- UPMC (Pittsburgh, PA)
- …. + Minimum of three years of relevant clinical experience. + Experience in managed care strongly preferred. + General knowledge of best practices in behavioral ... master's degree OR licensed RN (BSN preferred) OR Licensed Behavior Specialist (For IBHS levels of care only). Preference will be given to licensure other than… more
- LA Care Health Plan (Los Angeles, CA)
- …Experience working in a cross functional work environment. Preferred: Experience in Medi-Cal managed care . 1 year of experience in UM/Prior Authorization. Skills ... Range: $47,840.00 (Min.) - $57,062.00 (Mid.) - $68,474.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of… more
- National Health Care Associates (Bloomfield, CT)
- …3. Must have thorough knowledge of Medicare, Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations. 4. The ability to handle multiple ... all skilled/Part B payers as needed. Coordinate with Medicare Specialist when claims are ready for Core Submission for...Thorough knowledge of Medicare, Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations + Ability to… more
- Molina Healthcare (Ann Arbor, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates with the management team and other committees addressing the… more
- Molina Healthcare (Austin, TX)
- …in Texas; applicants who have previous experience working as a case manager within a managed care organization (MCO) like Molina are preferred. Hours are M - F, ... Behavioral Health needs that may include moderate to complex cases requiring care coordination. Applicants should have experience caring for people with serious… more
- AmeriHealth Caritas (Washington, DC)
- …management experience supporting Medicaid members and/or pediatric populations within a managed care organization preferred **Licensure** + Current and ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- AmeriHealth Caritas (Shreveport, LA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... care , or remote/telephonic setting + Case management experience within a managed care organization (Medicaid/Medicare) preferred + Certification as a case… more
- CVS Health (Tallahassee, FL)
- …+ **_Must reside in the State of Florida_** **Preferred Requirements:** + Managed Care experience preferred + Bilingual Spanish preferred **Education:** + ... + 2 years of related professional experience includes acting as a care manager, rehabilitation specialist , health specialist , social services… more
- Humana (Burlington, IA)
- …recipients, long-term care services, Home and Community-Based Services (HCBS), and/or managed care organizations. + One (1) or more years of professional ... a part of our caring community and help us put health first** The Care Coach 2 (Transition/Custodial Prevention Specialist ) assesses and evaluates member needs… more
- UPMC (Williamsport, PA)
- …LBS. + Minimum of three years of relevant clinical experience. + Experience in managed care strongly preferred. + General knowledge of best practices in ... master's degree OR licensed RN (BSN preferred) OR Licensed Behavior Specialist (For IBHS levels of care only). Preference will be given to licensure other than… more