- Assisted Living- Multi-site Location (Rockville, MD)
- …etc.) Health Care -related Agencies (ie, Area Agency on Aging etc.) Managed Care Organizations Build, qualify, and maintain referral source database in ... Case Managers Nursing Homes Retirement Communities Home Health Agencies Day Care Centers EAP Counselors Lawyers Worship Centers Local Lawyers Local Organizations… more
- Air Conditioning Contractors of America (Sterling, VA)
- …as assigned. Perform related duties as directed by the Service & Installation Manager . Job Qualifications: High school graduate and graduate of a post-secondary HVAC ... Us: We are a unique mix of being professionally managed and organized while maintaining a family environment where...and organized while maintaining a family environment where we care about each other and help each other, every… more
- Cardinal Health (Washington, DC)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Deloitte (Arlington, VA)
- ServiceNow Senior Manager - Consulting Managed Services Enterprise Operations as a Service provides multi-year managed service contracts to support ... is where ambition meets opportunity. As a Deloitte Senior Manager , you will have the opportunity to lead and...experience in either: Consumer, Financial Services, Life Sciences Health Care , Technology Media and Telecom, Energy Resources and… more
- Elevance Health (Woodbridge, VA)
- ** Managed Care Coordinator** **Location:** The candidate should be located in Spotsylvania or Fredericksburg, VA. **Field** : This field-based role enables ... an accommodation is granted as required by law._ The ** Managed Care Coordinator** is responsible for overall...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Washington, DC)
- **Senior Health Economist - Managed Care ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... Health family of brands, offering clinical programs and primary care options for seniors. We are a team of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Erickson Living (Springfield, VA)
- Location: Greenspring Village by Erickson Senior Living Join our team as a Home Care Clinical Manager who oversees and supports our onsite Home Health and ... for Home Health (certified) and Home Support (private duty) agencies, ensuring patient care is coordinated and managed appropriately. + Supervising the clinical… more
- AmeriHealth Caritas (Washington, DC)
- **Role Overview** The Care Manager (RN/LICSW) assists members appropriate for care management and care coordination services in achieving their optimal ... level of health through self-management. The Care Manager (RN/LICSW) is responsible for engaging...experience supporting Medicaid members and/or pediatric populations within a managed care organization preferred **Licensure** + Current… more
- AmeriHealth Caritas (Washington, DC)
- **Role Overview** The Maternity Care Manager (RN) Provides support to pregnant members appropriate for care coordination and case management services in ... their optimal level of health through self-management. The Maternity Care Manager is responsible for engaging the...experience supporting Medicaid members and/or pediatric populations within a managed care organization preferred + 3+ years… more
- AmeriHealth Caritas (Washington, DC)
- **Responsibilities:** The Bilingual (Spanish or Amharic) Care Manager II (Registered Nurse/Licensed Independent Clinical Social Worker) assists members with ... achieving their optimal level of health through self-management.; The Care Manager II (RN/LICSW) is responsible for...of case management experience supporting Medicaid members within a managed care organization preferred. + Must be… more
- Erickson Living (Springfield, VA)
- Location: Greenspring Village by Erickson Senior Living Join our team as the Memory Care Manager will oversee the management and performance of the Memory ... Care neighborhood as well as support the incorporation of...We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more
- Elevance Health (Hanover, MD)
- **Behavioral Health - Care Manager II** **Location** : _Virtual:_ This role enables associate to work virtually full-time, with the exception of required ... unless an accommodation is granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric and substance abuse or… more
- Highmark Health (Washington, DC)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Johns Hopkins University (Baltimore, MD)
- …Subject matter expertise in the administration and operation of health insurance and managed care programs, including Medicaid and Medicare Advantage. + Deep ... **General Summary** We are seeking an **_Internal Audit Manager ,_** who demonstrates subject matter expertise in operational...understanding of the regulatory environment for managed care , including CMS requirements, state/federal regulations,… more
- Erickson Living (Springfield, VA)
- …Greenspring Village by Erickson Senior Living Join our team as Dining Services Manager . Oversee meal preparation and service for the Kitchen, Restaurant, Cafe, and ... + Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of...be part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more
- CareFirst (Washington, DC)
- …capacity. **Preferred Qualifications:** + Master's Degree + Experience in Medicaid or Medicare managed care , managed care insurance, finance, government, ... **Resp & Qualifications** **PURPOSE:** The Sr. Program Manager , DC Market Operations provides leadership for the... care setting or related field. + DC Managed Care experience. **Knowledge, Skills and Abilities… more
- Immigration and Customs Enforcement (Washington, DC)
- …status of individuals placed on SMI (Serious Mental Illness List). Work with Managed Care Coordinators to absorb Accessibility to Healthcare Services component ... Summary The Behavioral Health Case Manager is a non-supervisory role within. The incumbent...2021, the ICE Health Service Corps (IHSC) administered and managed a health care system that provided… more
- J&J Family of Companies (Gaithersburg, MD)
- …to address critical access and affordability issues for patients. + Partner with managed care colleagues to understand current policies and potential future ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in… more
- Elevance Health (Hanover, MD)
- …ICU, Critical Care preferred. + Prior "telephonic" Case Management experience with a Managed Care Company preferred + Certification as a Case Manager . + ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care ...respond to emails/instant messages in a timely fashion. + Managed Care (Home Heath, Insurance, Inpatient) experience.… more
- Elevance Health (Hanover, MD)
- …care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed Care experience ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management...Nurse Case Manager Senior** is responsible for care management within the scope of licensure for members… more
