Jobs in the United States

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Added 1 min ago
Account Manager - Global Health Benefits
The Cigna Group
United States
Active Life, Accident, and Health license required by the state, or the ability to obtain it within the required business timeframe
Added 2 mins ago
Store Manager - Hamilton, NJ
Save A Lot
Hamilton, NJ
Must have the ability to stand, walk and / or move about for extended periods of time
Added 3 mins ago
FM
Case Manager RN - Travel Nurse
Fusion Medical Staffing
Bel Air, MD
- $2,005.4 to $2,133.4 USD / week
Sensory - Must possess visual acuity and ability to effectively communicate
Added 6 mins ago
*Therapist - Salaried Clinician
Cape Cod Healthcare
Hyannis, MA
Participates in regular clinical supervision. Consults with medical director, program manager and colleagues when clinical decisions regarding risk arise.
Added 6 mins ago
*Therapist - Salaried Clinician
Cape Cod Healthcare
MA
Participates in regular clinical supervision. Consults with medical director, program manager and colleagues when clinical decisions regarding risk arise.
Added 9 mins ago
Outside Sales Representative
State Industrial Products
Charleston, WV
Ability to travel within the local market area using a personal vehicle; valid driver’s license required
Added 10 mins ago
MM
Manufacturing Engineering Manager
Moog Military Aircraft LLC
Torrance, CA
- $150,000 to $210,000 CAD / year
Onsite – Torrance, CAOur team at Moog Military Aircraft Group is looking for a Manufacturing Engineering Manager to join us. You will report to the Site Fabrication Director, and you will…
Added 11 mins ago
UG
Associate Clinical Admin Coordinator
UnitedHealth Group
Colorado Springs, CO
- $16 to $29 USD / hour
…together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our…
Added 11 mins ago
UG
Senior Community Pharmacy Technician
UnitedHealth Group
Braintree, MA
- $18 to $32 USD / hour
…together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our…
Added 11 mins ago
CR
Staff Pharmacist Full Time
CVS Rx Services, Inc.
Richmond, VA
- Full-time
…care for our patients. In addition to supporting the Pharmacy Manager in leading and directing your Pharmacy Technician Support Staff, you are accountable for supporting the management,…
Added 11 mins ago
CR
Staff Pharmacist Full Time
CVS Rx Services, Inc.
Vienna, VA
- Full-time
…care for our patients. In addition to supporting the Pharmacy Manager in leading and directing the pharmacy team, you are accountable for supporting the management, oversight, and operation…
Added 11 mins ago
CR
District Support Pharmacist Full Time
CVS Rx Services, Inc.
Easley, SC
- Full-time
…pharmacist scheduling gaps, under the direction of the Pharmacy Manager (PM) and Rx District Leader (DL) to support our pharmacy teams. While working in stores throughout the district, you…
Added 11 mins ago
CR
Night Pharmacist Full Time
CVS Rx Services, Inc.
Warminster, PA
- Full-time
…care for our patients. In addition to supporting the Pharmacy Manager in leading and directing the pharmacy team, you are accountable for supporting the management, oversight, and operation…
Added 11 mins ago
CR
District Support Pharmacist Full Time
CVS Rx Services, Inc.
Staten Island, NY
- Full-time
…pharmacist scheduling gaps, under the direction of the Pharmacy Manager (PM) and Rx District Leader (DL) to support our pharmacy teams. While working in stores throughout the district, you…
Added 11 mins ago
CR
Staff Pharmacist Full Time
CVS Rx Services, Inc.
Union, NJ
- Full-time
…care for our patients. In addition to supporting the Pharmacy Manager in leading and directing the pharmacy team, you are accountable for supporting the management, oversight, and operation…
Added 11 mins ago
Pharmacy Manager
CVS Rx Services, Inc.
Hillsborough, NJ
As a Pharmacy Manager, you will lead and develop a pharmacy team that provides exceptional patient care by promoting best practices and leading through change while identifying and…
Added 11 mins ago
CR
Staff Pharmacist Full Time, PMEL
CVS Rx Services, Inc.
Winterville, NC
- Full-time
…build additional competencies to become ready for a Pharmacy Manager (PM) role. You will be expected to complete a self-paced, collaborative training roadmap with both virtual and hands-on…
Added 11 mins ago
CR
Staff Pharmacist Full Time
CVS Rx Services, Inc.
NC
- Full-time
…care for our patients. In addition to supporting the Pharmacy Manager in leading and directing the pharmacy team, you are accountable for supporting the management, oversight, and operation…
Added 11 mins ago
CR
Staff Pharmacist Full Time, PMEL
CVS Rx Services, Inc.
Greenville, NC
- Full-time
…build additional competencies to become ready for a Pharmacy Manager (PM) role. You will be expected to complete a self-paced, collaborative training roadmap with both virtual and hands-on…
Added 13 mins ago
TR
Host
Texas Roadhouse Management LLC
Aurora, CO
- $15.16 to $25 USD / hour
For more information about this position, please contact the restaurant and ask for a manager.
Added 15 mins ago
DB
Alterations Customer Service Representative
David's Bridal
Rockville, MD
- $17 to $18 USD / hour
…experience to David’s Bridal customers S/he reports to the Store Manager. The Alterations CSR is responsible for task that may include welcoming and servicing customers, making…
Added 16 mins ago
SU
Senior EHS Coordinator
Skanska USA
Blacksburg, VA
- $73,200 USD / year
…across Skanska USA Building projects. Reporting to the EHS Manager, this role provides technical assistance, conducts site inspections, and promotes safety awareness while ensuring…
Added 18 mins ago
Director of Nursing Programs
University of Arkansas Pulaski Technical College
United States
Designs new or implements changes to courses, degrees, and programs meeting institutional and program assessment and accreditation;
Added 18 mins ago
Electrical/I&C Component Engineer
Duke Energy Carolinas, LLC
York, SC
However, hybrid employees must live within a reasonable commute to their designated Duke Energy facility, not greater than 50 miles one way · Hybrid work arrangement: after onboarding, employees must work onsite at Catawba Nuclear Station at least two days per week, with two remote days
Added 18 mins ago
Industrial Maintenance Technician
Owens Corning
Duncan, SC
Must possess strong communication skills & write routine reports and correspondence · Must have strong internal and external customer service skills and be a team player

