Manage Care jobs in Needham, MA

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RN MANAGED CARE COORDINATOR I (UTILIZATION MANAGEMENT)

This position is full time (40 hours/week) Monday-Friday and will be fully remote (W@H). To work from home, you must have high-speed (non-satellite) internet service and a private home office. Work hours: 8:00 am to 5:00 pm, Monda...

CompanyBluecross Blueshield Of South Carolina
AddressSouth Carolina, United States
CategoryInformation Technology
Job typeFull-time
Date Posted 5 days ago See detail

RN Managed Care Coordinator I (Utilization Management)

Bluecross Blueshield Of South Carolina

South Carolina, United States

This position is full time (40 hours/week) Monday-Friday and will be fully remote (W@H). To work from home, you must have high-speed (non-satellite) internet service and a private home office. Work hours: 8:00 am to 5:00 pm, Monda...

Transition Care Manager, Registered Nurse New

Amerihealth Caritas Health Plan

Palm Beach Gardens, FL

Appropriately identifies and assesses members for rebalancing. Review of daily ER or inpatient census of LTC plan members; follow up with assigned case manager, member, and facility discharge planner. Receive and process facility,...

Transition Care Manager, Registered Nurse New

Amerihealth Caritas

Palm Beach Gardens, FL

Appropriately identifies and assesses members for rebalancing. Review of daily ER or inpatient census of LTC plan members; follow up with assigned case manager, member, and facility discharge planner. Receive and process facility,...

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...

Consumer & Service Recovery Manager - Post Acute Care

Ascension

Remote

From $80,059.20 a year

Department: Post Acute Care. Schedule: Full-time, Monday-Friday, days Location: Remote, with 25% travel Facilitates market-wide engagement and delivery of the consumer and patient experience. Owns the market launch of Service Comm...

Care Manager RN (REMOTE for Indiana)

Alphaforce Technology Solutions

Indiana, United States

$50 an hour

For Arizona Complete Health - Complete Care plan:. Pediatrics assignments require 2+ years RN experience in pediatrics (clinical acute care, community or managed care setting) and 1+ year experience in care management. Obstetrics...

WARRANTY CUSTOMER CARE MANAGER

Fischer Homes

Missouri, United States

Enjoy working with customers and providing excellent customer service, even when that isn't giving them everything they may ask for. Possess a process-oriented approach to troubleshooting. Seek out the root causes of issues to dev...

Care Management Support Coordinator II

Bcforward

Kentucky, United States

Candidate Education: Required A High School or GED Candidate Experience: Preferred 6 months of experience in Customer service, call center environment, social services organizationsInbound Average Handle Time and QualityRequired S...

Customer Care Manager IV

Lumen Technologies

Remote - United States

Partner closely with sales and service delivery eco-systems to understand and implement sold solutions. Provide critical date management and escalation support to meet committed delivery objectives. Validate order details for sold...

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...

Managed Care Authorization Coordinator

Brockton Visiting Nurse Association

Brockton, MA

From $22 an hour

Patient demographic information. Physician information. Referral source information. Insurance information. Authorization/reauthorization information. Disciplines/services requested. 401(k). 401(k) matching. 403(b) matching. Denta...

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...

Sales, Territory Manager- Sleep and Respiratory Care (Remote-Based, Atlanta)

Philips

Remote

$114K - $145K a year

Represent and sell Philips SRC Patient Interface portfolio of products and services in the territory differentiating vs. competitor products through consultative selling, executing defined sales messaging. Serve as the territory e...

Professional Caregiver-Care Management

Cmk Home Care, Llc

Arlington, MA

$22 an hour

Assist with personal hygiene needs and dressing. Assist with mobility, walking, and physical therapy exercises. Prepare meals and snacks. Light housekeeping activities. Dispense medication. Provide companionship. Assist with erran...

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...

Case Manager - Foster Care - Now Hiring

Molina Healthcare

Henrico, VA

$21.6 - $46.81 per hour

Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment...

Care Management Coordinator

Springpoint Senior Living

New Jersey, United States

$30 - $35 an hour

Marketing and promotion of all SAH services with a focus on Care Management. Promotes client psychosocial wellbeing and self-determination. Coordinate with doctors, family members, trust officers, accountants, and other members of...

CVS Accountable Care - Field Case Manager RN Long Island, NY

Cvs Health

New York, United States

We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordab...

RN Case Manager - Virtual Care

Sanford Health

United States

RN Case Manager - Virtual Care Careers With Purpose is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50...

NA Beauty Care Media Planning Senior Manager

Procter & Gamble

Chicago, IL

Translate brand briefs into strategic plans to meet goals/objectives by leading holistic Media Planning for a portfolio of brands across all media channels such as TV, OTT, Social, Digital, Audio, etc. . Leverage industry planning...

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...

Office Manager - Specific Corrective Care Chiropractic Office

Family Chiropractic

Cranberry Township, PA

$43,680 - $54,080 a year

Organizational skills the ability to keep track of moving parts throughout the practice and communicate effectively. Computer skills able to master a practice management software system quickly; basic knowledge of Microsoft Wo...

Customer Care Manager III

Lumen Technologies

Remote - United States

Partner closely with sales and service delivery eco-systems to understand and implement sold solutions. Provide critical date management and escalation support to meet committed delivery objectives. Validate order details for sold...

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...

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

United Nations Development Programme

United States

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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...

per diem Clinical Care Manager RN -mostly remote

Vns Health

New York, United States

$49.55 - $61.96 per hour

Attractive sign-on bonus and referral bonus opportunities . Generous paid time off (PTO), starting at30 days of paid time offand 9 company holidays . Health insurance plan for you and your loved ones, Medical, Dental, Vision...

NA Beauty Care Media Planning Manager

Procter & Gamble

United States

Understand and ensure team is on track for all brand-specific media deliverables. Lead statuses and coordination and communication with the brand team(s). Day-to-day contact for agency partners- collaboration, timing, asset needs,...

Registered Nurse Manager - Medical Intensive Care Unit MICU

Ascension

Texas, United States

Department: Medical Intensive Care Unit (MICU). Schedule:40 hrs/week, Mon-Fri. Hospital:Ascension Seton Medical Center Austin. Location:1201 West 38th Street, Austin TX 78705. Ensure compliance with regulatory and accreditation...

RN Care Manager Independence Center - Saint Louis, United States - BJC HealthCare

Bjc Healthcare

United States

Alert healthcare providers to co-morbid medical and behavioral conditions, coordinate consumer enrollment in health programs and monitor the inclusion of effective health care strategies in patient treatment plans. Tracks, monitor...