Director - Case Management Job at Summerlin Hospital Medical Center (Las Vegas)

Associate Director, Case Management Systems

In this role, you will hold a pivotal position to ensure our technology solution...

Location

United States , New York

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 7 years of detail oriented experience in a non-profit or similar organization
Proven expertise in CRM and ERP - Enterprise Resource Planning
Proficient in implementing and managing ERP Solutions
Strong background in Application Development
Comprehensive understanding of SDLC - Software Development Life Cycle
Demonstrated ability to lead and manage a team
Excellent communication and interpersonal skills
Bachelor's degree in Information Technology, Computer Science, or a relevant field
Strong problem-solving skills and the ability to make decisions under pressure
Ability to work collaboratively with other departments to achieve organizational goals

Job Responsibility

Lead the design, implementation, and support of case management systems and other enterprise applications across the organization
Develop a strategic vision for the case management systems and enterprise applications to align with the organization's mission and operational goals
Collaborate with senior leadership, program directors, and departmental stakeholders to assess needs and recommend tailored solutions
Oversee the selection, implementation, and ongoing management of case management systems and other enterprise applications
Identify opportunities for process automation, systems integration, and improvements to maximize system functionality and user experience
Supervise and build capacity within the case management systems and enterprise applications team
Plan and manage projects related to case management and enterprise applications, including timelines, budgets, and deliverables
Ensure systems provide robust reporting capabilities to support performance measurement, grant compliance, and program evaluation
Act as the liaison between technical teams, program staff, and organizational leadership to bridge communication and align objectives
Build and maintain relationships with vendors, consultants, and technology partners

What we offer

medical
vision
dental
life and disability insurance
eligibility to enroll in company 401(k) plan

Fulltime

Prn/rn case manager

Arcadia Homecare & Staffing is seeking a Registered Nurse (RN) for case manageme...

Location

United States , Independence

Salary:

30.00 - 45.00 USD / Hour

Arcadia Home Care and Staffing - an Addus family company

Expiration Date

Until further notice

Requirements

Registered Nurse (RN)
Provides supervision and staff development assistance for all direct reports as assigned by the Program Director
Evaluates clinical performance of all staff under oversight of Program Director
Provides clinical assessments for incoming clients
Manages appropriate patient care assignment based on the competency of staff, acuity of clients, and continuity of care

Job Responsibility

Provides supervision and staff development assistance for all direct reports as assigned by the Program Director
Evaluates clinical performance of all staff under oversight of Program Director
Provides clinical assessments for incoming clients
Manages appropriate patient care assignment based on the competency of staff, acuity of clients, and continuity of care

What we offer

401(k)
Dental insurance
Flexible schedule
Health insurance
Vision insurance

Fulltime

Director of Product Management - Incentive Compensation Management (ICM)

CaptivateIQ is looking for a Director of Product Management to lead the end-to-e...

Location

United States; Canada , Menlo Park; Austin; Raleigh; Nashville; Toronto

Salary:

212120.00 - 300419.00 USD / Year

CaptivateIQ

Expiration Date

Until further notice

Requirements

4+ years leading PMs and shaping complex systems
Deep understanding of financial, modeling, or operational platforms where correctness, scale, and usability intersect
Demonstrated ability to build scalable systems and abstractions that serve multiple use cases and stakeholders
Strong cross-functional instincts - able to bring together Engineering, Design, Sales, and CX around shared context and goals
A coaching mindset
you invest in developing people’s judgment, not just their execution
Clear, structured thinking - you simplify complexity without losing nuance
Passion for creating environments where product teams do their best, most thoughtful work

Job Responsibility

Own the ICM product strategy and roadmap
Model hands-on product leadership
Foster a culture of deep collaboration
Promote intra-team and cross-functional collaboration
Build for leverage
Scale enterprise readiness
Develop system thinkers
Drive measurable impact

What we offer

(US-ONLY) 100% of medical, dental, and vision covered including 75% for dependents
Flexible vacation days and quarterly mental health days so you can recharge
(US-ONLY) 401k plan to participate in and save towards the future
Newest Apple products to help you do your best work
Employee Resource Groups (ERGs) to support and celebrate the shared identities and life experiences of communities within CaptivateIQ

Fulltime

Director Utilization Management

The Director of Utilization Management is a strategic clinical operations leader...

