- CenterLight Health System (Allerton, 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
- Lakeview Health Services (Geneva, NY)
- …Join our Team! EMPLOYMENT OPPORTUNITY ($2,500 SIGN ON BONUS) Title : Health Home Plus Care Manager Job Requisition No.: 1718 Program : Care Management, ... consistent with Health Home requirements and coordinating with the Managed Care organizations for HARP members. +...two (2) years of experience as a Health Home care manager serving the SMI or SED… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** Opportunity for a Texas licensed RN to join Molina as a Care Manager working with DSNIP members. The case load will include members who are ... who have experience supporting the LTSS population as a Care Manager with another MCO are highly...**Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Mobile Professional Care Manager to join the Community Team. This role will work standard daylight hours Monday - Friday. ... is provided at the IRS rate. The Mobile Professional Care Manager assists UPMC Health Plan members...software applications required. + Three years experience in a managed care environment preferred + Experience with… more
- Elderwood (Buffalo, NY)
- …/ Year Overview Elderwood Independent Practice Association (IPA) is seeking a Social Worker Care Manager who has their MSW to join our incredible growing team ... career? Responsibilities In the role of an Social Work Care Manager , you will partner with the...home care , case management, discharge planning or managed care . + Minimum of one (1)… more
- Whidbey General Hospital (Coupeville, WA)
- …the right care at the right time-we'd love to meet you! The RN - Care Manager is a health care professional with experience and background to assure ... regarding Utilization Review and Discharge Planning. The RN - Care Manager will lead an assessment to...throughput and assure that the organization and the patient's care are managed in the most efficient… more
- Guthrie (Sayre, PA)
- …b) Maintains a positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary objectives of ... clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs...alternate levels of care . The Acute Case Manager also performs Utilization Management throughout the continuum of… more
- Catholic Health (Buffalo, NY)
- …Hours: Primary 10-6pm with potential rotation 8-4pm, 9-5pm Summary: The Registered Nurse (RN) Care Manager -Transition of Care , as an active member of the ... utilizing foundational case management and discharge planning principles, the RN Care Manager engages the patient/patient representative in developing and… more
- Molina Healthcare (Lincoln, NE)
- …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
- Eastern Connecticut Health Network (Manchester, CT)
- POSITION SUMMARY: The Care Manager provides a link between provider and payer organizations, physicians and the community in the transition of patient care ... at the other hospital as needed. Reports to the Manager of Care Management. EDUCATION/CERTIFICATION + Graduate...participates in process improvement. + Provides clinical information to managed care companies in a timely manner,… more