Cape Cod Healthcare

*Case Manager

MA, United States

Apply on capecodhc.taleo.net About employer

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Job details

Apply by: Nov 19, 2026
Posting language: English
Posted: Nov 11, 2026

Original job description

Screen new admissions daily for discharge planning needs. Establish priority of visits based on screening criteria. Verify accuracy of demographics and payer information in and notify admissions of corrections.
Patients with identified needs for follow-up are seen within one (1) business day of identification and the Initial Assessment is completed in InterQual®. Reassessments are done every three (3) days as needed for changes in medical status, diagnosis, or caregiver.
Review appropriateness of patient’s admission and level of care needs (Inpatient and Observation) utilizing InterQual® Criteria. Follow policy and procedure if Level of Care is not met.
Initiates timely HINN Notices and letters of reinstatement. Coordinates patient appeal rights under the Discharge Appeals program.
Identifies patients and families who have high-risk complex psychosocial/financial and legal needs and refers patients to appropriate resources.
Responsible for utilization review on assigned unit. Facilitates third party reimbursement by responding to third party payer requests for concurrent clinical information in support of ongoing services, turnaround time by day end.
Works closely with attending physician/interdisciplinary team to facilitate appropriate care and services. Ensures that the interdisciplinary care plan and the discharge plan are consistent with the patient’s required needs and covered services.
Participate/facilitate in unit’s daily rounds.
Advocates for patients through the development of effective partnerships with patient families, payers and healthcare team. Acts as patient advocate communicating with patients/families regarding adverse determinations and other issues related to insurance coverage and ongoing care requirements. Facilitates and maintains patient’s independence in decision making when appropriate.
Coordinate and communicate thorough and complete referral information to enhance a safe transfer of patient to other facilities or agencies. Complete all necessary paperwork based on need and regulation.
Demonstrates knowledge of community resources and acts as resource to staff in providing safe and effective post hospital care.
Participates and accurately applies approved standards of care/Care Maps and clinical pathways in evaluating and monitoring the patient’s clinical course. Participates in the development and revision of pathways. Participates in care conferences on patients across the continuum.
Evaluates continued length of stay of patients for appropriateness per recognized InterQual® criteria. Makes appropriate referrals to Physician Advisor if criteria is not met and resolution with the attending physician cannot be accomplished.
Identifies days at risk for denial and initiate strategies to facilitate care and accomplish discharge.
Assists medical coders by obtaining necessary diagnostic and procedural information to assure appropriate reimbursement.
Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental and Infection Control standards.
Maintains core/clinical competency and current knowledge of regulatory and payer requirements to perform job responsibilities.
Participates in education programs, in-services, and meetings as required.
Recognizes/understands responsibility of this key role and the responsibility this position demands in direct support of high quality patient care delivery regardless of assignment. This will be measured by the accountability/initiative taken in the performance of daily duties and assignments as itemized in major accountabilities section of job description.
Ability to work independently.
Complies with policies regarding dress code.
Performs other related duties as assigned or requested. Displays flexibility, cooperation and characteristics of a team member.

Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital’s commitment to CARES: compassion, accountability, respect, excellence and service.

Ability to read, write and communicate in English;
Current registration as a Registered Nurse in the Commonwealth of Massachusetts;
Bachelor of Science Degree in Nursing preferred, (external applicants);
Certificate in Case Management or CPUM or specialty preferred;
Demonstrates competency with a minimum of 3 years acute care experience within the past 5 years with broad clinical experience in a hospital setting or case management.
Demonstrate recent knowledge/experience within past 4 years in Discharge Planning and Utilization review;
Working knowledge of InterQual®, or equivalent system.
Strong interpersonal and negotiation skills demonstrated by a positive attitude, pleasant, professional and cooperative demeanor, with patients, physicians, fellow employees, and insurance companies;
Excellent organization and time management skills;
Ability to work independently and effectively in a fast pace environment;
Ability to work productively in a stressful environment and effectively handle multiple projects and changing priorities;
Proficient computer skills with ability to utilize and integrate updated software systems into practice.

Apply on capecodhc.taleo.net About employer

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Jobs in the United States