- Valor Health (Bowling Green, KY)
- …the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of ... Clinical Pharmacist Specialist - Primary Care Bowling Green, KY (http://maps.google.com/maps?q=600+US+Hwy+31W+Bypass+Bowling+Green+KY+USA+42101) * Clinical -… more
- Ochsner Health (New Orleans, LA)
- …and professionally to varying levels of individuals. + Excellent knowledge of managed care , CMS, Medicaid and other regulatory standards/requirements and ability ... the healthcare needs of the enrollee, identify barriers to care , develop a comprehensive treatment plan complete with specific...team and the other providers involved in the patients' care , negotiate and coordinate service for the patient, monitor… more
- Catholic Health Services (Rockville Centre, NY)
- …therapy regimens as noted previously. + Collaborate with unit staff, including nursing, managed care coordinators, medical staff and pharmacy staff to facilitate ... moment in between - we're dedicated to providing better care for our communities. Every patient. Every moment. That's...Breast Imaging Center of Excellence, Level III Neonatal Intensive Care Unit, and has received Pathway to Excellence designation… more
- CareFirst (Baltimore, MD)
- …plan or health insurance operations (eg networks, eligibility, benefits). + Knowledge of managed care principles and concepts including Health Plan Employer Data ... DC or Northern Virginia metropolitan area.** **PURPOSE:** The Inpatient Management Care Management Supervisor will direct and coordinate the activities of both… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experience * Fluent bilingual Spanish speaker * 1+ years of managed care experience; eg case management/health coach, utilization management and/or ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Care Advocacy Case Manager RN - Bilingual Spanish Location: Remote Career Area:… more
- Valor Health (Granbury, TX)
- …the VA and works with + these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of ... Physician Assistant (PA) - Primary Care Granbury, TX (http://maps.google.com/maps?q=1210+Paluxy+Medical Circle+Granbury+TX+USA+76048) * Clinical - Nurse Practitioner… more
- US Tech Solutions (Malden, MA)
- …Experience within a SCO program highly preferred. Experience in Medicare and/or Medicaid managed care preferred. Proficient in computer use, the Internet, and ... Clinical Manager, the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible to manage all aspects...(SCO) is responsible to manage all aspects of member care for a panel of frail elderly, while working… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …and utilization management and/or discharge planning experience. Thorough knowledge of managed care , utilization management, discharges planning, and continuous ... **NATIONAL LEADERS IN PEDIATRIC CARE ** Ranked among the top 10 pediatric hospitals...nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. Here world-class experts in… more
- Providence (Mission Viejo, CA)
- …+ 3 years of experience in utilization management or case management. + Managed care experience. **Why Join Providence?** Our best-in-class benefits are uniquely ... **Description** ** Care Manager LCSW at Providence Mission Hospital in...Center (ANCC), which recognizes organizations that provide the highest-quality care . Only eight percent of hospitals nationwide have achieved… more
- Mohawk Opportunities Inc. (Schenectady, NY)
- …those that are in need but not currently receive service and coordinate with managed care companies. + Provide transportation to clients using the agency's ... Care Coordinator Responsibilities of the Care Coordinator: The Care Coordinator needs to demonstrate initiative, confidence, and a focus on making positive… more