- Trinity Health (Livonia, MI)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... 25% to 45% travel.** **POSITION PURPOSE** The Pharmacy Director Long Term Care Operations is a licensed registered pharmacist accountable for leading, managing and… more
- Molina Healthcare (NY)
- …social determinants of health, and health equity principles. Case management and managed care experience is highly preferred. Remote position based in ... JOB DESCRIPTION **Job Summary** The Care Manager provides support for care ...Psychology (PhD or PsyD) or equivalency based on state contract , regulation, or state board licensing mandate. If licensed,… more
- Centene Corporation (Mcallen, TX)
- …behavioral health hospital, community mental health, substance abuse/ detox recovery treatment, managed care behavioral health, or state social services settings ... days per week.** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations… more
- Molina Healthcare (Dallas, TX)
- …to those candidates with previous experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as part of our ... Texas licensed LVN to join Molina as a Field Care Manager to work with our Medicaid members in...licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. If licensed,… more
- Molina Healthcare (Albany, NY)
- …seeking candidates with a New York LMFT, LCSW or LMHC licensure and previous Case/ Care Management / managed care experience. Candidates with experience in ... JOB DESCRIPTION **Job Summary** The Care Manager (BH) provides support for care...Psychology (PhD or PsyD) or equivalency based on state contract , regulation, or state board licensing mandate. If licensed,… more
- Centene Corporation (Indianapolis, IN)
- …benefits including a fresh perspective on workplace flexibility. **Indiana Medicaid and Managed Care ** **_The role is fully remote, though candidates located ... OPT, or CPT.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members… more
- Centene Corporation (Oklahoma City, OK)
- …live in Oklahoma.** **Schedule: M-F, 8-5 CST; occasional after-hours based on plan needs.** ** Managed care + clinical experience in L&D, OB, or NICU.** **Strong ... maternal-child clinical knowledge to support compliance and care quality.** **Experience guiding teams. Able to adjust quickly...Clinical Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMSW, LMFT, LMHC, and RN… more
- Elevance Health (Charlotte, NC)
- …Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. + Experience with oversight and monitoring ... welfare system so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan (CFSP), and regardless of… more
- Elevance Health (Shelby, NC)
- …+ Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. **We are unable to accommodate LCSW-A, ... \#HealthyBlueCareTogetherCFSP **Clinical Care Advisor - Transition of Care **...accordance with federal/state law, scope of practice regulations or contract , the requirements are:** + Requires MS/MA in social… more
- Elevance Health (Darlington, WI)
- …is granted as required by law._ Anthem is very excited to be a managed care organization in western/southwestern Wisconsin and Milwaukee County to offer the ... Family Care Program. Family Care is a Wisconsin...accordance with federal/state law, scope of practice regulations or contract , the requirements are: **Minimum Requirements:** + Requires an… more