- Elevance Health (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 **...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Molina Healthcare (GA)
- …* At least 8 years health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, ... professionals in some or all of the following functions: utilization management, care management, behavioral health and other programs. Leads team responsible for… more
- Humana (Menasha, 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 ... the development and ongoing review and coordination of the member's plan of care . + Take the lead on all health issues for the member. + Contact and coordinate… more
- Trinity Health (Springfield, MA)
- …MCG, InterQual, and others as needed). + Requires a solid understanding of managed care methodologies, HCFA/OBRA and state of Connecticut regulatory compliance ... **Shift:** Day Shift **Description:** At **Mercy Medical Center** our **RN Inpatient Care Coordinators** are responsible for coordinating patient care , assessing… more
- Graham Windham (Bronx, NY)
- …necessary documents for monthly care management billing to Health Home/ Managed Care Organization. Position Qualifications: + Bachelor's degree in health ... Health Homes Care Manager, Bronx Job Details Job Location 1946...to create and implement innovative strategies so everyone can lead healthy, joyful, and successful lives. Principal Objective/Role Overview:… more
- Valor Health (Altus, OK)
- …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 Physician PRN Altus, OK (http://maps.google.com/maps?q=1604+North+Main+Street+Altus+OK+USA+73521) Apply Description... for them with respect and through methods that lead to superior clinical outcomes. Valor is different because… more
- Valor Health (Kosciusko, MS)
- …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 Physician - (FP/IM) Kosciusko, MS (http://maps.google.com/maps?q=405+West+Adams+Street+Kosciusko+MS+USA+39090) *... for them with respect and through methods that lead to superior clinical outcomes. Valor is different because… more
- Cleveland Clinic (Port Saint Lucie, FL)
- …and procedures for utilization review and discharge planning, ensuring compliance with managed care contracts and Medicare regulations. + Analyze productivity ... Tradition Hospital's team of caregivers that provide top-quality patient care to the communities in and around Port St....Serve as a clinical subject matter expert for teams lead by other disciplines. Minimum qualifications for the ideal… more
- Elevance Health (Asheville, NC)
- …Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred. + Experience providing clinical education ... so that they receive seamless, integrated, and coordinated health care . Within the Children and Families Specialty Plan (CFSP),...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Humana (Springfield, IL)
- …health field. + Certified Case Manager (CCM). + Previous experience working in a managed care field. + Five (5) or more years of previous management/supervisor ... health first** Humana Gold Plus Integrated is looking for Managers of Care Management who will lead teams of nurses, care coordinators and behavioral health… more