- Novo Nordisk Inc. (Chapel Hill, NC)
- …in order to influence formulary status, as applicable May analyze impact of managed care in the territory and its effect on prescribing decisions, ... Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious...partners. Internally, the DCS reports to the District Business Manager of the specific sales territory. The DCS also… more
- Merck & Co. (Fort Worth, TX)
- …key customers/personnel to understand practice structure, business model, key influencers Managed Care Organization (MCO), employers, state and local ... with National Account Executives (NAEs) to maintain strong focus on Managed Care pull-throughShares learning and best-practices from one customer… more
- Merck & Co. (Minneapolis, MN)
- …key customers/personnel to understand practice structure, business model, key influencers Managed Care Organization (MCO), employers, state and local ... with National Account Executives (NAEs) to maintain strong focus on Managed Care pull-throughShares learning and best-practices from one customer… more
- Trinity Health (Fresno, CA)
- …Reporting to the Director, CVHP Operations, CVHP Operations, this position coordinates care and service for defined patient populations across the acute care ... continuum for CVHP members. This includes discharge planning, utilization management, care coordination, and support for resource utilization. This position works… more
- Elevance Health (Radford, VA)
- …Alexandria + Virginia, Radford + Virginia, Arlington + Virginia, Roanoke **Description** The **Foster Care Managed Case Manager ** is responsible for ... you for payment as part of consideration for employment. ** Managed Care Coordinator - Foster Care...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CVS Health (Hartford, CT)
- …- Compact RN License - Case Manager experience - Certified Case Manager (CCM) - Managed Care experience - Home Care experience - Telephonic ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our... more personal, convenient and affordable. Position Summary: This Case Manager RN position is 100% remote… more
- CVS Health (Raleigh, NC)
- …+ Compact RN License + Case Manager experience + Certified Case Manager (CCM) + Managed Care experience + Home Care experience + Telephonic ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...convenient and affordable. Requisition Job Description Position Summary: This Case Manager RN position is 100% remote… more
- CVS Health (Columbus, OH)
- …Qualifications: - Compact RN License or Multi state licensure - Certified Case Manager (CCM) - Managed Care experience - Hospital experience in ICU, ... solutions to make health care more personal, convenient and affordable. This Case Manager RN position is 100% remote and the employee can live in any state.… more
- WMCHealth (Valhalla, NY)
- Manager , Managed Care Company: NorthEast...will be responsible to lead the Managed Care Specialist and Ancillary Contractor in single case ... link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/26158) Internal Applicant link Job Details: Job Summary: The Manager of Managed Care will report… more
- UCLA Health (Los Angeles, CA)
- …degree preferred * Experience with a healthcare provider organization * Advanced managed care contract negotiation skills, preferably within a hospital, medical ... analyzing volumes and financial data for clinical services and case types. You will manage a portfolio of contracts...health plan environment * Understanding of the Southern California managed care marketplace * Knowledge of hospital… more
- Fallon Health (Worcester, MA)
- …a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon ... Health delivers equitable, high-quality, coordinated care and is continually rated among the nation's top...and provider (per diem, capitation, discount from charge, DRG, case rate, bundled payments, pay for performance programs ,… more
- Beth Israel Lahey Health (Plymouth, MA)
- …change at any point. Job Summary: Under the direction of the Sr. Managed Care Coordinator and Surgery Practice Manager initiate and process managed ... APG PCPs, patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Managed Care Coordinator Clinician Non RN** + Job Family: MED > Licensed/Certified ... MA, WOBURN + MA, NEWTON 55 CHAPEL ST **Description** ** Managed Care Coordinator Clinician Non RN** **Location:**...of an RN, with overall responsibility for the member's case , as required by applicable state law and contract,… more
- CVS Health (Albany, NY)
- …Working schedule is Monday-Friday; will work between 8am - 6pm EST. The Hybrid Case Manager works in the field in provider offices, skilled nursing facilities, ... of care and treatments as appropriate. Can act in the role of embedded case manager within the provider partner(s) offices to meet with the beneficiaries in… more
- Highmark Health (Dover, DE)
- …LTSS. Provides direct oversight to Case Managers, meets all of the requirements of a Case Manager and be able to assist in the day to day responsibilities of ... a Case Manager as needed. This is a...a Case Manager as needed. This is a full time community... management experience + Medicare and Medicaid experience + Managed care experience **SKILLS** + Leadership skills… more
- Arnot Health (Elmira, NY)
- …participates in quality improvement and evaluation processes related to the management of patient care . The Case Manager will review all patients for ... for qualified Case Managers! MAIN FUNCTION: The Case Manager coordinates, negotiates, procures services resources...of care meetings related to the appropriate case managed population. d. Manages the appropriate… more
- Highmark Health (Harrisburg, PA)
- …or Master's degree in Social Work and 3 years experience in Acute or Managed Care / experience with Medicaid or Medicare populations. OR + Bachelor's degree ... in Social Work with five years experience in Acute or Managed Care / experience with Medicaid or Medicare populations **Preferred** + Experience working with… more
- Banner Health (Mesa, AZ)
- …your future. Apply today. Our Care Coordination staff is seeking an RN Case Manager to work closely with patients and their families, physicians, and other ... members of the health care team on case management and managed care ...require a minimum of one year Case Manager experience in an acute care hospital.… more
- Athena Health Care Systems (Warwick, RI)
- …Rhode Island - Warwick, RI Posted 1 month ago We are hiring an RN Case Manager to join our dynamic care team at Athena Hospice of Rhode Island! Working with ... facilitates the patient's efforts toward self-sufficiency and optional comfort care . + Acts as Case Manager...Care Systems: Athena Hospice of Rhode Island is managed by Athena Health Care Systems. Athena… more
- Banner Health (Tucson, AZ)
- …requirements. 6. Educates internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts ... positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM (Certified Case … more
