• Employee Health / Managed

    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
    Bishop McCarthy Center (01/12/25)
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  • Associate Director, Corporate Accounts,…

    CSL Behring (King Of Prussia, PA)
    …wellbeing of our employees and their loved ones. CSL offers resources and benefits, from health care to financial protection, so you can focus on doing work that ... a family, need help paying for emergency back up care or summer camp, looking for mental health...to see what's available to you as a CSL employee . **About CSL Behring** CSL Behring is a global… more
    CSL Behring (01/09/25)
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  • Nurse Care Manager Senior - LGBTIA+/…

    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
    Elevance Health (01/03/25)
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  • Provider Contract/Cost of Care Consultant

    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
    Elevance Health (01/07/25)
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  • Health Guide (Community Health

    Magellan Health Services (Norristown, PA)
    …transportation as needed. Assists the enrollee in learning to navigate the health care delivery system, community resources, transportation, and effectively use ... planning sessions. Other Job Requirements Responsibilities Experience in community service, health care or social services and/or community-based or home… more
    Magellan Health Services (12/10/24)
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  • Community Based Health Manager - MSW

    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
    Virtua Health (10/22/24)
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  • Clinical Pharmacist, Population Health

    ChenMed (Philadelphia, PA)
    …proactive professional who excels in evidence-based pharmacy practices. With a focus on managed care , this person will prioritize the most cost-effective options ... discretion. KNOWLEDGE, SKILLS AND ABILITIES: + Strong understanding of managed care practices and operations. + Knowledge...seek to rescue more and more seniors from inadequate health care . ChenMed is changing lives for… more
    ChenMed (01/08/25)
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  • Physical Therapist- Home Care - Part time-…

    Penn Medicine (Bala Cynwyd, PA)
    … plan as needed. Contact the physician with changes in the patient condition. Managed Care patients o Update case management department with patient status in ... care . o Prepare patient/caregiver for discharge from home health care prior to the discharge visit....care for our patients starts with the best care for our employees. Our employee benefits… more
    Penn Medicine (12/11/24)
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  • Acute Care RN

    ChenMed (Philadelphia, PA)
    …social workers, other case managers and nurses, acute and post-acute facilities, home health care companies, and health plans. This position will ... Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired. We're ChenMed...seek to rescue more and more seniors from inadequate health care . ChenMed is changing lives for… more
    ChenMed (11/26/24)
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  • Case Manager RN - Camden & Surrounding Counties

    CVS Health (Stratford, 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
    CVS Health (01/08/25)
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  • Provider Contract/CofC Analyst Sr.

    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
    Elevance Health (01/11/25)
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  • Acute Care Nurse Practitioner or Masters…

    Penn Medicine (Philadelphia, PA)
    …of professional responsibility as role model to peers and members of the health care team. + Perform approved therapeutic or diagnostic procedures based ... of the organization. + Precept NP students and other health care learners. + Identifies patient/family needs...care for our patients starts with the best care for our employees. Our employee benefits… more
    Penn Medicine (01/03/25)
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  • Nurse Practitioner - Primary Care

    Penn Medicine (Philadelphia, PA)
    …of professional responsibility as role model to peers and members of the health care team. + Perform approved therapeutic or diagnostic procedures based ... of the organization. + Precept NP students and other health care learners. + Identifies patient/family needs...care for our patients starts with the best care for our employees. Our employee benefits… more
    Penn Medicine (12/12/24)
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  • Outcomes Manager

    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 (11/21/24)
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  • Physician- Internal Medicine Clinical Faculty-…

    Virtua Health (Camden, NJ)
    …and Program Director Clinical Documentation for patient services + Maintain compliance with managed care standards + Prepare and maintain medical records for all ... 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 (12/31/24)
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  • Patient Experience Navigator- Willingboro…

    Virtua Health (Pennsauken, NJ)
    …equivalent, associate's degree preferred. Training / Certification / Licensure: Health care experience including medical terminology and managed care ... 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 (01/14/25)
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  • Outcomes Manager PD

    Virtua Health (Pennsauken, NJ)
    …Clinical Social Worker. Basic understanding of Medicare, Medicaid and managed care . Discharge planning or home health background. Excellent verbal and ... 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 (01/03/25)
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  • Outcomes Manager PD

    Virtua Health (Pennsauken, NJ)
    …Coordination in an Acute Care setting; understanding of Medicare, Medicaid, managed care and discharge planning. (3-5 years preferred) Excellent verbal and ... 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 (11/16/24)
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  • Practice Manager

    Virtua Health (Voorhees, 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
    Virtua Health (01/11/25)
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  • Senior Manager of Quality, Coaching, and Audit…

    The Cigna Group (Philadelphia, PA)
    …progressive experience in quality management, audit, or coaching, focusing on behavioral health or healthcare/ managed care environments. + Proven experience ... year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group ....Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health more
    The Cigna Group (01/09/25)
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