- Trinity Health (Troy, NY)
- …skills are required, as well as knowledge of working with community agencies and managed care representatives. + Experience working with a diverse population and ... time **Shift:** Day Shift **Description:** Health Home Plus - Care Coordinator Troy, NY We are looking for an...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Valor Health (New Braunfels, TX)
- …the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of ... Primary Care Nurse Practitioner New Braunfels, TX (http://maps.google.com/maps?q=790+Generations+Drive+New+Braunfels+TX+USA+78130) Apply Job Type Full-time… more
- WestCare Foundation (Fresno, CA)
- …receiving, reviewing, and processing all incoming Member referrals from the Medi-Cal managed health care plan. The Lead Care Manager will work as part of ... Lead Care Manager Job Details Job... Lead Care Manager Job Details Job Location Fresno -...the health plan.* Conduct outreach activities throughout the Medi-cal managed health care plan service area including… more
- Elevance Health (Tampa, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract/Cost of Care Consultant** **Locations:** This role requires associates to...Works on complex enterprise-wide initiatives and acts as project lead . **How you will make an Impact:** + Uses… more
- AdventHealth (Land O' Lakes, FL)
- …to assure a positive discharge outcome. Maintains knowledge of current managed care contracts, federal statutes, regulations and procedures. Qualifications ... and residencies for Respiratory and Nursing Opportunities to participate and lead in culturally diverse programs (Diversity, Equity & Inclusion, Employee Activity… more
- City of New York (New York, NY)
- …State agencies (eg, SDOH, SOMH, OASAS, OPWDD), community health, mental health, and managed care organizations around child mental health services at DHS; write ... the Department of Social Services Chief Medical Officer, the Complex care Coordination Program Director will lead the Complex Care Program, use research and… more
- Trinity Health (Davenport, IA)
- …Preferred: Certification in Case Management, Professional Utilization Review or Managed Care ; DRG/CPT knowledge; Interqual Admission/Continued Stay criteria ... Type:** Full time **Shift:** Day Shift **Description:** Position Title: RN, Care Coordination Department: Care Coordination Purpose: Concurrently and… more
- Elevance Health (Atlanta, GA)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract Cost of Care Consultant - VBC** **Location** : This role...Works on complex enterprise-wide initiatives and acts as project lead . + Uses analytic tools to track both health… more
- Elevance Health (Atlanta, GA)
- …or related field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... **Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role...complex, large scale enterprise-wide initiatives and acts as project lead . Acts as a strategic partner to management. +… more
- AbbVie (North Chicago, IL)
- …& Access department who uses clinical expertise and experience/ knowledge of managed care , health policy, and pharmacoeconomics to support AbbVie's scientific ... and private health care entities, including but not limited to, managed care organizations (MCOs), specialty pharmacy providers (SPPs), pharmacy benefit… more