- Sedgwick (Carson City, NV)
- …cost containment and timely medical recovery. + Provides recommendations for alternate clinical resources to support claim resolution. + Maintains client's ... By joining Sedgwick, you'll be part of something truly meaningful. It's what our...Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with… more
- First Atlantic Health Care (Saco, ME)
- Seal Rock Healthcare, part of the Atlantic Heights Community, is a fully-licensed Medicaid/Medicare-certified facility offering 105 beds. Under the ownership of ... assisted living and senior living. MAKE A DIFFERENCE Nurse Manager of Long Term Care and Skilled Nursing ~You...department. POSITION SUMMARY As a lead within a strong clinical team, you support the Director of Nursing in… 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 is responsible for incremental improvement of in-network utilization through… more
- CVS Health (Atlanta, GA)
- …Medicare Part D formulary and product strategy. Leveraging your clinical and strategic expertise, you will drive new product initiatives, optimize existing ... with heart, each and every day. As a Senior Manager within the Aetna Medicare Pharmacy team, you will...of operational, functional, and business targets within the Medicare Part D clinical Operations and Formulary Development… more
- Highmark Health (Pittsburgh, PA)
- …patients at the center of all they do. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective ... Program (FEP) and Medicare Advantage. **ESSENTIAL RESPONSIBILITIES** + Coordinates the clinical care with the patient, family, physician(s), and other members of… more
- Ochsner Health (New Orleans, LA)
- …modify the plan as needs and situations change. This job is an integral part of the multi-disciplinary care team and as such coordinated care among multiple ... are provided seamlessly throughout the continuum of care. Arranges and coordinates resources necessary to manage the patient's disease processes in the home… more
- Community Health Systems (Siloam Springs, AR)
- **Job Summary** The Care Manager - LPN supports effective utilization management and discharge planning by coordinating patient care activities under the supervision ... of care. + Maintains professional relationships with community agencies and resources to facilitate referrals and support patient transitions. + Assists in… more
- Cuyahoga County Board of Developmental Disabilities (Cleveland, OH)
- …The Cuyahoga County Board of Developmental Disabilities (Cuyahoga DD) is seeking a manager to plan, direct and manage the provision of Early Intervention services to ... initial and ongoing training sessions and shadow visits, and provide resources for management to support ongoing development during the probationary period.… more
- Centene Corporation (Trenton, NJ)
- …phone or in-home visits and works to identify providers, specialists, and community resources needed for care including mental health and social determinant needs + ... and/or other site visits outreach to assess member needs and collaborate with resources + Coordinates and manages, as appropriate, between the member and/or family… more
- CenterWell (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Broker Relationship Manager will be responsible for cultivating and maintaining ... value-based care to seniors across the nation. The Broker Relationship Manager 's responsibilities include: + Develop and nurture relationships with brokers and… more
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