• RN, ACO Nurse Care

    Baystate Health (Springfield, MA)
    **RN, ACO Nurse Care Manager , Community Health Center** The ** ACO Nurse Care Manager i** s responsible for the management of care for ... a defined group of patients including complex care management, transitions of care , as well...as well as complex lists of patients from the ACO . + Conducts whole person assessments to determine individual… more
    Baystate Health (02/07/25)
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  • LPN, ACO Care Manager

    Baystate Health (Springfield, MA)
    **_LPN Care Manager , ACO Behavioral Health & Transitions of Care Team_** is responsible for the management of care for a defined group of patients ... Manager is responsible for the management of care for a defined group of ACO ...Non-Graduate **Certifications:** Basic Life Support - Other, Licensed Practical Nurse - Other **Equal Employment Opportunity Employer** Baystate Health… more
    Baystate Health (02/07/25)
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  • Nurse Care Manager

    Beth Israel Lahey Health (Wakefield, MA)
    …you're not just taking a job, you're making a difference in people's lives.** The Care Manager , RN provides care management services to the BILHPN primary ... optimize quality and efficient outcomes; and decrease total medical expenses. The Care Manager , RN assesses, plans, implements, coordinates, monitors and… more
    Beth Israel Lahey Health (02/05/25)
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  • Registered Nurse Case Manager -Child…

    Hackensack Meridian Health (Maywood, NJ)
    …our mission to transform healthcare and serve as a leader of positive change. The **Registered Nurse Care Manager ** is a member of the healthcare team and is ... **Responsibilities** A day in the life of a **Registered Nurse Care Manager ** at **Hackensack... facility, durable medical equipment, and referral to complex care management team, ACO navigators and authorizations… more
    Hackensack Meridian Health (01/03/25)
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  • Registered Nurse Case Manager

    Synergy Healthcare Solutions (FL)
    …for the population we serve. Your role includes providing clinical leadership for Managed Care , Bundle Payment, and ACO programs, acting as an educator and ... with Synergy Healthcare Services as a Full-Time RN Case Manager ! This is your chance to make a meaningful...the dynamic flexibility of remote work while leading patient care journeys. Picture collaborating with a high-energy team that's… more
    Synergy Healthcare Solutions (01/15/25)
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  • Program Support Coordinator

    Fallon Health (Worcester, MA)
    …the supplies inventory for paper, and copier supplies, etc. + Manages the communication of ACO care plans to the members and their PCPs. + Provides additional ... health risk assessment tools including but not limited to ACO member Care Needs Screenings and keypunching...pivot tables demonstrating volume of new NaviCare members to nurse case manager and navigator staff each… more
    Fallon Health (02/13/25)
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  • Social Worker - Hybrid / Remote

    Beth Israel Lahey Health (Wakefield, MA)
    …social work case management practice and reports to the Manager of Care Management, Medicare Shared Savings Program- ACO . **Job Description:** + **Hybrid / ... (BILHPN- ACO ) is responsible for improving coordination of patient care , reducing unnecessary hospitalizations and readmissions, emergency department visits and… more
    Beth Israel Lahey Health (12/10/24)
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  • RN Care Manager , Hybrid/Remote

    Boston Health Care for the Homeless Program (Boston, MA)
    …Name: n/a Patient Facing: Yes We are looking to hire a dedicated and passionate Nurse Care Manager for our Behavioral Health Community Partners program. The ... to provide both preventative and reactionary services. As a Nurse Care Manager , you will...hospital admission/discharge plans with the behavioral health clinician, PCP, ACO , MCO etc. + Use data to evaluate outcomes… more
    Boston Health Care for the Homeless Program (02/16/25)
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  • Utilization Review Nurse (RN)

    Community Health Systems (Naples, FL)
    …Benefits **Job Summary** Under the direction of the Utilization Review (UR) Director/ Manager the Utilization Review (UR) Nurse reviews all admissions for ... healthcare providers to ensure complete and accurate condition and care of the patient + Serves as a resource...Review experince preferred + Experience in HEDIS, MIPS, PQRS, ACO , STARS preferred **Knowledge, Skills and Abilities** + Ability… more
    Community Health Systems (01/31/25)
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  • Complex Care Manager , Social Worker

