• WellCare (Fairfax, VA)
    …Review activities that take place during a patient s hospital stay and or in a home or community setting to include review of evidence that care is being delivered at ... the appropriate level Review evidence that discharge planning began at admission or start of services Coordinate discharge planning needs with facility health services providers and member Review continued need for inpatient days with authorized length of stay… more
    Geebo.com (01/14/18)
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  • WellCare Health Plans Inc (Fairfax, VA)
    …Review activities that take place during a patient's hospital stay and/ or in a home or community setting to include review of evidence that care is being delivered ... at the appropriate level. Review evidence that discharge planning began at admission or start of services. Coordinate discharge planning needs with facility, health services providers and member. Review continued need for inpatient days with authorized length… more
    Lensa (01/01/18)
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  • WellCare (Cleveland, OH)
    …to a positive & energetic environmentMaintain professional standards in marketing, sales & customer serviceCustomer interaction to promote products & ... Job DescriptionProfessionals with customer service experience are wanted We are currently accepting applications from individuals with experience working in customer service, customer relations, and customer support to work as part of our team. Customer… more
    Careerbliss (01/16/18)
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  • WellCare (Jersey City, NJ)
    …Monitor applicable laws, regulations and company policies to identify and document new or changing compliance requirements. Perform activities related to any of the ... Network CyberSecurity Analyst Kick start your career in Financial Services. Eclaro is looking for a Network CyberSecurity Analyst for our client in New York, NY. Eclaro's client is a full-service bank providing a wide spectrum of corporate, commercial, retail… more
    Careerbliss (01/16/18)
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  • WellCare (St. Louis, MO)
    …This job posting is for a position in a restaurant that is independently owned and operated by a franchisee. This means your application will be reviewed by the ... franchisee who will make any hiring decisions. If hired, the franchisee will be your employer and is alone responsible for any employment related matters. At KFC, we feed the world. But we do more than fill people up. We fulfill their life. Our meals matter,… more
    Careerbliss (01/15/18)
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  • WellCare (Oceanside, CA)
    …Meet and exceed sales goals- Direct, train and schedule customer service team- Control inventory levels and expenses- Ensure outstanding customer service- Maintain ... Job DescriptionSOUTHWEST BOULDER and STONE is the industry leader in landscape and masonry supply. Setting ourselves above the rest by providing unsurpassed customer service and incomparable material selection. Having 6 locations across Southern California… more
    Careerbliss (01/14/18)
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  • WellCare (Kansas City, MO)
    …position is flexible on location, preferably located in KANSAS CITY, but can work from ST. LOUIS, OMAHA, WICHITA, TOPEKA, DES MOINES or near a major a major airport! ... With Telgian, you will have the opportunity to play an indispensable role in saving lives and property from catastrophic fires. As a Telgian Field Inspector, you will build relationships and provide peace of mind to your customers, ensuring the systems that… more
    Careerbliss (01/12/18)
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  • WellCare (Philadelphia, PA)
    …(General Overview of the Role): Provide infrastructure support (Network, Server, AD) for approximately 500 workstations, 50 servers, 30 networking devices, local and ... remote. Support is provided through direct contact with research staff, emails, and ticketing system. Primary Tasks and Responsibilities: Provide infrastructure support (network, server, active directory domain) : Installation and support of network equipment… more
    Careerbliss (01/12/18)
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  • WellCare (New York, NY)
    …Valid Drivers license may be required Candidate Education Required An Associate s Degree in Nursing or related field Preferred A Bachelor s Degree in Nursing or ... Conducts home facility visits to perform a comprehensive health re assessment regarding clinical behavioral and home safety requirements on existing members in the community as required by the state for the Managed Long Term Care program Department Health… more
    Geebo.com (01/15/18)
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  • WellCare (Mililani, HI)
    …fosters a healthy working relationship between large physician practices IPAs and WellCare Educates providers and supports provider practice sites in regards to the ... providers on gap closing opportunities Identifies specific practice needs where WellCare can provide support Develops enhances and maintains provider clinical… more
    Geebo.com (01/15/18)
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  • WellCare (Tampa, FL)
