- AmeriHealth Caritas (Norristown, PA)
- **Role Overview** The Community Care Manager assists members appropriate for care management and care coordination services in achieving their optimal ... level of health through self-management. The Community Care Manager is responsible for engaging the...years of Case Management experience, preferably telephonic within a managed care organization, desired + Eligible to… 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
- AmeriHealth Caritas (Washington, DC)
- **Responsibilities:** The Bilingual (Spanish or Amharic) Care Manager II (Registered Nurse/Licensed Independent Clinical Social Worker) assists members with ... achieving their optimal level of health through self-management.; The Care Manager II (RN/LICSW) is responsible for...of case management experience supporting Medicaid members within a managed care organization preferred. + Must be… more
- Molina Healthcare (Columbus, OH)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... unrestricted RN license in the state of OH Case Manager RN will work in remote and field setting...**Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health… more
- National Health Care Associates (Ridgefield, CT)
- …be experienced in skilled nursing business office management including: + Medicaid, Medicare and Managed Care Billing + Revenue Cycle Management in the areas of ... responsibilities + Thorough knowledge of Medicare, Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations + Ability to manage multiple… more
- Elevance Health (Columbus, OH)
- **Behavioral Health Care Manager II** A proud member of the Elevance Health family of companies, **Carelon Behavioral Health** , offers superior clinical mental ... hours with** **some weekends based upon organizational/business needs.** The **Behavioral Health Care Manager II** is responsible for managing psychiatric and… 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 ... + 2 years of relevant experience clinical nursing and or case management/ managed care or related field Required + 5 years of relevant experience clinical… more
- WellSense (Manchester, NH)
- Clinical Care Manager WellSense Health Plan is a...Required:** + 3 years related experience in home health care or managed care organization + ... for our members, no matter their circumstances. **Job Summary** The Clinical Care Manager provides holistic medical care management services for members… more
- Molina Healthcare (Lincoln, NE)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Molina Healthcare (Brockton, MA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more