- CenterLight Health System (Ridgewood, NY)
- …+ Three to five (3-5) years in MLTC, LTHHCP, MAP, PACE, or other managed care programs. + Experience in working independently without significant oversight and ... medication review, and post-hospital discharge evaluation. The Clinical Assessment Manager - Care Delivery will follow all...review, quality assurance, or discharge planning (preferably within a managed care , home care , or… more
- Molina Healthcare (Hazard, KY)
- …or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED LICENSE, ... experience. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED… more
- AmeriHealth Caritas (Dublin, OH)
- **Role Overview:** The Care Manager is responsible for managing and coordinating care , services, and social determinants of health for Members with acute, ... issues, gaps in care and barriers to care . The Care Manager develops... setting. + Case management experience, preferably within a managed care organization, desired. + Demonstrate ability… more
- AmeriHealth Caritas (Washington, DC)
- **Role Overview** The Pediatric Care Manager (RN/LICSW) assists members appropriate for care management and care coordination services in achieving their ... optimal level of health through self-management. The Care Manager (RN/LICSW) is responsible for engaging the member, member's caregiver and providers to assess,… more
- Molina Healthcare (Louisville, KY)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... must be licensed for the state of Kentucky Case Manager RN will work with KY Medicaid population providing...**Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health… more
- Corewell Health (Grand Rapids, MI)
- …/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. Collaborate with providers, ... relevant experience RN - Clinical Nursing and /or case management/ managed care or related field Required +...- State of Michigan Upon Hire required + Case Manager , Certified (CCM) - CCMC Commission for Case … more
- Molina Healthcare (Weslaco, TX)
- …Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **PREFERRED EXPERIENCE:** + ... TX, to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the...3-5 years in case management, disease management, managed care or medical or behavioral health… more
- AmeriHealth Caritas (Southfield, MI)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... services. Discover more about us at www.amerihealthcaritas.com . **Role Overview** The Care Manager is responsible for managing and coordinating care… more
- AmeriHealth Caritas (Athens, OH)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... services. Discover more about us at www.amerihealthcaritas.com . **Responsibilities:** The Care Manager provides support to maternity members appropriate for… more
- AmeriHealth Caritas (Reading, PA)
- **Role Overview** Under the Direction of the Supervisor, the Transition Care Manager is responsible for completing preventative multidisciplinary discharge ... Room using AmeriHealth Caritas policies and procedures. The Transition Care Manager will assess and process discharge...years nursing experience in a related clinical setting * Managed care experience preferred * Emergency Room… more