- UPMC (Pittsburgh, PA)
- …to learn new software applications required. + Three years experience in a managed care environment preferred Experience with geriatric population preferred. + ... for the better. UPMC Health Plan is hiring a full-time Mobile Professional Care Manager position to support the Population Health Case Management department. This is… more
- Centene Corporation (Tallahassee, FL)
- …infusion patients + Strong understanding of utilization management principles and healthcare managed care . + Proficient clinical assessment and critical thinking ... (eg, InterQual, Milliman Care Guidelines, NCCN). + Exposure to government-sponsored managed care programs (eg, Medicare, Medicaid). Pay Range: $55,100.00 -… more
- East House Corporation (Rochester, NY)
- …person-centered Plans of Care in accordance with Health Home and Managed Care Organization requirements. + Facilitate effective transitions of care ... by collaborating with hospitals, treatment providers, and Managed Care Organizations. + Engage family members, natural supports, and service providers in the … more
- Molina Healthcare (WA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Prior experience in… more
- CVS Health (Harrisburg, PA)
- …a willingness to learn about care management within Medicare and Medicaid managed care . + Familiarity with community resources and services. + Navigate ... effectively **Preferred Qualifications** + Case management and discharge planning experience + Managed care experience **Education** + High School Diploma with… more
- Penn Medicine (Lancaster, PA)
- …to an insured vehicle. Preferred Qualifications + Knowledge of Utilization review or managed care + Experience with home visits + Licensure with Commission ... care , specialty, home health services, referrals, screenings and tests for care - managed patients. + Assist patients in problem-solving potential issues… more
- Magellan Health Services (Morrisville, PA)
- …and care management. Entails coordination with PA HealthChoices physical health managed care organizations, members and community providers. This is a remote ... mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and… more
- CVS Health (Columbus, OH)
- …Overview** As part of the bold vision to deliver the "Next Generation" of managed care in Ohio Medicaid, OhioRISE will help struggling children and their ... **Preferred Qualifications** * Case management and discharge planning experience. * Managed Care experience. * Medicaid experience. **Education** Bachelor's… more
- Beth Israel Lahey Health (Wakefield, MA)
- …knowledge of Medicare Guidelines preferred 3. Experience with Medicare population in managed care preferred Must be proficient in computer skills, internet, ... relations, developing systems and procedures, developing and operating a capitated managed care infrastructure, continuous quality improvement, human resources… more
- University of Colorado (Aurora, CO)
- …DEA Certificate. Ability to be fully credentialed with the UCH system and UPI Managed Care . **Professor** + Education: Terminal degree in Medicine or Osteopathy ... Ability to be fully credentialed with the UCH system and UPI Managed Care . **Preferred Qualifications:** + Experience leading or involvement with primary care… more