case manager Jobs

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Medical Case Manager

CalOptima

Orange, California, USA

Full-time

Medical Case Manager CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager to join our team. Case Management is an advanced specialty collaborative practice responsible for providing ongoing case management services for CalOptima Health's members. The Medical Case Manager will facilitate communication and coordination among all participants of the health care team and CalOptima Health's members to ensure the services provided promote quality and cost-effect

Medical Case Manager RN (Emergency Department Program)

CalOptima

Orange, California, USA

Full-time

Medical Case Manager RN (Emergency Department Program) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager RN (Emergency Department Program) to join our team. The Medical Case Manager for Long Term Services Supports (LTSS) Emergency Department Program is part of an advanced specialty collaborative practice, responsible for case management, care coordination, authorization and utilization management of the assigned population of focus (emergency department

Medical Case Manager (LVN) (Long-Term Care)

CalOptima

Orange, California, USA

Full-time

Medical Case Manager (LVN) (Long-Term Care) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager (LVN) (LTC) to join our team. The Medical Case Manager (LVN) for Long Term Care (LTC) is responsible for reviewing and processing requests for authorization and notification of LTC Skilled Nursing Facilities. The incumbent will be responsible for inpatient review and referral related processes which include on-line responsibilities as well as selected off-line

Medical Case Manager (Behavioral Health - Utilization Management)

CalOptima

Orange, California, USA

Full-time

Medical Case Manager (Behavioral Health - Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager (Behavioral Health - Utilization Management) to join our team. The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and processing requests for authorization and notification of behavioral health services from health professionals, clinical facilities and ancillary providers. The incumbent will be respons

Medical Case Manager (LVN) (CalAIM)

CalOptima

Orange, California, USA

Full-time

Medical Case Manager (LVN) (CalAIM) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager (LVN) (CalAIM) to join our team. The Medical Case Manager (LVN) for CalAIM is responsible for reviewing and processing requests for authorization and notification of CalAIM services. The incumbent will be responsible for CalAIM authorization and referral related processes which include on-line responsibilities as well as selected off-line tasks. The incumbent will util

Medical Case Manager (Whole Child Model)

CalOptima

Orange, California, USA

Full-time

Medical Case Manager (Whole Child Model) CalOptima CalOptima Health is seeking a highly motivated an experienced Medical Case Manager (Whole Child Model) to join our team. Case Management is an advanced specialty collaborative practice, responsible for providing ongoing case management services for CalOptima Health's members. The Medical Case Manager will facilitate communication and coordination among all participants of the health care team and the member to ensure the services provided promot

Behavioral Health Case Manager

Zachary Piper Solutions, LLC

Remote

Full-time

Piper Companies is currently seeking a Behavioral Health Case Manager for a remote opportunity within a health insurance organization. The Behavioral Health Care Manger will be serving as an essential bridge between health care and medical coverage. Responsibilities of the Behavioral Health Care Manager: Assess medical records, care plans, and medical charts to provide quality care for patients Prepare and analyze data from electrical medical records Coordinate with patients and providers to

IBM Case Manager/BAW Developer

Apex Systems

McLean, Virginia, USA

Full-time

Job#: 2063695 Job Description: IBM Case Manager/BAW Developer Interested candidates should send an udpated resume to Location: fully remote - EST hours Targeted start date of 4/1 - contract duration is anticipated to be 7+ months with permanent conversion potential Pay: negotiable based on level of candidate expeirence (weekly pay on W2) Job Duties Day to Day: Collaborate with the project team to develop innovative solutions using Cloud Pak for Business Automation. Resolve technical issues a

FileNet Developer: Onsite from Day 1 in Baton Rouge, LA

Information Resource Group, Inc.

Baton Rouge, Louisiana, USA

Contract, Third Party

Title: FileNet Developer Location: Baton Rouge, LA (Onsite from Day 1) Duration: 4 Year The scope of the proposed services will include the following: Provide analysis for highly complex programs, formulate logic for new Java/JSP and Dojo widget-based applications related to FileNet and perform the development. Provides analysis of problems and recommends solutions. Prioritize and resolve immediate technical issues, as well as work toward longer term projects. Prepare operating procedures docu

IBM FileNet P8 Application Developer - Fully Onsite in Baton Rauge, LA

RICEFW Technologies Inc

Baton Rouge, Louisiana, USA

Third Party, Contract

The scope of the proposed services will include the following: Provide analysis for highly complex programs, formulate logic for new Java/JSP and Dojo widget based applications related to FileNet and perform the development. Provides analysis of problems and recommends solutions. Prioritize and resolve immediate technical issues, as well as work toward longer term projects. Prepare operating procedures documentation. Provide updates, status, and completion information to managers and/or users.

