- Molina Healthcare (San Antonio, TX)
- …to those candidates with previous experience working with the Medicare population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our ... Long Term Services & Supports. 1-3 years in case management, disease management, managed care or medical or behavioral health settings. Required License,… more
- Molina Healthcare (Richardson, TX)
- …to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...care , including at least 1 year experience in care management, managed care , and/or… more
- Molina Healthcare (Cincinnati, OH)
- …welfare. * May provide consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and medication ... regimens. * Care manager RNs may conduct medication reconciliation...care , including at least 1 year experience in care management, managed care , and/or… more
- Charles Schwab (Austin, TX)
- …on a full-time basis without employer sponsorship. The Senior Client Service Manager , Relationship Management plays the critical role of primary relationship owner ... available solution sets to achieve successful outcomes. The Senior Client Service Manager , Relationship Management will work together, as a team, with their Client… more
- Ethos Veterinary Health (Gilbert, AZ)
- …ensure that radiation safety protocols are enforced and radiology badges are properly managed Equipment - collaborate with Equipment Manager to ensure: Broken ... AVECCC (Arizona Veterinary Emergency & Critical Care Center) is a 24‐hour veterinary emergency and...areas and ensure compliance with duties. Notify Assistant Hospital Manager if proper policies are not being followed or… more
- Pairtu (San Francisco, CA)
- …with human advocates to guide Medicare patients through diagnoses, bills, and care plans. Investors from Omada, Oscar, and UnitedHealthcare believe in the ... need structure and predictability or 'need to be a manager ' this isn't for you. The upside? You'll level...**touched credentialing or payer enrollment** directly - not just managed someone else doing it. - Are **customer-obsessed** -… more
- Molina Healthcare (Sparks, NV)
- …5 years health care experience, and at least 2 years of managed care experience with utilization management. management or equivalent combination of relevant ... and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care ...Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), Certified Professional in Health … more
- Washington Oakes (Everett, WA)
- At Leisure Care managed communities, our care -based services and superstar employees (like you!) inspire new and creative ways of serving our residents and ... their families. Our employees are the heart of Leisure Care communities, working together to provide exceptional care to support our residents so they can show… more
- UNC Health (Chapel Hill, NC)
- …Clinical Documentation Specialists (CDS) across all HCS entities that are owned or managed that have opted into shared services. This position reports to the HCS ... 5. Participates in the hiring and selection of new CDS with the hiring manager as requested. 6. Analyzes and audits medical records concurrently to ensure that the… more
- State of Michigan (Lansing, MI)
- State Administrative Manager 15 - HSA Managed Care Rates & Analytics Section Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5171695) ... Apply State Administrative Manager 15 - HSA Managed Care Rates & Analytics Section Salary $96,491.00 - $138,794.00 Annually Location Lansing, MI Job Type… more
- HCA Healthcare (Nashville, TN)
- …for clinical and non-clinical audiences + Comprehensive knowledge of formulary managed care systems, principles and practices **What qualifications you ... join an organization that invests in you as a Senior Pharmacy Benefit Account Manager ? At HealthTrust, you come first. HCA Healthcare has committed up to $300… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …position prefers proficiency in Arabic, Dari-Farsi, Farsi or Pashto** JOB SUMMARY: The Lead Care Manager (LCM) operates a as a member of the patient's Enhanced ... Care Management (ECM) team and is responsible for coordinating...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- Fresenius Medical Center (Waltham, MA)
- …country. **SUPERVISION:** * May be responsible for the direct supervision of Directors of Managed Care , Manager of Revenue support, Contract Managers, and ... **Sr Director Managed Care and Payor Strategy** **PURPOSE AND SCOPE:** The Senior Director of Managed Care & Payor Strategy is a strategic leader… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- … whenever possible, and ensure evidence-based treatment is being applied. An experienced case manager with managed care experience will be successful in this ... Shield of Minnesota Position Title: RN Specialist Complex Case Manager Location: Remote Career Area: Health Services About Blue...US Preferred Skills and Experience * 2+ years of managed care experience; eg case management/health coach,… more
- Molina Healthcare (West Union, IA)
- …until they are discharged from your service. The ideal candidate will have experience as a Care Manager within a managed care organization (MCO) like ... JOB DESCRIPTION Opportunity for an experienced Care Manager who is Bachelors or Masters trained in a social services field to join the LTSS team with our Iowa… more
- Molina Healthcare (Le Mars, IA)
- …until they are discharged from your service. The ideal candidate will have experience as a Care Manager within a managed care organization (MCO) like ... JOB DESCRIPTION Opportunity for an experienced Care Manager who is Bachelors or Masters trained in a social services field to join the LTSS team with our Iowa… more
- Beth Israel Lahey Health (Wakefield, MA)
- …taking a job, you're making a difference in people's lives.** The Manager Care Coordinator initiates and process managed care insurance referral requests ... and redirect care within the BILH network. **Job Description:** **The Managed Care Coordinator's Responsibilities are:** 1. Work collaboratively with BILH… more
- Penn Medicine (Woodbury Heights, NJ)
- …Maintains up to date knowledge of insurance requirements pertinent to patient service and managed care . + Assists practice manager with developing policy and ... Shared Services** **Location: Woodbury. NJ** **Hours: Full-Time** Summary: + The Managed Care Plan Coordinator provides support to the practice and its patients… more
- Banner Health (AZ)
- …Certified Case Manager (CCM), MCG Certification(s), RN-BC Registered Nurse Case Manager , Certification in Managed Care Nursing (CMCN). Additional related ... noncontracted status,) and more. The RN Medical Management Services review Medicare Managed Care plans and receive case reviews via fax and a non-clinical team… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …education, and public health coverage case management. Under the direction of the Managed Care Manager and Coordinator, they pro-actively contact customers, ... #27077 Position Summary: Full-Time Customer Service Representative position available for our Managed Care department in Vancouver, WA. The Customer Service… more
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