- Health Care Service Corporation (Springfield, IL)
- …of operations within 90 days of hire. + Plus 3 years' wellness or managed care experience presenting clinical issues with members/physicians. + Knowledge of the ... Professional Counselor (LCPC) Licensed Professional Counselor (LPC) Certified Case Manager (CCM) Persons with HIV/AIDS Waiver Care ...Case Manager (CCM) Persons with HIV/AIDS Waiver Care Coordinators must meet one (1) of the three… more
- Health Care Service Corporation (Grants, NM)
- …of operations within 90 days of hire. + Plus 3years wellness or managed care experience presenting clinical issues with members/physicians. + Experience handling ... development. **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field based... coordination to members via telephonic and/or field based care management to inform and educate them on health… more
- Health Care Service Corporation (Artesia, NM)
- …or LVN, LPN and 1 year of related experience or 3 years of equivalent experience in managed care , a state care coordination or waiver program. + Knowledge of ... your professional development. **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field-based care … more
- LA Care Health Plan (Los Angeles, CA)
- …applying: + The candidate selected for this role MUST have recent experience with healthcare/ managed care grievances + The candidate selected for this role must ... Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job...care grievance and/or appeals issues, preferably in a managed care or Medicaid Health Plan environment… more
- Whitney Young Health Center (Albany, NY)
- …certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. RN CARE MANAGER II:Salary range: $76,000 ... Registered Nurse (RN) Care Manager - Women's Health/Pediatrics (Req...certification. Flexibility to adjust to schedule changes. Knowledge of managed care requirements. Bilingual. All qualified applicants… more
- Molina Healthcare (El Paso, TX)
- …and productivity is important. Preferred candidates will have previous case management, managed care , inpatient hospital experience._ _TRAVEL in the field to ... unrestricted RN license in the state of TX._ _Case Manager RN will work Hybrid (Telephonic and face to...**Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health… more
- Houston Methodist (The Woodlands, TX)
- …by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, state, and federal ... At Houston Methodist, the Case Manager (CM) Certified position is a registered nurse...language principles + Comprehensive knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of… more
- Corewell Health (Grand Rapids, MI)
- …/ community outcomes through the application of educational concepts / skills and preventive care in a managed care environment. + Assesses internal and ... years of relevant experience 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
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is seeking a full-time Mobile Professional Care Manager to support the Community Services Department in Blair County! ... The Mobile Professional Care Manager will work flexible hours, Monday...software applications required. + Three years experience in a managed care environment preferred + Experience with… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Financial Compliance Audit, $10,000 SIGN ON BONUS Job...6 years of experience in financial auditing in a managed care industry. At least 4 years of ... verbal and written communication, and presentation skills. Knowledge of relevant managed care regulations and audit methodologies. Excellent analytical and… more