- 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
- Athena Health Care Systems (Webster, MA)
- We are hiring a Unit Manager to join our dynamic care team at Lanessa Extended Care in Webster! Full-time on Monday-Friday 3p-11p. Weekly pay! Working with ... you to grow within the company. As the Unit Manager , you are responsible for the coordination and management...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… 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
- CenterWell (Providence, RI)
- …+ Experience with case management, discharge planning and patient education for adult acute care + Managed care experience + Home Health Care ... Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a work-from-home… more
- Athena Health Care Systems (Webster, MA)
- We are hiring a Unit Manager to join our dynamic care team at Webster Manor Rehabilitation & Health Care Center! 8a-4p schedule with weekly pay. Working with ... you to grow within the company. As the Unit Manager , you are responsible for the 24-hour coordination and...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Athena Health Care Systems (Worcester, MA)
- We are hiring a part-time Registered Nurse (RN) Case Manager to join our dynamic care team at Hospice of Western & Central Massachusetts in Worcester County! ... you to grow within the company. The RN Case Manager plans, organizes, and directs hospice care ...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- Athena Health Care Systems (Manville, 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
- RTX Corporation (Marlborough, MA)
- …Immigration Status Requirements:** **Security Clearance:** Secret - Current Raytheon Program Managed by Collins Aerospace At Collins Aerospace, by combining our vast ... on the big picture. Mission Systems Strategic Solutions is seeking a Program Manager to support a Protected Communications Systems (PCS) obsolescence refresh and new… more
- Molina Healthcare (Norfolk, 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
- CDM Smith (Pawtucket, 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
- RTX Corporation (Marlborough, MA)
- …for a security clearance **Security Clearance:** DoD Clearance: Secret Raytheon Company, Managed by Collins Aerospace We are seeking a mid-level Program Manager ... re-spins driven by component obsolescence or evolving mission needs. The Program Manager will be responsible for supporting program execution and concurrent proposal… more
- RTX Corporation (Marlborough, MA)
- …under this program/contract. **Security Clearance:** None/Not Required **Raytheon Company, Managed by Collins Aerospace** The Senior Hardware Control Account ... Manager is part of the Hardware and Infrastructure (HW&I)...virtual doctor visits + Bright Horizons, child and elder care services + Teladoc Medical Experts, second opinion program… more
- Beth Israel Lahey Health (Needham, MA)
- …2. License required: Nursing License 3. 3-5 years related work experience required in Acute care or managed care setting with two years prior experience in ... & rotating holiday required) Job Summary: The RN Case Manager (CM) facilitates the coordination of care ...Case Manager (CM) facilitates the coordination of care for those patients admitted to medical, surgical services,… 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
- Amgen (Marlborough, MA)
- …stakeholders on disease state awareness and product information to support optimal patient care . As a SAM, you will drive product utilization while identifying and ... strong relationships with a range of stakeholders across the patient care ecosystem-including physicians, nurses, office staff, case managers, infusion centers, and… more
- Point32Health (Canton, MA)
- …industry **Experience** + Required (minimum): A minimum of 5-7 years' experience Managed Care , preferably at a Health Plan, in a ... Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower… more
- Fallon Health (Worcester, MA)
- …criteria, explaining processes for member request determinations and helping members navigate the managed care system + ** Care Team Communication** + Follows ... access to reliable transportation **Experience:** + 2+ years job experience in a managed care company, medical related field, or community social service agency… more
- Humana (Providence, RI)
- …experience + Minimum 3 years of experience with Fraud, Waste, and Abuse in either a Managed Care or a government setting + Minimum 3 years of proven leadership ... help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of fraudulent...serve to achieve their best health - delivering the care and service they need, when they need it.… more