- Humana (Indianapolis, IN)
- …and help us put health first** Humana Healthy Horizons in Indiana is seeking a Manager , Care Coordination to lead teams of nurses and behavior health ... professionals responsible for care management. The Manager , Care Coordination works within... for elderly or special needs populations, or in Medicaid and/or Medicare. + 2+ years of management or… more
- Humana (Indianapolis, IN)
- …affecting food intake and eating behavior. + Serve as a resource for Humana's care management and service coordination teams and have duties that include ... in accordance with medical standards and provide intervention recommendations to the Contractor's care teams. + Partner with Dental Manager . **Use your skills to… more
- Humana (Indianapolis, IN)
- …a part of our caring community and help us put health first** The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve ... care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are...experience + 3-5 years of in home assessment and care coordination experience + Experience with health… more
- Highmark Health (Indianapolis, IN)
- …needs, and goals. + Identify resources needed for a fully integrated care coordination approach including facilitating referrals to special programs such ... the most cost-effective way to address those needs. + Facilitate authorization, coordination , continuity and appropriateness of care and services in community… more
- Humana (Indianapolis, IN)
- …for utilization management and clinical decision-making as outlined in the Autism Care Demonstration (ACD) defined in the TRICARE Operations Manual Chapter 18, ... UM tools to assist in guiding clinical decisions, reviewing for appropriate care and setting, following guidelines and policies, and approve services or forward… more
- Humana (Indianapolis, IN)
- …community and help us put health first** Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates ... members. This position serves members of the new Indiana Medicaid program - Indiana PathWays for Aging (PathWays). The...relationship with each member toward improved quality, continuity, and coordination of care . + Responsible for the… more
- Community Health Network (Indianapolis, IN)
- …Case Manager is responsible for the assessment, planning, implementation, coordination , monitoring, and evaluation of services across the continuum of care ... to ensure quality patient outcomes and appropriate utilization of health care services. The Case Manager is responsible for supporting the healthcare team… more
- Wolters Kluwer (Indianapolis, IN)
- …Kluwer Health Clinical Effectiveness team** , the Lead **Technology Product Manager ** **- Commercial Drug Information** role for **Medi-Span** represents the voice ... data and solutions that support Payers, PBMs, Life Sciences and Medicare/ Medicaid programs. **Wolters Kluwer Health** is an established, fast-growing, and… more
- Prime Therapeutics (Indianapolis, IN)
- …outcomes. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of client programs. Requires coordination and communication ... and drives every decision we make. **Job Posting Title** Senior Pharmacist Account Manager - Remote in Raleigh, NC **Job Description Summary** Leads the clinical… more
- Humana (Indianapolis, IN)
- …must** **meet** **one** of the following qualifications: + Individual continuously employed as a care manager by an AAA since June 30, 2018; OR + Registered ... resources and third-party payers + Assisting members in maintaining Medicaid eligibility + Collaborate with Medical Director/Geriatrician/ Care Coordinator… more
- Humana (Indianapolis, IN)
- …caring community and help us put health first** The Broker Relationship Manager develops and maintains relationships with small and medium-sized accounts. The Broker ... Relationship Manager work assignments involve moderately complex to complex issues...also develop external market engagement and sales strategy in coordination with the Director, local markets, tele-sales executives and… more
- Fresenius Medical Center (Indianapolis, IN)
- **PURPOSE** **AND** **SCOPE:** Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct ... **AND** **RESPONSIBILITIES:** **Patient Related** Education: + Assist other health care members in providing patient specific detailed education regarding adequacy… more
- Fresenius Medical Center (Indianapolis, IN)
- …opportunities!** **PURPOSE** **AND** **SCOPE:** Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients ... **AND** **RESPONSIBILITIES:** **Patient Related** Education: + Assist other health care members in providing patient specific detailed education regarding adequacy… more
- Prime Therapeutics (Indianapolis, IN)
- …solutions in support of our clients' goals to reduce expenses and improve care . Serves as facilitator and mentor to the clinical liaisons for assigned contract(s). ... of all clinical recommendations is essential for both the client's cost of care and the overall administration of the programs. Activities address impact on… more
- CenterWell (Indianapolis, IN)
- …of patient services, including but not limited to specialty referrals, hospital and SNF coordination , durable medical equipment and home health care . * Acts as ... community and help us put health first** Humana's Primary Care Organization is one of the largest and fastest...Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare Advantage panel… more
- Prime Therapeutics (Indianapolis, IN)
- …State/Accreditation regulations + Accountable for the cross functional leadership, coordination , facilitation and delivery of assigned business unit external audits ... + Knowledge of, or experience with Medicare Part D, Medicaid , Commercial or HIM lines of business + Experience...to adjust focus **Reporting Structure** + Reports to Supervisor, Manager , or Director in the Clinical Operations, Supply Chain,… more