- RestoraCare Staffing (Houston, TX)
- …management, case management, performance improvement, disease or population management and managed care reimbursement. Understanding of pre-acute and post-acute ... within two (2) years of hire into the Case Manager position. Experience / Knowledge / Skills:Three (3) years...venues of care and post-acute community resources, physician office routines, and… more
- Select Medical (Westlake Village, CA)
- …therapist to join our team. Mentoring will be available as the clinic manager is a Sports Certified Specialist and highly trained in general orthopedics, sports ... Plan with Company Match Paid Time Off , Sick Time, and Holidays Markets Managed Locally Flexible Spending Accounts Employee Discounts and perks on good and services… more
- RestoraCare Staffing (Sanford, NC)
- …and equipment are at sufficient levels; and efficient patient throughput is managed . This position will also develop, implement, and manage the department budget ... Required Experience: Minimum of 3-5 years nursing experience in a critical care unit required. Minimum of 2-3 years leadership experience (Supervisor, Manager… more
- WMCHealth (Valhalla, NY)
- Manager , Managed Care Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/Management Department: Managed Care -WMC ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/26158) Internal Applicant link Job Details: Job Summary: The Manager of Managed Care will...Job Details: Job Summary: The Manager of Managed Care will report directly to the… more
- Prime Healthcare (Denville, NJ)
- …Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities Regional Manager , Managed Care ... verbal and written communication skills Connect With Us! (https://careers-primehealthcare.icims.com/jobs/159689/regional- manager managed - care scdnnj-admin-corporate/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySt.… more
- Abbott (Alameda, CA)
- …people monitor their glucose levels with our new sensing technology. As the **Senior Product Manager , US Managed Care Marketing** you will develop and lead ... activities + Ensure that all activities within the role of Sr Product Manager , US Managed Care Marketing remain in compliance with all corporate, regulatory,… more
- UCLA Health (Los Angeles, CA)
- …degree preferred * Experience with a healthcare provider organization * Advanced managed care contract negotiation skills, preferably within a hospital, medical ... group, or health plan environment * Understanding of the Southern California managed care marketplace * Knowledge of hospital and professional reimbursement… more
- Trinity Health (Fresno, CA)
- …Reporting to the Director, CVHP Operations, CVHP Operations, this position coordinates care and service for defined patient populations across the acute care ... continuum for CVHP members. This includes discharge planning, utilization management, care coordination, and support for resource utilization. This position works… more
- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top...carve out vendor as assigned by Senior Director or Manager . + Prepares, updates and maintains files and database… more
- Elevance Health (Radford, VA)
- …+ Virginia, Radford + Virginia, Arlington + Virginia, Roanoke **Description** The **Foster Care Managed Case Manager ** is responsible for overall management ... you for payment as part of consideration for employment. ** Managed Care Coordinator - Foster Care...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CommonSpirit Health (Englewood, CO)
- …The Manager , Payer Analytics and Economics is accountable for the managed care financial analysis, strategic pricing and payer contract modeling activities ... and pricing expertise for the evaluation, negotiation, implementation and maintenance of managed care contracts between CommonSpirit Health providers and payers.… more
- Beth Israel Lahey Health (Plymouth, MA)
- …change at any point. Job Summary: Under the direction of the Sr. Managed Care Coordinator and Surgery Practice Manager initiate and process managed ... patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with APG's,… more
- Aveanna (Atlanta, GA)
- …we serve. Current Opportunities:As a key member of Aveanna's contracting department, the Payer/ Managed Care Contracts Manager is responsible for the ... Payer Contracts Manager ApplyRefer a FriendBack Job Details Requisition #:...team to support end to end contracting activities for managed care payers including review and analysis… more
- e CancerCare (Nashville, TN)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... Job Purpose: Manager of Payor Contracting is responsible for reviewing,...compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- Lundbeck (San Jose, CA)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager , sales operations, account management is ... Psychiatry Area Sales Manager - Northern California Requisition ID: 5043 Location:...+ Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions +… more
- Sea Mar Community Health Centers (Tacoma, WA)
- …education, and public health coverage case management. Under the direction of the Managed Care Manager and Coordinator, they pro-actively contact customers, ... 25890 Position Summary: Full-Time Customer Service Rep position available for our Managed Care Department located at our Tacoma Medical Clinic in Clark County.… more
- Whitney Young Health Center (Albany, NY)
- …to schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual. RN CARE MANAGER II:Salary range: ... Registered Nurse (RN) Care Manager (Req 100787) Albany, NY...to schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual. All qualified applicants… more
- Public Consulting Group (Council Bluffs, IA)
- …+ Responsible for managing the day-to-day audit and investigations of Fee-for-Service and Managed Care Oversight audits. The manager shall support the ... This role is responsible to coordinate and make appropriate referrals to managed care entities, the Medicaid Fraud & Control Unit and other local, federal,… more
- Elderwood (Monroe County, NY)
- Salary $68,640 - $93,600 Overview Elderwood Health Plan is seeking an RN Care Manager - MLTC ( Managed Long Term Care ) to join our incredible growing team ... with us! Responsibilities In the role of an RN Care Manager , You will partner with the...home care , case management, discharge planning or managed care + Minimum of one (1)… more
- CDS Life Transitions (Webster, NY)
- …Social Worker + Minimum five years in healthcare related field, with 2 years as a care manager in managed care environment or community health + Must be ... and environmental factors that affect the lives of iCircle Care members. The Care Manager ...management, and functional capabilities. RESPONSIBILITIES: + Oversee caseload of managed care members + Review and evaluate… more
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