- Corewell Health (Stevensville, MI)
- …nursing and or case management/ managed care or related field + CRT- Case Manager , Certified (CCM) - CCMC Commission for Case Manager ... related field + 2 years of relevant experience clinical nursing and or case management/ managed care or related field + LIC-Registered Nurse (RN) - STATE_MI… more
- Actalent (Gainesville, FL)
- …case management within a hospital setting. + Strong skills in managed care . Additional Skills & Qualifications + Certified Case Manager (CCM) ... Job Title: Case Manager RN Job Description We...Job Title: Case Manager RN Job Description We are seeking a...clinical patient caseload and ensure the implementation of proper care plans for optimal patient care . You… more
- Elevance Health (Morristown, NJ)
- …therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope ... + Prior "telephonic" Case Management experience with a Managed Care Company preferred + Certification as a Case Manager . + Ability to talk and type… more
- Cedars-Sinai (Los Angeles, CA)
- …people throughout Los Angeles and beyond. **Req ID** : 10223 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- City of New York (New York, NY)
- …(MCP), interfaces with managed care delivery systems comprised of Managed Care Organizations (MCOs) and case management providers through which ... Assistance Program (MAP), is recruiting for one (1) Administrative Manager NM-III, to function as the Executive Director, of...the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... timely filing of all managed care claims on their assigned caseload...cash collections team, CBO cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case … more
- Guthrie (Sayre, PA)
- … Manager monitors clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs Utilization Management ... with the patient and members of the interdisciplinary health care team. The Acute Case Manager...positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary… more
- ChenMed (North Miami Beach, FL)
- … Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired. We're ChenMed and we're transforming healthcare for ... facilities, as well as, their home environments. The Nurse Case Manager 1 (RN) role also involves... givers, primary care physicians, specialists, other care providers, social workers, other case managers… more
- Highmark Health (Dover, DE)
- …human services field. **EXPERIENCE** + 5 years of a clinical setting + 3 years in a case management/ managed care role + 3 years in a management or leadership ... :** **JOB SUMMARY** This job supervises a team of Case Manager Supervisors who are charged with...professional development skills + Medicare and Medicaid experience + Managed care experience + Experience in geriatric… more
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