- Corewell Health (Grand Rapids, 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 clinical nursing and or case management/ managed care or related field Required + 5 years of relevant experience clinical… more
- Corewell Health (Grand Rapids, MI)
- …/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. About Helen DeVos Children's ... + 2 years of relevant experience clinical nursing and or case management/ managed care or related field Required + 5 years of relevant experience clinical… more
- Corewell Health (Grand Rapids, 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 clinical nursing and or case management/ managed care or related field Required + 5 years of relevant experience clinical… more
- Stony Brook University (Stony Brook, NY)
- …clinical and all potential medical interventions. + Demonstrates an understanding of managed care trends, payer regulations and Medicare/ Medicaid criteria for ... Training + Experience in Care Management + Experience in Managed Care /Insurance Industry/MD Office. + Certified in Case Management, UR, Quality or Risk +… more
- Ventura County (Ventura, CA)
- …the current principles and techniques of diagnosis and treatment + Experience with managed care + Experience and current knowledge of Quality Assurance, ... Doctor of Medicine and includes the following: + Experience with managed care + Experience and current knowledge of Quality Assurance, Utilization Review… more
- Fallon Health (Plymouth, MA)
- …criteria, explaining processes for member request determinations and helping members navigate the managed care system + ** Care Team Communication** + Follows ... reliable transportation **Experience:** + 2+ years job experience in a managed care company, medical related field, or community social service agency required… more
- Houston Methodist (The Woodlands, TX)
- …by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, state, and federal ... of positive language principles + Comprehensive knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of community resources,… more
- Sharp HealthCare (San Diego, CA)
- …Nursing, and/or Home Health + 3 Years Medical Management experience, preferably in managed care , with supervisory experience + 2 Years Medical Management ... experience, preferably in a managed care setting + California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED **Preferred Qualifications** +… more
- AbbVie (Dallas, TX)
- …across the Surgical/Interventional Glaucoma sector, geography and franchise(s), including Key Managed Care and Payer dynamics. Share and provide quantitative ... pharmaceutical, medical, and surgical industry experiences such as physician/account-based selling, training, managed health care and marketing. + Ability to set… more
- LA Care Health Plan (Los Angeles, CA)
- …Degree Experience Required: At least 6 years of experience in financial auditing in a managed care industry. At least 4 years of leading, supervising and/ or ... verbal and written communication, and presentation skills. Knowledge of relevant managed care regulations and audit methodologies. Excellent analytical and… more