    …and implements best practices for key stakeholders to mitigate risk to WellCare Proactively evaluates the government reimbursement process to determine areas of risk ... and opportunity and provide senior management with necessary updates and or strategic recommendations Provides ad hoc analysis for senior management Manages and develops cross functional teams including direct reports who include other management or… more
    Geebo.com (01/15/18)
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  • WellCare (Atlanta, GA)
    …Candidate Education Required An Associate s Degree in Nursing Preferred A Bachelor s Degree in Nursing or Health Administration Candidate Experience Required years of ... Manages the day to day activities of the Field Service Coordinators and Supervisors Ensures the case management process of assessing planning implementation coordination monitoring and evaluating services and outcomes is pursued to maximize the health of the… more
    Geebo.com (01/15/18)
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  • WellCare (Houston, TX)
    …order to achive optimal clinical and resource outcomes Performs other duties as assigned LI Wellcare LI WellCare Education A Master s Degree in Social Work MSW ... Experience years relevant social work and or health care experience with client care coordination responsibilities preferably in long term care Experience in a managed care environment Licenses Certifications LSW LCSW LMHC LPC LMFT PsyD Special Skills eg nd… more
    Geebo.com (01/14/18)
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  • WellCare (Belleville, IL)
    Manages IPA networks and Network Development Specialists by developing and maintaining network of risk bearing IPAs Achieves company targets through aggressive IPA ... primary care specialty and ancillary provider contracting and risk contract management Calibrates network for the achievement of profitable growth DEPARTMENT Network Management Provider Relations REPORTS TO Director Network Management Essential Functions… more
    Geebo.com (01/14/18)
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  • WellCare (Mililani, HI)
    Manages the day to day activities of Service Coordinators Ensures the case management process of assessing planning implementation coordination monitoring and ... evaluating services and outcomes is pursued to maximize the health of the Member Provides ongoing support and oversight to the assigned Service Coordination Department REPORTS TO DIRECTOR SERVICE COORDINATION DEPARTMENT HI HEALTH SERVICES POSITION LOCATION… more
    Geebo.com (01/14/18)
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  • WellCare (Houston, TX)
    …Serves as an instrumental partner in monitoring and tracking key performance indicators to include identification of over under utilization patterns and or deviation ... from expected results for assigned area markets Monitors processes and procedures to ensure compliance with contractual regulatory Federal State and accreditation entities Provides leadership and support to front line staff and supervisors Monitors and tracks… more
    Geebo.com (01/14/18)
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  • WellCare (Omaha, NE)
    Choose a job you love and you will never have to work a day in your Life Provides functional knowledge and technical support to the design implementation and ... customization of departmental applications systems and databases to meet the customer s requirements and system needs Debugs and troubleshoots systemic issues utilizing a strong understanding of the business processes and technical aspects of applications… more
    Geebo.com (01/14/18)
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  • WellCare (Maitland, FL)
    …on achieving financial goals Provides continual training to assigned providers on wellcare com portal and other resources to assist with claims authorizations member ... benefits etc LI SM Candidate Education Required a Bachelor s Degree in a related field or equivalent work experience directly related to Network Development or Provider Relations with demonstrated ability to perform the job duties Candidate Experience Required… more
    Geebo.com (01/14/18)
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  • WellCare (Mililani, HI)
    Manages and coordinates efforts in Medicare market initiatives and in markets where there is not adequate government affairs staff Manages and coordinates government ... affairs and community relation efforts in Medicaid markets REPORTS TO STATE PRESIDENT DEPARTMENT HAWAII EXECUTIVE POSITION LOCATION KAPOLEI HI Essential Functions Monitors and analyzes legislative activities and initiatives in markets to generate and implement… more
    Geebo.com (01/14/18)
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  • WellCare (Atlanta, GA)
    …set forth by other regulatory agencies where applicable and defined in the WellCare Corporate and department policies All other duties assigned by the Regional VP ... or SVP Candidate Education Required A Bachelor s Degree in Health Care Administration Business Administration Marketing Health Service Preferred A Master s Degree in a related field Candidate Experience Required years of experience in managing the strategy… more
    Geebo.com (01/14/18)
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