• Managed Care Outcomes…

    State of Minnesota (St. Paul, MN)
    **Working Title: Managed Care Outcomes Coordinator ** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID** : ... primary work location to be eligible for telework.** The Managed Care Outcomes Coordinator is...Human Services will conduct reference checks to verify job-related credentials and criminal background check prior to appointment. AN… more
    State of Minnesota (07/31/25)
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  • Care Coordinator , Registered Nurse…

    Hackensack Meridian Health (Edison, NJ)
    …mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator for Family Medicine** determines the needs of high-risk patients ... care . A day in the life of a ** Care Coordinator for Family Medicine** at **Hackensack...Plans in EPIC Healthy Planet for high-risk patients being care managed . + Other duties and/or projects… more
    Hackensack Meridian Health (05/09/25)
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  • IES Project Management Operations Lead (Project…

    New York State Civil Service (Albany, NY)
    …Services, Office of Title IES Project Management Operations Lead (Project Coordinator ) ref# 9449 Occupational Category IT Engineering, Sciences Salary Grade NS ... decision log, and project repository.* Lead project resources in a matrix managed organization within the IES Program and across stakeholder groups.* Function as… more
    New York State Civil Service (07/30/25)
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  • MDS Coordinator

    Prime Healthcare (Chicago, IL)
    …Review, Case Management, business office or related department. Experience in a Managed Care environment will be accepted for partial qualifications. 3. ... the direction and supervision of the Clinical Manager, the RN Assessment Coordinator is responsible for conducting and coordinating the completion of the resident… more
    Prime Healthcare (06/11/25)
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  • RN - Care Delivery Manager - Contract

    FlexStaff (Flushing, NY)
    …sites and communicate with appropriate team members, facility, discharge planner, and home care coordinator when members are transitioned between care ... diagnostic & treatment clinic preferred. - Customer Service experience is required. - Managed long-term care insurance experience beneficial. - Minimum of one… more
    FlexStaff (07/29/25)
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  • Physician (Regular Ft) Primary Care

    Veterans Affairs, Veterans Health Administration (Lexington Park, MD)
    Summary We are looking for a skilled physician to provide Primary Care services for our service heroes and VA beneficiaries at our new state-of-the-art facility at ... (CBOC) in St. Mary's County, Maryland. Our outpatient clinic provides primary care and specialty health services, including mental health care , gynecology,… more
    Veterans Affairs, Veterans Health Administration (07/01/25)
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  • Social Worker - Workplace Violence Prevention…

    Veterans Affairs, Veterans Health Administration (Huntington, WV)
    Summary The Program Coordinator is responsible for the administrative aspects of the Workplace Violence Prevention Program at the HWWVAMC, including the Disruptive ... a Facility Administrator for the DBRS. DBRS is a secure and facility managed web-based data collection site of disruptive behavior events occurring at VHA… more
    Veterans Affairs, Veterans Health Administration (07/25/25)
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  • Credentialing Specialist

    The County of Los Angeles (Los Angeles, CA)
    …for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required ... health system, operating 25 health centers and four acute care hospitals, in addition to providing health care...Department of Health Services report to the Medical Staff Coordinator of a hospital, or a Physician in a… more
    The County of Los Angeles (07/29/25)
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  • Licensed Master Social Worker - Regional Office 4…

    New York State Civil Service (NY)
    …4 - Housing-Age Out Unit - EOA #2025-164 Occupational Category Health Care , Human/Social Services Salary Grade 20 Bargaining Unit PS&T - Professional, Scientific, ... 2 who will act as the Residential School Transition Coordinator (RSTC) within the Age Out Unit of DDRO...OPWDD eligible individuals in residential schools and in foster care to adult residential and day services. The Residential… more
    New York State Civil Service (08/02/25)
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  • Physician (Radiologist)

    Veterans Affairs, Veterans Health Administration (IN)
    …cost-effective manner within budget allocation. The incumbent has basic understanding of managed care practices, including health care finance, billing, ... Veterans, functioning as a member of the inter-disciplinary team providing clinical care to the Veterans. The responsibilities include all functions which fall under… more
    Veterans Affairs, Veterans Health Administration (07/31/25)
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  • Credentialing Program Manager

    OhioHealth (Marion, OH)
    …**Additional Job Description:** **degree and two years' experience in the healthcare, managed care , credentialing or medical staff services field or equivalent ... combination of education and 7+ years' experience in healthcare, managed care , credentialing or medical staff services field** **SPECIALIZED KNOWLEDGE**… more
    OhioHealth (07/02/25)
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  • Cert OT Assistant

    Northern Light Health (Bangor, ME)
    …Light Health's mission and vision. Act as a backup for the activities coordinator and assist as needed for swing bed patients. Responsibilities: + Demonstrates an ... and timeliness of work impacts everyone involved. + Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep… more
    Northern Light Health (06/05/25)
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  • Health Information Management Technician 1

    New York State Civil Service (Rome, NY)
    …information in TABS.* Special projects as assigned by TABS Coordinator .* Utilizes several databases, electronic forms management system, and software ... related to all Individualized Residential Alternatives, Day Habilitation, and Family Care programs.* Assist with annual mailings.* Performs all other duties as… more
    New York State Civil Service (07/11/25)
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  • Legal Nurse/Medical Analyst: Medicaid Fraud…

    New York State Civil Service (Albany, NY)
    …as well as quality assurance issues; * Case management, MDS 3.0 Resident Assessment, and/or managed care ; * Prior experience as a legal nurse consultant; and * ... reports of abuse and neglect in nursing homes and other residential health care facilities in the state. Possessing both civil and criminal enforcement powers, MFCU… more
    New York State Civil Service (06/13/25)
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  • Legal Nurse/Medical Analyst:Medicaid Fraud Control…

    New York State Civil Service (New York, NY)
    …as well as quality assurance issues; * Case management, MDS 3.0 Resident Assessment, and/or managed care ; * Prior experience as a legal nurse consultant; and * ... reports of abuse and neglect in nursing homes and other residential health care facilities in the state. Possessing both civil and criminal enforcement powers, MFCU… more
    New York State Civil Service (05/14/25)
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  • Pharmacy Precert Nurse

    NJM Insurance (Trenton, NJ)
    …Delaware, Maryland, New York or Pennsylvania. + 1-3 years nursing experience in Managed Care Setting. + Strong decision-making skills. + Strong relationship ... Director and indirectly to Medical Services, the Pharmacy Precert Coordinator supports our Workers' Compensation line of business by...others to gain buy-in and drive quality and evidence-based care . + Collaborative and able to work well with… more
    NJM Insurance (07/19/25)
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