NewManager of Utilization Management - Washington D.C. - Optum UnitedHealth Group IncManager of Utilization Management - Washington D.C. - OptumWashington, DC$91,700–$163,700 / yearThe DSNP program combines Optum trained clinicians providing intensive interventions customized to the needs of each individual, in collaboration with the Interdisciplinary Care Team, which includes the Optum clinician, the member's Primary Care Provider and other providers, and other professionals. Ensures the team meets established performance metrics and performance guarantees through Clinical Utilization Excellence rounds with case presentation to identify services and resources that align with members' care needs and development of care plan and assist with Transition of Care discussions.
Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN/LSATP for Substance Abuse - Remote in VA and NC Sentara Healthcare IncBehavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN/LSATP for Substance Abuse - Remote in VA and NCVARemoteManaged Care, MCO, Health Plan, Healthcare, Masters, Social Work, Counseling Field, BSN, Nursing, Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Registered Nurse License (RN), Clinical, behavioral health, care coordination, discharge planning, continuity of care, transitions of care, Remote, Virginia, Weekends, Days, North Carolina, Licensed Substance Abuse Treatment Practitioner, LSATP, Certified Substance Abuse Counselor, CSAC, Licensed Chemical Dependency Counselors, LCDC, American Society of Addiction Medicine (ASAM). Registered Nurse (RN) Single State - Nursing License - Virginia Department of Health Professionals (VADHP) OR Registered Nurse (RN) Single State - Nursing License - North Carolina Board of Nursing (NCBON) OR Registered Nurse (RN) Multi State - Nursing License - Virginia Department of Health Professionals (VADHP) OR Registered Nurse (RN) Multi State - Nursing License - North Carolina Board of Nursing (NCBON) OR.
Fraud Management Specialist TandymFraud Management SpecialistVienna, Virginia$35–$38 / hourThis individual will support enterprise fraud prevention efforts by monitoring suspicious activity, managing fraud cases, identifying emerging fraud trends, and partnering with internal stakeholders to enhance fraud detection and response processes. Collaborating with Security and cross-functional teams to support fraud detection, incident response, and risk mitigation initiatives.
Fraud Management Specialist BRMiFraud Management SpecialistVienna, Virginia$67,000–$85,000 / yearCollaborates with business units and Security to identify fraud trends, improve fraud detection capabilities, resolve fraud cases, and support strategic fraud prevention initiatives. Overview: BRMi is seeking a Fraud Management Specialist to support the development and improvement of fraud management policies, processes, reporting, and detection methods to protect the organization from financial fraud.
Management Analyst (FOIA) One Federal SolutionManagement Analyst (FOIA)Washington, District of ColumbiaAssist in gathering information for reporting and analyzing OCS' communications with U.S. Citizens abroad, U.S. Embassies and Consulates, U.S. Congress and the traveling public; Utilize the Department of State guidelines to communicate information through various channels, to include oral presentations, email, SharePoint, web and webinars; and manage information flow through these same tools. Respond to enrollment inquiries for U.S. citizens traveling and/or living abroad; if required, contractor shall access an online enrollment system provided at a CA designated website and enter the enrollment information on behalf of the callers.
Management Analyst AxleManagement AnalystRockville, MD$90,000–$100,000 / yearWork products and documents related to maintaining records of source material, interviews, drafts, and final products and materials for archiving; reading, reviewing, and interpreting scientific literature; organizing and expressing complex scientific concepts; completing and submitting drafts and final products within specified deadlines — Ad-Hoc. Consult with members of the public, attorneys, IC management, and NIH intramural or extramural staff to resolve requests for sensitive documents which may involve proprietary commercial and financial information, invasions of personal privacy, ongoing investigations, or pre-decisional and deliberative material.
Management Analyst II/Paralegal All Native GroupManagement Analyst II/ParalegalWashington, DC$85,000–$95,000 / yearFull timeAs a tribally owned organization, All Native Group operates multiple subsidiary businesses, providing clients with the advantages of working with a small business while leveraging the resources and expertise of a larger, established company. If the candidate does not have a degree or paralegal certificate, they must have at least three (3) years’ experience working as a paralegal and the customer prefers that at least one of those three years of experience be with the Department of State.
