- CVS Health (Springfield, VA)
- …through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies. Through the use of clinical ... tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. Applies clinical judgment to the incorporation of… more
- Zayo (Santa Clara, CA)
- …fueling the innovations that are transforming our society. Zayo's 141,000-mile network in North America and Europe includes extensive metro connectivity to ... thousands of buildings and data centers. Zayo's communications infrastructure solutions include dark fiber, private data networks, wavelengths, Ethernet, and dedicated Internet access. Zayo serves wireless and wireline carriers, media, tech, content, finance,… more
- CVS Health (Gladstone, MO)
- …to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. Community Care Case Manager use a ... collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality,… more
- American Electric Power (Columbus, OH)
- …inside and outside the AEP system. Identifies key stakeholders. Uses informal network to get things done. Resolves conflict, builds consensus. Decision Making: Makes ... decisions subject to review within established policies and procedures. Makes decisions that affect the work of the team. Aware of risks. Demonstrates the ability to extrapolate beyond known facts to reach logical conclusions. Business Awareness &… more
- CVS Health (Chicago, IL)
- …work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. **Position** **Summary/Mission** Our Case ... Managers use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to… more
- CVS Health (Charleston, WV)
- …through integration. + Services strategies policies and programs are comprised of network management and clinical coverage policies. + Through the use of clinical ... tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. + Applies clinical judgment to the incorporation of… more
- SCI Shared Resources, LLC (La Feria, TX)
- …Maintains office and facility supplies as well as fax machines, copiers and network printers + Prepares daily schedules + Administers HR processes including new hire ... paperwork, background checks and bonus processing + Maintains processes to ensure compliance with policies and procedures including SOX administration and audit + Trains others on policies, procedures and new company initiatives + Maintains a friendly attitude… more
- CVS Health (Rocky Mount, VA)
- …through integration. Services strategies policies and programs are comprised of network management and clinical coverage policies. Through the use of clinical ... tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. Applies clinical judgment to the incorporation of… more
- CVS Health (Harrisburg, PA)
- …to work. Services and strategies, policies and programs are comprised of network management, clinical coverage, and policies. Community Care Case Manager's use a ... collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality,… more
- Healthfirst (NY)
- …impaired seniors** + **Experience managing member information in a shared network environment using paperless database modules and archival systems** + **Experience ... and knowledge of the relevant product line** + **Relevant work experience preferably as a Care Manager** + **Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment** + **Proficient with simultaneously navigating the… more