- Merck & Co. (Washington, DC)
- …key customers/personnel to understand practice structure, business model, key influencers Managed Care Organization (MCO), employers, state and local ... with National Account Executives (NAEs) to maintain strong focus on Managed Care pull-throughShares learning and best-practices from one customer… more
- Merck & Co. (North Wales, PA)
- …Administration Required: Minimum of (10) years experience in Sales, Marketing or Managed Care - Pharmaceutical industryMinimum of (3) years People Management ... Representatives (KVARs), Physician Distributor Vaccine Account Representatives (PDVAR), Project Manager , the Customer Resolution Team (CRT), and the Managers for… more
- University Medical Center of El Paso (El Paso, TX)
- …of discharge planning, utilization management, case management, performance improvement and managed care reimbursement. 5. Able to work with people of all ... direct patient care experience in an acute care setting. 2. Previous case management experience...B. License/Registration/Certification: 1. Current Texas RN License. 2. Certified Case Manager (CCM) preferred. C. Education and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …certification: 12 months full-time case management experience supervised by a certified case manager , or 24 months full-time case management experience ... not supervised by a certified case manager , or 12 months full-time supervisory experience as a...for access and control throughout NGHS continuum. Facilitates a managed care process that analyzes, orchestrates, and… more
- University Medical Center of El Paso (El Paso, TX)
- …of discharge planning, utilization management, case management, performance improvement and managed care reimbursement. Able to work with people of all ... Job Summary The Case Manager comprehensively plans for ...direct patient care experience in an acute care setting; previous case management experience or… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …conditions more effectively. The RN Lead Care Manager will provide telephonic care and case management to members as part of a multidisciplinary care ... of improving the health of our communities. About the Role:Job Summary The RN Lead Care Manager will participate in care management committees and work on… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …conditions more effectively. The RN Care Manager will provide telephonic care and case management to members as part of a multidisciplinary care ... health of our communities. About the Role:Job SummaryThe RN Care Manager will assist the HP2 network...Case Management CertificationPreferred Experience: One year experience providing care management within a primary care settingOther:… more
- Atlas Search LLC (Brooklyn, NY)
- …and Nurse Leaders to hospitals, clinics, multi-specialty groups, nursing homes, managed care companies, private practices, and healthcare start-ups.__If you ... The Registered Nurse Shift Manager plays a vital role in overseeing nursing...shifts. This position is responsible for ensuring high-quality patient care , managing nursing staff, and coordinating with other healthcare… more
- Elevance Health (Arlington, VA)
- …and depression, and insightful analytics to improve the delivery of care . The ** Case Manager ( Managed Care Coordinator)** is responsible for overall ... ** Case Manager ** **Location :** This is...pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… more
- Sharp HealthCare (San Diego, CA)
- …care , SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience ... hospital stay beginning with the admission review of the case manager and reviews with the ...and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts. +… more
- Elevance Health (Roanoke, VA)
- The **Foster Care Managed Case Manager ** is responsible for overall management of member's individual service plan within the scope of position, as ... you will make an impact:** + Working with children within the Foster Care System + Responsible for performing telephonic or face-to-face history and program needs… more
- Beth Israel Lahey Health (Westwood, 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
- Lutheran (West Seneca, NY)
- Medicaid Managed Care Liaison Regular Full-Time West Seneca, NY, US Requisition ID: 1132 Apply GA Family Services is seeking a Medicaid Managed Care ... care . This role coordinates with the Medicaid managed care plans as the liaison for...placement changes including: Access to healthcare. Facilitate a single case agreement when a child is place outside of… more
- Molina Healthcare (Fredericksburg, VA)
- …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or ... **JOB DESCRIPTION** For this position we are seeking a Case Manager who lives in VIRGINIA and...year of professional experience. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care… 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
- CVS Health (Albany, NY)
- …Working schedule is Monday-Friday; will work between 8am - 6pm EST. The Hybrid Case Manager works in the field in provider offices, skilled nursing facilities, ... of care and treatments as appropriate. Can act in the role of embedded case manager within the provider partner(s) offices to meet with the beneficiaries in… more
- Arnot Health (Elmira, NY)
- …participates in quality improvement and evaluation processes related to the management of patient care . The Case Manager will review all patients for ... for qualified Case Managers! MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services resources...of care meetings related to the appropriate case managed population. d. Manages the appropriate… more
- Molina Healthcare (Canton, MI)
- …with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or ... **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or… more
- Athena Health Care Systems (Haverhill, MA)
- …to allow you to grow within the company. As an RN Hospice Case Manager , you plan, organize, and direct hospice care . The professional nurse builds from the ... facilitates the patient's efforts toward self-sufficiency and optional comfort care . + Acts as Case Manager... care for assigned caseload. About Athena Health Care Systems: Hospice Services of Massachusetts is managed… more
- Banner Health (Phoenix, AZ)
- …requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts ... positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM (Certified Case … more
