- Molina Healthcare (Albuquerque, NM)
- …At least 10 years experience in health care , and at least 7 years of managed care experienced in one or more of the following areas: utilization management, ... professionals, in some or all of the following functions: utilization management, care management, care transitions, behavioral health, long-term services and… more
- CVS Health (Atlanta, GA)
- …**Preferred Qualifications** - Case Management and discharge planning experience. - Managed Care experience. **Education** Bachelor's degree or non-licensed ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Northwell Health (Staten Island, NY)
- …issues. + Utilizes important message from Medicare (IMM) when appropriate. + Ensures managed care reviews are up to date and accurately reflect patient's ... the patient and facility/physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge. Assesses,… more
- CVS Health (Oak Forest, IL)
- …social services or appropriate related field equivalent to program focus * Managed Care experience preferred * Confidence working at home/independent thinker, ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...every day. **Program Overview:** Help us elevate our patient care to a whole new level! Join our Aetna… more
- WellSpan Health (Ephrata, PA)
- … needs, use of community resources and responsibilities of membership in managed care . + Completes necessary paperwork, prior authorizations and/or scheduling ... **General Summary** Performs screening to determine appropriate avenue for care of patients. Functions as a member of the...of patients. Functions as a member of the health care team at an intermediate nursing level to assist… more
- Atrius Health (Newton, MA)
- …and customer satisfaction. . Builds relationships with physicians, referral sources, managed care and assigned facility(ies). . Provides information, resource ... We're an innovative healthcare leader, delivering an effective system of connected care for adult and pediatric patients at 28 practice locations in eastern… more
- CVS Health (Kewanee, IL)
- …case management experience **Preferred Qualifications** + Discharge planning experience + Managed care experience + Microsoft Office experience **Education** + ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Henry Ford Health System (Detroit, MI)
- …learn and grow. + Knowledge or interest in healthcare, health insurance, or managed care is a plus. Department Education/Experience Preferences: + This ... related program of study with an interest in Health Care Administration. + Experience or classroom work in project...full continuum of services - from primary and preventative care to complex and specialty care , health… more
- HCA Healthcare (Nashville, TN)
- …payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and ... team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is… more
- Henry Ford Health System (Bingham Farms, MI)
- …working knowledge of integrated health systems. Minimum of three (3) years of managed care experience preferred. Comprehensive care coordination and ... MTM program. The Manager assists in identifying opportunities to streamline patient care , improve the provision of pharmacy services, decrease waste, and rework in… more