- Elevance Health (Seattle, WA)
- ** Managed Care Coordinator** **Location:** The candidate should reside within Jefferson, King, or Pierce County. **Field** : This field-based role enables ... for employment, unless an accommodation is granted as required by law._ The ** Managed Care Coordinator** is responsible for overall management of member's… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for… more
- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care / Infection Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies… more
- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.). ... clinical criteria to service requests or provides health management program interventions. + Utilizes clinical proficiency and claims knowledge/analysis to… more
- Guidehouse (San Antonio, TX)
- …adherence to company/client standards and communicate issues of non-compliance to Operations Manager + Monitor specialist performance to ensure they meet or exceed ... improvement for specialists, including development of and updates to program resources and providing individual coaching, feedback, and monthly performance… more
- Commonwealth Care Alliance (Boston, MA)
- …mission and supporting high-quality, coordinated care for members. In this role, the Program Manager acts as an account manager , relationship manager ... of quality care . The BH Provider Engagement Program Manager reports to the Director of...Desired Experience (nice to have): * Experience working with managed care organizations, value-based programs, or community-based… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …We are looking to hire a dedicated and passionate Nurse Care Manager for our Behavioral Health Community Partners program . The Behavioral Health Community ... provide both preventative and reactionary services. As a Nurse Care Manager , you will use clinical expertise...by the BH CP Clinical Team Coordinator and Clinical Program Manager . Qualifications: + Licensed as Registered… more
- HCR Home Care (Canton, NY)
- …in the Health Home Program . This position is designated as a higher-skilled Care Manager , capable of exceeding the basic tenants of care management. ... effectively reduce duplicative services. + Consult with the physicians, Managed Care Organizations and other members of...and prioritize multiple assignments. Work Environment The Health Home Care Manager 2 is primarily in an… 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 ... care grievance and/or appeals issues, preferably in a managed care or Medicaid Health Plan environment...organizations and business partners. Equivalency: Completion of the LA Care Management Certificate Training Program may substitute… more
- Beth Israel Lahey Health (Wakefield, MA)
- … care management services are provided to the BILHPN provider's risk populations. The Care Manager provides care management services to the BILHPN primary ... to optimize quality, reduce readmissions and decrease total medical expenses. The Care Manager assesses, plans, implements, coordinates, monitors and evaluates… more