- Molina Healthcare (Long Beach, CA)
- …and directs the rendering of medical management decisions at all levels of the health plan that maximize benefits for our members while pursuing and ... , Care Management , Predictive Modeling, and Disease Management . Leads the health plan 's...the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
- Inland Empire Health Plan (Rancho Cucamonga, CA)
- …of no more than three (3) points Possesses strong knowledge of: Medi-Cal Health Plan Regulations Utilization management , evidence-based care models, ... Health Services Departments. This includes direct oversight and management of the Utilization Management Medical Directors...12. Perform any other duties as required to ensure Health Plan operations and department business needs… more
- Molina Healthcare (Long Beach, CA)
- …requirements, as appropriate in collaboration with quality leadership with implementation of Health Plan quality program management and performance ... healthcare with a minimum of 2 years' experience in health plan quality management improvement,...the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal… more
- Elevance Health (Indianapolis, IN)
- …Directs and oversees Care/Service Coordination program operations in support of corporate and health plan management , specifically the PathWays for Aging ... collective bargaining agreement), medical, dental, vision, short and long term disability benefits , 401(k) +match, stock purchase plan , life insurance, wellness… more
- Guidehealth (Chicago, IL)
- …in managing population health needs and implement population programs for Health Plan beneficiaries Executing case management for patients identified ... any concerns. Identifying and disseminating of Health Plan announcements applicable to Case Management Qualifications...is how we thrive - together - at Guidehealth. BENEFITS : All full-time employees of Guidehealth who work 30… more
- COPE Health Solutions (Los Angeles, CA)
- …settings: acute inpatient, rehabilitation, sub-acute, skilled facility, homecare, ambulatory care management , or managed health plan . Bilingual ... to assess the options of care including use of benefits and community resources. Update care plan ...providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team… more
- AmeriHealth Caritas Health Plan (Philadelphia, PA)
- …it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other ... 3 years of clinical experience in ICU, ED, Med-Surg, pediatrics, behavioral health , or similar. Prior Utilization Management or managed care experience… more
- AmeriHealth Caritas Health Plan (Charleston, SC)
- …it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other ... Under the supervision of the Director Clinical Market Population Health , the Manager of Integrated Care Management ...for compliance with State and Federal laws and business plan goals. Work Arrangement: Must reside in South Carolina.… more
- Kaiser Permanente (Hyattsville, MD)
- …minimum four (4) years of experience in sales, customer service, telemarketing, account management , health plan administration, insurance, or a directly ... minimum seven (7) years of experience in sales, customer service, telemarketing, account management , health plan administration, insurance, or a directly… more
- Kaiser Permanente (San Diego, CA)
- …minimum two (2) years of experience in sales, customer service, telemarketing, account management , health plan administration, insurance, or a directly ... years of experience in sales, customer service, telemarketing, account management , health plan administration, insurance,...multi-state accounts. Two (2) years of experience in group health care benefits sales, account management… more
- ASPIRUS HEALTH (Wausau, WI)
- …the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health Plan in Wausau, WI is seeking a RN QUALITY IMPROVEMENT SPECIALIST to ... join our ASPIRUS HEALTH PLAN team ! This position could...organization and outside clients. Knowledge of insurance industry including benefit plans, reinsurance and State and National mandates is… more
- Rochester Regional Health (Wilson, NC)
- …identification of actionable goals to optimize health outcomes. *Develop a care management plan based on the patient's goals, strengths and barriers that ... The RN Care Manager develops and implements a care management plan based on patient goals, preferences...health outcomes, and measures the impact of care management interventions. Provide superior customer service by modeling the… more
- Reema Health (Minneapolis, MN)
- …Rare domestic travel Positions Supervised: None Reports To: Director of Customer Success Reema Health is both a social care and behavioral health provider. We ... the community - can ease those burdens and effectively connect members to health care. Our mission-driven and member-focused company is seeking an experienced and… more
- Kaiser Permanente (Pasadena, CA)
- …minimum two (2) years of experience in sales, customer service, telemarketing, account management , health plan administration, insurance, or a directly ... minimum five (5) years of experience in sales, customer service, telemarketing, account management , health plan administration, insurance, or a directly… more
- Amwins Group, Inc. (Farmington, CT)
- …acts as a program manager for health care underwriting and has $2.3+B of health care premium under plan management for over 150,000 insured employees ... 2000 and acquired as an operating company of Amwins in 2016, True Benefit (An Amwins Company) assists businesses in developing comprehensive strategies for their… more
- CVS Health (Wichita, KS)
- …be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including ... At CVS Health , we're building a world of health...all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit… more
- Hackensack Meridian Health (Brick, NJ)
- …services. Responsibilities A day in the life of a Care Coordinator, Care Management at Hackensack Meridian Health includes: Assesses patients by screening for ... benefit for each patient. Ensures that the discharge plan meets the continuing care needs of the patient....resources and discharge options. Educates regarding the risks and benefits of discharge options and any available health… more
- CVS Health (Philadelphia, PA)
- …be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including ... At CVS Health , we're building a world of health...all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit… more
- AmeriHealth Caritas Health Plan (Columbia, SC)
- …it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other ... care coordination services in achieving their optimal level of health through self- management . The Care Manager (RN)...ensure the AMH Tier III/CIN delivers high quality care management services in accordance with Plan , NCQA,… more
- CVS Health (Schaumburg, IL)
- …recommends an approach to case resolution and/or meeting needs by evaluating members' benefit plan and available internal aid and external programs/services. - ... be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including… more
