- Community Health Group (Chula Vista, CA)
- … management preferred. EXPERIENCE/SKILLS 2 years' experience as a high risk case manager and 1-year experience in a managed care environment, hospital ... knowledge of Microsoft programs; proficiency with Word and Excel. Knowledge of managed care principles, CPT, ICD-10, HCPCS coding, experience with inpatient… more
- Healthcare Support Permanent Placement (Bronx, NY)
- …Completed NYSED-approved infection control coursework Managed long-term care insurance experience beneficial Case Management Certification recommended ... Support Permanent Placement is seeking a Registered Nurse (RN) Case Management for a nursing job in Bronx, New...Delivery - RN HealthCare Support is actively seeking a Manager of Care Delivery - RN to… more
- UnitedHealth Group (Cleveland, OH)
- …experience including Certification in Case Management Home care /field-based case management Medicaid, Medicare, Managed Care experience Experience ... At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers...work better for our patients. As a Field-Based Community Case Manager , you'll wear many hats, and… 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. (Washington, DC)
- …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. (North Wales, PA)
- …Administration Required: Minimum of (10) years experience in Sales, Marketing or Managed Care - Pharmaceutical industryMinimum of (3) years People Management ... Representatives (KVARs), Physician Distributor Vaccine Account Representatives (PDVAR), Project Manager , the Customer Resolution Team (CRT), and the Managers for… more
- Elevance Health (Arlington, VA)
- …and depression, and insightful analytics to improve the delivery of care . The ** Case Manager ( Managed Care Coordinator)** is responsible for overall ... ** Case Manager ** **Location :** This is...pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… more
- Sharp HealthCare (San Diego, CA)
- …care , SNF, home health, or hospice settings. + Experience as a case manager or discharge planner interacting with managed care payers. + Experience ... hospital stay beginning with the admission review of the case manager and reviews with the ...and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts. +… more
- Elevance Health (Roanoke, VA)
- The **Foster Care Managed Case Manager ** is responsible for overall management of member's individual service plan within the scope of position, as ... you will make an impact:** + Working with children within the Foster Care System + Responsible for performing telephonic or face-to-face history and program needs… more
- Beth Israel Lahey Health (Westwood, MA)
- …taking a job, you're making a difference in people's lives.** The Manager Care Coordinator initiates and process managed care insurance referral requests ... and redirect care within the BILH network. **Job Description:** **The Managed Care Coordinator's Responsibilities are:** 1. Work collaboratively with BILH… more
- Lutheran (West Seneca, NY)
- Medicaid Managed Care Liaison Regular Full-Time West Seneca, NY, US Requisition ID: 1132 Apply GA Family Services is seeking a Medicaid Managed Care ... care . This role coordinates with the Medicaid managed care plans as the liaison for...placement changes including: Access to healthcare. Facilitate a single case agreement when a child is place outside of… more
- Molina Healthcare (Richmond, VA)
- …gerontology, public health or social work or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or ... **JOB DESCRIPTION** For this position we are seeking a Case Manager who lives in VIRGINIA and...year of professional experience. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care… more
- Molina Healthcare (Glen Allen, VA)
- …of Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or ... candidates who live in the Western region of Virginia. Case Manager RN will work in remote...Bachelor's Degree in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care… 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
- Molina Healthcare (Taylor, MI)
- …with disabilities/chronic conditions and Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or ... **Preferred Education** Bachelor's Degree in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or… more
- Athena Health Care Systems (Haverhill, MA)
- …to allow you to grow within the company. As an RN Hospice Case Manager , you plan, organize, and direct hospice care . The professional nurse builds from the ... facilitates the patient's efforts toward self-sufficiency and optional comfort care . + Acts as Case Manager... care for assigned caseload. About Athena Health Care Systems: Hospice Services of Massachusetts is managed… more
- Banner Health (Phoenix, 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
- Banner Health (Greeley, CO)
- …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
