Manage Care jobs

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ASSISTANT NURSE MANAGER-CARE MANAGEMENT

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...

CompanyDepartment Of Veterans Affairs
AddressOlin, NC
CategorySales/marketing
SalaryCompetitive
Job typeFull Time
Date Posted 14 hours ago See detail

Assistant Nurse Manager-Care Management New

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 New

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...

Clinical Care Manager - New York, United States - VNS Health New

Vns Health

New York, NY

Referral bonus opportunities . Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays . Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability . Employer-...

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

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...

Pharmaceutical Sales - Associate Territory Manager - Primary Care New

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...

Billing Managed Care Coordinator, Radiation Oncology

Brigham And Women's Hospital

Boston, MA

This position requires close attention to detail and will work daily with our Managed Care Supervisor along with the Managed Care teams at BWH & DFCI and the administrative personnel within our department.PRINCIPAL DUTIES AND RESP...

Managed Care Analyst III

Teva Pharmaceuticals

Parsippany, NJ

Using critical thinking skills and data analytics, the incumbent will complete complex investigational audit reviews, identify risks and compliance issues and present findings both verbally and in writing to key internal and exter...

MANAGED CARE OPERATIONS ANALYST

Cooper University Health Care.

Camden, NJ

Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. Develop and maintain reporting and modeling c...

Coastal Central Florida Private Practice/Geriatric Managed Care - 401K Plan

Enterprise Medical Recruiting

Lorida, FL

A geriatric fellowship would be a plus but not mandatory. The group manages Medicare Advantage HMO plans for patients who are over the age of 65. Practice is capitated. The group is looking for a good clinician who also understand...

Care Management Specialist (Bilingual in English/Chinese) New

Pix11

New York, NY

Responsibilities : Identify the targeted risk population per PCP referral, risk stratification, and patient listsHandle case management assignments, review case progress in accordance to center guidelinesCoordinate patient care th...

Care Management Specialist (Bilingual in English/Chinese) New

Pix11

New York, NY

Responsibilities : Coordinate mental health treatment for pediatric and/or adult patients and their familiesAssist mental health clinicians in providing treatment and crisis interventionProvide on-going support and/or case managem...

Manager - Managed Care & Prior Authorizations

Arkansas Children's

Little Rock, AR

Provides expertise in statutory and regulatory requirements and payer policies related to prior authorization for medical services and transplants and transports. Collaborates with admissions, physicians, utilization review/case m...

Clinical Care Manager (4x10 schedule, weekends included) - Now Hiring New

Vns Health

New York, United States

Referral bonus opportunities. Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays. Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability....

Case Manager for Care Management New

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...

Clinical Pharmacist-Care Management (SCAN Temp) New

Scan Group

Long Beach, CA

Base salary range: $60to $65per hour. This is a temporary role with SCAN. Excellent 401(k) Retirement Saving Plan with employer match and contribution. Robust employee recognition program. Tuition reimbursement. An opportunity t...

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

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...

MLTC Care Manager Team Lead New

Pix11

New York, NY

Provides guidance to the CMs within the MLTC Department offering care management to members in several lines of business, particularly as it pertains to new processes and workflows. which support program operations. Oversees utili...

Behavioral Health Care Management Clinician New

Koin

Salem, OR

Responsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring and evaluation.. Assessment: collection of in-depth information about a member's situation and functi...

Care Management Advanced Practice Provider: PA, NP

Lakewood Health System

Staples, MN

Join our team!

Advocate for and lead change in value-based, care coordination initiatives across the system. Coordinate the care of a variety of patients with a focus on preventative care and disease management within a value-based framework. Co...

Pharmaceutical Sales- Associate Territory Manager - Primary Care

Biospace

Waycross, GA

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...

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...

Senior Manager, Health Care Compliance Officer

Johnson & Johnson

United, PA

The Senior Manager, Health Care Compliance Officer is responsible for the review of marketing strategies and materials, such as field sales aids, informational brochures, professional and consumer marketing materials, public-rela...

Dialysis Clinical Manager Registered Nurse - Austin, United States - Fresenius Medical Care

Fresenius Medical Care

United States

Manages the operations of the clinic, including costs, processes, staffing, and quality standards. Provides leadership, coaching, and development plans for all direct reports. Partners with internal Human Resources, Quality, and T...

Assistant Manager Ambulatory Care RN, Anesthesiology IN-PATIENT (Fontana)

Kaiser Permanente

Fontana, CA

Supervises daily operations and service delivery. Ensures staff provides the highest quality of care and are in compliance with the Nurse Practice Act, NCQA, TJC, federal, state and local requirements. Implements and maintains pat...

Resident Care Manager - RN - Canby OR

Koin

Canby, OR

In this RCM (RN) role your experienced nursing skills will be utilized as you conduct and coordinate the development and completion of the resident assessments (MDS) in accordance with current rules, regulations, and guidelines, i...

Resident Care Manager - RN - Newberg OR

Koin

Newberg, OR

In this RCM (RN) role your experienced nursing skills will be utilized as you conduct and coordinate the development and completion of the resident assessments (MDS) in accordance with current rules, regulations, and guidelines, i...

Resident Care Manager - RN - Forest Grove OR

Koin

Forest Grove, OR

In this RCM (RN) role your experienced nursing skills will be utilized as you conduct and coordinate the development and completion of the resident assessments (MDS) in accordance with current rules, regulations, and guidelines, i...

Resident Care Manager - RN - West Portland OR

Koin

Portland, OR

In this RCM (RN) role your experienced nursing skills will be utilized as you conduct and coordinate the development and completion of the resident assessments (MDS) in accordance with current rules, regulations, and guidelines, i...

Medical Director Opportunity - Palm Springs, CA - Cutting Edge Managed Care Organization

Curative

Palm Springs, CA

MD/DO degree required. Licensed in California. No direct clinical responsibilities, allowing for a focus on prior authorization, concurrent review, and utilization management. A part of one of the flagship ACOs, now a 2nd generati...

RN-Case Manager/Care Coordinator

Veterans Health Administration

Fresno, CA

Federal employees - Excepted serviceCurrent excepted service federal employees. The publicU.S. Citizens, Nationals or those who owe allegiance to the U.S. Veterans. Provides direct patient care and guides the care provided by sign...