- Centene Corporation (New York, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... including a fresh perspective on workplace flexibility. **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical… more
- Centene Corporation (Austin, TX)
- …Experience in FIELD-BASED case management or service coordinator roles in community health, managed care , or state health and human services settings Pay Range: ... **Position Purpose:** Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes.… more
- Centene Corporation (Columbus, OH)
- …connecting to community resources. Preference will be given to applicants with managed care , case management, customer service, call center, or health ... care provider office experience.** **Additional Details:** Line of Business:...1-3 times per year **Position Purpose:** Works with senior care management team to support care management… more
- Centene Corporation (New York, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... on workplace flexibility. **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality,… more
- Banner Health (Tucson, AZ)
- …Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional ... Name:** PPA-Rita Ranch-Clinic **Work Shift:** Day **Job Category:** Clinical Care Find your path in health care . We want to change the lives of those in… more
- Sutter Health (Modesto, CA)
- …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... goals and objectives for ensuring the effective, efficient utilization of health care services. The PA will develop expertise on matters regarding physician practice… more
- Mount Sinai Health System (New York, NY)
- …information utilizing internal or electronic sources. 25. Obtains and documents managed care referrals, required pre-certifications and authorizations as ... **Job Description** **Medical Office Specialist (Certified Medical Assistant)-Adult Primary Care Center-Mount Sinai Rivington-9am to 5:15pm M-F** The Medical Office… more
- Highmark Health (Indianapolis, IN)
- …specialization + Experience in a Clinical Setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES or CERTIFICATIONS** **Required** + Current State ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… more
- CVS Health (Columbus, OH)
- …to thoroughly learn the role of care management within Medicare and Medicaid managed care . . Familiarity with community resources and services. . Ability to ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...with heart, each and every day. Job Summary: The Care Manager-Registered Nurse is a key member of our… more
- Humana (Oklahoma City, OK)
- …care and well-being resources **Preferred Qualifications** + Experience with managed care /Medicaid **Additional Information** WAH Internet Statement To ensure ... a part of our caring community and help us put health first** The Care Management Support Assistant 2 contributes to administration of care management. Provides… more