Become a part of our caring community The Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Pre-Authorization Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Pre-Authorization Nurse completes medical necessity and level of care reviews for requested services using clinical judgment, and refers to team members for review depending on case findings. Educate providers on utilization and medical management processes. Enter and maintain relevant clinical information in various medical management systems. Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications 2+ years of RN experience Active RN license in the state of Indiana Ability to be licensed in multiple states without restrictions Previous experience in utilization management, case management, discharge planning and/or home health or rehab Proficient with MS Office products including Word, Excel and Outlook Ability to work independently under general instructions and with a team Preferred Qualifications Bachelor's degree MCO experience Health Plan experience working with large carriers Previous Medicare/Medicaid experience Outpatient or home health experience in Utilization Manageme
Jobs in United States
Case Manager in United States
181 active opportunities · Updated October 2026
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Explore current case manager jobs across United States. Filter by work mode, employment type, experience, department, date posted and distance.
About the Team At OpenAI, our User Safety & Risk Operations (USRO) team helps protect our products and users from abuse, fraud, safety risks, and other forms of misuse. We operate at the front line of real-world safety and risk management, translating user and operational signals into timely decisions, effective interventions, and improvements to our systems. This role sits on a team focused on building operational capacity for new, ambiguous, and fast-moving areas of work. The team defines what needs to be built, creates the operating model to support it, and works with partner teams to make the work scalable and durable over time. About the Role We are seeking a Device Safety & Risk Operations Specialist to build the safety operating model for a new category of consumer hardware. This is a senior individual-contributor role for someone who can turn emerging product risks and incomplete requirements into practical workflows, controls, launch plans, and durable systems. You will define how product-safety incidents, critical escalations, regulated cases, and privacy-sensitive issues should be identified, investigated, escalated, resolved, and learned from. You will also establish operational requirements for case management, data access, decision logging, quality assurance, monitoring, and cross-functional response. You will stand up priority workflows through launch and early operations, then help transition them into durable homes across USRO and partner teams. The right person combines deep operational judgment with strong technical and hardware product fluency. They can move from executive-level risk framing to detailed workflow design, tabletop exercises, launch readiness, frontline guidance, and post-launch improvement. Location / work model: San Francisco, CA; hybrid, 3 days/week in-office. Please note: This role may involve exposure to sensitive or concerning material. Strong discretion, judgment, and resilience are essential. In This Role, You Will:
About the Team At OpenAI, our User Safety & Risk Operations (USRO) team helps protect our products and users from abuse, fraud, safety risks, and other forms of misuse. We operate at the front line of real-world safety and risk management, translating user and operational signals into timely decisions, effective interventions, and improvements to our systems. This role sits on a team focused on building operational capacity for new, ambiguous, and fast-moving areas of work. The team defines what needs to be built, creates the operating model to support it, and works with partner teams to make the work scalable and durable over time. About the Role We are seeking a Device Safety & Risk Operations Specialist to build the safety operating model for a new category of consumer hardware. This is a senior individual-contributor role for someone who can turn emerging product risks and incomplete requirements into practical workflows, controls, launch plans, and durable systems. You will define how product-safety incidents, critical escalations, regulated cases, and privacy-sensitive issues should be identified, investigated, escalated, resolved, and learned from. You will also establish operational requirements for case management, data access, decision logging, quality assurance, monitoring, and cross-functional response. You will stand up priority workflows through launch and early operations, then help transition them into durable homes across USRO and partner teams. The right person combines deep operational judgment with strong technical and hardware product fluency. They can move from executive-level risk framing to detailed workflow design, tabletop exercises, launch readiness, frontline guidance, and post-launch improvement. Location / work model: San Francisco, CA; hybrid, 3 days/week in-office. Please note: This role may involve exposure to sensitive or concerning material. Strong discretion, judgment, and resilience are essential. In This Role, You Will:
