Case management Jobs in California

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Sr. IT Project Manager - Call Center Systems Implementation

R4 Resources

•

Remote

Contract

Looking for a high-energy & detail-oriented Senior IT Project Manager to lead the discovery, selection and implementation of a new technology platform in a national call center operation. This is a high-impact, cross-functional role responsible for partnering with a 3rd party vender and coordinating across multiple lines of business to consolidate and streamline problem resolution workflows into the call center environment. The successful candidate needs exceptional organization, communication
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Posted 12 hours ago

Case Manager

Idexcel Inc.

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Remote

Full-time

Job Title: Healthcare Consultant/ Case Manager Duration: 3+ Months Remote Job Description Position Summary Utilizes critical thinking and judgment to collaborate and inform the Case Management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources. Must have: Illinois resident who lives in/near one of the counties listed below and is interested in doing f
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Posted 3 days ago | Updated 14 hours ago

Behavioral Health Clinical Reviewer- LADC/BCBA Certification

Javen Technologies, Inc

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Remote

Contract

Greetings from Javen Technologies Inc., Title: Behavioral Health Clinical Reviewer- (LADC/BCBA Certification) Location: Eagan, MN 100% Remote Duration: 6 months (Possible CTH) How Is This Role Important to Our Work? This job implements effective utilization management strategies including review of appropriateness of pre and post service health care services, application of criteria to ensure appropriate resource utilization, identification of referrals to a Health Coach/case management, and ide
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Posted 12 hours ago

ServiceNow Developer with AI

E-Solutions, Inc.

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California, USA

Contract, Third Party

Job Title: Lead Software Developer (ServiceNow, DevOps, AI) Location: Santa Clara, CA Job Summary: We are seeking an experienced and driven Lead Software Developer to join our dynamic team. The ideal candidate will have hands-on expertise in ServiceNow, strong JavaScript skills, and working knowledge of DevOps practices. You will lead software design initiatives, conduct peer reviews, mentor developers, and contribute to our AI integration efforts. This role demands both strategic thinking and
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Posted 27 days ago | Updated 9 hours ago

Registered Nurse | Case Manager I Remote | Michigan | Contract

Walker Healthforce

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Remote

Contract

RN Case Manager | Remote | Michigan | Contract Walker Healthforce is seeking an RN Case Manager with 3 years of experience in Michigan. This is a 12 month contract opportunity. CORE REQUIREMENTS: 3 years of clinical nursing experience in a clinical, acute/post-acute care, or community setting1 year of case management experience in a managed care settingExperience managing patients telephonically and via digital channels (mobile applications and messaging) MS Office computer skills required- Wor
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Posted 12 hours ago

Registered Nurse | Case Manager I Remote | Michigan | Contract

Walker Healthforce

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Remote

Contract

RN Case Manager | Remote | Michigan | Contract Walker Healthforce is seeking an RN Case Manager with 3 years of experience in Michigan. This is a 12 month contract opportunity. CORE REQUIREMENTS: 3 years of clinical nursing experience in a clinical, acute/post-acute care, or community setting1 year of case management experience in a managed care settingExperience managing patients telephonically and via digital channels (mobile applications and messaging) MS Office computer skills required- Wor
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Posted 4 days ago

Medical Management Specialist | Field | Contract

Walker Healthforce

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Remote

Contract

Medical Management Specialist | 3+ Years of Experience | Field | Contract Walker Healthforce is seeking aMedical Management Specialist with 3+ Years of Experience to support a Healthcare Payor Clientbased out of Illinois or New Mexico. This is a 3 month Contractopportunity. RATE: $45/ Hour HOURS/SCHEDULE: M-F 8am-5pm CST or MST based on location WORKER TYPE: W2 CORE REQUIREMENTS:Registered Nurse (RN)with 2 years of direct clinical care in a healthcare setting, orLicensed Professional Counselo
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Posted 26 days ago

DataStage Developer

Apexon

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Remote

Full-time

Role: ETL DataStage Developer Location: Remote Required Skills: Hands-on experience in Enterprise Data Warehouse, Encounter Processing Module, reporting engines, and an Integrated Case Management system. Experience with IBM InfoSphere DataStage, DB2.Experience with Medicaid Statistical Information System or Children's Health Insurance Program.
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Posted 13 days ago | Updated 9 hours ago

ETL Developer (IBM Data Stage)

Apexon

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Remote

Full-time

Skills: IBM Data StageIBM InfoSphere DataStage, DB2Description: Experience in working with Enterprise Data Warehouse, Encounter Processing Module, reporting engines, and an Integrated Case Management system.Experience in Centers for Medicare & Medicaid Services (CMS).Experience in developing and maintaining ETL jobs using IBM DataStage to load data into the data warehouse.Responsible for defining data warehouse architecture and determining the tools to load data into it
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Posted 13 days ago | Updated 3 days ago

Care Manager

Magicforce

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Remote

Contract

Required: Bachelor s degree in nursing or RN certification and 3 years experience in Acute or Managed Care/ experience with Medicaid or Medicare populations.3-5 years of experience in working in Acute Care/Managed CareTelephonic case management experienceResponsibilities: Communicate effectively while performing customer telephonic interviewing and communication with external contacts. (apply basic motivational interviewing skills)Communicate effectively while interacting with Case Management S
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Posted 14 hours ago

ServiceNow HRSD Architect

Georgia IT

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Remote

Contract

Position: ServiceNow HRSD Architect Location: Chicago, IL | Remote Duration: 6-12 Months Rate: $DOE Client is seeking a skilled ServiceNow Human Resources Service Delivery (HRSD) Architect to architect, develop and implement the HRSD module within the ServiceNow Platform. This position focuses on HR workflows, case management, and employee service centers. The ideal candidate will demonstrate their in-depth technical knowledge of the ServiceNow platform by working hand-in-hand with our customers
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Posted 3 days ago

