- 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
- Humana (Marshfield, WI)
- …to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity(R) which ... join our team, serving members in the Wisconsin Family Care (FC) program. In this vital role, you will...+ Daily documentation in member files within required DHS contract timeframes. + Participate in member monthly phone contacts… more
- Colorado State University (Fort Collins, CO)
- …across emergency, urgent care , and specialty services. On average, the Critical Care Team managed over 5,000 cases annually, with an additional 10,000 ... Posting Detail Information Working TitleInstructor/Assistant/Associate Professor, Emergency Critical Care Position LocationFort Collins, CO Work LocationPosition is… more
- Trinity Health (Caldwell, ID)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **AMBULATORY CARE ** **CLINICAL PHARMACIST** **VALUE BASED CARE ** Responsible for providing ... for by the Saint Alphonsus Medical Group (SAMG) Clinics and/or patients managed by the Saint Alphonsus Health Alliance (SAHA). Works collaboratively with physicians,… more
- Community Hospital Corporation (Greenville, TX)
- …+ Oversee and lead negotiations with third-party payors for optimal reimbursement and contract performance of managed care contracts. + Administration of ... Required Skills, Knowledge, and Abilities: + Knowledge of hospital and health care practices and procedures as well as laws, regulations, and guidelines pertaining… more
- Stanford Health Care (Palo Alto, CA)
- …and reporting processes to increase efficiency, accuracy, and scalability. + Non-Patient Care Services Receivable + Oversee invoicing, contract compliance, and ... Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role… more