Become a part of our caring community The Transition Coordinator (Care Coach 2) evaluates member's needs and requirements. This evaluation aims to achieve and/or maintain an optimal wellness state. The Coordinator does this by guiding members/families toward resources and facilitating interaction with them. These resources are appropriate for the care and wellbeing of members. The Care Coach 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Position Responsibilities: Support the ongoing member transitions in and out of the Indiana Medicaid programs, the Contractor's enrollment, and among care settings. Complete transitions and assists with the planning and preparation for them, and the follow-up care after. Works with the Member Advocate Coordinator and other member-focused departments of the plan. This collaboration ensures continuity and coordination of care and member and provider communication through the initial transition, ongoing benefit plan, and MCE transfers. Ensure the transfer and receipt of all outstanding prior authorization decisions, utilization management data, and clinical information such as prevention and wellness programs(s), care management and complex case management notes. Help with transitions from the custodial setting to the home and community-based setting. We ask that you have telephonic and in-person meetings within an assigned region. The purpose of these meetings is to work with various stakeholders, including long-term care members, hospital/rehab staff discharge planners, family members/POA's, PCP's, and other healthcare professionals. The ultimate goal is to prevent custodial placements whenever possible. Assess and evaluate member's needs to establish a member specific car
This is where your work makes a difference. At Baxter, we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job—you will find purpose and pride. Your Role at Baxter As a Technical Support Specialist, you will provide front-line support for Baxter's infusion systems, software applications, and connected technologies used in healthcare environments. This is where you can make an impact by helping hospitals, clinicians, biomedical technicians, and IT teams quickly resolve technical issues involving equipment that supports patient care. In this role, you'll balance technical support activities with case management and ticket processing while partnering with customers to maintain system performance and uptime. What You'll Do Provide Level 1 technical support via phone, email, and future chat channels for Baxter infusion pumps, associated software, and connected digital products. Troubleshoot hardware, software, connectivity, and system-related issues using established troubleshooting guides, technical documentation, and standard operating procedures. Process, document, and manage customer cases, ensuring accurate updates, issue tracking, and timely resolut
From $19/hr
The Starting Hourly Rate / Salario por Hora Inicial is $18.50 USD per hour. The Pay Range / Rango salarial is $18.50 USD - $27.75 USD per hour. ALL ABOUT TARGET As a Fortune 50 company with more than 400,000 team members worldwide, Target is an iconic brand and one of America's leading retailers. Working at Target means the opportunity to help all families discover the joy of everyday life. Caring for our communities is woven into who we are, and we invest in the places we collectively live, work and play. We prioritize relationships, fuel and develop talent by creating growth opportunities, and succeed as one Target team. At our core, our purpose is ingrained in who we are, what we value, and how we work. It's how we care, grow, and win together. ALL ABOUT ASSETS PROTECTION Assets Protection (AP) teams function to keep our guests, team and brand safe and secure and lead through crisis events. They protect profitable sales by mitigating shortage risks, preventing, investigating and resolving theft and fraud to ensure product is available for our guest. At Target, we believe in our team members having meaningful experiences that help them build and develop skills for a career. The role of a Target Security Specialist can provide you with the: Skills using intelligence-led tactics to keep team members and guests safe and secure Experience in crisis response, safety and crowd management; providing support to both guests and team members Skills in de-escalation as well as experience with recovering stolen merchandise to prevent shortage Ability to utilize Target's video surveillance system Ability to properly document cases using industry case management systems As a Target Security Specialist, no two days are ever the same, but a typical day will most l
