Care Management Specialist jobs

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HEALTH CARE FRAUD SPECIALIST

Salary negotiation may be available for those candidates who are new to Federal service. The publicU.S. Citizens, Nationals or those who owe allegiance to the U.S. Coordinating fraud and abuse investigative activities. Executing a...

CompanyDefense Health Agency
AddressAurora, CO
CategoryInformation Technology
Job typeFull-Time
Date Posted a week ago See detail

Health Care Fraud Specialist

Defense Health Agency

Aurora, CO

Salary negotiation may be available for those candidates who are new to Federal service. The publicU.S. Citizens, Nationals or those who owe allegiance to the U.S. Coordinating fraud and abuse investigative activities. Executing a...

Licensed Practical Nurse Care Manager / Case Management (LPN)

Bronx Center

New York, United States

Collecting required information from new Residents to be admitted. Recording health details of Residents; including vitals & temperature. Administering medications and injections to Residents as needed. Treating and dressing woun...

Nurse Care Manager (RN) - Case Coordination (Per Diem)

Hartford Healthcare

Norwich, CT

We are home to the only trauma center in New London and Windham counties, and are the only area hospital with LIFE STAR helicopter services. We deliver and coordinate a continuum of high-quality healthcare with the goal of improvi...

CIB Control EBCE Senior Control Management Specialist

Wells Fargo

New York, NY

Execute control evaluations, in line with policy requirements, covering moderate to complex engagements. Provide thoughtful credible challenge to the business, identifying opportunities to strengthen the control environment. Desig...

Registered Nurse Transitional Care Manager Full Time Days BHS

Baptist Health System

San Antonio, TX

Registered Nurse / RN License. BLS-Obtained through approved American Heart Association Training Center or the Military Training Network....

Utilization Management & Review Specialist

Med-Metrix

Parsippany, NJ

Serve as point of contact for client operational staff members impacted by UM/UR Processes. Track and monitor solutions implemented for clients and operational staff. Identifies system needs to support short and long term product...

Nurse Manager RN - Assisted Living & Memory Care

Ecumen

Minnesota, United States

Ensures that campus policies and procedures, State and Federal requirements, rules and regulations as they relate to nursing care are adhered to. Responsible for coordination and direction of all resident care; coordinates care an...

Manager Nutrition Services - Columbus, United States - Fresenius Medical Care

Fresenius Medical Care

United States

Serves as a subject matter expert for Nutrition when collaborating with other members of the area Quality Team. Identifies quality improvement opportunities in the assigned area to achieve CMS Conditions for Coverage and FMS quali...

Child Care Program Manager

Crystal Stairs

Los Angeles, CA

Provide program oversight, including review of all proposed contract changes, provide input to funders regarding the impact of proposed changes on customer service and workload; ensure contract is implemented as required by the Al...

Foster Care Coordinator/Licensing Specialist

Choices

Merrillville, IN

Reviews referrals of youth to determine if and where the placement may occur. Communicates with the foster parent(s) to discuss the potential placement of the referral, working in conjunction with the intake process used by the st...

Pharmaceutical Sales - Associate Territory Manager - Primary Care

Biospace

New York, NY

Develops a strong understanding of territory and reimbursement landscape and utilizes appropriate business insights tools to analyze and adapt to business needs.. Systematically navigates the everchanging healthcare environment t...

Senior Critical Care Transport Paramedic Specialist, $10,000 Sign On Bonus

University Of Maryland Medical System

Baltimore, MD

Independently provides, directs and coordinates clinical care within the Critical Care Transport environment. Is accountable for the processes and outcomes of care delivered to patients.Conducts comprehensive patient assessment, i...

Rehabilitation Manager - Denver, United States - BAYADA Home Health Care

Bayada Home Health Care

United States

Direct and coordinate the care provided by a multi-disciplinary care team. Lead field staff in delivering exceptional client service and quality clinical care. Ensure adherence to policies and procedures. Review clinical documenta...

Technology Specialists Manager - Infrastructure

Microsoft

Atlanta, GA

Managers deliver success through empowerment and accountability by modeling, coaching, and caring. Model - Live our culture; Embody our values; Practice our leadership principles. Coach - Define team objectives and outcomes; Enabl...

Integrated Marketing Manager OR Digital Marketing Specialist

Healthyline

New York, NY

From $70,000 a year

Work with the VP of Brand and the Chief Marketing Officer to support quarterly marketing growth plans. Drive an integrated approach to enterprise pipeline growth, identifying opportunities for upsells and expansion. Campaign and p...

