- Novant Health (Wilmington, NC)
- …values is diversity and inclusion. By engaging the strengths and talents of each team member , we ensure a strong organization capable of providing remarkable ... opportunities. It is the responsibility of every Novant Health team member to deliver the most remarkable...to leveraging diversity and inclusion in support of quality care . + All Novant Health team members… more
- Commonwealth Care Alliance (Boston, MA)
- …and member outreach as well as supports the Appeal and Grievances team in creation, review and mailing of member communication related to appeal ... supports the Operations Department and the Appeals and Grievances team in a number of ways to ensure compliance...of ways to ensure compliance on activities related to member complaints in the organization and improve the … more
- Elevance Health (Goldsboro, NC)
- …+ Supports member access to appropriate quality and cost effective care and modifies plan(s) as needed. + Coordinates with internal and external resources ... determinants of health to meet the needs of the member and incorporates that into care planning....audits and ensures departmental compliance. + Serves as a member of the leadership team . **Minimum Requirements:**… more
- CVS Health (Manville, NJ)
- … Care managers coordinate and collaborate with members, authorized representatives, primary care providers, and other care team participants to coordinate ... private residence, hospitals, behavioral, and long-term nursing facilities. The care manager establishes a cost effective and member... care manager establishes a cost effective and member centric care plan in collaboration with… more
- Healthfirst (MT)
- …care needs are adequately addressed. + Coordinates and facilitates with the multi-disciplinary health care team as necessary to ensure care plan goals and ... treatment plan. + Contributes to corporate goals through ongoing execution of member care plans and member goal achievement. + Documents all encounters… more
- Elevance Health (Hickory, NC)
- …+ Supports member access to appropriate quality and cost effective care and modifies plan(s) as needed. + Coordinates with internal and external resources ... determinants of health to meet the needs of the member and incorporates that into care planning....audits and ensures departmental compliance. + Serves as a member of the leadership team . **For the… more
- AmeriHealth Caritas (Philadelphia, PA)
- …self-management. The Care Manager (RN) is responsible for engaging the member , member caregiver, and providers to assess, plan, and establish individual ... member goals. **Responsibilities** + Assess members to determine care coordination and case management needs for all referred members. + Completes comprehensive… more
- LA Care Health Plan (Los Angeles, CA)
- … eligibility verification, general program and administration questions, benefits and services, member requests for ID cards and Primary Care Provider (PCP) ... regarding access to care issues, coordination of care issues, benefits, Evidence of Coverage (EOC), Member...calls. Knowledge of medical terminology. Must be a strong team player, punctual, and has excellent attendance record. Good… more
- Sunrise Senior Living (Springfield, VA)
- …working toward team goals. + Demonstrate in daily interactions with others, our Team Member Credo. + Commit to serving our residents and guests through our ... resident centered activities and programming and partner with community team in striving for excellent quality care ...to the overall engagement programs and processes (customer and team member engagement) including participating in the… more
- Carle Health (Peoria, IL)
- …keep member living independently in the community. Function as an effective team member and represent the agency in a professional manner. Qualifications ... Position requires good organizational skills. Responsibilities Key Accountability + Provides care coordination services primarily in the member /client's home. +… more