- Magellan Health Services (Newtown, PA)
- …mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and ... and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with...expected of an employee assigned to this job. A leader may assign additional or other duties which would… more
- Centene Corporation (New York, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... for this position.** **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality,… more
- Magellan Health Services (Albuquerque, NM)
- …Other Job Requirements Responsibilities 5 years post degree experience in a direct care clinical setting; managed care experience preferred. 1 year ... and/or nonclinical management staff, including utilization management and intensive care management staff, providing expertise in designated programs. + Assists… more
- Truman Medical Centers (Kansas City, MO)
- …**Preferred Qualifications:** + Previous **Utilization Management** experience + Familiarity with ** managed care ** , **TJC** , **CMS** standards, and performance ... positions and apply.** Utilization Management RN Hourly (PRN) - Care Continuity - UH Truman Medical Centers (varied days...day.** University Health (UH), is committed to being a leader in providing a culturally inclusive workplace for our… more
- Banner Health (Mesa, AZ)
- …internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts into daily practice. 7. May ... Name:** Case Mgmt-Hosp **Work Shift:** Day **Job Category:** Clinical Care Find your path in health care ....Network and HCIA, Inc. Because we are also a leader in neurological medicine, people throughout Arizona come to… more
- Banner Health (Phoenix, AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... people of Banner Health are focused on delivering excellent care to our patients. In return, we are committed...experience and expertise in support of a nationally-recognized healthcare leader . We offer stimulating and rewarding careers in a… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …to explain complex information clearly and convincingly * Broad knowledge of managed care and state/federal health insurance regulations * Demonstrated skill ... Blue Cross and Blue Shield of Minnesota Position Title: Manager Clinical Care Management - Behavioral Health Location: Hybrid | Eagan, Minnesota Career Area:… more
- Health Advocates Network (Harrisburg, PA)
- … care setting, behavioral health setting, drug and alcohol setting, managed care , quality management/utilization review or other related clinical experience; ... R&E Nurse- Med Care Services- Advanced **Pay Rate:** $28 / hour...post certification. Work may include serving as a team leader on reviews requiring more than one staff member… more
- Intermountain Health (Billings, MT)
- …+ Assist Practice Administrators and Intermountain Health (Coding and Payer Relations, Managed Care Contracting, Finance and Accounting, and Patient Financial ... **Job Description:** Medical Group Medical Director of Specialty Care in Montana Market, Billings is a leadership...Health. The Medical Director must be a patient centric leader who is an excellent trusted clinician with strong… more
- Cedars-Sinai (Pasadena, CA)
- …years of professional experience in healthcare required. Three (3) years of previous care coordination and/or managed care experience highly preferred. ... **About Us** Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care... leader in providing high-quality healthcare encompassing primary care , specialized medicine and research. Since 1902, Cedars-Sinai has… more