- Elevance Health (Ashburn, VA)
- …ensures essential face-to-face onboarding and skill development._ The **Medical Management Clinician Sr** is responsible for ensuring appropriate, consistent ... the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and applies medical policies and clinical guidelines… more
- Elevance Health (Indianapolis, IN)
- **Medicaid Contract Implementation Management Manager** **Location** : Indianapolis, Indiana **Hybrid 1:** This role requires associates to be in-office 1 - 2 days ... is granted as required by law._ The **Medicaid Contract Implementation Management Manager** is responsible for guiding Medicaid State/Alliance objectives established… more
- Elevance Health (Nashville, TN)
- **Account Services/Client Management Director CareBridge - CareBridge Growth and Client Success** **Location:** Alternate locations may be considered. This position ... ideal candidate will live within a commutable distance from our PulsePoint locations. CareBridge Health is a proud member of the Elevance Health family of… more
- Elevance Health (Waukesha, WI)
- …reports. + Directs and oversees UM program operations in support of corporate and health plan management . + Directs and collaborates with functional managers to ... **Title:** Manager II Utilization Management **Hybrid 2:** This role requires associates to...MFT or LCSW license preferred. + 3 years of health care UM experience is highly preferred. + Prior… more
- Elevance Health (St. Louis, MO)
- …** is responsible for managing the development and implementation of medical expense management initiatives for assigned Carelon Health business unit. **How you ... the development and execution of new and innovative initiatives specific to the Carelon Health , enterprise or one or more health plans, managing rising costs and… more
- Elevance Health (WA)
- **Medical Management Clinician Associate** Carelon Post Acute Solutions A proud member of the Elevance Health family of companies, **Carelon Post Acute ... Solutions** , formerly myNEXUS, is the leader in health resource optimization, focused on transforming how healthcare is delivered and promoting the advancement of… more
- St. Luke's University Health Network (Centre, AL)
- …patients. + Coordinates patient care and family counseling with public and mental health agencies, as appropriate. + Teaches wellness habits and educates ... the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in...develop and manage ongoing treatment plans and oversee medication management for established pain management patients. Work… more
- Elevance Health (Walnut Creek, CA)
- …and Experiences:** + BS preferred. + MS Office Suite experience preferred. + Health plan experience preferred. + Management experience preferred. + Production ... **Manager II Medical Management ** **Location:** This role requires associates to be...active, valid unrestricted RN license to practice as a health professional within the scope of licensure in applicable… more
- Veterans Affairs, Veterans Health Administration (Temple, TX)
- …primary job function [e.g., needs assessment, chart reviews, care or case management (as needed), discharge planning, outreach, etc.] and other services as ... appropriate. - The incumbent will provide care coordination (including care management or case management ) to Veterans and families, as needed, throughout the… more
- WellSpan Health (York, PA)
- …'s vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an ... 1 year Experience of knowledge in the care and management of the unique needs of individuals with developmental...and behavioral needs of children and adolescents with Mental health diagnosis and/or developmental disorders + Ability to work… more