- Healthfirst (NY)
- + Applies care management principles by advocating, informing, and educating beneficiaries on services, self- management techniques, and health benefits ... product line** + **Relevant work experience preferably as a Care Manager ** + **Demonstrated ability to manage...positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual… more
- Commonwealth Care Alliance (Boston, MA)
- 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management , the Nurse Utilization Management (UM) Reviewer is ... accurate documentation of clinical decisions and works with UM Manager to ensure consistency in applying policy + Works...Experience (must have):** + 2 to 3 years Utilization Management experience in a managed care setting… more
- St. Luke's University Health Network (Bethlehem, PA)
- … in the communities we serve, regardless of a patient's ability to pay for health care . The Assistant Patient Care Manager works under the direction of the ... Patient Care Manager /Director. Collaborates with administrative staff, nursing, physicians, and other...when appropriate + Acts as liaison with Clinical Risk Management and participates in event reviews, action planning and… more
- Peak Vista (Colorado Springs, CO)
- Manager of Emergency Management , Safety and Security Summary Title: Manager of Emergency Management , Safety and Security ID:0828-5009 Department ... Rewards + Employee Assistance Program https://www.peakvista.org/resources/benefits-summary Job Summary: The Manager of Emergency Management , Safety and Security… more
- Centene Corporation (Austin, TX)
- …have access to competitive benefits including a fresh perspective on workplace flexibility. **RN Care Manager - Apply if you reside near or in Central Texas ... pm (CST)l no evenings, no weekends, no ON-Call shifts** **Position Purpose:** Performs care management duties to assess and coordinate all aspects of medical… more
- St. Luke's University Health Network (Easton, PA)
- …ability to pay for health care . The Registered Nurse or Social Worker Care Manager is responsible for coordinating the complex discharge planning needs of ... + Works as a team with other members of care management , including but not limited to:...identify patients for handover and post discharge follow up. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for one to two… more
- Centene Corporation (Miami, FL)
- …candidates are highly preferred.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs ... including a fresh perspective on workplace flexibility. This Pediatric Care Manager role is aligned to support...to address member's unmet needs + Identifies problems/barriers to care and provide appropriate care management… more
- Centene Corporation (Greenville, NC)
- …Social Worker (LCSW or LCSW-A), with experience in physical health, case management , and/or field-based care . This role requires 80% field work, visiting ... perspective on workplace flexibility. **Centene is hiring!** **We are seeking two LTSS Service Care Manager to join our Carolina Complete Health team. The ideal… more
- LA Care Health Plan (Los Angeles, CA)
- …assessing, investigating, and auditing compliance risks. Equivalency: Completion of the LA Care Management Certificate Training Program may substitute for the ... Manager , Financial Compliance Audit, $10,000 SIGN ON BONUS...Certified Public Accountant (CPA) Certified Internal Auditor (CIA) Certified Management Accountant (CMA) Certified Fraud Examiner (CFE) Physical… more
- Commonwealth Care Alliance (Boston, MA)
- …high-quality, coordinated care in alignment with the health plan's model of care and strategic objectives. The Manager will also oversee corporate and ... 011230 CA-Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor responsible for building and nurturing… more