Senior Purchasing Specialist (Commodity Manager)

Sts Line Maintenance

Oshkosh, WI

Lead purchasing and order management activities to optimize operational efficiency. Verify the accuracy of supplier and purchase order data in ERP systems, addressing supply chain disruptions as needed. Conduct material cost analy...

Keener Direct Care - Housing Specialist

Help Usa

New York, NY

Conducting the housing intake and housing assessment Interview for all new residents and completing the housing portion of the independent living plan, including making re-assessments and revisions as necessary. Meeting with clien...

Case Manager for Care Management

Sea Mar Community Health Centers

Seattle, WA

Must be a High School Graduate, have a GED or equivalent; Bachelors degree preferred. One year paid or volunteer experience providing medical, social service or behavioral health case management or care coordination. Must have at...

Care Management Associate

Cvs Health

Hartford, CT

The Care Management Associate position duties: -Responsible for initial review and triage of member identification tasks, research cases and make appropriate outbound and receives inbound queue calls to the program. Required Quali...

Information Management Specialist (Vacancy#:VAR002706A)

Library Of Congress

Washington, DC

$93k-115k (estimate)

Opening Date: April 16, 2024. Closing Date: May 7, 2024. OPM Control Number: 787428000. Vacancy Number: VAR002706. LC Organization Unit: Congressional Research Service. Grade: GS-09. Series: 1412. Minimum Salary: $68,405.00. Maxim...

Financial Management Specialist, Realiste AI

Realiste

Remote

Obtain financial loans from banks and funds to facilitate real estate development projects.. Collaborate with developers to expedite timelines and secure Realiste commissions for closed deals, utilizing various methods such as doc...

Emergency Management Specialist (Preparedness)

Federal Emergency Management Agency

Dimondale, MI

Career transition (CTAP, ICTAP, RPL)Federal employees who meet the definition of a "surplus" or "displaced" employee. Family of overseas employeesFamily members of a federal employee or uniformed service member who is or was, work...

RN Care Manager WFH

Work From Home

Nashville, TN

Serves as a subject matter expert in quality and value-based care programs such as MIPS, ACOs, and payor pay-for-performance contracts. Assists in educating practice staff on quality, payor, and government program requirements. De...

Supply Management Specialist II

Bcforward

Dubuque, IA

Position Title: Supply Management Specialist II. Location: Dubuque, IA 52001. Anticipated Start Date: Tentative 05/27/2024. Expected Duration: 01 Year. Job Type: Full Time 40 Hours Contract, Onsite. Pay Range: $24/Hr an hour on W2...

LTSS Care Manager

Carolina Complete Health

Greensboro, NC

$25.97 - $46.68 per hour

Provides care coordination and care management and oversees higher acuity long-term support services / long-term care members. (i.e. individuals with complex medical or behavioral health issues that place populations at greater ri...

Urgent Care Support Specialist

Synergy Health Partners Mso, Llc

Livonia, MI

Basic Requirements: High school diploma or GED. Certified Medical Assistant preferred. Understanding of procedure and practices in the medial industry. Excellent written and verbal communication skills. Strong organizational...

Business Support Specialist - Managed Services - Digital Velocityat CDW Careers

Cdw

Remote

Enable all aspects of Services by acting as a liaison between Services departments, Sales departments, CDW clients and our Trusted Partner Network in support of service delivery. Provide full life-cycle Engagement Management for s...

Assistant Nurse Manager-Care Management

Department Of Veterans Affairs

Olin, NC

Competitive

Facilitates the team building process. Serves as a mentor to staff. Promotes an environment that is conductive to quality nursing practice and staff satisfaction. Promotes a positive climate for professional growth, attitudes and...

Senior Director, Managed Care Credentialing and Payor Enrollment Operations

Ascension

Remote

From $126,962.96 a year

Department: Executive Office Nursing and Operations Infrastructure. Schedule: Full-Time, 8-hour day shift, Monday-Friday, Partially Remote with 30% travel. Facility: Ascension Standardize provider enrollment processes. Ensure prov...

Manager Ambulatory Care RN, Primary Care Plus 20-Hours (Harbor City)

Kaiser Permanente

Harbor City, CA

Manages the delivery of nursing services and out-patient care which are integrated with business plans and meet or exceed cost, quality, clinical and utilization standards and performance measures. Ensures that services meet membe...