- UPMC (Pittsburgh, PA)
- …. + Minimum of three years of relevant clinical experience. + Experience in managed care strongly preferred. + General knowledge of best practices in behavioral ... families, and participates in the overall administration of clinical operations as warranted. A care manager is...degree OR licensed RN (BSN preferred) OR Licensed Behavior Specialist (For IBHS levels of care only).… more
- Insight Global (Sacramento, CA)
- Job Description We are seeking a passionate and experienced Community Support Operations Manager to lead and oversee our CalAIM program-an impactful, grant-funded ... Workers, Housing Navigators, Registered Dietician. * Billing & Claims Specialist to meet the requirements of DHCS patient benefit....convey complex information to clients and internal stakeholders - Managed a grant of $300k or more. - Comfortable… more
- UPMC (Williamsport, PA)
- …LBS. + Minimum of three years of relevant clinical experience. + Experience in managed care strongly preferred. + General knowledge of best practices in ... families, and participates in the overall administration of clinical operations as warranted. The Care Manager is...degree OR licensed RN (BSN preferred) OR Licensed Behavior Specialist (For IBHS levels of care only).… more
- Magellan Health Services (Bethlehem, PA)
- …regarding mental health and autism benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and ... Pennsylvania, if only the BCBA certification is held, Behavioral Specialist License (BSL) in the state of Pennsylvania is...plan and implement solutions that directly influence quality of care preferred. Provides support to Care Managers… more
- Comunilife (New York, NY)
- …and meet performance milestones. + Lead cross-sector collaboration with CBOs, managed care organizations (MCOs), government entities, and technology partners. ... social care . This leadership role will oversee care delivery operations , manage high-performing teams, ensure...of the HRSN program staff that include the HRSN Specialist and HRSN Care Coordinator.This position is… more
- Access Dubuque (Dubuque, IA)
- …Representative, Weekend Sedgwick Bilingual Spanish Care Team Representative Sedgwick Care Team Representative Sedgwick IT Support Specialist Origin Design ... Technical Support Representative ** Managed Solutions Group** 1 Positions ID: 79503 Posted...other site team members in supporting customers ongoing fleet operations . + Engage coworkers and/or third-party resources to provide… more
- New York State Civil Service (Plainview, NY)
- …* Implements and enforces safety procedures and standards for all maintenance operations . * Inspects work performed by outside contractors to ensure work is ... and experience such as that required for a Trades Specialist (Carpenter), Trades Specialist (Electrician), Service &...Savings Plan.* Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care … more
- Grifols Shared Services North America, Inc (Detroit, MI)
- …contract strategy, and represent needs of the customer + Remain cognizant of managed care coverage throughout the business territory including major accounts and ... approach to respond to business customers, business and environmental needs of Marketing, Managed Markets, Operations , CL&D, and Medical Affairs. The SSR will… more
- Grifols Shared Services North America, Inc (Indianapolis, IN)
- …contract strategy, and represent needs of the customer. *Remain cognizant of managed care coverage throughout the business territory including major accounts ... approach to respond to business customers. The SSR will liaise with Marketing, Managed Markets, Operations , CL&D, Medical Affairs and Telesales to achieve the… more
- Centene Corporation (Queens, NY)
- …claims processing or utilization and case management in a clinical practice or managed care organization. Experience analyzing various types of data and ... or activities / clinical documentation submitted by the Intake Specialist . The Clinical Quality Assurance RN will review for...a staff nurse in an acute, sub-acute or long-term care (LTC) setting or managed long-term … more