• Senior Care Manager - Psychologist…

    Magellan Health Services (Ballwin, MO)
    …solutions that directly influence quality of care . General Job Information Title Senior Care Manager - Psychologist - Remote Grade 28 Work Experience - ... and substance abuse benefits, community treatment resources, mental health managed care programs, and Magellan Health Services policies and procedures, and criteria.… more
    Magellan Health Services (11/26/24)
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  • Care Manager (UM/UR) - Remote

    Magellan Health Services (Boise, ID)
    …implement solutions that directly influence quality of care . General Job Information Title Care Manager (UM/UR) - Remote , Idaho Licensed Grade 24 Work ... + Maintains an active work load in accordance with National Care Manager performance standards. + Works with community agencies as appropriate. Proposes… more
    Magellan Health Services (10/22/24)
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  • REMOTE | Care Manager II…

    AmeriHealth Caritas (Florence, SC)
    ** REMOTE | Care Manager II Registered Nurse (BSN) - Foster Care Program -SC** Location: Florence, SC Primary Job Function: Medical Management ID**: 34390 ... **Job Brief** This position is a telephonic Care Manager that is required to reside...are York, Florence, Darlington, Williamsburg and Horry. RN required. ** Remote to qualified candidates living in South Carolina with… more
    AmeriHealth Caritas (10/24/24)
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  • Care Manager , Autism/ABA - Licensed…

    Magellan Health Services (Atlanta, GA)
    …directly influence quality of care . General Job Information Title Care Manager , Autism/ABA - Licensed / Remote US Grade 25 Work Experience - Required ... and/or inefficiencies. + Maintains an active work load in accordance with Care Manager Performance Standards. + Works with community agencies as appropriate. +… more
    Magellan Health Services (11/21/24)
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  • Care Manager , Health Plan…

    Magellan Health Services (San Diego, CA)
    …and operations. Strong written and verbal communication skills. General Job Information Title Care Manager , Health Plan - Licensed/ Remote in CA Grade ... This position is responsible for the assessment, reassessment, care planning and coordination of care ...assessment, reassessment, care planning and coordination of care and services including ongoing monitoring of an appropriate… more
    Magellan Health Services (11/19/24)
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  • Care Manager ( Remote )

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** Under minimal supervision, the Care Manager researches and analyzes a member's medical and behavioral health needs and ... healthcare cost drivers. The Care Manager works closely with members and...the greater Baltimore/Washington metropolitan area. While this position is remote , the incumbent will be expected to come into… more
    CareFirst (11/22/24)
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  • Sr/ Care Manager , Patient Support…

    IQVIA (Phoenix, AZ)
    …real world. **Position Summary:** AllCare Plus Pharmacy, an IQVIA company, is seeking a Care Manager ! Responsibilities will vary by program and its lifecycle. ... Care Manager 's may be responsible for contacting...assistance programs and/or varied adherence support. This is a ** remote ** position. **Hours:** **Must be available for an 8… more
    IQVIA (11/06/24)
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  • Technical Service Manager , Care

    BASF (Cincinnati, OH)
    …our team and create Care chemistry with us!** As a Technical Service Manager , (TSM), reporting into the AT/TS Group Lead, you will apply your strong industrial ... As the leading global chemical supplier for the personal care , home care , industrial and institutional cleaning...expenses covered by the company. **As a Technical Service Manager , AgChem, you create chemistry by ** + Serving… more
    BASF (11/28/24)
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  • Bilingual 24/7 Clinical Navigation and Support…

    The Cigna Group (Bloomfield, CT)
    …shifts, weekends and holiday time.** As a 24/7 Clinical Navigation & Support (CN&S) Care Manager (CM) you will deliver a guided, predictable and streamlined ... care experience for customers. The CN&S team is the...health system, including utilization of benefits and accessing direct care services. As clinicians we support customers and families… more
    The Cigna Group (10/19/24)
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  • Behavioral Health Care Manager

    AmeriHealth Caritas (Harrisburg, PA)
    **Behavioral Health Care Manager - LCSW/LSW/LPC/LMFT/MSN - Remote (Eastern Standard Time Zone) and Licensed in PA** Location: Harrisburg, PA Primary Job ... more about us at www.amerihealthcaritas.com . The PerformCare-PA Behavioral Health Clinical Care Manager (BH-CCM) is a core participant of the collaborative… more
    AmeriHealth Caritas (11/28/24)
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  • Clinical Evaluation Manager , Transition…

    VNS Health (Manhattan, NY)
    …and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical ... experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is appropriate,… more
    VNS Health (11/27/24)
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  • Technical Service Manager , Care

    BASF (Southfield, MI)
    **As a Technical Service Manager , Industrial Markets, you create chemistry by ** + Serving as the primary technical liaison for customers and distribution partners ... and surrogacy reimbursement, maternity/parental leave, and more) + Back-up child and elder care with discount programs for families of all ages and stages +… more
    BASF (11/28/24)
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  • Field-Based Remote | Behavioral Health Case…

    AmeriHealth Caritas (Newberry, SC)
    …needs the case worker will consult with a registered nurse care manager . **Responsibilities:** The Field- Based Remote Behavioral Health Case Worker is ... health conditions. Under the direction of the Population Health Manager and Supervisor the Behavioral Health Caseworker ensures the...issues, gaps in care , and barriers to care . The Field- Based Remote Behavioral Health… more
    AmeriHealth Caritas (11/28/24)
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  • Care Manager - Patient Access…

    IQVIA (Northborough, MA)
    …procedures. + Any additional duties as assigned by program management. **Qualifications: Care Manager ** + High School diploma required, associate degree or ... **Position Summary:** Care Managers are responsible for contacting insurance companies...Application of techniques that continually improve the quality of care provided, patient safety, organizational performance, and the financial… more
    IQVIA (11/15/24)
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  • Program Manager , Customer Care

    ICF (Detroit, MI)
    Description **Program Manager , Customer Care Services** **Location: Remote Michigan or Surrounding States** **Ready to make a difference?** ICF currently ... seeks a full-time program account manager to work within our Utility Programs and Services...across local energy efficiency program implementation teams, the customer care services organization, subcontractors, and client representatives to ensure… more
    ICF (10/15/24)
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  • Productivity & Quality Operations Manager

    Stanford Health Care (Palo Alto, CA)
    …reports to the Managers for each Patient Account Representative. **Locations** Stanford Health Care **What you will do** + Operations Manager will manage a ... (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Productivity & Quality...job.** **A Brief Overview** The Productivity & Quality Operations Manager reports to the Director and provides a wide… more
    Stanford Health Care (10/25/24)
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  • Sr. Manager - Patient Financial Services…

    Stanford Health Care (Palo Alto, CA)
    …Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Under the general direction of Revenue Cycle leadership, ... cash posting of all hospital charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities and operational… more
    Stanford Health Care (10/25/24)
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  • Intake Specialist, Case Manager , IN…

    McLaren Health Care (Indianapolis, IN)
    …organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a ... McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health… more
    McLaren Health Care (11/28/24)
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  • Manager , Compensation and Reporting…

    Option Care Health (Columbus, OH)
    …infusion provider, there is no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and alternate site infusion services ... team members including 2,900 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states.… more
    Option Care Health (11/23/24)
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  • Revenue Integrity Program Manager

    Stanford Health Care (Palo Alto, CA)
    …discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Revenue Integrity Program Manager is a ... Medicine DFA meetings for professional revenue cycle. **Locations** Stanford Health Care **What you will do** + Charging Optimization: Conducts prospective reviews… more
    Stanford Health Care (11/07/24)
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