- Elevance Health (Arlington, VA)
- ** Case Manager ( Managed Care Coordinator)** **MUST LIVE WITHIN 50 MILES OF THE ARLINGTON PULSEPOINT** A proud member of the Elevance Health family of ... and insightful analytics to improve the delivery of care . The ** Case Manager ( Managed Care Coordinator)** is responsible for overall management… more
- Elevance Health (Arlington, VA)
- The **Foster Care Managed Case Manager ** is responsible for overall management of member's individual service plan within the scope of position, as ... you will make an impact:** + Working with children within the Foster Care System + Responsible for performing telephonic or face-to-face history and program needs… more
- The Arora Group (Bethesda, MD)
- …outcomes, across the continuum of care . + Serves as a clinical case manager and patient advocate, providing advanced practice clinical, administrative, and ... efficient, comprehensive, and cost effective service for case - managed patients, throughout the continuum of care ....+ American Nurses Credentialing Center Nurse Case Manager (RN-NCM) + National Academy of Certified Care… more
- Molina Healthcare (Arlington, VA)
- …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or ... who live in the Hampton Roads area of Virginia. Case Manager will work in remote and...year of professional experience. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care… more
- KBR (Washington, DC)
- …in order to develop time sensitive treatment plans which delineate the expected process of care delivery for selected case managed patients or populations. + ... Title: Special Operations Nurse Case Manager Part-time (National Capital Region).... We maintain a highly qualified workforce to help care for service people and astronauts across the world… more
- US Tech Solutions (Arlington, VA)
- …keyboarding. * Effective communication skills, both verbal and written. Preferred Qualifications: * Managed Care experience, Case Management experience in an ... integrated model * 5 years clinical practice experience * Bilingual **Experience:** + Determines medical necessity/ appropriateness Facilitates optimal outcomes Identifies and follow through with continuous quality/ compliance opportunities . May also include… more
- Sharecare, Inc. (Rockville, MD)
- …and affordable for everyone. To learn more, visit www.sharecare.com. **Job Summary:** The Care Manager supports the implementation of the CareFirst Value Based ... Management program by working with CareFirst members. The Care Manager partners with members, caregivers and...acute care , home health, physician office management, managed care organization, provider relations, pharmaceutical sales.… more
- CenterWell (Annapolis, MD)
- …part of our caring community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services provided by ... Case Managers and clinical staff documentation to include starts-of- care , resumption-of-cares, and re-certifications, for appropriateness of care , delivery,… more
- Takeda Pharmaceuticals (Washington, DC)
- …the best of my knowledge. **Job Description** **About the role:** As a Manager , Payer Contracts, you will lead the development and implementation of assigned Payer ... D entities. You will be key business partner with Managed Markets, Legal and Finance to guide the evaluation...**How you will contribute:** + Participate in the business case process to review the opportunities and assist in… more
- Wolters Kluwer (Annapolis, MD)
- …part of the Wolters Kluwer Health Clinical Effectiveness team, the Senior Technology Product Manager - Payer Role for UpToDate represents the voice of the market and ... information technology company working on the front lines of clinical care . Our flagship products include UpToDate, UpToDate Lexidrug, and Medi-span. **LOCATION:… more
- CareFirst (Washington, DC)
- …establish effective, collaborative relationships. + Knowledge of healthcare, health insurance and managed care issues. + Knowledge of local laws, regulation, ... **Resp & Qualifications** **PURPOSE:** The External Affairs Manager is responsible for developing and enhancing relationships...of the range, as compensation decisions depend on each case 's facts and circumstances, including but not limited to… more
- Amazon (Arlington, VA)
- …IT strategy by adopting and delivering cloud computing solutions. As an Account Manager within Amazon Web Services (AWS) you will have the exciting opportunity to ... the specific value proposition for their business and use case . * Serve as a key member of the...an environment that celebrates knowledge sharing and mentorship. We care about your career growth and strive to assign… more
- Merck (Washington, DC)
- …years of account management experience at the national and/or global level + Managed a customer generating $10M of annual revenue + Experienced with negotiating and ... pose an undue burden to business operations, in which case you may not be offered employment, or your...$149,400.00 - $235,100.00 Available benefits include bonus eligibility, health care and other insurance benefits (for employee and family),… more
- Marriott (Washington, DC)
- **Additional Information** Nurse CARE Manager ( CARE - Coordinated Action and Response)Registered Nurse license required **Job Number** 24069165 **Job ... Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Nurse CARE Manager coordinates timely, appropriate, quality, occupational illness/injury … more
- Sanofi Group (Washington, DC)
- …primary account director where available to work with national headquarters of managed care organizations and executing pull-through strategies to the regional ... of the national organizations, as well as initiatives with other large and regional managed care organizations. In addition, this role is the primary lead for… more
- Architect of the Capitol (Washington, DC)
- …excellence. Responsibilities This position serves as Supervisory Horticulturist (Gardens and Grounds Manager ) Tour of Duty: Monday - Friday (6:00 AM - 2:30 PM) ... safe manner and to initiate or take corrective action on unsafe conditions in managed areas. Provides or receives training, either on the job or through classroom… more
- Johns Hopkins University (Bethesda, MD)
- …with accuracy and provide up to date insurance information found on Johns Hopkins Managed Care website. + Facilitate scheduling of lab tests and other ... of areas which may include, but not limited to scheduling, registration and care coordination. + Serve as a resource for other Medical Office Coordinators and… more
- Marriott (Washington, DC)
- …ability to lead, influence, and collaborate effectively in a matrix- managed environment, with multiple complementary groups. + Entrepreneurial, startup attitude ... apps and technology solutions, leveraging the full Adobe stack, including Adobe Experience Manager and Target + Ideal candidate will be familiar with and have worked… more
- Serco (Washington, DC)
- …eligibility reviews of selected state Medicaid and CHIP fee-for-services (FFS) and managed care claims; supporting state and national reporting; and development ... and support of the Assistant Project Director for Eligibility Review Eligibility Review Manager to support key aspects of the PERM Eligibility Review. + Conduct… more