- Elevance Health (Arlington, VA)
- …and depression, and insightful analytics to improve the delivery of care . The ** Case Manager ( Managed Care Coordinator)** is responsible for overall ... ** Case Manager ** **Location :** This is...pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… more
- Elevance Health (Arlington, VA)
- The **Foster Care Managed Case Manager ** is responsible for overall management of member's individual service plan within the scope of position, as ... you will make an impact:** + Working with children within the Foster Care System + Responsible for performing telephonic or face-to-face history and program needs… more
- Molina Healthcare (Woodbridge, VA)
- …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or ... **JOB DESCRIPTION** For this position we are seeking a Case Manager who lives in VIRGINIA and...year of professional experience. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care… more
- Highmark Health (Washington, DC)
- …+ One year in home clinical or case management experience + Certified Case Manager (CCM) + Licensed Bachelors Social Worker (LBSW) + Licensed Masters Social ... working with developmental disabilities population + Medicare and Medicaid experience + Managed care experience **SKILLS** + Working flexible hours to meet… more
- KBR (Washington, DC)
- …in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations. + ... Title: Special Operations Nurse Case Manager Part-time (National Capital Region).... We maintain a highly qualified workforce to help care for service people and astronauts across the world… more
- Elevance Health (Washington, DC)
- Behavioral Health Case Manager ll - Substance Abuse (JR116105) **Location:** This position requires work in our Washington, DC, 609 H Street NE office on ... commute of our DC office. **Washington, DC residents preferred.** The **Behavioral Health Case Manager ll** is responsible for performing case management… more
- Centene Corporation (Arlington, VA)
- …benefits including a fresh perspective on workplace flexibility. **Centene is hiring a Care Manager LVN/LPN to cover the Silver Spring, Maryland or Woodbridge, ... information + Perform follow up with members engaged in case management + Facilitate provider contact as needed to...a hospital or home health setting or with a managed care organization. Preferred Other prior experience… more
- AmeriHealth Caritas (Washington, DC)
- ** Care Manager II - Bright Start...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and ... Discover more about us at www.amerihealthcaritas.com . **Responsibilities:** The Care Manager II (RN) provides support to...(where such licensure is available) + Certification as a case manager preferred (as documented and accepted… more
- Highmark Health (Washington, DC)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Sharecare, Inc. (Rockville, MD)
- …and affordable for everyone. To learn more, visit www.sharecare.com. **Job Summary:** The Care Manager supports the implementation of the CareFirst Value Based ... Management program by working with CareFirst members. The Care Manager partners with members, caregivers and...acute care , home health, physician office management, managed care organization, provider relations, pharmaceutical sales.… more
- IBM (Washington, DC)
- …Refugee Admissions Program (USRAP), which is primarily implemented via PRMs refugee case processing system called START. PRM also engages with other USRAP partners ... the Immigration and Nationality Act (INA) are processed through the USRAP, which is managed by the Department of State in cooperation with the Department of Homeland… more
- Takeda Pharmaceuticals (Washington, DC)
- …the best of my knowledge. **Job Description** **About the role:** As a Manager , Payer Contracts, you will lead the development and implementation of assigned Payer ... D entities. You will be key business partner with Managed Markets, Legal and Finance to guide the evaluation...**How you will contribute:** + Participate in the business case process to review the opportunities and assist in… more
- Humana (Washington, DC)
- …Advanced degree in nursing or business-related field + Previous experience working in a managed care field + 5 or more years of previous management/supervisor ... case management services, including introducing innovative approaches to care coordination. + Oversees the processes for comprehensive Member...level experience + Certified Case Manager (CCM) **Additional Information** + **Workstyle:**… more
- Exelon (Washington, DC)
- …OF POSITION** Manage (or support a Principal or Senior Project Manager with the management of) transmission, substation, distribution, gas, and/or information ... and programs. Leads or supports project teams through business case / capital approval process, development and execution of...project / program costs, schedule, scope and risks are managed , including the development of recovery plans, to stay… more
- Wolters Kluwer (Annapolis, MD)
- …part of the Wolters Kluwer Health Clinical Effectiveness team, the Senior Technology Product Manager - Payer Role for UpToDate represents the voice of the market and ... information technology company working on the front lines of clinical care . Our flagship products include UpToDate, UpToDate Lexidrug, and Medi-span. **LOCATION:… more
- CareerStaff Unlimited (Lanham, MD)
- …evaluate all patient care provided * Take the lead role in case of a medical or psychiatric emergency and therapeutically intervene and de-escalate patients * ... Registered Nurse - RN – Unit Manager Invest in your future by discovering a...of your healthcare career.Registered Nursesare valued members of the care team that are focused on helping patients with… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- **Change Manager (Mid) - US Citizenship Required** **Category:** Business Consulting, Strategy and Digital Transformation **Main location:** United States, Virginia, ... currently seeking candidates to join our successful Federal organization as a Change Manager (Mid) supporting a large, high-profile cyber security program. This is a… more
- Deloitte (Rosslyn, VA)
- …experience + Bachelor's Degree Required + 3 years' + experience with Medicaid managed care capitation rate development and/or fee-for-service rate development + ... Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance...be a part of the transformation of the health care sector. Deloitte's health actuaries are participating in the… more
- IBM (Washington, DC)
- …Refugee Admissions Program (USRAP), which is primarily implemented via PRMs refugee case processing system called START. PRM also engages with other USRAP partners ... the Immigration and Nationality Act (INA) are processed through the USRAP, which is managed by the Department of State in cooperation with the Department of Homeland… more
- IBM (Washington, DC)
- …Refugee Admissions Program (USRAP), which is primarily implemented via PRMs refugee case processing system called START. PRM also engages with other USRAP partners ... the Immigration and Nationality Act (INA) are processed through the USRAP, which is managed by the Department of State in cooperation with the Department of Homeland… more