Senior Manager, Product - Primary & Advanced Models ATCCSenior Manager, Product - Primary & Advanced ModelsGaithersburg, Maryland$140,000–$160,000 / yearFull timeThe role develops and executes product strategies, multi-year roadmaps, portfolio plans, commercialization approaches, pricing strategies, and lifecycle plans that support revenue growth, customer adoption, and market competitiveness across biomedical research, drug discovery, disease modeling, toxicology, precision medicine, and cell and gene therapy markets. This hybrid role is based in Gaithersburg, MD (or Manassas, VA) and is responsible for the commercial success and lifecycle management of ATCC’s advanced cellular models and primary cell product portfolio, including organoids, induced pluripotent stem cells, 3D culture systems, hepatocytes, and PBMCs.
Workforce Partnership Manager Collaborative Solutions for CommunitiesWorkforce Partnership ManagerWashington, DCAdministrative – Maintain overall accountability for the Division’s human resource requirements, including the development and monitoring of staffing models and scheduling plans; recruit, select, and evaluate staff within required time frames; initiate disciplinary actions, as needed; and identify appropriate compensation levels for team members. The incumbent provides leadership, accountability, and team integration; implements and monitors a strengths-based approach to supervision, case management, and service delivery; and provides guidance and direction to Employment Specialists, Case Managers, and related staff.
Social Service Coordinator Seabury Resources for AgingSocial Service CoordinatorWashington, DCContractorThe Social Services Coordinator provides Information and Referral, Individual Socialization, and Counseling Services to residents aged 60 and above living in Wards 5 and 6 of the District of Columbia. Seabury Resources for Aging is a private, not-for-profit corporation registered in the District of Columbia that provides various services to enhance the quality of life for older adults.
Manager Social Work, (1201) Licsw Catholic Charities of the Archidiocese of WashingtonManager Social Work, (1201) LicswWashington, DCORGANIZATION OVERVIEW: At Catholic Charities of the Archdiocese of Washington, your knowledge and service in areas such as immigrants and refugees, mental health, social work, employment and adult education, legal and financial services, health care, food assistance, shelter and housing, developmental disabilities and prison outreach can make a profound difference in the lives of many. JOB SUMMARY: The Manager, Social Work (Clinical) is responsible for providing coordination of training, clinical guidance, resources, supervision and assistance as outlined by the Office of the State Superintendent of Education's regulatory requirements associated with the Social Worker licensure of other Social Workers in the program.
Senior Manager, Direct Services Think of UsSenior Manager, Direct ServicesWashingtonThe Senior Manager will ensure Care Navigators deliver consistent, high-quality support; will integrate learning from real-world practice into the evolving service model; and will help refine the tools, workflows, and methods that combine human connection with AI-powered navigation. This role reflects Think of Us's belief that the future of support combines the best of human compassion and technology — where Care Navigators, AI-assisted tools, and human connection co-execute to meet the needs of kinship families and transition-age youth efficiently, equitably, and with deep empathy.
Social Services Coordinator - Healthcare Sunrise Senior Living LLCSocial Services Coordinator - HealthcareBethesda, MDThis role promotes Resident Centered Care by addressing psychosocial needs, supporting families and ensuring compliance with all federal, state and local regulations while upholding Sunrise's Mission and Principles of Service. The Social Services Coordinator leads the assessment and coordination of social services for residents in our Skilled Nursing Centers.
Deputy Program Manager - Military Family Respite Care Program - Arlington, VA (Remote) CLFC Healthcare and CommunicationsDeputy Program Manager - Military Family Respite Care Program - Arlington, VA (Remote)Arlington, VARemote$77,000–$93,000 / yearCLFC Healthcare & Communications is hiring a Deputy Program Manager to serve as the designated alternate program leader for a nationwide respite care program supporting military Families with exceptional family members. CLF Consultants LLC (DBA: CLFC Healthcare & Communications) is a federal, state, and local healthcare staffing and language access services organization.
