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Contract Care Management jobs in Orange, CA

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SENIOR CARE MANAGER, TELEPHONIC BEHAVIORAL HEALTH

Performs accurate & timely initial and ongoing treatment reviews with documentation in referral and authorization system reflecting determination of appropriateness of level of care according to established Humana Government Busin...

CompanyHumana
AddressDelaware, United States
CategorySales/marketing
Salary$63,400 - $87,400 a year
Job typeFull-time
Date Posted 5 days ago See detail

Senior Care Manager, Telephonic Behavioral Health

Humana

Delaware, United States

$63,400 - $87,400 a year

Performs accurate & timely initial and ongoing treatment reviews with documentation in referral and authorization system reflecting determination of appropriateness of level of care according to established Humana Government Busin...

5 days ago seen See more...

Director of Care Management - RN

Humana

Remote

$150,000 - $155,000 a year

Our Department of Defense contract requires U.S. Citizenship. Successfully receive interim approval for government security clearance (eQIP Electronic Questionnaire for Investigation Processing). HGB is not authorized to do work...

2 weeks ago seen

Associate Managed Care Analyst

Highmark Health

Remote - Pennsylvania, United States

Provides support to senior analysts in building hospital, professional, and ASC contracts in Epic. (40%). Manages underpayment AR for assigned payors including successfully recovering on underpaid accounts.(25%). Collaborates wit...

a week ago seen See more...

Assistant Nurse Manager - Medical Progressive Care, Jefferson

Highmark Health

Pennsylvania, United States

Role model mission, vision, and values within their defined areas of responsibility. Demonstrates and role models professional behavior with all staff interactions. Serves as change agent and role model for change to assist staff...

a week ago seen See more...

Care Manager (BCBA)

Impresiv Health

Orange, CA

Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. ssists the team in carrying out department responsibilities and collaborates w...

a month ago seen See more...

Care Management RN (Bilingual) - Diabetes/Hypertension/Cardio

Kaiser Permanente

Orange, CA

Evaluates and identifies members needs. Interfaces with Primary Care Physicians, Specialists and various disciplines on the development of case management plans/programs. Monitors and evaluates the effectiveness of the case manage...

a month ago seen See more...

IP Care Management Consultant II

Genesis Healthcare System

Ohio, United States

Current Ohio RN licensure. Must also have BSN with 3 years of clinical RN experience or ADN with 7 years of clinical RN experience. Three years clinical experience and 2+ years of CM/UR/Navigator/Coordinator/leadership experience...

a month ago seen See more...

Program Management Specialist–Unpaid care,gender equality,and disability- IC

United Nations Development Programme

United States

Program Management SpecialistUnpaid care,gender equality,and disability- IC Procurement Process :IC - Individual contractor Office :UNDP-HQ - UNITED STATES OF AMERICA Deadline :21-Jun-24 @ 11:00 AM (New York time) Published on :0...

2 weeks ago seen

Director of Facilities Management - Franklin, United States - Innovative Renal Care

Innovative Renal Care

United States

Lead and direct efforts for hard and soft facility maintenance needs to include plumbing, electrical, HVAC, hot water heater/systems, parking lot, roof, floor, door/window and other similar services. Onboard and manage a computeri...

4 weeks ago seen

Manager of Payor Contracting - Franklin, United States - Innovative Renal Care

Innovative Renal Care

United States

Oversee organizational contract development and management activities and uphold organizational principles of integrity and compliance. Ensure that contracts and proposals are properly entered into organizational databases and sec...

4 weeks ago seen

Managed Care Coordinator

Vanator

Chicago, IL

$26.44 an hour

Network Program Enhancement Planning and Implementation Activities; Ongoing Program Support And Administration. System Testing,. Training Programs. Coordination Of Reporting and Analysis,. Documentation And Continuous Improvement...

4 weeks ago seen See more...

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...

a month ago seen See more...

Acute Dialysis Services Program Manager - Columbus, United States - Fresenius Medical Care

Fresenius Medical Care

United States

Manage the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing. Monitor costs/spending in all areas includin...

2 months ago seen See more...

Nurse Manager-Community Care

Department Of Veterans Affairs

Maine, United States

Competitive

Ensures that subordinate personnel provide timely nursing care that complies with generally accepted standards of clinical practice. This includes the authority to accept, amend, or reject the work of subordinates. Plans work to b...

2 months ago seen See more...

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