Epic Application Analyst I, Inpatient ClinDoc-(Open to experienced remote in ID, NE, MO, OK, TX)

PIH Health

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Remote or Whittier, California, USA

Full-time

This position is 100% onsite Determination for the Epic Application Analyst (I, II or ), Inpatient ClinDoc roles will be based on experience and qualifications. PIH Health internal applicants or Altera employees (working at PIH Health as of May 2025), Epic certification in the required application/module must be obtained within 120 days of hire or transfer into the position. Failure to obtain certification within this timeframe may result in removal from the position; however, the employee will
Posted 1 day ago | Updated 11 hours ago

Actimize Developer

Collabera LLC

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Remote or Woodbridge Township, New Jersey, USA

Full-time

Industry: Banking & Financial Services Location: Iselin, NJ (Can be 100% Remote but must work in EST hours) Duration: 12 Months (High possibility of extension) Qualifications: Experience using NICE Actimize Case Management solution development (ActOne/RCM) Hands on experience with ActOne/RCM Java plugin development 4+ years of SQL experience 2+ year of experience writing code in Java application and knowledge of Java memory model 1+ years of cloud experience such as AWS, Azure, PCF etc. 2+ ye
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Posted 3 days ago | Updated 8 hours ago

ETL (DataStage) Developer

Digital Technology Solutions

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Remote

Contract

DTS is looking for ETL (DataStage) Developer for our client Position Job Description: Client is seeking an experienced ETL Developer with 2+ years of experience in healthcare IT to support a public client's Transformed Medicaid Statistical Information System (T-MSIS). This is a 2-year contract with potential for extension. START DATE:ASAP CORE REQUIREMENTS: 2 years as anETL DeveloperExperience withIBM DataStageFamiliarity with AI and associated engineering fundamentalsExperience working with
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Posted 13 days ago | Updated 17 hours ago

Remote -ServiceNow HRSD Architect-C2C- CH

Empower Professionals

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Remote

Third Party, Contract

Role: ServiceNow HRSD Architect Location: Remote Duration: 12+ Months Requirements: Client is seeking a skilled ServiceNow Human Resources Service Delivery (HRSD) Architect to architect, develop and implement the HRSD module within the ServiceNow Platform. This position focuses on HR workflows, case management, and employee service centers. The ideal candidate will demonstrate their in-depth technical knowledge of the ServiceNow platform by working together with our customers to ensure that the
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Posted 4 days ago | Updated 3 days ago

Pega LSA Delivery Lead

Source Infotech

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Sunnyvale, California, USA

Contract

Pega LSA Delivery Lead Location: Sunnyvale, CA ( Hybrid) Required Qualifications: Need ~10+ years of experienced Pega Resource who is hands-on, has leadership quality to take ownership of end to end delivery. 10+ years of experience in Pega development and system architecture. Pega Certification: Pega Certified Lead System Architect (At least LSA part 1) certification is required having completed before 2020. Technical Skills: Strong knowledge of Pega PRPC (Pega Rules Process Commander), inclu
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Posted 5 days ago

Sr. Pega Technical Lead

Shift Code Analytics

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Sunnyvale, California, USA

Contract, Third Party

Title: : Sr. Pega Technical Lead Location: Sunnyvale, CA, Austin TX/Sacramento, CA/Culver City, CA(Hybrid) Job Type: Long Term Contract Job Description:Experience: 10+ years of experience in Pega development and system architecture. - Pega Certification: Pega Certified Lead System Architect (Atleast LSA part 1) certification is required having completed before 2020. - Technical Skills: Strong knowledge of Pega PRPC (Pega Rules Process Commander), including Case Management, Integration, and Secur
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Posted 3 days ago

100% Remote - Senior Quality Assurance Engineer (must have Playwright and JavaScript experience) - 12 months contract

Accion Labs

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Remote

Third Party, Contract

100% Remote - Senior Quality Assurance Engineer (must have Playwright and JavaScript experience) - 12 months contract Please do not apply if doesn't have Playwright experience Skills : Playwright, JavaScript, Qmetry or other test case management tool 10+ years of experience as a technical Quality Assurance Engineer with hands on experience in developing both manual and automated tests. Direct experience in writing test scenarios & test cases, estimating test efforts, developing automated test sc
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Posted 18 hours ago

ServiceNow HRSD Architect

STAFFWORXS LLC

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Remote

Contract

Now Hiring: ServiceNow HRSD Architect Location: REMOTE WORK Duration: 6 12 Months (Contract) We re seeking a ServiceNow HRSD Architect to lead the end-to-end design, development, and implementation of HR workflows and employee service centers within the ServiceNow HR Service Delivery (HRSD) module. If you're a hands-on expert with a passion for building best-in-class HR solutions on the ServiceNow platform, we want to hear from you! Key Responsibilities: Lead the architecture and implementati
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Posted 4 days ago | Updated 15 hours ago

Senior Software Engineer - Pega (Remote)

First-Citizens Bank & Trust Company

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Remote or Raleigh, North Carolina, USA

Full-time

Overview This is a remote role that may be hired in several markets across the United States. We are looking for a highly skilled Senior Software Engineer - Pega to lead the design, development, and implementation of Pega-based enterprise applications. This role requires experience in Pega PRPC architecture, case management, and business process automation. In this position, you will work closely with business stakeholders, solution architects, and development teams to architect scalable, high
Posted 10 days ago | Updated 8 hours ago