Deputy Program Manager - Military Family Respite Care Program - Arlington, VA CLFC Healthcare and CommunicationsDeputy Program Manager - Military Family Respite Care Program - Arlington, VAArlington, VARemote$77,000–$93,000CLFC Healthcare & Communications is hiring a Deputy Program Manager to serve as the designated alternate program leader for a nationwide respite care program supporting military Families with exceptional family members. CLF Consultants LLC (DBA: CLFC Healthcare & Communications) is a federal, state, and local healthcare staffing and language access services organization.
Program Manager, LGSW Collaborative Solutions for CommunitiesProgram Manager, LGSWWashington, DCNew Staff – Provide leadership and actively engage new staff in developing knowledge of CSC, the strengths-based approach, and the framework in which community based social work practices are implemented. Participate in internal and external meetings in spirit of mutual support of families advocate for needed resources and services and to ensure families are provided with all possible resources available.
Dialysis Coordinator I DaVita Inc.Dialysis Coordinator IWashington, DC$19.50–$25.50 / hourMeet individually with patients requiring outpatient dialysis placement, depending on program scope, within the assigned region to provide educational materials on: Outpatient dialysis, Modality options, Vascular Access options, insurance which includes an assessment of patients insurance, out-of-pocket costs and grant program options. DaVita is seeking a Full-Time Patient Pathways Dialysis Coordinator (Liaison) to facilitate the seamless transition of patients from the following hospital settings to our outpatient dialysis care: This role is ideal for a coordinator or clinical professional who excels at insurance verification, hospital collaboration, and patient advocacy.
Support Enforcement Specialist Senior - Northern Virginia, (W4327) Commonwealth of VirginiaSupport Enforcement Specialist Senior - Northern Virginia, (W4327)Fairfax, VA$53,820–$64,170 / yearIn addition to a rewarding work experience, VDSS offers excellent health and life insurance benefits, pre-tax spending accounts, state funded Short and Long Term Disability, paid holidays, vacation, tuition assistance, free wellness programs, and a state retirement plan with options for tax-deferred retirement savings including employer matching - Employee Benefits. Duties may include managing the most complex cases of child support obligations and health care coverage in functional areas such as Locate, Establishment, Court, Enforcement, Interstate, and Review & Adjustment; or, supporting a team of Specialists who are assigned those cases.
Human Services Clinician III (Older Adult Services) Arlington County GovernmentHuman Services Clinician III (Older Adult Services)Arlington, VASpecific duties include: Providing clinical leadership, program support, and operational oversight for the Aging and Disability Resource Center (ADRC), including ensuring adequate intake coverage, facilitating clinical coordination meetings, conducting comprehensive intake assessments, and maintaining a caseload of short-term case management clients; Delivering information, assistance, and person-centered guidance through intake and assessment processes; developing comprehensive service plans and providing referrals to appropriate community resources through both in-person and telephone-based interactions; Compiling, analyzing, and preparing monthly program data and narrative reports, including summaries of service trends, notable events, compliance concerns, performance outcomes, and policy or procedural changes; Partnering with the ADRC Supervisor and Area Agency on Aging (AAA) Director to evaluate service delivery models, identify gaps in services, and develop innovative approaches to enhance program effectiveness and client outcomes; and. Desirable Qualifications: Preference may be given to applicants with experience in one or more of the following: Licenses/Certifications: Licensure by the appropriate board of Virginia Department of Health Professions, preferred, not required; Extensive post-master's degree experience providing professional clinical human services clinician work services assisting older adults, persons with disabilities, and caregivers with accessing long-term support and aging services; Knowledge and experience with an ADRC, Agency on Aging (AAA), adult services and/or adult protective services, case management, care coordination, and clinical service delivery to adults age 60+ and/or adults with disabilities; Experience with a No Wrong Door system of record and/or PeerPlace electronic database.
Human Services Program Manager Vets HiredHuman Services Program ManagerWoodbridge, VirginiaKey responsibilities include project and program management; monitoring and evaluating staff and program performance; collecting and analyzing data to forecast outcomes; participating in policy development and revision; supporting budget planning and management; and establishing processes to ensure compliance with federal, state, and local policies and guidelines. The Program Manager promotes staff development and growth, reinforces a strong customer service approach, and represents the organization at meetings, hearings, and public events.