- Eisai, Inc (Nutley, NJ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... Facilitate Project Steering Committees in collaboration with Business Owner and Project Manager . Represent business needs to the broader EIT organization such as… more
- RestoraCare Staffing (Houston, TX)
- …in Case Management required within two (2) years of hire into the Case Manager position. Experience / Knowledge / Skills:Three (3) years of nursing or ... management, performance improvement, disease or population management and managed care reimbursement. Understanding of pre-acute and...and all members of the multidisciplinary team to facilitate care for designated case load. Monitors the… more
- Planet Healthcare (Detroit, MI)
- …hours per weekShift: 8 hoursEmployment Type: Travel Planet Healthcare is looking for an Integrated Case Manager RN in the Detroit, MI area. Shift: 8 hours, day ... Employment Type: Contract 2+ Years of discharge planning or managed care experience required Active MI RN...stipend amount to be determined. Posted job title: Integrated Case Manager RN or LMSWAbout Planet HealthcareDelivering… more
- Elevance Health (Arlington, VA)
- ** Case Manager ( Managed Care Coordinator)** **MUST LIVE WITHIN 50 MILES OF THE ARLINGTON PULSEPOINT** A proud member of the Elevance Health family of ... and insightful analytics to improve the delivery of care . The ** Case Manager ( Managed Care Coordinator)** is responsible for overall management… more
- CVS Health (Phoenix, AZ)
- …per quarter until 9pm Preferred Qualifications - Compact RN License - Certified Case Manager (CCM) certification - Managed Care experience - Home Care ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our... more personal, convenient and affordable. Position Summary The Case Manager RN utilizes a collaborative process… more
- Trinity Health (Fresno, CA)
- …Reporting to the Director, CVHP Operations, CVHP Operations, this position coordinates care and service for defined patient populations across the acute care ... continuum for CVHP members. This includes discharge planning, utilization management, care coordination, and support for resource utilization. This position works… 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 (Norfolk, 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 (Wakefield, MA)
- …as first point of contact for referrals, assigns tasks to Managed Care Coordinators (MCCs). With support of the Manager , Centralized Referral Mgmt prepares ... and strategies to better coordinate patient care , pilot new initiatives, train Managed Care Coordinators, initiate and process managed care … 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 (Trenton, NJ)
- … Case Manager (ACM) preferred. + Crisis Intervention skills + Managed care /utilization review experience + Case management and discharge planning ... cost-effective outcomes. This is a telework position and the care manager must work normal business hours...- 5:00pm EST; no weekends or holidays. The Clinical Case Manager is responsible for conducting face… 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
- 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
- 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
- ChenMed (Tampa, FL)
- … Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired. We're ChenMed and we're transforming healthcare for ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...maintenance of a current, valid driver's license. + Certified Case Manager certification is preferred. Certification through… 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 (Loveland, 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