Location

United States , New York

Salary:

154600.00 - 236555.00 USD / Year

Healthfirst

Expiration Date

Until further notice

Requirements

Bachelor’s degree in healthcare, business, or a related field from an accredited institution or equivalent work experience
Progressive leadership experience in healthcare management including work experience in a mid-senior management role
Work experience and deep familiarity of health plans such as Medicare, Medicaid and/or Managed Long-Term Care Plan (MLTCP)
Demonstrated understanding of UM regulatory requirements, clinical review process, and managed care operations
Work experience interpreting and operationalizing regulatory updates and guidance from DOH and CMS
Work experience demonstrating written and verbal communication skills with the ability to influence and collaborate across all levels and functions
Demonstrated success driving high performance and quality outcomes in a fast-paced, regulated environment

Job Responsibility

Provide strategic direction and leadership to UM leaders and teams executing department functions including prior authorizations, concurrent reviews, and service requests
Develop strong operational and leadership capabilities within the organization through performance improvement, career development, and coaching
Develop and implement policies and procedures that align with industry standards, payer guidelines, and regulatory requirements
Deliver on Healthfirst’s Mission by ensuring optimum quality of member care in a cost-effective manner
Ensure UM operations meet regulatory requirements set forth by CMS, New York State Department of Health (DOH), and other oversight entities
Develop and monitor appropriate metrics to maintain and improve department performance
Collect, analyze, and report on utilization trends, patterns, and impacts to identify areas for improvement
Lead initiatives to improve efficiency, cost-effectiveness, and quality in the UM program, sometimes through the implementation of new technology
Serve as the operational subject matter expert on business development efforts related to UM programs, including the launch of new products or regulatory initiatives
Collaborate closely with other Operations leaders including but not limited to Care Management, Clinical Eligibility, Behavioral Health, and Appeals and Grievances teams to align utilization decisions

What we offer

medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions

Fulltime

Integrated Care Manager

Responsible for promoting continuity of care through a collaborative process tha...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN
Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC).

Job Responsibility

Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan
Answer a diverse and high volume of health insurance related customer calls on a daily basis
Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc
Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
Maintain complete and accurate records per department policy
Demonstrate ability to apply plan policies and procedures effectively

Fulltime

Senior Director of Product Management

The goTenna Product team is seeking a highly professional and experienced Produc...

Location

Salary:

175000.00 - 220000.00 USD / Year

goTenna

Expiration Date

Until further notice

Requirements

6+ years of experience working as Director of Product Management, Product Lifecycle Manager or Product Portfolio Manager in a technical product field - preferably in the telecoms, LMR radio or satellite systems segments
4+ years of experience with Agile methodologies for Software Development (including use of Jira & Confluence)
3+ years of experience with Waterfall/Stage-Gate methodologies for Hardware Development processes
Demonstrated experience managing business initiatives involving a portfolio of products in various lifecycle stages
Experience conducting market research, technical research and competitive analysis
Professional Communication skills: project specifications, documentation and presentations
Experience directly managing Product Managers and/or Product Owners
ITAR: U.S. Citizen or Green Card Required

Job Responsibility

Strategic Product Leadership: The Senior Director of Product Management is the key owner of an assigned product or product portfolio
Portfolio Strategy: Working in conjunction with the VP of Product and key internal and external stakeholders, the Product Manager shall define and communicate a compelling, long-term product strategy that aligns with market opportunities, customer needs and overall business objectives
Market & Competitive Analysis: Conduct deep market research, including regular interaction with current lighthouse customers, target market customers, industry experts, and sales channels
Business Case Development: Develop and maintain robust business cases for new product investments, justifying resource allocation, forecasting financial returns (ROI), and defining success metrics
Go-to-Market Strategy: Partner with Marketing, Sales, and Business Development to define and execute effective go-to-market plans for product launches
Customer & Stakeholder Empathy: Serve as the primary voice of the customer, translating complex operational requirements from critical communications end-users into actionable product requirements
Roadmap Management: Own, prioritize, and maintain the product roadmap for the product or product portfolio
Requirements Definition: Create clear, concise, and prioritized Product Requirements Documents (PRDs), translating those requirements into initiatives and feature epics
Feature Prioritization: Use data-driven decisions, product strategic goals, and market feedback to make tough, objective decisions on feature trade-offs and backlog prioritization
Lifecycle Management: Manage products across their entire lifecycle, including defining end-of-life strategies and transition plans for legacy systems

