- Intermountain Health (Murray, UT)
- …Marketplace Qualified Health Plans and fully-funded and self-funded Commercial plan. Summary: The field care manager partners with members, their family ... mental, emotional, spiritual, social and supportive needs of the member. The field care manager facilitates ongoing program activities as well as provides… more
- Molina Healthcare (Saginaw, MI)
- …MI. This position will support our MMP (Medicaid Medicare Population) will be supporting DSNP . This position will have a case load and manage members enrolled in ... We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are… more
- CVS Health (Harrisburg, PA)
- …p articipates in the care planning process in collaboration with the Care Manager , to include the following actions: assessment, goal setting, establishing ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...life-changing impact on our Dual Eligible Special Needs Plan ( DSNP ) members, who are enrolled in Medicare and Medicaid… more
- CVS Health (Baton Rouge, LA)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... ability to innovate and deliver solutions to make health care more personal, convenient and affordable. This is a...life-changing impact on our Dual Eligible Special Needs Plan ( DSNP ) members, who are enrolled in Medicare and Medicaid… more
- CVS Health (Columbus, OH)
- …solutions to make health care more personal, convenient and affordable. Position SummaryThe Care Manager Specialist is a member of the Care Team. The ... These members are usually stratified as low risk. The Care Manager Specialist will work in conjunction...life-changing impact on our Dual Eligible Special Needs Plan ( DSNP ) members, who are enrolled in Medicare and Medicaid… more
- Centene Corporation (Latham, NY)
- …5+ years of experience in managed care , plus utilization management, care coordination, disease management, Medicare, Medicaid, DSNP , dual eligibles, PCMH ... and leaders of collaborative organizations. Functions as a lead program development manager in collaboration with Quality, Population Health Services, and all other… more
- Centene Corporation (Harrisburg, PA)
- …3+ years of experience in managed care , plus utilization management, care coordination, disease management, Medicare, Medicaid, DSNP , dual eligibles, PCMH ... on a regular basis.** **Position Purpose:** Functions as a program development manager in collaboration with Quality, Health Services and Operations business owners… more
- Centene Corporation (Jefferson City, MO)
- …Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field . required:** 5+ years managed care experience related to ... required 2+ years Managed care , utilization management, care coordination, disease management, Medicare, Medicaid, DSNP ...and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be… more
- CVS Health (Springfield, IL)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position SummaryAetna Better Health of IL… more
- CareFirst (Baltimore, MD)
- …to the required work experience. **Education Details:** Project Management, Business or related field **Experience:** 3 years as a project manager or experience ... levels of the organization. Liaisons with P&L ownership on DSNP and EGWP business lines and translates business needs...to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated… more
- Molina Healthcare (CA)
- …outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP , and MMP plans. Serves as an advocate to ensure members are well informed ... 2 years experience in customer service, consumer advocacy, and/or health care systems. Experience conducting intake, interviews, and/or research of consumer or… more
- Commonwealth Care Alliance (Boston, MA)
- …Excellent clinical judgement and clinical decision making skills Preferred: + Perfer primary care field + Fellowship in Geriatrics or Hospice and Palliative ... clinical processes that contribute to the Massachusetts Duals (SCO/OneCare) and RI DSNP , & MA/RI MAPD health plans are high functioning and medically appropriate,… more