Care Management Specialist in United States

Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. You will report to the Manager of Utilization Management and serve as a member of the One Home/Home Solutions Utilization Management team. This team manages post-acute care services. These services include Skilled Nursing Facility (SNF), Home Health, and Durable Medical Equipment (DME). The team's goal is to ensure members receive the appropriate level of care in the most appropriate setting. As a Utilization Management Registered Nurse: You will use clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. Using established medical criteria, you will make determinations based on information provided by the attending physician and other care providers You will complete request determinations within established processing time frames. (i.e. 10 reviews per day?) You will communicate with providers, members, or other parties to facilitate care and treatment. You will help deliver coordinated care for our members You will understand department, segment, and organizational strategy and operating goals, including their linkages to related areas. Use your skills to make an impact Required Qualifications: Must hold Compact Registered Nurse (RN) license in your state of residence Greater than one year of clinical experience as a RN in a hospital, SNF, Home Health, or acute care setting. Must be passionate about contributing to an organization focused on improving consumer experiences Preferr

Who We Are Notion is the collaborative AI workspace where teams and agents think together . We're building one place where your knowledge, projects, meetings, and AI tools live side by side, so work is faster, clearer, and less fragmented. Millions of individuals, small teams, and large companies run their work on Notion. Notinos (our employees) are customer zero in bringing this future of work to life. We care about craft, building things that last, and the belief that great work is still fundamentally human. Our goal isn’t to ship the next feature. Each and every team of Notinos is working to set the standard for how humans work together in the AI era. From building a business’s system of record to making and managing AI agents to automating away the busy work, we care deeply about giving our customers more time for their life’s work. About the Role: Notion is entering a new chapter of People work: more AI-native, more strategic, and more focused on building systems that help every Notino do the best work of their career. We're building toward a four-pronged People Consulting model: Strategic People Partners who steer orgs as the consultative layer closest to the business. Talent Management is the systems and programmatic engine layer — talent programs, systems and resourcing work that support our People Partners & talent density. People Relations is the primary arm and escalation point for employee relations. People Operations owns the operational layer of the end-to-end employee lifecycle, a layer we're increasingly scaling through agentic services. We are looking for the right person to join our existing Talent Management arm. This person will help define, operationalize, and continuously improve how we grow talent at Notion. This role sits at the intersection of talent philosophy, people partner strategy and enablement. This is not a siloed program role. It is an extension of our strategic People Partner & Talent Management org: someone who brings deep

The starting pay range for this position per hour is $21.75 - $23.75. The full pay range for this position per hour is $21.75 - $37.00 Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at https://corporate.target.com/careers/benefits . ALL ABOUT TARGET Working at Target means helping all families discover the joy of everyday life. We bring that vision to life through our values and culture. Learn more about Target here. ALL ABOUT PROPERTY MANAGEMENT Prop

The starting pay range for this position per hour is $24.00 - $26.00. The full pay range for this position per hour is $24.00 - $40.80 Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at https://corporate.target.com/careers/benefits . ALL ABOUT TARGET Working at Target means helping all families discover the joy of everyday life. We bring that vision to life through our values and culture. Learn more about Target here. ALL ABOUT PROPERTY MANAGEMENT Property Management suppo

The starting pay range for this position per hour is $25.00 - $27.00. The full pay range for this position per hour is $25.00 - $42.50 Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at https://corporate.target.com/careers/benefits . ALL ABOUT TARGET Working at Target means helping all families discover the joy of everyday life. We bring that vision to life through our values and culture. Learn more about Target here. ALL ABOUT PROPERTY MANAGEMENT Prop