About the Team OpenAI's People team helps hire, develop, and support the people building safe and beneficial AGI. Within that team, People Systems builds the technical foundation that enables our HR, recruiting, payroll, benefits, and performance operations to scale with quality, speed, and rigor. We work at the intersection of HR systems, software engineering, and internal tooling. Our goal is not just to keep core systems running, but to build durable technical leverage for the company. About the Role We're hiring a Workday Engineer to help design, build, and operate the systems that power critical people workflows at OpenAI. This is a highly technical role for someone who combines strong Workday expertise with real engineering fluency. You'll build reliable integrations, improve system architecture, automate complex workflows, and help connect Workday to internal tools, external platforms, and emerging AI-driven systems. You should be comfortable going beyond configuration work. We're looking for someone who can reason through ambiguous systems problems, write and debug technical solutions, work effectively in Git-based environments, and use modern developer workflows, including CLI-driven tooling, to build and operate with speed and discipline. You'll partner closely with cross-functional teams across People, Finance, Security, and Engineering, including our People Innovations team, to build systems that are secure, scalable, and practical. Some work will involve improving mature production infrastructure; some will involve building entirely new workflows and capabilities from scratch. In this role, you will Design, build, and maintain Workday integrations, applications, and workflow automations across domains such as payroll, benefits, recruiting, performance, and case management Improve the reliability, quality, and scalability of People systems through strong engineering, testing, and operational practices Build technical solutions that connect Workday with i
Starting Hourly Rate / Salario por Hora Inicial: $20.25 USD per hour ALL ABOUT TARGET As part of our collaborative and guest-obsessed team, you help us create an experience that makes guests say, “I love Target!” When you work at Target, you’re helping every family discover the joy in everyday life. You’re working alongside a dedicated team that cares, grows, and wins together. A team that is inclusive, makes connections, and brings their passion and pride to all that they do. You will deliver a destination shopping experience by providing a safe and secure environment for our guests and mitigate shortage risks in order to drive sales. ALL ABOUT ASSETS PROTECTION Assets Protection (AP) teams function to keep our guests, team and brand safe and secure and lead through crisis events. They protect profitable sales by mitigating shortage risks, preventing, investigating and resolving theft and fraud to ensure product is available for our guest. At Target, we believe in our team members having meaningful experiences that help them build and develop skills for a career. The role of a Target Security Specialist can provide you with the: Skills using intelligence-led tactics to keep team members and guests safe and secure Experience in crisis response, safety and crowd management; providing support to both guests and team members Skills in de-escalation as well as experience with recovering stolen merchandise to prevent shortage Ability to utilize Target's video surveillance system Ability to properly document cases using industry case management systems As a Target Security Specialist, no two days are ever the same, but a typical day will most likely include the following responsibilities: Support sales by welcoming and engaging guests and team members at the fro
Starting Hourly Rate / Salario por Hora Inicial: $18.75 USD per hour ALL ABOUT TARGET As part of our collaborative and guest-obsessed team, you help us create an experience that makes guests say, “I love Target!” When you work at Target, you’re helping every family discover the joy in everyday life. You’re working alongside a dedicated team that cares, grows, and wins together. A team that is inclusive, makes connections, and brings their passion and pride to all that they do. You will deliver a destination shopping experience by providing a safe and secure environment for our guests and mitigate shortage risks in order to drive sales. ALL ABOUT ASSETS PROTECTION Assets Protection (AP) teams function to keep our guests, team and brand safe and secure and lead through crisis events. They protect profitable sales by mitigating shortage risks, preventing, investigating and resolving theft and fraud to ensure product is available for our guest. At Target, we believe in our team members having meaningful experiences that help them build and develop skills for a career. The role of a Target Security Specialist can provide you with the: Skills using intelligence-led tactics to keep team members and guests safe and secure Experience in crisis response, safety and crowd management; providing support to both guests and team members Skills in de-escalation as well as experience with recovering stolen merchandise to prevent shortage Ability to utilize Target's video surveillance system Ability to properly document cases using industry case management systems As a Target Security Specialist, no two days are ever the same, but a typical day will most likely include the following responsibilities: Support sales by welcoming and engaging guests and team members at the fro
