• Manager , Managed Care

    Cardinal Health (Concord, NH)
    ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
    Cardinal Health (10/24/25)
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  • Clinical Care Manager

    WellSense (Manchester, NH)
    Clinical Care Manager WellSense Health Plan is a...Required:** + 3 years related experience in home health care or managed care organization + ... for our members, no matter their circumstances. **Job Summary** The Clinical Care Manager provides holistic medical care management services for members… more
    WellSense (08/22/25)
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  • Care Manager RN - (Remote)

    Highmark Health (Concord, NH)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
    Highmark Health (10/22/25)
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  • Telephonic Nurse Case Manager Senior

    Elevance Health (Manchester, NH)
    …care setting preferred. + Minimum 2 years' "telephonic" Case Management experience with a Managed Care Company preferred. + Managed Care experience ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management...Nurse Case Manager Senior** is responsible for care management within the scope of licensure for members… more
    Elevance Health (10/18/25)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Manchester, NH)
    …ICU, Critical Care preferred. + Prior "telephonic" Case Management experience with a Managed Care Company preferred + Certification as a Case Manager . + ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care ...respond to emails/instant messages in a timely fashion. + Managed Care (Home Heath, Insurance, Inpatient) experience.… more
    Elevance Health (10/18/25)
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  • Manager Provider Network Management

    AmeriHealth Caritas (Manchester, NH)
    …Physician Practice Chief Executive Officers, Chief Financial Officers, Directors of Managed Care , and other high-level executives. **Work Location:** Manchester, ... As the Manager of Provider Network, you will build and...+ A minimum of 3 years of experience in managed care provider contracting and reimbursement is… more
    AmeriHealth Caritas (08/14/25)
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  • Telephonic Nurse Case Manager

    Humana (Concord, NH)
    …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
    Humana (10/23/25)
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  • Industrial Water/Wastewater Project Manager

    CDM Smith (Rochester, NH)
    …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
    CDM Smith (09/25/25)
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  • UM Case Manager

    Healthfirst (NH)
    …Qualifications:** + **Masters degree in a related discipline** + **Experience in managed care , case management, identifying alternative care options, ... York State Department of Health (NYSDOH) regulations governing medical management in managed care ** + **Relevant clinical work experience** + **Intermediate… more
    Healthfirst (10/23/25)
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  • Social Worker Case Manager MSW PRN

    HCA Healthcare (Manchester, NH)
    …payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and ... that invests in you as a Social Worker Case Manager MSW PRN? At Catholic Medical Center, you come...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
    HCA Healthcare (08/23/25)
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