- Health Care Service Corporation (Artesia, NM)
- …3 years of equivalent experience in managed care , a state care coordination or waiver program . + Knowledge of healthcare terminology + Experience ... 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 ... 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
- 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 ... in your professional development. **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field based care … more
- City of New York (New York, NY)
- …State agencies (eg, SDOH, SOMH, OASAS, OPWDD), community health, mental health, and managed care organizations around child mental health services at DHS. CITY ... in facilities throughout New York City. DHS is developing a new program to provide care coordination services for families with children clients to improve the… 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
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4658522) Apply MENTAL ... HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Salary $122,088.00...to ensure that services conform to acceptable standards of care and establishes and modifies program monitoring… 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 ... of positive language principles + Comprehensive knowledge of Medicare, Medicaid and Managed Care requirements + Comprehensive knowledge of community resources,… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS...to ensure that services conform to acceptable standards of care and establishes and modifies program monitoring… more
- LA Care Health Plan (Los Angeles, CA)
- …Degree Experience Required: At least 6 years of experience in financial auditing in a managed care industry. At least 4 years of leading, supervising and/ or ... verbal and written communication, and presentation skills. Knowledge of relevant managed care regulations and audit methodologies. Excellent analytical 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 ... 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