• Care Manager Behavioral

    Highmark Health (Bismarck, ND)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
    Highmark Health (12/12/24)
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  • Clinical Registered Nurse - Remote

    Sharecare (Bismarck, ND)
    …a responsive, committed individual who ** ** recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
    Sharecare (01/08/25)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Bismarck, ND)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specific state licensure(s) may be required depending on where clinical care is being provided. **Preferred** +...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (01/07/25)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Bismarck, ND)
    …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
    Highmark Health (11/20/24)
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  • Case Manager , D-SNP, Health Plan

    Sanford Health (Bismarck, ND)
    …to assist these members in achieving optimal health and/or independence in managing their care . To achieve this goal the Case Manager , D-SNP will demonstrate and ... D-SNP members in alignment with the approved Model of Care . The Case Manager , D-SNP is responsible...experience in case management, care coordination, managed care , transitions of care , behavioral more
    Sanford Health (12/16/24)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Bismarck, ND)
    …Insurance Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim ... well as coaches, consults, and mentors team members on moderate to complex clinical issues. **ESSENTIAL RESPONSIBILITIES** + Analyze clinical data to assess… more
    Highmark Health (11/25/24)
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  • Risk Management Lead - Home Health

    CenterWell (Bismarck, ND)
    …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... of various healthcare payer models, including episodic, fee-for-service, and value-based care + Successful track record in influencing, facilitating, and consulting… more
    CenterWell (01/11/25)
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  • RN Registered Nurse - AHN Home Infusion…

    Highmark Health (Bismarck, ND)
    …+ Participates in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The… more
    Highmark Health (12/06/24)
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  • Strategy Advancement Advisor, MSO Operations

    CenterWell (Bismarck, ND)
    …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... improvement and membership growth. This role is within Centerwell's Primary Care Organization and requires an understanding of value-based agreements and primary… more
    CenterWell (12/21/24)
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  • Senior Data and Reporting Professional

    CenterWell (Bismarck, ND)
    …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... opportunities. Application Deadline: 03-30-2025 **About us** About CenterWell Senior Primary Care : CenterWell Senior Primary Care provides proactive, preventive … more
    CenterWell (01/01/25)
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  • PBM Sr Business Intelligence Data Visual…

    Prime Therapeutics (Bismarck, ND)
    …engineering, physics, accounting, finance, economics, computer sciences or business/social and behavioral science or related area of study, or the equivalent ... and ability to adjust focus **Reporting Structure** + Reports to Principal, Manager , Director, or Sr Director in the Health Outcomes, Pharmacy Audit, Pricing,… more
    Prime Therapeutics (01/08/25)
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