- Beth Israel Lahey Health (Plymouth, MA)
- …making a difference in people's lives.** Job Summary: Under the direction of the Sr. Managed Care Coordinator and Practice Manager initiate and process ... patients and practice support staff to coordinate, and process all specialty care managed care referral authorization requests in compliance with APG's,… more
- Cardinal Health (Boston, MA)
- …for all lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the ... role is devoted to educating both customers and sales on managed care and enrolling prospective pharmacies into retail pharmacy solutions. **_Responsibilities_**… more
- Beth Israel Lahey Health (Wakefield, MA)
- …taking a job, you're making a difference in people's lives.** The Manager Care Coordinator initiates and process managed care insurance referral requests ... and redirect care within the BILH network. **Job Description:** **The Managed Care Coordinator's Responsibilities are:** 1. Work collaboratively with BILH… more
- Cardinal Health (Boston, MA)
- …in their current position for at least a year_ + _Informed their current supervisor/ manager prior to applying_ + _No written disciplinary action in the last year_ ... _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of… more
- Beth Israel Lahey Health (Wakefield, MA)
- … care management services are provided to the BILHPN provider's risk populations. The Care Manager provides care management services to the BILHPN primary ... to optimize quality, reduce readmissions and decrease total medical expenses. The Care Manager assesses, plans, implements, coordinates, monitors and evaluates… more
- Humana (Boston, MA)
- …practice or other patient care . + Minimum of 1 year of managed care experience. The Care Manager , Telephonic Behavioral Health 2 (Autism Care ... care planning for beneficiaries receiving services under the TRICARE program. The Care Manager , Telephonic Behavioral Health 2 (Focus on Retirees) serves as… more
- Gentiva (Boston, MA)
- …excellence with strategic oversight? If so, you could be the next Hospice Patient Care Manager Senior on our team. At Gentiva Hospice, we're dedicated to ... live with dignity and comfort. As a Senior Patient Care Manager , you'll help guide branch-level clinical...Medicaid, JCAHO, ACHC), and best practices * Familiarity with managed care principles and human resource guidelines… more
- Molina Healthcare (Norwell, MA)
- JOB DESCRIPTION **Job Summary** The Care Manager , LTSS provides support for care management/ care coordination long-term services and supports specific ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...care , including at least 1 year experience in care management, managed care , and/or… more
- Athena Health Care Systems (Pittsfield, MA)
- …daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care . + Acts as Case Manager when assigned by Clinical Supervisor ... of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow...apply. Athena Health Care Systems and its managed centers follow federal and state mandatory guidelines regarding… more
- US Tech Solutions (Malden, MA)
- …Experience within a SCO program highly preferred. Experience in Medicare and/or Medicaid managed care preferred. Proficient in computer use, the Internet, and ... administrative direction of the Clinical Manager , the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible to manage all aspects of member … more