- Cardinal Health (Providence, RI)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
- Indeed (Providence, RI)
- …policy, and many region-specific benefits. **Benefits - Health, Work/Life Harmony, & Wellbeing** We care about what you care about. We have a multitude of ... benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will… more
- Molina Healthcare (New Bedford, MA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Humana (Providence, RI)
- …+ BSN or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see ... part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members'… more
- Athena Health Care Systems (Lakeville, MA)
- …nurtured to allow you to grow within the company. As an RN Hospice Case Manager , you plan, organize, and direct hospice care . The professional nurse builds from ... facilitates the patient's efforts toward self-sufficiency and optional comfort care . + Acts as Case Manager when...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow… more
- Athena Health Care Systems (Warwick, RI)
- …daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care . + Acts as Case Manager when assigned by Clinical Supervisor ... individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow federal and… more
- Elevance Health (Providence, RI)
- …in acute care setting. + Minimum 2 years "telephonic" Case Management experience with a Managed Care Company. + Managed Care experience. + MA RN ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management...Nurse Case Manager II** is responsible for care management within the scope of licensure for members… more
- CDM Smith (Warwick, RI)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- CAI (Providence, RI)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full...+ Minimum of 3 years of experience in Acute Care , Managed Care , or experience ... **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next...critical role in holistic assessment, planning, coordination, and monitoring care to optimize member health outcomes while advocating for… more
- CenterWell (Fall River, MA)
- …to sit on-site at our** Fall River, MA **branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by ... implements, analyzes, and organizes clinical operations for a specific location managed . + Conducts/delegates the assessment and reassessment of patients, including… more
- Veterans Affairs, Veterans Health Administration (New Bedford, MA)
- …Professional Mental Health Counselor, or a Social Worker at the Program Manager /Coordinator level. Serves as a Licensed Professional Mental Health Counselor Program ... Manager , RCS Vet Center Director (VCD) and is responsible...oversight of all readjustment counseling, outreach, referrals and follow-up care coordination services provided to eligible individuals within the… more
- CVS Health (Cumberland, RI)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... heart, each and every day. **Position Summary** As a Manager for the Business Compliance Office (BCO) located within...this team implements parts of PBM regulations that are co- managed between the two teams. + Facilitate the compliance… more
- CVS Health (Providence, RI)
- …Qualifications** + 5+ years of experience in relevant fields such as PBM, managed care , healthcare, market conduct exams, compliance, or audit. + Ability ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...ability to travel up to 40% **Position Summary** The Manager , Compliance COE will be a key member of… more
- CVS Health (Woonsocket, RI)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... each and every day. We are seeking an experienced and enthusiastic Procurement Senior. Manager of Vendor and Program management to join our team. As a key member… more
- Charter Care Health Partners (North Providence, RI)
- …abuse, discharge planning, bereavement, end of life issues, financial issues, managed care companies/third party payer matters, Senior Friendly ED/Elder ... disease or disability. Works closely with the RN Case Manager , Nurse Manager and Physician to effectively...counseling, and evaluate results. Knowledge of community resources and managed care companies/third party payers. Ability to… more
- Lumen (Providence, RI)
- …connect the world and shape the future. **The Role** The Lead Project Manager will be aligned to our Enterprise Operations organization and will be responsible ... systems, ordering, inventory, transition/implementation performance reporting, budgeting/forecasting, training, customer care , operations, program management plans, change management plans, resource… more
- Cardinal Health (Providence, RI)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial medical and pharmacy plans while ... (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy… more
- Lilly (Providence, RI)
- …relationships with state and local advocacy groups, teaching institutions, key influencers, and managed care organizations. They will be viewed as a credible ... Specialty Territory Managers will be responsible for account-based selling to health care providers (HCPs) who prescribe and influence the treatment for the disease… more
- Western Digital (Providence, RI)
- …years** in legal business consulting, legal technology innovation, or legal managed services * Strong technical program management with large-scale legal operations ... mental disability, medical condition, genetic information, protected medical and family care leave, Civil Air Patrol status, military and veteran status, or… more
- Athena Health Care Systems (East Providence, RI)
- …All individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow federal and state ... are hiring full-time and part-time Certified Nursing Assistants (CNA) to join our dynamic care team at Waterview Villa Rehabilitation and Health Care Center in… more