The Starting Hourly Rate / Salario por Hora Inicial is $18.50 USD per hour. The Pay Range / Rango salarial is $18.50 USD - $27.75 USD per hour. ALL ABOUT TARGET As a Fortune 50 company with more than 350,000 team members worldwide, Target is an iconic brand and one of America's leading retailers. Working at Target means the opportunity to help all families discover the joy of everyday life. Caring for our communities is woven into who we are, and we invest in the places we collectively live, work and play. We prioritize relationships, fuel and develop talent by creating growth opportunities, and succeed as one Target team. At our core, our purpose is ingrained in who we are, what we value, and how we work. It's how we care, grow, and win together. ALL ABOUT ASSETS PROTECTION Assets Protection (AP) teams function to keep our guests, team and brand safe and secure and lead through crisis events. They protect profitable sales by mitigating shortage risks, preventing, investigating and resolving theft and fraud to ensure product is available for our guest. At Target, we believe in our team members having meaningful experiences that help them build and develop skills for a career. The role of a Target Security Specialist can provide you with the: Skills using intelligence-led tactics to keep team members and guests safe and secure Experience in crisis response, safety and crowd management; providing support to both guests and team members Skills in de-escalation as well as experience with recovering stolen merchandise to prevent shortage Ability to utilize Target's video surveillance system Ability to properly document cases using industry case management systems As a Target Security Specialist, no two days are ever the same, but a typical day will most l
Envoy Global is a proven innovator in the global immigration space. Our mission combines our industry-leading tech platform with holistic service to streamline, simplify and expedite the immigration process for employers and individuals. Immigration Operations Specialist (IOS) Onsite | Full‑Time | Chicago, IL Build a Career in Immigration Operations The Immigration Operations Specialist (IOS) plays a vital role in supporting employment‑based immigration cases by providing hands‑on administrative and case support to Envoy Global’s affiliate law firm. This is a great opportunity to build foundational skills, work with cutting‑edge legal technology, and grow within a collaborative operations team. Are you detail‑oriented, organized, and interested in immigration or global mobility? What You’ll Do Prepare correspondence, filings, and mailings for immigration petitions Scan, upload, and manage sensitive case documents with accuracy and care Support standard immigration case types under the guidance of senior specialists Maintain accurate case updates and notices in Envoy’s platform Perform quality checks to ensure work meets accuracy and compliance standards Assist with online applications and client document intake Use AI and automation tools to improve efficiency Support high‑volume projects such as H‑1B cap season and other peak periods What You Bring High School Diploma required 2+ years of administrative or clerical experience in a corporate environment Comfort handling confidential, time‑sensitive information Basic proficiency in MS Word, Excel, and Outlook Strong attention to detail and excellent organizational skills Clear written and verbal communication skills Genuine interest in immigration, global mobility, or legal operations Additional Details Must work onsite In Chicago, IL five (5) days per week Flexibility to work overtime during high‑volume periods Ability to lift up to 25 lbs and work at a computer for extended periods Why Envoy Global You’
Project Management Specialist (General Project Mgmt) Company: The Boeing Company Boeing Global Services (BGS) is looking for Senior Project Management Specialist to join our team in Plano, TX . Position Responsibilities: Oversees, develops, coordinates, integrates, analyzes, and maintains integrated plans and schedules for highly complex or difficult projects, programs and change driven activities to execute in accordance with project management industry standards. Directs and provides high level studies/analysis (trend, variance, impact), determines scope, reports, and oversight of planning requests. Identifies risk and opportunity potential, develops mitigation planning and refines the business case. Develops and executes the process and strategy for the integration of plans and schedules. Consults and recommends integrated planning, scheduling, change and baseline management, processes, techniques and tools to management considered to be best practices across the industry. Recognized as primary project contact to establish key stakeholder requirements and project objectives. Authorizes commitment of resources by obtaining approvals from stakeholders. Oversees deployment of approved recommendations at Division, Business Unit, and/or Enterprise levels undefined Basic Qualifications (Required Skills/Experience): 5+ years of experience in Project Management Proficient in Microsoft Office Products (Word, Excel, Powerpoint etc.) 3+ years of experience leading projects and teams Preferred Qualifications (Desired Skills/Experience): Bachelors Degree or equivalent
