- 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 (San Diego, CA)
- …terminology and operations. Strong written and verbal communication skills. General Job Information Title Care Manager , Health Plan - Remote / Licensed in CA ... 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
- Sharecare (Columbus, OH)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care … more
- CareFirst (Baltimore, MD)
- …for meetings, training and/or other business-related activities. 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 interdisciplinary care team to ensure members have… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Care Manager , LPN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care ... our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn...lines. Works with the PCP, the member, the Case Manager or Manager , Med Management and management… more
- Highmark Health (Columbus, OH)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… more
- AmeriHealth Caritas (Florence, SC)
- …administrative services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Care Manager II is responsible for managing and ... ** Remote to qualified candidates living in South Carolina with...issues, gaps in care and barriers to care . The Care Manager II develops a plan of … more
- IQVIA (Northborough, MA)
- …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
- Healthfirst (NY)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans...workers, discharge planners, and community-based service providers to ensure care is coordinated and care needs are… more
- 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
- Molina Healthcare (Las Vegas, NV)
- …combination of education and experience **Preferred Experience** + 7-9 years Managed Care experience + Managed Care Operations and Project Experience + ... Implementation of cross functional projects/programs + Experience working in a matrixed environment **Preferred License, Certification, Association** PMP or Six Sigma Black Belt certification To all current Molina employees: If you are interested in applying… more
- Centene Corporation (San Antonio, TX)
- …benefits including a fresh perspective on workplace flexibility. **LVN Service Care Manager . This is NOT a Remote position. Travel is required to Eagle ... **Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.… more
- Highmark Health (Columbus, OH)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
- Molina Healthcare (Syracuse, NY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on..._Further details to be discussed during our interview process._ Remote position in New York A New York LMHC,… more
- 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 (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
- 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
- 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
- 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
- RTX Corporation (Denver, CO)
- … Remote Location, Remote City, CO, 80201 USA Position Role Type: Remote The Regional Sales Manager , Business Aviation will join the Connected Aviation ... You Will Do: + You will work in a remote capacity, with travel expectations up to 50% +...virtual doctor visits + Bright Horizons, child and elder care services + Teladoc Medical Experts, second opinion program… more