- CVS Health (Baton Rouge, LA)
- …Management Manager of Prior Authorization oversees a team of clinical professionals to ensure the efficient, compliant, and high-quality delivery of utilization ... NCQA, URAC). + Collaborate with internal and external stakeholders-including clinical leadership, operations, IT, and regulatory bodies-to align utilization… more
- CenterWell (Mesa, AZ)
- …of care coordination efforts to other members of the team, and manage clinical escalations as indicated. This role requires an understanding of how socio-economic ... both languages without limitations nor assistance **Skills/Abilities/Competencies Required** + Advanced clinical acumen + Ability to multi-task in a fast-paced work… more
- One Health (Hardin, MT)
- …anchor committed to delivering exceptional, compassionate, patient-centered care. As the Clinic Manager for our two clinics in Hardin, MT, and one in Ashland, ... (8 years of experience or a combination of an associate degree and 4 years of experience). + BLS...+ Minimum of 3 years of experience in a clinical setting or 2 years at One Health. +… more
- CenterWell (Floresville, TX)
- …of care coordination efforts to other members of the team, and handle clinical escalations as indicated. This role requires an understanding of how socio-economic ... both languages without limitations nor assistance **Skills/Abilities/Competencies Required** + Advanced clinical acumen + Ability to multi-task in a fast-paced work… more
- CVS Health (Chicago, IL)
- …our company expense reimbursement policy **Preferred Qualifications** * Certified Case Manager * Bilingual - Spanish **Education** * Associate Degree required, ... leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are… more
- BJC HealthCare (St. Louis, MO)
- …with at least 2 years of leadership experience to be the next Nurse Manager on the Neuro Step-Down Unit. This unit provides specialized care for patients ... point in their healthcare journey, where they are at high risk for clinical deterioration. Progressive care, with lower nurse patient ratios, allows for frequent… more
- CenterWell (Las Vegas, NV)
- …of care coordination efforts to other members of the team, and handle clinical escalations as indicated. This role requires an understanding of how socio-economic ... and knowledge of field safety practices **Skills/Abilities/Competencies Required** . Advanced clinical acumen . Ability to multi-task in a fast-paced work… more
- Bon Secours Mercy Health (Richmond, VA)
- …effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **Primary Function/General Purpose of Position** In ... collaboration with Market President, the Physician and Provider Relationship Manager (PPRM) is responsible for incremental improvement of in-network utilization… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area: Health Services About Blue ... motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built on values of succeeding… more
- Carle Health (Normal, IL)
- Overview Provides administrative and clinical leadership and to plan, coordinate, and manage personnel and resources in order to provide the highest quality of ... (ACLS) within 1 year **Education:** + Bachelor's Degree: Nursing **Work Experience:** + Clinical Nursing - 5 years (Stroke preferred) + Prior Team Management (ie… more