- Molina Healthcare (Akron, OH)
- …**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 7+ years experience in managed healthcare Quality/HEDIS project management and HEDIS Audit * Demonstrated ... * STARS improvement experience * CAHPS improvement experience * 3+ years health care information systems experience or in a role as an IS liaison/contact for… more
- The Walt Disney Company (Columbus, OH)
- …United States Public Health (USPH) policies while ensuring Crew are trained and policies managed + Function in the role of Youth Activities Counselor or related as ... Qualifications :** + Minimum **four years** recent experience in a high-volume child care operation in a recreational, camp or leisure setting + Minimum **three… more
- ChenMed (Columbus, OH)
- …Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired + This position requires possession and ... expanding and we need great people to join our team. The Intensive Community Care Manager (ICCM) is a Registered Nurse (RN) who works with our highest complexity… more
- Molina Healthcare (Akron, OH)
- …**Required Experience** 3 or more years in case management, disease management, managed care or medical or behavioral health settings. **Required License, ... for Molina members. Oversees and/or participates in Interdisciplinary Care Team meetings. + Works with the Manager... Care Team meetings. + Works with the Manager to ensure adequate staffing and service levels and… more
- Molina Healthcare (Columbus, OH)
- …and productivity is important. Preferred candidates will have previous case management, managed care , hospital, and/or home health experience._ _This role is ... health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager … more
- CenterWell (Columbus, OH)
- …professional experience in health-related strategy and operations positions, preferably in value-based care , particularly managed care or full risk models ... vision of the organization by evaluating and operationalizing high-impact complex care initiatives to drive quality and cost improvement for high-risk senior… more
- Elevance Health (Mason, OH)
- …or related field; minimum of 5 years of experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract/Cost of Care Consultant** **Location:** This role requires associates to...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Bon Secours Mercy Health (Lorain, OH)
- …coordinating follow-up care to the patient/family + Understands payer principles, terminology of managed care , and the goals of managed care . ... manager . Ability to guide and direct the health care team for optimal patient flow and quality outcomes...party payors Microsoft Office Admissions Discharge planning Quality Improvement Managed care Excellent written and oral communication… more
- Elevance Health (Mason, OH)
- …experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of education and experience, which ... and Experiences:** + Certification in the American Association of Managed Care Nurses is preferred. + Knowledge...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Mason, OH)
- …the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, ... in a health related field or certification as a care manager preferred. + Knowledge of medical...to interpret and apply member contracts, member benefits, and managed care products strongly preferred for associates… more