- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …possible, and ensure evidence-based treatment is being applied. An experienced case manager with managed care experience will be successful in this ... work in the US Preferred Skills and Experience * 2+ years of managed care experience; eg case management/health coach, utilization management and/or auditing… more
- Providence (Mission Hills, CA)
- …Schedules and coordinates all meetings attended by Administrative Director of Managed Care , Contract Manager , Case Managers and UM supervisors. Provides ... Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters… more
- Guthrie (Sayre, PA)
- … Manager monitors clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs Utilization Management ... with the patient and members of the interdisciplinary health care team. The Acute Case Manager...positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Elevance Health (Mason, OH)
- ** Managed Care Pharmacy Resident** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, ... new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The ** Managed Care Pharmacy Resident** will be… more
- Banner Health (Phoenix, AZ)
- …we want to hear from you. As the RN Case Manager in Care Coordination,...members of the health care team on case management and managed care ... positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM (Certified Case … more
- Banner Health (Tucson, AZ)
- …and resources that promote a healthy work-life balance. As the Registered Nurse RN Case Manager Care Coordination, you will have the opportunity to ... members of the health care team on case management and managed care ...require a minimum of one year Case Manager experience in an acute care hospital.… more
- Mount Sinai Health System (New York, NY)
- …as in homecare, long term care or utilization review preferred. Discharge Planner or Case Manager preferred. Manager or a minimum of 3-5 years experience ... **Job Description** **RN/ Case Manager MSH Case ...and maintains effective working relationships with interdisciplinary team and Case Managers within the managed care… more
- Mount Sinai Health System (New York, NY)
- …1. Develops and maintains effective working relationships with interdisciplinary team and 8. Case Managers within managed care organizations. Participates in ... **Job Description** **RN/ Case Manager (Inpatient) Mount Sinai Morningside...population; 12. Provides the clinical information requested by the managed care companies as part of the… more
- CVS Health (Springfield, IL)
- …impact in the lives of vulnerable populations. **Position Summary / Mission** The Care Manager Registered Nurse serves as a frontline advocate for members ... management activities to support members' overall health and wellness. The Care Manager collaborates with members, providers, and interdisciplinary teams to… more