- Martin's Point Health Care (Scarborough, ME)
- …of medical terminology preferred + Basic knowledge of current healthcare benefits and managed care insurance plans, preferred + Windows Based Computer skills: ... Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a… more
- Health Care Service Corporation (Chicago, IL)
- …of operations within 90 days of hire. + Plus 3years wellness or managed care experience presenting clinical issues with members/physicians. + Experience handling ... Role** **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field based... coordination to members via telephonic and/or field based care management to inform and educate them on health… more
- Health Care Service Corporation (Santa Fe, NM)
- …or LVN, LPN and 1 year of related experience or 3 years of equivalent experience in managed care , a state care coordination or waiver program. + Knowledge of ... your professional development. **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field-based care … more
- LA Care Health Plan (Los Angeles, CA)
- …and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience ... Care Management Specialist II, D-SNP Team (12 month...D-SNP Team (12 month Assignment) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position… more
- HCR Home Care (Canton, NY)
- …client's care to effectively reduce duplicative services. + Consult with the physicians, Managed Care Organizations and other members of the Care Team ... clients using the development of person-centered goals, culturally competent care management, and professional healthcare and social service coordination. Health… more
- Martin's Point Health Care (Gorham, ME)
- …patient care experience preferred + 3+ years of applicable experience with managed care preferred + Demonstrated experience working with Clinicians to deploy ... Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a… more
- UNC Health Care (Kinston, NC)
- …nursing, BSN required. EXPERIENCE + o Recent clinical experience in healthcare management, managed care , and an understanding of the current healthcare climate ... **Summary:** The Manager provides efficient and effective delivery of patient care through case management process. Works toward desirable patient outcomes with… more
- Health Care Service Corporation (Houston, TX)
- …respective office location. **JOB REQUIREMENTS:** * Bachelor Degree OR 4 years' experience selling managed care products and/or managed care account ... State Insurance Agent License. * 8 years of experience with selling group health managed care products and in managed care account management or… more
- LA Care Health Plan (Los Angeles, CA)
- …applying: + The candidate selected for this role MUST have recent experience with healthcare/ managed care grievances + The candidate selected for this role must ... with health care grievance and/or appeals issues, preferably in a managed care or Medicaid Health Plan environment and/or public services or public benefits… more
- CVS Health (Tallahassee, FL)
- …**Required Qualifications** - Candidate must reside in Florida (FL) - 5 years experience in managed care quality and/or 3 years in Medicaid managed care ... - National Committee for Quality Assurance (NCQA) accreditation experience - Medicaid managed care experience - Master's Degree **Education** Bachelor's Degree… more