- AmeriHealth Caritas (Millsboro, DE)
- …the pediatric population required * Case management experience, preferably within a managed care organization, is desired. **Licensure** * Current, unrestricted ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- AmeriHealth Caritas (Newark, DE)
- …the pediatric population required* Case management experience, preferably within a managed care organization, is desired. **Licensure** * Current, unrestricted ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- Corewell Health (Hudsonville, MI)
- …/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. + Assesses internal and ... + 2 years of relevant experience of clinical nursing and or case management/ managed care or related field Required How Corewell Health cares for you +… more
- AmeriHealth Caritas (Washington, DC)
- …management experience supporting Medicaid members and/or pediatric populations within a managed care organization preferred **Licensure** + Current and ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- Elevance Health (Neillsville, WI)
- …is granted as required by law._ Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to offer the ... contract, and federal requirements. Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to offer the… more
- Comunilife (Bronx, NY)
- …New York State Department of Health (NYS DOH), Health Home Lead agencies, and Managed Care Organization (MCO) requirements. The APD oversees the full continuum ... Strong understanding of NYS DOH Health Home standards, MAPP/HHTS workflows, and managed care billing requirements. + Experience using Foothold RMA or comparable … more
- AmeriHealth Caritas (Washington, DC)
- …case management experience supporting Medicaid members and/or pediatric populations within a managed care organization preferred + 3+ years of nursing experience ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- Molina Healthcare (Lincoln, NE)
- …or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED LICENSE, ... experience. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED… more
- Catholic Health Services (West Islip, NY)
- …not limited to, Medical Staff, Quality/Risk Management, CH Utilization and Central Appeals, Managed Care and Revenue Cycle and Patient Access departments to ... leadership role is required. + Experience in utilization management, working with managed care organizations, and discharge planning is required. + Current… more
- Community Health Systems (Franklin, TN)
- … care and patient care delivery. + Collaborate with the CHS Managed Care department to engage and negotiate with payers, health plans, and other ... dual reporting relationship with the MD VP for PPS and the VP of Managed Care Equal Employment Opportunity This organization does not discriminate in any way to… more