- Molina Healthcare (Vancouver, WA)
- …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Vancouver, WA)
- …Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Vancouver, WA)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of ... medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program , this...Programs, Market & Segment Leaders, health plan teams, member services , provider services , external vendors, actuary, and… more
- Molina Healthcare (Vancouver, WA)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
- Molina Healthcare (Vancouver, WA)
- …Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team ... processes. * Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate… more
- Molina Healthcare (Vancouver, WA)
- …and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. **Preferred Qualifications** * Certified Case Manager ... JOB DESCRIPTION **Job Summary** The BH Care Manager Provides support for care management/care coordination activities and collaborates with multidisciplinary team… more
- Molina Healthcare (Vancouver, WA)
- …including behavioral health, long-term care, and population health-related education and services for members with high-need potential. Strives to ensure member ... and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. Preferred Qualifications **LVN is preferred for this role.**… more
- Molina Healthcare (Vancouver, WA)
- …standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... appeals and denials. * Previous experience leading projects. * Strong customer service experience. * Strong organizational and time management skills; ability to… more
- Banfield Pet Hospital (Vancouver, WA)
- …+ Ensure operational alignment on strategies. + Set benchmarks with Digital Marketing Program Manager and analyze the performance of the new hospital openings, ... to roll-out and management of best in class consumer products and services is required. + Demonstrated project management experience planning and overseeing projects… more
- BrightSpring Health Services (Vancouver, WA)
- …About our Line of Business PharMerica, an affiliate of BrightSpring Health Services , is a full- service pharmacy solution providing value beyond medication. ... live their best life we encourage you to apply today! TheClient Success Manager , Senior Living cultivates and maintains an on-going strategic relationship with their… more
- Walgreens (Vancouver, WA)
- …when using the pharmacy. Enhances customer experience by increasing focus on healthcare services . **Operations** + Responsible for assisting pharmacist in the ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any… more
- Molina Healthcare (Vancouver, WA)
- …Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), ... business segment (ie Medicare, Marketplace, advanced imaging/central utilization management services ) in the development and execution of care management,… more
- Molina Healthcare (Vancouver, WA)
- …supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program experience as needed ... Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified… more
- Natural Grocers (Vancouver, WA)
- Salary Range USD $24.28/Hr. - Overview The Job in a Nutshell: The Assistant Store Manager is the second person in charge of the store and is responsible for the ... and serviced per company standards of World Class customer service . + All company managers are expected to be...food safety certifications and registration. + The Assistant Store Manager is responsible for ensuring that the store is… more
- Molina Healthcare (Vancouver, WA)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. +… more
- Molina Healthcare (Vancouver, WA)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Molina Healthcare (Vancouver, WA)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Vancouver, WA)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more
- Molina Healthcare (Vancouver, WA)
- …oversight support. * Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are ... all other settings. Strives to ensure that best possible services are available to members at time of hospital...Job Duties** * Follows member throughout a 30 day program that starts at hospital admission and continues oversight… more
- PeaceHealth (Vancouver, WA)
- …an Integrated approach, and safety.** **Job Summary** The Senior Clinical Risk Manager leads the investigation and management of complex, high-severity risk events ... across the healthcare system. Provides strategic leadership and oversight in the...supporting our clinical risk managers. The Senior Clinical Risk Manager collaborates with executive leadership, legal counsel, and clinical… more