    Bluestone Physician Services (St. Paul, MN)
    …overall savings per Medicare beneficiary. Position Overview: Join our team as a Complex Care Manager where you will coordinate acute and post-acute stays and ... in a row! Bluestone also achieved Top Workplace USA 2021-2024! In 2022, Bluestone Accountable Care Organization ( ACO ) was the best performing ACO in the… more
    Bluestone Physician Services (02/13/25)
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  • Manager Care Quality

    HCA Healthcare (Salt Lake City, UT)
    …We care like family! Jump-start your career as a(an) Manager Care Quality today with MountainStar Healthcare. **Benefits** MountainStar Healthcare, ... vary by location._** Come join our team as a(an) Manager Care Quality. We care ... Coordinator acts as an integral member of the Care Coordination team supporting the** ** ACO and… more
    HCA Healthcare (12/22/24)
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  • RN Care Manager - Primary…

    Swedish Health Services (Seattle, WA)
    **Description** **RN Care Manager - Primary Care **...description:** As an integral member of the CHAT or ACO team, the Case Manager RN evaluates and ... The Case Manager RN is responsible for providing optimum individual care for the patient/family unit, using the nursing process and interdisciplinary team… more
    Swedish Health Services (02/04/25)
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  • Care Manager RN - High Risk…

    Providence (Anaheim, CA)
    …Full time **Job Shift:** Day **Career Track:** Nursing **Department:** 7520 HIGH RISK CARE MANAGEMENT HMO AND ACO CA HERITAGE SERVICES **Address:** CA Anaheim ... **Description** Care Management is a collaborative practice model including...of an accredited school of nursing. + California Registered Nurse License upon hire. + 3 years Clinical experience… more
    Providence (12/21/24)
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  • Director, Post-Acute Care Community Network…

    Stanford Health Care (Palo Alto, CA)
    …08 Hour (United States of America) Why work at Stanford Medicine | Stanford Health Care (SHC)? - Recognized as a top Academic Medical Center globally! - Ranked No. ... healers, educators, and mentors, providing the highest standards of excellence in care while generating long-term impressions that continue to set SHC apart as… more
    Stanford Health Care (02/10/25)
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  • Manager Clinical Quality Improvements

    Dignity Health (Bakersfield, CA)
    …will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed ... care administrative and clinical services to medical groups hospitals...level in the population health space. **Position Summary:** The Manager , Clinical Quality Improvement, is responsible for leading multiple… more
    Dignity Health (01/11/25)
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  • Care Coordinator/Clinical Health Coach…

    Pender Community Hospital District (Pender, NE)
    …QI activities and coordinate program components with Business Office Lead , CEO and ACO manager . + Reviews patient medical records to identify patients overdue ... which includes but is not limited to hospital patient care staff, Physicians, Pender Medical Clinic staff, patient support...Certificates, Licensure, Registrations: + Currently licensed as a Registered Nurse in the State of Nebraska or multi state… more
    Pender Community Hospital District (12/18/24)
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  • Mgr- Nursing Prac & Clin Ed/RN

    Northern Light Health (Portland, ME)
    …of care . + Develops and maintain current knowledge of population health, ACO and innovative care delivery models. + Collaborates with the interdisciplinary ... to address those needs. The incumbent works collaboratively with the Patient Care Services (PCS) and Medical Group (MMG) leadership teams and provides clinical… more
    Northern Light Health (02/01/25)
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  • Patient Registration Representative

    Brockton Hospital (Brockton, MA)
    …plans and information necessary for billing and reimbursement purposes, including managed care plans, Medicare secondary payor requirements, ACO primary care ... Position Summary: Under the direction and guidance of the Manager , Patient Access and leadership team, the Patient Registration...skills to interact effectively and ensure safe and efficient care for the patients they serve . All workflows… more
    Brockton Hospital (12/21/24)
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  • Psychiatrist- Adult Inpatient

    WellSpan Health (Lebanon, PA)
    …16-18 patients, participating in all areas of treatment along with a team of a nurse case manager (solely dedicated to team duties), a case worker, and therapist ... organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization ( ACO ) is the region's largest and one… more
    WellSpan Health (02/05/25)
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  • Patient Registration Representative

    Brockton Hospital (Brockton, MA)
    …plans and information necessary for billing and reimbursement purposes, including managed care plans, Medicare secondary payor requirements, ACO primary care ... modern healthcare facility with a focus on superior patient care and safety. Following extensive renovations, the hospital is...deficiencies have been addressed or discussed with the Team Leader/ Manager for bills to go out without errors. +… more
    Brockton Hospital (01/25/25)
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