- Health First (Rockledge, FL)
- *POSITION SUMMARY* HFHP Managed Care Pharmacist. Responsibilities include but are not limited to oversight of the daily pharmacy program operations and the ... contracted Pharmacy Benefits Manager (PBM). Ensure achievement of organizational and departmental goals...Provide training and education to colleagues and staff regarding Managed Care Pharmacy. 10. Participate in community… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Managed Care Analyst III Date: May 3, 2024 Location: Parsippany, United States, New Jersey, 00000 Company: Teva Pharmaceuticals Job Id: 55746 **Who we are** ... the position is to identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with the Teva Market Access… more
- Live Nation (CA)
- …- Managed Pricing Analyst Division: Revenue & Demand Management Line Manager : Manager , Managed Pricing Services Contract Terms: Regular/Full - ... to ensure accuracy of data entry + Must have prior experience with excel and power point + Must...(including religious dress and grooming practices), family and medical care leave or the denial of family and medical… more
- Elevance Health (St. Louis, MO)
- …policy and industry standards. + Ensures the accurate interpretation of benefits and managed care guidelines along with guiding patients to appropriate programs ... between 8-5 & 10-7 **Build the Possibilities. Make an Extraordinary Impact.** The ** Manager Pharmacy Prior Authorizations** is responsible for managing a team of… more
- CVS Health (Lansing, MI)
- …department - 3+ years clinical experience as a Registered Nurse - 3+ years of Managed Care experience - 1+ years of Utilization Management experience - Travel ... 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… more
- Whitney Young Health Center (Albany, NY)
- …to schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual. RN CARE MANAGER II:Salary range: ... Registered Nurse (RN) Care Manager (Req 100787) Albany, NY...to schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual. All qualified applicants… more
- CDPHP (Albany, NY)
- …via the telephone line, fax machine and mail. The Medicaid Special Programs Care Manager typically works in the telephonic managed care setting but may ... outcomes. In addition, the Medicaid Special Programs Registered Nurse Care Manager is responsible and accountable for...patients with social needs preferred. + Experience in home care , medical office setting or managed health… more
- InnovaCare (San Juan, PR)
- …doing! We're committed to bringing passion and customer focus to the business. The Care Manager is responsible to assess all referred cases, plan, implement, ... order to prevent adverse event on members. 14. Performs prior authorizations process as required to meet member's needs.15....acute care or ambulatory settings, home health care , or managed care setting.… more
- AdventHealth (Shawnee, KS)
- …hospital in Shawnee Mission, Kansas. **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, ... of the care team). The Social Work Care Manager , in collaboration with the patient/family,...utilization management, care management, performance improvement and managed care reimbursement + Knowledge of state… more
- AdventHealth (Hinsdale, IL)
- …Oak Street, Hinsdale, IL 60521 **The role you'll contribute:** The Social Work Care Manager intervenes with patients who have complex psychosocial needs, require ... of the care team). The Social Work Care Manager , in collaboration with the patient/family,...utilization management, care management, performance improvement and managed care reimbursement . Knowledge of state… more
- LifeSteps (Los Angeles, CA)
- Lead Care Manager Job Details Job Location...Compile records and prepare reports. + Submit claims to Managed Care Plans (MCP's) for all member ... difference in peoples lives! We're looking for a Lead Care Manager for theLos Angeles County area!...clinics, shelters, local businesses, and community centers for various Managed Care Plan (MCP) members. Job Specifics:… more
- UCLA Health (Santa Monica, CA)
- Description The Homeless Healthcare Collaborative care manager functions as a part of the street medicine mobile clinic program. The care manager will ... accessing resources that address social determinants of health. The care manager will outreach and collaborate with...of clients and report progress regularly to contracted Medi-Cal Managed Care Plans (MCPs) and complete documentation… more
- LA Care Health Plan (Los Angeles, CA)
- …Independent judgment and action skills to facilitate change as needed. Knowledge of managed care industry standard performance assessment methods. Able to work ... documented medical conditions and sincerely held religious beliefs. LA Care will review all exemption requests prior ... Care location, employees are expected to wear a mask in areas where physical distancing cannot be managed… more
- Catholic Health (Buffalo, NY)
- …+ Two (2) years acute care and/or community health nursing + Preferred prior insurance / managed care /utilization review experience in the role of a ... Hours: Primary shift to alt between 10-6 and 8-4pm Summary: The Registered Nurse (RN) Care Manager -Transition of Care , as an active member of the Care … more
- Clay Lacy Aviation (Van Nuys, CA)
- …extent necessary, the Manager also works with the company-designated Aircraft Manager , regarding the Managed Aircraft accounts receivable status of all ... prior to the due date. The Accounts Receivable Manager will regularly communicate with each department's Line of...flow. Therefore, it is critical that the Accounts Receivable Manager 1) continually monitor managed accounts receivable… more
- Catholic Health (Lockport, NY)
- …+ Two years medical surgical nursing and/or job related experience + Preferred prior insurance / managed care /utilization review experience in the role ... and Holiday Rotation Hours: 8:00a-4:00p, 9:00a-5:00p, 10:00a-6:00p, 11:00a-7:00p Summary: The RN Care Manager , Utilization Review/ Transitions of Care , as… more
- Fallon Health (Worcester, MA)
- …experience in related position, preferably in health care . + Experience in a managed care or call center setting or physician's office; knowledge of ... The FH Authorization Coordinator serves to administer the FH prior authorization process as outlined in the Plan Member...managed care and/or utilization management strategies advisable… more
- Brookdale Senior Living (Pearland, TX)
- …and physicians to coordinate care and help the family navigate a complex healthcare system. Prior experience as a care manager , case manager , care ... to these locations.Description for HeatlhPlus in the requisitions.Brookdale Senior Living Resident Care Manager A very unique opportunity to enhance healthcare… more
- Brookdale Senior Living (Hollywood Park, TX)
- …and physicians to coordinate care and help the family navigate a complex healthcare system. Prior experience as a care manager , case manager , care ... as one of America's Greatest Workplaces for Diversity Brookdale Senior Living Resident Care Manager A very unique opportunity to enhance healthcare delivery in… more
- CVS Health (Trenton, NJ)
- …Certified Case Manager (ACM) preferred. + Crisis Intervention skills + Managed care /utilization review experience + Case management and discharge planning ... cost-effective outcomes. This is a telework position and the care manager must work normal business hours...required to have received at least one COVID-19 shot prior to your first day of employment and to… more