- The Cigna Group (Bloomfield, CT)
- **Job Profile Summary:** The Business Analytics Sr. Manager oversees a team of analytics professionals focused on clinical quality measurement and insights. Works in ... the Clinical Quality Data & Informatics (CQDI) team to improve population health outcomes through data-driven clinical initiatives. The Business Analytics Senior … more
- Always Best Care Senior Services (San Diego, CA)
- RN Home Health Clinical Manager Always Best Care Home Health is seeking a RN Clinical Manager with Medicare experience to guide, lead and build a fast ... growing, results oriented Home Health Agency. The Clinical Manager compliments the...efficiency, such as staffing levels, patient supply needs, insurance claims and reimbursement. Must have excellent, organizational skills, ability… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** We are seeking an Occupational & Employee Health Manager with TriStar Centennial Medical Center to promote growth and unlock ... for benefits may vary by location._** We are seeking an Occupational & Employee Health Manager for our team to be an innovator. HCA Healthcare partners… more
- Southland Holdings (Grapevine, TX)
- …demands strong contract expertise, strategic thinking, and problem-solving skills. The manager supports dispute resolution, claims , and contract compliance, ... Job Title: Construction Contract Manager Reports To: Director of Commercial Management Location:...responses. + Draft formal contract correspondence, including notices and claims , to protect company entitlements. + Collaborate with scheduling… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …residents stay for short-term treatment or long-term care. Job Description + The Health Information Manager (HIM) is responsible for the overall management of ... to individual patient information for data retrieval analysis and claims processing. Queries physicians and/or oversees the query process...3-5 years of experience as a Medical Records Director/ Health Information Manager of a skilled nursing… more
- Elevance Health (Tampa, FL)
- **Nurse Case Manager II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... assessment within 48 hours of receipt and meet the criteria._** The **Nurse Case Manager II** is responsible for care management within the scope of licensures for… more
- Elevance Health (Cincinnati, OH)
- **Program Manager Long Term Care - Self-Direction Program - OH** **_Location:_** _ This role requires associates to be in-office_ **_1 - 2 days per week_** _, ... employment, unless an accommodation is granted as required by law._ The **Program Manager Long Term Care - Self-Direction Program - OH** is responsible for initial… more
- Elevance Health (Rancho Cordova, CA)
- **Telephonic Nurse Case Manager II** **Sign on Bonus: $5000.** **Location: This role enables associates to work virtually full-time, with the exception of required ... states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of… more
- Elevance Health (GA)
- **Telephonic Nurse Case Manager I** **Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager I** is responsible for telephonic care management within the scope of licensure… more
- Elevance Health (Washington, DC)
- **Nurse Case Manager Sr** **Location:** Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and connectivity, ... is granted as required by law. The **Nurse Case Manager Sr** will be responsible for care management within...monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically… more