We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This is telework position with up to 50-75% travel in designated region of Illinois. Standard working hours can be anywhere within 8am - 9pm as needed to meet business needs. This Care Manager BH role requires working until 9pm for two (2) days a week. Care Manager BH coordinates all case management activities with members to evaluate medical needs and to facilitate the overall wellness of members. Develops strategy to address issues to outcomes and opportunities to enhance member's overall wellness through integration. Instructs programs and procedures in compliance with network management and clinical coverage policies. Essential Duties and Responsibilities: - Executes evaluation of member needs and benefit plan eligibility and facilitates member transition to the organization's programs and plans - Applies advanced clinical judgement to incorporate strategies designed to reduce risk factors and barriers, and to address complex health indicators that impact care planning and resolution of member issues. - Handles reviews of prior claims to address potential impact on current case management and eligibility. - Creates a holistic approach to assess the need for referrals to clinical resources and to assist in determining functionality. - Ensures case management processes follow organization and regulatory requirements. - Implements systems to maximize member engagement, discern health status and needs, and to assess member levels of work capacity and restrictions. - Coaches and trains junior colleagues in techniques, processes, and responsibilities. - Primarily works with members enrolled into Pathways to Success Program for intensive care coordination support. Required Qualifications - Clinical licensure - Minimum two years experience working with children living with special needs or children in foster care - Willing and able to travel up to 50-75% of their time to meet members face to face within one hour of their location - Reliable transportation required; mileage is reimbursed per company expense reimbursement policy - Willing and able to work until 9:00pm two (2) days a week Preferred Qualifications Managed Care experience Case Management experience Education Masters Degree in Social Work or any related field Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,575.00 - $142,576.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 03/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Company Overview At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth. Be part of a team that makes a real difference. Job Description This is a full-time, field position, remote when not traveling locally. The candidate must be located in the Tuscaloosa, Alabama area due to regular local travel for in-person patient appointments. Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers’ compensation case management training. Join our compassionate team and help make a positive difference in an injured person’s life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will: - Demonstrate knowledge, skills, and competency in the application of case management standards of practice. - Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan. - Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational. - Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient. - Work with employers and physicians to modify job duties where practical to facilitate early return to work. - Evaluate and modify case goals based on injured/disabled person’s improvement and treatment effectiveness. - Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively. - Complete other duties, such as attend injured worker’s appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned. Qualifications - Education: Associates Degree or Bachelor’s Degree in Nursing or related field. - Experience: 2+ years clinical practice preferred. Workers’ compensation-related experience preferred. - Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills. - Certifications, Licenses, Registrations: - Active Registered Nurse (RN) license required. Must be in good standing. - URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC). - Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography. - Internet: Must have reliable internet. Benefits We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $71,000 - $90,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. #LI-VH1 #FCM Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager

Role Description At Freenome, we are seeking a Senior Clinical Informaticist to help grow the Freenome Real-World Data team. The ideal candidate brings deep experience working with EHR, claims, and other real-world data sources, along with strong knowledge of clinical ontologies, vocabularies, and common data models. In this role, you will help design and maintain computable cohorts, semantic normalization processes, and proprietary ontologies that power Freenome’s research datasets. You will also play a key role in evaluating and integrating AI-enabled tools to enhance clinical data extraction, concept identification, and phenotyping workflows, including emerging capabilities from the OHDSI community. You will help ensure Freenome’s real-world data pipelines remain scalable, clinically rigorous, and ready to support advanced analytics and machine learning. The role reports to the Senior Manager, RWD. This role will be a remote. What you’ll do: - Monitor, evaluate, and implement emerging AI-enabled tools and methodologies from the Observational Health Data Sciences and Informatics (OHDSI) community. - Develop and maintain computable cohort definitions and longitudinal patient datasets from claims and EHR/EMR systems. - Establish evaluation and validation strategies for AI-extracted clinical variables and cohorts. - Manage and evolve the company’s proprietary semantic content, ontologies, and vocabularies. - Support semantic normalization and quality control across the entire curation lifecycle. - Design and implement scalable workflows for extracting and transforming clinical data. - Help enhance the end-to-end real-world data curation pipeline with AI-assisted techniques. - Help automate clinical concept extraction, entity recognition, and phenotype detection. - Collaborate with clinical scientists to ensure cohorts reflect clinically meaningful inclusion and exclusion criteria. - Apply and map clinical terminologies including ICD-10, SNOMED, LOINC, CPT, RxNorm, and UMLS. - Ensure clinical accuracy, traceability, and reproducibility of derived datasets. - Support HIPAA-compliant data use, de-identification, and regulatory readiness for research applications. Qualifications - Advanced degree in Clinical Informatics, Biomedical Informatics, Medicine, Nursing, Public Health, or related field (MS, PhD, MD, RN, NP, PharmD, etc.). - 3–7+ years experience working with clinical or real-world healthcare data. - Hands-on experience with claims and EHR/EMR data extraction and transformation. - Experience defining and building clinical cohorts or computable phenotypes. - Strong knowledge of clinical coding systems (ICD-10, SNOMED, LOINC, CPT, RxNorm, etc.). - Exposure to or familiarity with AI-assisted clinical data extraction, entity recognition, or phenotyping workflows. - Experience with the OMOP common data model. - Experience with SQL and Python. Requirements - Experience with terminology browsers and authoring tools; OHDSI tools/Usagi preferred. - Experience with cloud platforms; GCP, Azure, etc. - Experience working with an agile-based team. Benefits - The US target range of our base salary for new hires is $140,250 - $200,025. - Eligible to receive pre-IPO equity, cash bonuses, and a full range of medical, financial, and other benefits.

Location Address: Remote Office Denver, CO 80203 Compensation Pay Range: Minimum Offer $67,100.80 Maximum Offer $102,460.80 Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled Care Coordinator IV. How you grow, learn and thrive matters here. • Educational and career development options, including tuition and certification reimbursement, scholarship opportunities • Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern) • Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions) • Malpractice liability insurance • Loan forgiveness through the  New Mexico Higher Education Department  • EPIC electronic charting system Type of Opportunity: Full time FTE: 1.00 Job Exempt: Yes Work Shift: Days (United States of America) Responsibilities: Presbyterian is seeking a Care Coordinator IV. The Care Coordinator facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum. Collaborates with the interdisciplinary care plan team which may include member, caregivers, member s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long term care services. Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Some key responsibilities include: - Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum. Collaborates with the Interdisciplinary Care Plan Team which may include member, caregivers, members legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long term care services. - Conducts in depth health risk assessment and/or comprehensive needs assessment which include, but not limited to psycho-social, physical, medical, behavioral, environmental, and financial parameters. - Provides care coordination to members with chronic or complex conditions which require intensive interventions and oversight include multiple, clinical, social and community resources. Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes. Qualifications: - Masters degree & 4 years of exp, Bachelors degree and 8 yrs of exp, Associates degree and 9 years of exp, 12 years of exp may be utilized in lieu of other education and experience reqs. - Proficiency in Microsoft Word, Excel and Outlook required. - Experience in analyzing trends based on decision support systems. - Business management skills to include, but not limited to, cost/benefit analysis,negotiation, and cost containment. - Knowledge of referral coordination to community & private/public resources. We're all about well-being, starting with yours. Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more. Learn more about our employee benefits. About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. Compensation Disclaimer The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs. We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services