- 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 (Brockton, 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
- 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 (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
- 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
- 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
- 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
- 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
- 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
- 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 ... make life better for people around the world. Territory Manager - PROVIDENCE RI DERM1 | 200453 Company overview:...Managers will be responsible for account-based selling to health care providers (HCPs) who prescribe and influence the treatment… more
- Fallon Health (Norwood, MA)
- …community resources, interact with members with the goal to enhance the Behavioral Health Case Manager 's and Social Care Manager 's ability to manage a larger ... counseling, coaching, and motivational interviewing required + Experience in a healthcare managed care company, nursing facility, or in a Massachusetts Aging… 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
- 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