Who We Are Notion is the collaborative AI workspace where teams and agents think together . We're building one place where your knowledge, projects, meetings, and AI tools live side by side, so work is faster, clearer, and less fragmented. Millions of individuals, small teams, and large companies run their work on Notion. Notinos (our employees) are customer zero in bringing this future of work to life. We care about craft, building things that last, and the belief that great work is still fundamentally human. Our goal isn’t to ship the next feature. Each and every team of Notinos is working to set the standard for how humans work together in the AI era. From building a business’s system of record to making and managing AI agents to automating away the busy work, we care deeply about giving our customers more time for their life’s work. About the Role Notion is entering a new chapter of People work: more AI-native, more strategic, and more focused on building systems that help every Notino do the best work of their career. We're building toward a four-pronged People Consulting model: 1) Strategic People Partners who steer orgs as the consultative layer closest to the business. 2) Talent Management is the systems and programmatic engine layer — talent programs, systems and resourcing work that support our People Partners & talent density. 3) People Relations is the primary arm and escalation point for employee relations. 4) People Operations owns the operational layer of the end-to-end employee lifecycle, a layer we're increasingly scaling through agentic services. We are looking for the right person to join our existing Talent Management arm. This person will help define, operationalize, and continuously improve how we grow talent at Notion. This role sits at the intersection of talent philosophy, people partner strategy and enablement. This is not a siloed program role. It is an extension of our strategic People Partner & Talent Management org: someone who

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 The Manager, Care Model is responsible for owning the day‑to‑day execution of a defined care model workstream, ensuring planned activities are delivered on time and with high quality. This role translates care model strategy and direction into detailed task‑level plans, coordinates functional contributors, and drives daily follow‑through on actions, milestones, and deliverables. The Manager focuses on tactical execution, detailed tracking, and issue management, proactively identifying risks and escalating impacts that may affect the broader care model timeline. This role serves as a key operational partner to the Workstream PM and Senior Care Model leadership by providing accurate status, maintaining workstream artifacts, and ensuring reliable inputs into integrated reporting. Own day‑to‑day execution of a defined care model workstream, delivering tasks and milestones as planned Develop and maintain task‑level work plans; track actions, owners, dependencies, and due dates Coordinate functional contributors to support timely completion of workstream deliverables Identify and manage workstream‑level risks and issues; propose mitigation options and timing impacts Escalate risks, issues, or slippage impacting the broader care model critical path Provide accurate, timely status updates and inputs to integrated workstream reporti

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 The Director of the Divestiture Management Office (DMO) will lead the team responsible for delivering on a Transition Services Agreements (TSAs) following the sale of a CVS Health business unit. This role serves as the primary liaison between CVS Health, the acquiring company, vendors, and impacted employees to ensure all transition commitments are successfully executed. The ideal candidate is a strong leader who can manage complex programs, build relationships across multiple stakeholders, and drive solutions in a fast-paced environment. Key Responsibilities Lead and manage the Divestiture Management Office and supporting team members. Oversee execution of Transition Services Agreement (TSA) commitments and contractual obligations. Build and maintain relationships with buyers, vendors, impacted employees, and CVS stakeholders. Review and interpret legal agreements, contracts, and transaction documents. Identify risks, issues, and improvement opportunities, and drive resolution through collaboration and negotiation. Provide clear updates, recommendations, and reporting to senior leadership. Manage project budgets and ensure financial goals are met. Track program performance through metrics, reporting, and governance processes. Lead project planning, execution, and continuous improvement efforts.

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 As a Senior Product Manager, you will lead product strategy and roadmap development for the organization's Epic electronic health record (EHR) platform and integrated clinical informatics tools. You will own the product strategy and requirements for our Revenue Cycle Management (RCM) domain, which is focused on CDI, coding, billing, collections, integrity and analytics. These are critical for ensuring the end to end workflow from accurate clinical documentation to appropriate coding and A/R completeness. You’ll apply deep Epic platform expertise, user-centric design, and agile methodologies to drive adoption, quality, and safety across enterprise informatics initiatives to improve healthcare delivery for our patients. What You'll Do Responsible for defining the product vision and strategic direction for your Epic Domain, ensuring continuous alignment with senior business and engineering leaders. You'll translate high-level business goals into a clear, actionable product strategy that are tied to OKRs. Partner with business stakeholders to define the product roadmap, overseeing day-to-day backlog management and prioritization to ensure alignment with your strategic vision. You will assess value and develop business cases to inform the nature and scope of new initiatives. This includes evaluating buy vs. build opportunities and identifying

