and pharmacy experience** Additional Responsibilities are: Identifies training issues and recommends a course of action. Leads process improvement initiatives to improve productivity, accuracy and/or customer service and influences tool development Provides superior customer service Mentors and trains underwriting staff Ensures team members have the information to do their jobs Understands, applies and explains company services, product standards, underwriting policies, strategic direction and new initiatives relative to unit's responsibilities <

Role Summary The Director, Consumer Products & Surfaces leads the product-specific strategy, development, and delivery of Pfizer’s branded and select unbranded digital properties. This individual will act as the product lead for all branded websites and owns the product execution of how brand content connects to the external surfaces where patients and consumers increasingly encounter it — search, AI assistants and answer engines, and syndication partners. This is an individual contributor role for someone who can think in big-picture product strategy and drive hands-on execution. Working from the business case and strategy set by the Ecosystem Strategy team, the Director defines what branded surfaces should become as content consumption shifts from destinations to sources and delivers the roadmap that gets them there. Role Responsibilities Product Strategy & Definition Leads branded website development end-to-end, determining what a successful branded experience looks like and how it is measured. Decide which features and capabilities branded surfaces should prioritize, translating the ecosystem strategy, business case, consumer insight, and performance data into a coherent roadmap. Translate the ecosystem strategy for branded and unbranded surfaces into product decisions, partnering with Ecosystem Strategy on roles, audience handoffs, and journey logic across properties. Own the product execution of brand content connectivity to external surfaces — the content structures, infrastructure, and integrations that make branded content machine-readable and discoverable — partnering with Strategy on which surfaces to prioritize and the portfolio posture toward each. Champion human-centered design methodology to ensure product decisions are grounded in real consumer needs rather than assumption or internal preference. Produc