What we offer

Equity
401(k) plan
Unlimited PTO
Parental Leave with Pay
Holiday pay (including December recess)
Medical, Dental, Vision and life insurance
Pre-tax benefits
Short- and Long-term disability plans
Professional Development Stipend

Fulltime

Director of Product Management

As Director of Product Management at Balbix you will lead one or more product ar...

Location

United States , San Jose

Salary:

Not provided

Balbix

Expiration Date

Until further notice

Requirements

MS/BS in Computer Science or Engineering
8+ years in a related field
5+ years in a technology-oriented product management or consulting role
3-5 years designing and delivering modern B2B SaaS products at scale
Strong technical foundation in cybersecurity, IT/cloud infrastructure, and enterprise software development
Extensive background in vulnerability management
Must be able to work in person at our San Jose office

Job Responsibility

Deeply understand the Balbix technology, related problem space and market
Develop product vision and roadmap to establish development priorities, based on data-driven analysis
Effectively balance the company’s strategic growth objectives, customer use cases, and development capabilities
Collaborate hands-on with the CTO, engineering, UX/design and other product team members to drive the scope, design, development and launch of high-impact capabilities on a high-velocity, iterative basis
Champion the voice of the customer and the customer experience, as you make effective business and technical tradeoffs
Engage with customers and prospects to refine product roadmap and position Balbix capabilities accordingly
Support go-to-market for new releases and solution design around new capabilities
Report to the Chief Product Officer and take a leading role to scale the product management process and team

What we offer

comprehensive medical, dental, vision, life insurance and long-term disability coverage for you and your family
Flex Time Off policy
office location next to Santana Row

Fulltime

Manager or Director, Strategic Partnerships

Prism is seeking an experienced Manager or Director (level based on experience) ...

Location

United States , NYC or San Diego (La Jolla/UTC)

Salary:

140000.00 - 190000.00 USD / Year

Prism Data

Expiration Date

Until further notice

Requirements

8+ years in partnerships, channel/reseller, or strategic BD at a high-growth B2B technology company (Manager level)
10+ years with demonstrated ownership of partner-sourced revenue targets and team/program leadership (Director level)
Track record working with one or more of: lenders, credit bureaus, open banking aggregators, payment processors, decision engines, loan origination/servicing platforms, or adjacent fintech infrastructure
Proven success creating strategic partnerships, building relationships, negotiating complex agreements, and hitting or exceeding revenue goals
Superior skills in researching the market and identifying the highest value opportunities
Comfort explaining credit model performance, APIs, data flows, and integration patterns
ability to translate customer/partner needs into product requirements
Strong planning, stakeholder management, and CRM discipline
adept at building scalable enablement and reporting
Excellent written and verbal communicator who can influence across internal and external executive audiences

Job Responsibility

Own and grow partnerships revenue
Manage a portfolio of strategic partners
set joint business plans, pipeline targets, and QBRs to drive opportunity creation and closed-won revenue
Proactively research and identify new strategic partners
develop opportunities, negotiate and close reseller, referral, and other distribution agreements
Activate channels
Enable partner sales and success teams with training, messaging, collateral, and demos
co-sell on priority opportunities and build scalable playbooks
Make and track referrals
Collaborate with Marketing and partner teams on case studies, webinars, events, and marketplace listings that convert

What we offer

medical
dental
vision
401(k)
equity-based compensation
potential commission-based or variable compensation

Fulltime

Director - Case Management

Summerlin Hospital Medical Center

Location:
United States , Las Vegas

Category:
Nursing

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
January 24, 2026

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