- CVS Health (Austin, TX)
- …And we do it all with heart, each and every day. Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing ... Focus is on the Hub's efficiency and productivity efforts whereby the Care Management Associates interact and engage telephonically with members. Through… more
- Centene Corporation (Oklahoma City, OK)
- …guiding teams. Able to adjust quickly to changing priorities. Position Purpose: Manages the care management team and the care coordination of behavioral ... outcomes related to mental and behavioral health needs. Manages escalations and care management issues related to members or providers. Oversees and reviews … more
- Rush University Medical Center (Chicago, IL)
- …Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Ambulatory Care Management Work Type: Full Time (Total FTE between 0.9 ... the position. Offers may vary depending on the circumstances of each case. Summary: The Care Management Navigator I is part of a care management team… more
- Humana (Bloomington, IL)
- …and help us put health first Humana Gold Plus Integrated is looking for Managers of Care Management who will lead teams of nurses, care coordinators and ... behavioral health professionals responsible for care management . The Manager, Care Management , works within specific guidelines and procedures; applies… more
- Community Health Systems (Naples, FL)
- …spending accounts Life and disability insurance and more Job Summary The Manager, Care Management is responsible for the planning, coordination, and oversight of ... care management services, including utilization review, discharge planning, and transitions of care . The role ensures care is appropriate, timely,… more
- Molina Healthcare (Dallas, TX)
- JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts ... processing, data entry and telephone and clerical support for team facilitating care management related services for members. Facilitates initial review of… more
- Elevance Health (Greensboro, NC)
- …services, long term services and supports, Unmet health-related resource needs, and Integrated care management . We envision a North Carolina where all children ... unless an accommodation is granted as required by law. The Manager I Care Management (Manager I GBD Special Programs) is responsible for managing and overseeing… more
- UnitedHealth Group (Omaha, NE)
- …us to start Caring. Connecting. Growing together. We are currently seeking an Inpatient Care Management Medical Director to join our Optum team. This team is ... OR, ID, WA, UT a plus 2+ years of managed care , Quality Management experience and/or administrative leadership experience Prior UM experience Clinical experience… more
- Sevita (Rock Hill, SC)
- …families, join our mission-driven team and experience a career well lived. Foster Care Case Management Supervisor $48,000-$52,000 Do you have several years of ... , a part of the Sevita family , provides Residential and Treatment Foster Care services to youth who may be facing out-of-home placements, transitioning back into… more
- Cardinal Health (Columbus, OH)
- …segments that have significant organizational impact. 5-8 years' experience in managed care , preferred Supervisory and management skills are preferred Strong ... services. Network and Payor Relations is responsible for the development and management of business relationships with Pharmacy Benefit Management (PBM)… more
- UnitedHealth Group (Dallas, TX)
- …needs for Analytics Team and Client Services Team to better enhance Care Transitions' products and services Ensure appropriate management /resolution of local ... Optum is a global organization that delivers care , aided by technology to help millions of...for enrollees Provide leadership and guidance to maximize cost management through close coordination with all network and provider… more
- UnitedHealth Group (Minneapolis, MN)
- …needs for Analytics Team and Client Services Team to better enhance Care Transitions' products and services Ensure appropriate management /resolution of local ... Optum Home & Community Care , part of the UnitedHealth Group family of...for enrollees Provide leadership and guidance to maximize cost management through close coordination with all network and provider… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. What You Will Do Manage an effective in-patient Care Management program that includes initial and concurrent review; case ... implements new programs under the direction of the manager of in-patient care management and the Director of Utilization Management . Required Qualifications… more
- Sutter Health (Oakland, CA)
- …will work closely with the medical staff, including house staff, and all utilization management (UM) personnel, Care Management (CM) personnel to develop and ... methods and strategies to optimize the use of hospital services. This includes care management processes that ensure patients are in the appropriate level of … more
- Highmark Health (Dover, DE)
- …such as Disease/Chronic Condition Management , Behavioral Health, and Complex Case Management . Collaborate with the member's health care and service delivery ... contact for members to coordinate all of the member's care needs across the various service delivery systems and...members in their homes and also requires providing case management services within nursing facility settings. The incumbent will… more
- ChenMed (Richmond, VA)
- …the follow up patient visits. Once a patient has completed their episode of care management the register nurse (RN) will review patient chart for discharge ... care physicians, and other members of the care team that provides hyperfocus case management ...the care team that provides hyperfocus case management and field nursing interventions to prevent unnecessary hospital… more
- Kaiser Permanente (Washington, DC)
- …for developing and implementing the philosophy, strategic goals, and objectives for the care management / care coordination functions across settings of ... Job Summary The ED, Hospital Care Coordination provides leadership, direction, and oversight of...key leadership capacity for an optimal approach to the management , delivery and value realization of strategic initiatives related… more
- Optum (Dallas, TX)
- …physician will lead the team in high-risk patient care and the transition of care management . They will specialize in medical care that focuses on ... to a diverse patient population. Primary Responsibilities: Support the transition of care management for patients coming out of the hospital or skilled nursing… more
- UnitedHealth Group (Everett, WA)
- … Standards Meet state-specific contractual requirements related to the delivery of care management You'll be rewarded and recognized for your performance ... hospital, acute care , home health/hospice, Behavioral Health, direct care or case management 1+ years of experience directly working with individuals with… more
- UnitedHealth Group (Niles, MI)
- …most appropriate, least restrictive level of care Identifies problems/barriers to care and provide appropriate care management interventions Identify and ... or home Gathers, documents, and maintains all member information and care management activities to ensure compliance with current state and federal guidelines… more
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