- Humana (Topeka, KS)
- …+ BSN or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and ... caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a...remain independent in their homes. Our nurses are titled Care Managers, because our case management services… more
- Humana (Springfield, IL)
- …discharge planning and patient education for adult acute care . + Managed care experience. + Certified Case Manager (CCM). + Prior experience with ... our caring community and help us put health first** As a Telephonic Nurse Care Manager with Humana Gold Plus-Integrated in Illinois, you will play a pivotal role… more
- Humana (Springfield, IL)
- …discharge planning and patient education for adult acute care . + Managed care experience. + Certified Case Manager (CCM). + Prior experience with ... languages that our diverse team members bring. As a Bilingual Telephonic Nurse Care Manager , you will have the opportunity to make a meaningful impact on… more
- Henry Ford Health System (Troy, MI)
- …health, managed care /health insurance preferred. + Certified Case Manager preferred. CERTIFICATIONS/LICENSURES REQUIRED: + Current Michigan Registered ... RN CASE MANAGER (HYBRID) - SNP SPECIAL...multi-disciplinary, patient-centered approach. Provides bio/psycho/social assessments, develops an individualized care plan, implements case management interventions, facilitates… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …possible, and ensure evidence-based treatment is being applied. An experienced case manager with managed care experience will be successful in this ... Care experience or experience as an Oncology Telephonic Case Manager for an insurance company *...US Preferred Skills and Experiences * 2+ years of managed care experience; eg case … more
- AdventHealth (Maitland, FL)
- …Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; governmental ... the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred contract language provides for...key contract data elements which are populated into the Managed Care database including addition of new… more
- Charles Schwab (Westlake, TX)
- …responsible for managing our third-party product marketplaces (Alternative Investments, Managed Accounts, Mutual Funds, ETFs, Structured Products, Fixed Income, ... Insurance, and 529) as well as our proprietary Separately Managed Accounts. Our mission is to provide a positive...platforms to be more modern and competitive The Senior Manager is an individual contributor role that is vital… more
- UNC Health Care (Raleigh, NC)
- …with external care teams + Provide warm handoffs to managed care partners or community navigators **4. Complex Case Rounds (Weekly)** + Facilitate ... support to a network of 6 owned and 10 managed hospitals.** **This position is a 40 hour per...case management, utilization review and discharge planning. The Care Manager must be highly organized professional… more
- University of Michigan (Ann Arbor, MI)
- …which are patient specific most often involving Out of State Payers. The Managed Care Payer Analyst will report to the Manager , Managed Care ... a wide range of healthcare delivery options. The Managed Care Payer Analyst will report to the Manager , Managed Care Operations, and will support the… 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
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