Actimize Developer

Digitive LLC

Wilmington, Delaware, USA

Third Party, Contract

Role: Actimize Developer Location: Wilmington, DE (HYBRID) Experience: 10+ Years Must Have's: Experience of deploying/implementing latest versions of Actimize solutions SAM (Suspicious Activity Monitoring ) and CDD (Customer Due Diligence ) out of the box /Custom models.Hands On Experience in Custom Models/Custom development on Actimize using AIS modeler and RCM Designer.Experience with Actimize DART, Dash boards, Custom Alerts, Forms design and implementation. Technical Skills required for thi

Actimize Developer

Bluefish Technologies

Wilmington, Delaware, USA

Contract

Hi Folks, Urgent hiring for the below role: Role: Actimize Developer Location: Wilmington, DE (HYBRID) Experience: 10+ Years Must Have's: Experience of deploying/implementing latest versions of Actimize solutions SAM (Suspicious Activity Monitoring ) and CDD (Customer Due Diligence ) out of the box /Custom models. Hands On Experience in Custom Models/Custom development on Actimize using AIS modeler and RCM Designer. Experience with Actimize DART, Dash boards, Custom Alerts, Forms design and imp

RIM System Analyst and Developer (FileNet) (ONSITE)

Serigor

Baton Rouge, Louisiana, USA

Contract

Job Title: RIM System Analyst and Developer (FileNet) (ONSITE) Location: Baton Rouge, LA Duration: Up to 5 Years Job Description: The scope of the proposed services will include the following: Provide analysis for highly complex programs, formulate logic for new Java/JSP and Dojo widget based applications related to FileNet and perform the development.Provides analysis of problems and recommends solutions.Prioritize and resolve immediate technical issues, as well as work toward longer term proje

Actimize Developer (NYC, NY)

Randstad Digital

New York, New York, USA

Contract

job summary: W2 only; no C2C/ no C2H local candidates only: hybrid onsite in NYC, NY Job Description: Trade Surveillance team is looking for an Actimize Developer.This is NOT an Informatica or ETL developer role. This role will serve as a developer for a single work stream or sub-component of a larger program Trade Surveillances.Depending on the complexity of the work stream, role may be assigned to support more than one work stream or function.The contractor will be partnered with a line-of-b

Actimize Developer

Pyramid Consulting, Inc.

Jersey City, New Jersey, USA

Contract

Immediate need for a talented Actimize Developer. This is a 12+months contract opportunity with long-term potential and is located in Jersey City,NJ (Onsite). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-67111 Pay Range: $90 - $100/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location). Key Responsibilities: Actimize Developer to design, de

FileNet Administrator

Elegant Enterprise Wide Solutions

Baton Rouge, Louisiana, USA

Full-time, Third Party

Expertise and/or relevant experience in the following areas are mandatory: Minimum 2-5 years of experience in Enterprise Content Management application development. Experience with integrating custom widgets and business rules 3+ years of experience with large-scale content migration 3+ years of experience with Db2 and/or Microsoft SQL Server 3+ years of experience in data extraction/transformation/migration and load processes Expertise and/or relevant experience in the following areas are desi

Actimize Developer

Synechron Inc.

Jersey City, New Jersey, USA

Full-time

We are At Synechron, we believe in the power of digital to transform businesses for the better. Our global consulting firm combines creativity and innovative technology to deliver industry-leading digital solutions. Synechron's progressive technologies and optimization strategies span end-to-end Artificial Intelligence, Consulting, Digital, Cloud & DevOps, Data, and Software Engineering, servicing an array of noteworthy financial services and technology firms. Through research and development in

FileNet Architect

Information Resource Group, Inc.

Baton Rouge, Louisiana, USA

Contract, Third Party

Role: FileNet Architect Location: Baton Rouge, Louisiana Duration: 4 years Provide Technical support to the organization, serving as a FileNet Architect This role is responsible for managing application development related to IBM FileNet, Workflow Toolsets and Content Navigator Prioritize and resolve immediate technical issues, as well as work toward longer term project goals Manage technical tasks using industry standard DevOps tools and dashboards; provide updates, status, and completion

QRadar Suite Endpoint Detection and Response (EDR)

intiGrow

Remote

Contract, Third Party

100% Remote 1. QRadar Platform Expertise Architecture and components (Console, Event Collectors, Event Processors, Flow Collectors, Data Nodes) Log source integration and configuration Custom rules and building offenses Use Case Manager app and AQL (Advanced Query Language) DSM (Device Support Modules) tuning and extension Flow data and QFlow/QNi Offense management and tuning Asset profiles and identity integration 2. SIEM & Security Fundamentals Knowledge of security event types (e.g., logs fro

Senior Application Administrator (FileNet Architect) (ONSITE)

Serigor

Baton Rouge, Louisiana, USA

Contract

Job Title: Senior Application Administrator (FileNet Architect) (ONSITE) Location: Baton Rouge, LA Duration: Up to 5 Years Job Description: The scope of the proposed services will include the following: Provide Technical support to the organization, serving as a FileNet ArchitectThis role is responsible for managing application development related to IBM FileNet, Workflow Toolsets and Content NavigatorPrioritize and resolve immediate technical issues, as well as work toward longer term project g