- Somatus (Philadelphia, PA)
- …into homes + Telephonic case management experience + Experience working within a managed care environment **Hourly Range** $85,000 to $97,000 per year ... Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the...BSN or higher level of education + Certified Case Manager (CCM) + Diabetic Educator experience + Field-based experience… more
- Boston Consulting Group (Philadelphia, PA)
- …BCG; others have gone into work in one of our many Practice Areas; some have managed teams or rotated through a number of other functions. Your career at BCG will be ... (and growing!) You will report to the Administrative Services Manager . The team is very collaborative and enjoys continuous...$10 (USD) copays for trips to the doctor, urgent care visits and prescriptions for generic drugs Dental coverage,… more
- Southland Industries (Philadelphia, PA)
- …are passionate about safety, Southland has an opportunity for you as a Project Manager ! In this role, you will work on exciting, commercial MEP projects, while ... relations by providing project status updates to client and leadership. + Managed budget reports, cost and revenue projections, change orders, etc. for project.… more
- Organon & Co. (Plymouth Meeting, PA)
- …utilization while meeting the needs of customers. + Understanding of the local managed care and reimbursement environment relevant to various customer segments ... their current practice structure, business model, and key influencers (ex: Managed Care Organization/payers, Management Service Organizations (MSOs), employers,… more
- Organon & Co. (Plymouth Meeting, PA)
- …Workplace devices, including oversight of Intune and Microsoft Endpoint Configuration Manager (MECM) infrastructure, managing the Organon build images, security and ... or a related field; advanced degree preferred. + Experience in Managed Services oversight of Core Infrastructure, relevant Microsoft technologies, and various… more
- Cardinal Health (Trenton, NJ)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Deloitte (Philadelphia, PA)
- ServiceNow Senior Manager - Consulting Managed Services Enterprise Operations as a Service provides multi-year managed service contracts to support ... is where ambition meets opportunity. As a Deloitte Senior Manager , you will have the opportunity to lead and...experience in either: Consumer, Financial Services, Life Sciences Health Care , Technology Media and Telecom, Energy Resources and… more
- CVS Health (Trenton, NJ)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... each and every day. **Position Summary** The **Housing Services Specialist** **- Managed Long-Term Services and Supports** is a full-time position, solely dedicated… more
- ChenMed (Philadelphia, PA)
- …for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired We're ChenMed and we're transforming healthcare ... hospital daily from 9am-3pm, working remote for the remaining hours. The Acute Care Manager , Complex Care (RN) is responsible for achieving positive patient… more
- AmeriHealth Caritas (Philadelphia, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... services. Discover more about us at www.amerihealthcaritas.com . **Role Overview** The Care Manager (RN) assists members appropriate for case management services… more
- Highmark Health (Trenton, NJ)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- AmeriHealth Caritas (Robbinsville, NJ)
- **Role Overview** The Care Manager facilitates access to behavioral health, substance use, and intellectual/developmental disabilities therapeutic services, ... time as part of an integrated service plan. The Manager makes the timely intensity of service determinations based...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
- Penn Medicine (Philadelphia, PA)
- …practice revenue cycle management/oversight. Ensure practice alignment with all standards. + Managed Care /Payer Management - Support implementation of managed ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Penn Medicine (Philadelphia, PA)
- …coding, cash management, charge entry, etc. Ensure practice alignment with all standards. Managed Care /Payer Management - Support implementation of managed ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- CVS Health (Trenton, NJ)
- …membership. + 1-2 years of previous leadership experience in a healthcare or managed care environment. + Demonstrated ability to independently problem solve, ... operations of the MLTSS Program and adherence to contractual requirements. The Associate Manager will oversee Care Managers (CM)s who are assigned to members… more
- J&J Family of Companies (Titusville, NJ)
- …to address critical access and affordability issues for patients. + Partner with managed care colleagues to understand current policies and potential future ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in… more
- Penn Medicine (Philadelphia, PA)
- …and top of scope practice. As a member of the APP team, the Clinical Manager will be responsible for providing direct care in the Antenatal Testing unit, ... The Clinical Manager is responsible for continually assessing the clinical care team to ensure quality, compliance with governmental agencies and patient access.… more
- Erickson Living (Warminster, PA)
- Location: Ann's Choice by Erickson Senior Living Join our team as the Wellness Manager oversees the care performance of the teams within Assisted Living and ... pain management, wound care , nutrition, and respiratory care . + Partners with Assisted Living Manager ...We're part of a growing national network of communities managed by Erickson Senior Living, one of the country's… more
- Humana (Trenton, NJ)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- CDM Smith (Philadelphia, PA)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
