• Cedars Sinai (Los Angeles, CA)
    Job Description The Program Manager is responsible for supporting all facets of the program initiative, under the supervision of the department management. ... to service the network's membership. Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star ratings, access, physician… more
    Upward (07/02/25)
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  • Novo Nordisk Inc. (Boston, MA)
    …for sales of Sogroya and Norditropin to practicing physicians, nurses, hospitals, managed care and other health-related personnel within an assigned territory. ... in an advisory capacity as it relates to marketing program /sales collateral development Achieve or exceed assigned sales objectives...complete and accurate data with respect to physicians, nurses, managed care and trade accounts through the… more
    HireLifeScience (06/12/25)
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  • Novo Nordisk Inc. (Kissimmee, FL)
    …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...Internally, the DCS I report to the District Business Manager of the specific sales territory. The DCS I… more
    HireLifeScience (07/24/25)
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  • Novo Nordisk Inc. (Boston, MA)
    …and adapt sales and promotion strategies to align with health system account practices, care pathway decisions and managed care impact in the territory ... Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious...the Ecosystem Portfolio Specialist reports to the Ecosystem Business Manager . The Ecosystem Portfolio Specialist also must work collaboratively… more
    HireLifeScience (05/31/25)
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  • The Travelers Indemnity Company (Hartford, CT)
    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. Salary… more
    Upward (07/19/25)
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  • Alliance For Better Health Care LLC (Schenectady, NY)
    …Salary range: $51,650-$59,398 per year, commensurate with experience Who You Are The Social Care Manager is the direct point of contact for Medicaid Members with ... taken with each referral, as detailed in the Network Standards and Quality Program . Update the social care plan throughout service provision in collaboration… more
    Upward (07/14/25)
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  • Molina Healthcare (Long Beach, CA)
    …Nursing preferred. Required Experience 1-3 years in case management, disease management, managed care or medical or behavioral health settings. Required License, ... a case load and manage members enrolled in this program . We are looking for Registered Nurses who have...Preferred Experience 3-5 years in case management, disease management, managed care or medical or behavioral health… more
    Upward (07/23/25)
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  • HCR Home Care (Batavia, NY)
    Role and Responsibilities The Health Home Care Manager will provide collaborative, client-centered support to Health Home Program clients using the ... to effectively reduce duplicative services. Consult with the physicians, Managed Care Organizations and other members of...and prioritize multiple assignments. Work Environment The Health Home Care Manager 1 is primarily in an… more
    Upward (07/11/25)
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  • Guidehealth (Chicago, IL)
    …value inside and outside the exam room for all patients. Job Description The Manager , Clinical Care is primarily responsible for the day-to-day operations of an ... analytics, Guidehealth leverages remotely-embedded Healthguides (TM) and a centralized Managed Service Organization to build stronger connections with patients and… more
    Upward (07/23/25)
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  • St. Luke's University Health Network (Sellersville, PA)
    … in the communities we serve, regardless of a patient's ability to pay for health care . The Patient Care Manager is responsible for the quality, safety and ... mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care more
    Upward (07/23/25)
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  • Molina Healthcare (Long Beach, CA)
    …Long Term Services & Supports. 1-3 years in case management, disease management, managed care or medical or behavioral health settings. PREFERRED EXPERIENCE: 3-5 ... professional in Texas to join Molina as a Case Manager working with our Medicaid members in the service...years in case management, disease management, managed care or medical or behavioral health… more
    Upward (07/11/25)
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  • Advocate Aurora Health (Kenosha, WI)
    …of MS Office products. Knowledge of Medicare A and B guidelines. Knowledge of Managed Care program requirements/implications. Ability to apply elements of ... DME, etc.) as they transition to the next phase of care . MAJOR RESPONSIBILITIES Conducts complete assessments, establishes appropriate plans, and initiates… more
    Upward (07/19/25)
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  • AmeriHealth Caritas Health Plan (Columbia, SC)
    …a single point of contact and be an advocate for members in the care management program . In addition the Care Manager will oversee these same care ... Role Overview The Care Manager (RN) assists members appropriate...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
    Upward (07/14/25)
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  • Athena Health Care Systems (Plymouth, MA)
    We are hiring a Unit Manager to join our dynamic care team at Plymouth Rehabilitation & Health Care Center in Plymouth! Must hold an LPN license. Working ... 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
    Upward (06/27/25)
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  • Rochester Regional Health (Wilson, NC)
    Job Title: Ambulatory Care Manager Location: Wilson Multicultural Medical Campus - 1425 Portland Avenue Building 1 (supporting practices of the ambulatory ... Monday-Friday 8am-4:30pm SUMMARY: The central role of the RN Care Manager is a commitment to improve...as appropriate; *Conduct pre-visit planning and post-visit follow-up for care managed patients; *Provide feedback to providers… more
    Upward (07/20/25)
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  • CVS Health (Elizabeth, NJ)
    Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for face ... order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for, care planning,… more
    Upward (07/14/25)
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  • Courtyard Healthcare Center (Davis, CA)
    …nursing, or other related health care facility Working knowledge of managed care rules, regulations, and guidelines Outstanding communication (oral and ... Case Manager Position Summary: Coordinates the delivery of rehabilitation...medical records to ensure accurate census and payment of managed care and Medicare residents Benefits :… more
    Upward (07/21/25)
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  • Prompt Care Companies Inc (New Providence, NJ)
    …offs Prepare reports and do analysis to ensure proper workload distribution Managed escalated issues, communicate changes in payer rules that affect Authorizations / ... Life Insurance: Standard coverage with optional enhancements Employee Assistance Program : Free counseling and coaching sessions Emotional Well-being and Work-Life… more
    Upward (07/14/25)
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  • Sutter Health (Modesto, CA)
    …knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of ... joining Sutter Health! Organization: SMCS-Valley Administration Position Overview: Responsible for Care Coordination and Care Transitions Planning throughout the… more
    Upward (07/17/25)
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  • Northwell Health (New York, NY)
    FlexStaff is looking for a Care Delivery Manager . JOB PURPOSE: Responsible for supporting the nursing standards of excellence with advance professional education ... health care setting). Successful completion of an accredited Nursing Program is required. A Baccalaureate degree is highly desired. Completed NYSED-approved… more
    Upward (07/13/25)
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