- The National Coalition of Healthcare Recruiters (Santa Clara, CA)
- 10.1 miles South from Mountain View (Only QUALIFIED Healthcare Professionals accepted) Case Manager -RN - Coordination of Care Services DirectorSan Francisco | ... or a related healthcare field requiredCertifications|Licensures:Registered Nurse License requiredCertified Case Manager (CCM) a plus, not requiredHealthcare… more
- Cambium Networks (San Jose, CA)
- …that spans multiple standards and frequencies of fixed wireless and Wi-Fi, all managed centrally via the cloud. Our multi-gigabit wireless fabric offers a compelling ... Network platform, we are innovating to simplify how enterprise networks are deployed and managed . You will be part of a team of product managers, developers, and… more
- Famous Footwear (San Francisco, CA)
- …assure care of the highest quality and maintain compliance with HRSA, Managed Care , and other applicable standards. Actively participates in grant writing to ... APP Resident Director - Integrated Care Center 1563 Mission St, San Francisco, CA...goals. Outpatient programs provide Individual and group therapy, individualized case management, treatment planning, drug and alcohol counseling, crisis… more
- HealthRIGHT 360 (San Francisco, CA)
- …assure care of the highest quality and maintain compliance with HRSA, Managed Care , and other applicable standards.Actively participate in grant writing to ... APP Resident Director - Integrated Care Center1563 Mission St, San Francisco, CA 94103,...goals. Outpatient programs provide individual and group therapy, individualized case management, treatment planning, drug and alcohol counseling, crisis… more
- Merck & Co. (Minneapolis, MN)
- …feedback and adjust plans on a regular basisDevelop Customer Account plans aligned with Managed Care and brand strategies over a 3-5-year time horizon. -Solicits ... pharmacy leadershipNegotiate direct contracts, where appropriateCommunicating approved financial, health care economic and budget impact models Operational: Communicating product… more
- Lawrence Berkeley National Laboratory (San Francisco, CA)
- …and oversees the Laboratory's EEO/Whistleblower investigations, alternative resolution, and case management, and compliance with federal EEO/Affirmative Action (US ... $200,460 to $338,280 for the Institutional Compliance & Ethics Manager job classification. It is not typical for an...Lab is a US Department of Energy national laboratory managed by the University of California and designated a… more
- Sutter Health (Goleta, CA)
- …AND KNOWLEDGE:** A broad knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of ... Nurse of California + BLS-Basic Life Support Healthcare Provider + CCM - Certified Case Manager (certification may be required by entity and time to acquire… more
- Spring Creek Rehabilitation and Nursing Center (Harrisburg, PA)
- …and physical / drug screen. Responsibilites of the Registered Nurse (RN) Case Manager : + Provides communication to the managed care providers regarding a ... Registered Nurse (RN) Case Manager - Monday thru Friday,...care setting. + Proficient in ability to interpret Managed Care /Medicare Advantage Contracts and provide education… more
- Elevance Health (Hanover, MD)
- …office may be required for team meetings or training.** The Nurse Case Manager I is responsible for performing care management within the scope of licensure ... is preferred. + Previous experience as a case manager is preferred. + Previous Medicaid and/or Managed Care experience is very helpful. Please be advised… more
- AdventHealth (Maitland, FL)
- …Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including governmental ... the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred contract language provides for...key contract data elements which are populated into the Managed Care database including addition of new… more
- City of New York (New York, NY)
- …(MCP), interfaces with managed care delivery systems comprised of Managed Care Organizations (MCOs) and case management providers through which ... Assistance Program (MAP), is recruiting for one (1) Administrative Manager NM-III, to function as the Executive Director, of...the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health… more
- Houston Methodist (Houston, TX)
- …planning, utilization management, case management, performance improvement and managed care reimbursement. + Understanding of pre-acute and post-acute ... At Houston Methodist, the Case Manager (CM) Certified position is...communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, state,… more
- ManpowerGroup (Columbia, SC)
- …allocated resources and making necessary referrals to relevant departments (eg, Medical Director, Case Manager , Quality of Care , etc.). + Maintain compliance ... **Title: Coordinator, Managed Care II** **Location:** **(Remote OR...one of our Fortune 500 clients. **Job Summary** The Case Manager - Clinical Review Specialist is… more
- CommuniCare Health Services Corporate (Akron, OH)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... timely filing of all managed care claims on their assigned caseload...cash collections team, CBO cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case … more
- ManpowerGroup (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). + ... **Title:** ** Managed Care Coordinator UM II** **Location:...Experience: 7 years-healthcare program management. Preferred Licenses and Certificates: Case Manager Certification, clinical certification in specialty… more
- Guthrie (Binghamton, NY)
- … Manager monitors clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager collaborates cooperatively with the ... patient and members of the interdisciplinary health care team. The Acute Case ...positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary… more
- National Health Care Associates (Wethersfield, CT)
- …Serves as an advocate for patients by producing case documentation, plan of care and discharge planning to the patient's managed care plan. Your ... our team! **-** **What You'll Do:** As a Regional Case Manager , you are responsible for conducting...concurrent chart review of medications and treatments for the managed care patient population and assessing the… more
- ManpowerGroup (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.). + ... **Title: Coordinator, Managed Care I** **Location: Columbia SC**...Behavioral Health Experience + Previous Utilization Management (UM) or Case Management (CM) experience + Training will be onsite… more
- ChenMed (St. Petersburg, FL)
- … Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired. We're ChenMed and we're transforming healthcare for ... A minimum of 3 years experience in home health case management and community care highly preferred...maintenance of a current, valid driver's license. + Certified Case Manager certification is preferred. Certification through… more
- Dignity Health (Northridge, CA)
- …Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager ( Care ... a clinical or insurance setting is required. + Certified Case Manager (CCM), Accredited Case ... (ACM-RN), or UM Certification preferred. + Knowledge of managed care and payer environment preferred. +… more
