- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care ...Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... screening, employee verification, annual PPD testing, Covid testing, work related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies for continued stay… more
- BAYADA Home Health Care (Cape May Court House, NJ)
- **Cape Regional Home Health Care Managed by BAYADA** is looking for compassionate and dedicated **weekend Registered Nurses (RN)** to join our team in our ... clients and their families deserve the highest quality home health care delivered with compassion, excellence, and...life insurance, 401k with company match, direct deposit and employee assistance program + To learn more about BAYADA… more
- BAYADA Home Health Care (Cape May, NJ)
- **$5,000 Sign On Bonus!** **Cape Regional Home Health Care Managed by BAYADA** is looking for compassionate and dedicated **full-time, part-time or ... clients and their families deserve the highest quality home health care delivered with compassion, excellence, and...life insurance, 401k with company match, direct deposit and employee assistance program + To learn more about BAYADA… more
- Elevance Health (Wilmington, DE)
- …as a Case Manager is preferred. + Certification in the American Association of Managed Care Nurses preferred. + Broad clinical knowledge base of disease ... to drive personalized health management and improve health outcomes for optimal consumers. Performs care ...processes strongly preferred. + Prior managed care and case management experience preferred.… more
- Humana (Dover, DE)
- …+ 1 or more years working with the pediatric population + 1 year of managed care experience + Must be passionate about contributing to an organization focused ... part of our caring community and help us put health first** The Care Manager, Telephonic Behavioral...the policy of Humana not to discriminate against any employee or applicant for employment because of race, color,… more
- J&J Family of Companies (Dover, DE)
- Director Strategic Accounts (DSA), Group Purchasing Organization (1 of 2) - Johnson & Johnson Health Care Systems Inc. Johnson & Johnson Health Care ... position is a field-based role with a national scope. Johnson & Johnson Health Care Systems Inc. (JJHCS) provides contracting, supply chain, business services,… more
- CVS Health (Dover, DE)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....+ Case management and discharge planning experience preferred + Managed Care experience preferred **Education** + Bachelor's… more
- Highmark Health (Dover, DE)
- …implement and evaluate care for eligible members with chronic and complex health care , social service and custodial needs in a nursing facility or ... address the member's specific needs. + Educate members or caregivers regarding health care needs, available benefits, resources and services including available… more
- Elevance Health (Wilmington, DE)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract/Cost of Care Consultant** **We are offering a $5,000 sign-on...project lead. * Uses analytic tools to track both health risks and compliance, as well as supporting the… more
- Highmark Health (Dover, DE)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members on a proactive basis;… more
- Virtua Health (Marlton, NJ)
- …Competent computer and technology experience Basic understanding of Medicare, Medicaid and managed care . Required Education: Graduate of an approved School of ... equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by… more
- Highmark Health (Dover, DE)
- …complex medical and/or psychosocial needs have access to high quality, cost-effective health care . Assists in the holistic assessment, planning, arranging, ... understanding of illness/disease impact and to positively impact member care plan adherence, pharmacy regimen maintenance, and health...Social Work and 3 years experience in Acute or Managed Care / experience with Medicaid or Medicare… more
- CVS Health (Marmora, NJ)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....Qualifications** + Case management and/or discharge planning experience + Managed Care experience + Crisis intervention skills… more
- Elevance Health (Wilmington, DE)
- …preferred * SAS, SQL or other programming logic suggested, but not required * Managed Care / Health Insurance / Payor reimbursement knowledge preferred ... a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as...Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Highmark Health (Dover, DE)
- …in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical Doctor or ... + Listening + Telephone Skills + General Computer Skills + Clinical Software + Managed Care **Language (Other than English)** None **Travel Required** 0% - 25%… more
- Highmark Health (Dover, DE)
- …work streams related to provider transformation and performance excellence in various health care delivery settings. The incumbent serves as the primary ... degree preferred. + 7-10 years of experience in a managed care , hospital or other clinical setting...and statistical analysis skills with demonstrated proficiency in analyzing health care information and using that information… more
- Virtua Health (Voorhees, NJ)
- …or integrated behavioral health setting; understanding of Medicare, Medicaid, managed care and discharge planning. (3-5 years preferred) Excellent verbal ... equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by… more
- Virtua Health (Marlton, NJ)
- …Clinical Social Worker. Basic understanding of Medicare, Medicaid and managed care . Discharge planning or home health background. Excellent verbal and ... the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health ...Marlton - Rt 73 and Brick Road Employment Type: Employee Employment Classification: Regular Time Type: Full time Work… more
- Virtua Health (Swedesboro, NJ)
- …and health insurance guidelines and practices, including commercial, Medicare and managed care payers. Solid knowledge of and ability to use, electronic ... equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by… more
- CVS Health (Dover, DE)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** We are… more