Become a part of our caring community As a Project Management Lead, in a Shared Services capacity supporting the Insurance organization, you will manage all aspects of cross-functional, varying degrees of complexity programs and/or projects to deliver sustainable business outcomes on time and within budget. Your business outcomes focus fosters flexibility in how to achieve the desired results in the most efficient way possible. You will utilize structured and organized ways of working to consistently deliver high quality results yet embrace business agility to adapt plans when necessary. Working in a team-based environment, you will use influencing skills to hold others accountable for their parts while also offering suggestions for continual improvement. Your expertise will enable you to participate and contribute to the Project Management and Change Management Centers of Excellence. Location: remote The Project Management Lead will work closely with business owners/project sponsors to understand the scope of a project, create a charter with defined milestones to develop an implementation approach and project plan. The candidate will secure resources by identifying impacted stakeholders, facilitate meetings, and coordinate the activities to achieve business objectives within established timeframes. As a business partner in the implementation of new initiatives, the Project Management Lead is responsible for managing all phases of the project life cycle and includes feasibility (business case), design (planning), build (oversee delivery of planned work), test (quality), deploy (transitional activities), and close (archive documented knowledge). Apply internal processes and enforce project standards (such as but not limited to Charter, RACI Matrix, Status Reports, Project Plan, Risk/Issues Tracking, etc.) </
NVIDIA builds the silicon behind AI, accelerated computing, and graphics. Every watt of performance and every degree of thermal headroom traces back to decisions made in power, performance, and thermal architecture. We are the Silicon Co-Design Group (SCG). We identify, own, and drive system-level co-design ideas. We start with initial concepts and advance to product differentiation across NVIDIA's roadmap. We are hiring a Principal System Power Management and Performance Architect who operates at the ambiguous boundary where workload behavior, silicon capabilities, firmware policies, and platform constraints collide, and who turns that ambiguity into architecture that survives across multiple silicon generations. SCG scope spans architecture, design, software, operations, platforms, and productization. This role shapes system, platform, and data center features and behavior, and partners with teams across NVIDIA. What You'll Be Doing: The work here is rarely well-defined when it arrives. You will be given problems that appear to be performance gaps or power anomalies and encouraged to build a framework for solving them, not just tackle a single instance. Define the multi-generation roadmap for system-level power and performance features, grounded in prototyping, use-case analysis, and cost/benefit trade-offs across segments. You will decide what problems are worth solving and why. Own the architecture and integration strategy for HSIO power management, DVFS, P-states, and low-power features. Your decisions improve product performance, power, and reliability across product lines — not just the current program. Lead system-level boot and IST architecture defining how power and clock domains initialize, sequence, and recover across complex multi-IP systems where the interaction space is large and the failure modes matter. Drive power management strategy at data
Become a part of our caring community The Counsel provides a full range of legal advice and services on litigation, arbitration, and related legal matters and strategy. The Counsel will collaborate internally and with outside counsel on case strategy, discovery, and resolution of disputes. The Counsel will exercise independent judgment and decision-making on litigation issues and related tasks and work under modest supervision. This role requires applying in-depth and broad knowledge of litigation practices, frequently taking full ownership of legal matters, and organizing and managing individual litigation matters from inception through trial. Use your skills to make an impact Required Qualifications Juris Doctor degree from an ABA-accredited law school Active and licensed membership in a state bar association At least 4 years of experience in litigation Strong project management and organizational skills across all facets of litigation from inception through trial Ability to organize and successfully manage a number of case matters simultaneously Strong skills in communicating complex legal issues to various stakeholders Ability to mitigate risk by acting as a trusted advisor whose strategic thinking, pragmatic problem-solving, and proactive counsel are sought by clients Ability to work independently under general supervision and in team settings Experience with large-scale e-discovery Preferred Qualifications Experience with provider disputes and healthcare reimbursement disputes Experience with alternative dispute resolution (ADR), including arbitration Understanding of Medicaid/Medicare laws and regulations Work at Home Requirements:
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