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 At CVS/Aetna, we're pioneering a total approach to health and wellness. As a Decision Scientist on the Analytics & Behavior Change team, you'll build industry-leading analytics, data, and technology platforms to help reimagine health care. This position will play a critical role within a cross-functional team, delivering powerful solutions. Utilization Management (UM) ensures consistent delivery of the right care, in the right setting, by the right people. The UM Data Science team leverage data, analytics and AI solutions to transform UM operations and optimize provider and member experience. Develop analytic solutions to optimize Utilization Management in healthcare Explores, examines and interprets large volumes of data in various forms Performs analyses of structured and unstructured data to solve moderately complex business problems Utilizing advanced statistical techniques and mathematical analyses Develops data structures and pipelines to organize, collect and standardize data that helps generate insights and addresses reporting needs Uses data visualization techniques to effectively communicate analytical results and support business decisions Creates and evaluates the data needs of assigned projects and assures the integrity of the data </u

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: The Senior Analyst, Revenue Cycle plays a key role in advancing initiatives that strengthen Revenue Cycle operations, systems, and cross-functional execution. This role brings together revenue cycle knowledge, project coordination, and business process expertise to support colleague onboarding and offboarding, maintain system access standards, contribute to strategic projects, and serve as a subject matter expert for digital and system-related initiatives impacting Revenue Cycle. This position partners closely with operations, digital, and enterprise teams to help ensure Revenue Cycle priorities are reflected in business and system decisions. The Senior Analyst, Revenue Cycle contributes to department performance and strategic growth by driving process improvements, simplifying workflows, and supporting innovative solutions that improve efficiency, accuracy, productivity, and customer satisfaction across the organization. Responsibilities: Onboarding Enhancements and Access Support: Maintain onboarding access documentation and related processes, updating materials as business needs and systems evolve Identify and implement resources that improve the onboarding experience for new colleagues Support the Revenue Cycle Leadership Team with provisioning access, telecom system setup, and call-recording processes Troubleshoo

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 **Qualified candidates will sit in either Texas or Atlanta, Georgia area due to book of business** The NAT Accounts Senior Director of Account Management leads a team of Account Executives supporting large, complex National Accounts. This leader is responsible for customer retention, profitable growth, client satisfaction, account strategy, and effective execution across an assigned portfolio. The Senior Director partners with Sales, Client Management, Underwriting, Operations, Network, Clinical, Product, and other enterprise teams to address customer needs, manage business risks, and deliver measurable value. The role requires strong healthcare-industry knowledge, sound business judgment, executive-level communication, and the ability to lead through a complex organization. **In addition to a base salary, this opportunity is eligible for Sales Incentive Compensation &#43; Stock options* * What you will do Lead, coach, and develop a high-performing team of Account Executives. Establish clear priorities, performance expectations, and accountability across the team. Oversee customer strategies focused on retention, growth, financial performance, member experience, and client satisfaction. Identify customer and portfolio risks early and lead the development of mitigation plans. Build

The pay range is $135,000.00 - $243,000.00 Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at https://corporate.target.com/careers/benefits . Job Title: Director Enterprise Risk Portfolio Manager Classification: Exempt Date: September 2026 About us: Working at Target means helping all families discover the joy of everyday life. We bring that vision to life through our values and culture. Learn more about Target here </

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of . Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with high employer contribution Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune. A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists. The Opportunity The Group Marketing Manager position works out of our Austin, TX or Sylmar, CA location in the Cardiac Rhythm Management Division.<

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 Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. Following the sale of Omnicare by CVS Health, this role will support Omnicare and its continued operations as an independent, standalone organization. Candidates should be aware that this role will not remain within CVS Health following the transaction. The individual hired into this role will be employed by Omnicare and will contribute to shaping the future of our organization during this exciting period of growth and transformation. What We Do Directly, and through our subsidiaries, Omnicare provides a broad array of pharmacy-related services to long term care facilities and to other customers in the healthcare environment. While senior care has long been an Omnicare specialty, we also serve other targeted populations. Are you searching for a fast paced and multifaceted environment where you can show your passion for helping others? If this sounds like the opportunity you're looking for, apply to our Pharmacist role at Omnicare today! We can't wait to meet you! As a pharmacist for our Long Term Care Pharmacy you will work in an exciting, dynamic and fast paced environment, ensuring the continuation of pharmacy management's goals and objectives wit