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Managed Care Pharmacist jobs

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MANAGER - MANAGED CARE & PRIOR AUTHORIZATIONS

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...

CompanyArkansas Children's
AddressLittle Rock, AR
CategoryInformation Technology
Job typeFull-Time
Date Posted 6 days ago See detail

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...

6 days ago seen See more...

Acute Care Pharmacist - ER

Mccall And Lee

Eastland, TX

B.S. Pharmacy or Pharm D. or Master of Pharmacy. Three years as a licensed pharmacist with enhanced clinical responsibilities. Active registration as a licensed pharmacist in the state of Texas. Sterile Compounding Certification....

7 days ago seen See more...

Pharmacist - Ambulatory Care Pharmacy - Full Time - Rotating Shift

Henry Ford Health

Jackson, MI

Bachelor of Science degree in Pharmacy. Registered pharmacist, license in the State of Michigan Organization: Henry Ford Allegiance Hospital. Department: Ambulatory Care Pharmacy. Shift: Rotating. Union Code: Not Applicable....

3 days 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...

3 days ago seen See more...

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...

3 days ago seen See more...

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...

3 days ago seen See more...

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...

4 days ago seen See more...

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...

4 days ago seen See more...

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...

4 days ago seen See more...

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...

4 days ago seen See more...

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...

4 days ago seen See more...

Manager I, GBD Special Programs (Kansas Foster Care)

Elevance Health

Kansas City, KS

Manages resource utilization to ensure appropriate delivery of care to members, adequate coverage for all tasks and job responsibilities. Coordinates service delivery to include member assessment of physical and psychological fac...

4 days ago seen See more...

Nurse Manager of Cardiovascular Progressive Care

Methodist Healthcare

San Antonio, TX

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

4 days ago seen See more...

Managing Counsel Managed Care Litigation

Hca Healthcare

Nashville, TN

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

4 days ago seen See more...

Care Management Supervisor

The Bridge Inc.

New York, NY

The Clinical Supervisor will supervise and oversee the day-to-day activities of the Care Coordination team. The Clinical Supervisor will be expected to utilize all electronic databases as required by the Health Homes in which the...

4 days ago seen See more...

Practice Manager, UCM Care Network and CHHD Infusion Sites

The University Of Chicago Medicine

Harvey, IL

Day to day management of practice and infusion center operations. Including: Establishes staff schedule and daily assignments. Responsible for time and attendance and monitoring overtime. Oversight of practice specific issues with...

4 days ago seen See more...

Nurse Manager Ambulatory Care, Family Medicine (West LA)

Kaiser Permanente

Los Angeles, 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...

4 days ago seen See more...

RN Care Manager - Thibodaux, LA Market

Unitedhealth Group

Thibodaux, LA

United States, Louisiana, Thibodaux

Discharge Planning: Works with facility Case Manager or Social Worker to coordinate DC process and transition needs based on patient's diagnoses and status. Care Coordination and Patient Support: Collaboration with the entire clin...

5 days ago seen See more...

Nurse Manager RN - Skilled Nursing & Transitional Care

Ecumen

Austin, MN

Day Hours, 8:00am-4:30pm. 40 hours/week. Weekend Rotation. Paid holidays off. Ensures that campus policies and procedures, State and Federal requirements, rules and regulations as they relate to nursing care are adhered to. Respon...

5 days ago seen See more...

Pharmaceutical Sales - Associate Territory Manager - Primary Care

Biospace

Mansfield, OH

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...

5 days ago seen See more...

Lead Care Manager

Vyncacare

San Mateo, CA

Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports...

5 days ago seen See more...

Travel Nurse RN - Care Manager - $1,875 per week

Cbs17

Olin, NC

Specialty: Care Manager. Discipline: RN. Start Date: 05/28/2024. Duration: 13 weeks. 40 hours per week. Shift: 8 hours, days. Employment Type: Travel. Health Insurance, Including a Buy-up Option Dental Insurance Vision Insurance....

5 days ago seen See more...

Server/Dining Room Care Manager - Now Hiring

Sunrise Senior Living

Fairfield, NJ

MUST work Holidays and Weekends. Full Time and Part time positions Available....

5 days ago seen See more...

Registered Nurse Care Manager - Primary Pediatric - Now Hiring

Christus Health

San Antonio, TX

Graduate of an accredited school of Nursing required. BSN preferred. Proficient word processing skills in a Windows environment required. Ability to analyze and create reports and presentations via software applications. Familiari...

6 days ago seen See more...

CLINICAL NURSE MANAGER- CARDIAC INTERMEDIATE CARE, PAVILION 9

Cooper University Health Care.

Camden, NJ

Support and maintain successful unit-based throughput efforts through the facilitation of appropriate and timely bed assignments resulting in fair, safe, and balanced clinical workloads for all clinical team members. Ensure that a...

6 days ago seen See more...

Compliance Manager (Foster Care and Adoption Dept.) - Now Hiring

Asociacin Puertorriqueos En Marcha, Inc.

Philadelphia, PA

Provide children youth with protection, Care and a nurturing environment with certified Resource Parents (RP) while a permanent plan is established. Decrease the use of higher level child welfare and behavioral health placement se...

6 days ago seen See more...

RN Care Manager III - ENT Clinic, Part Time Benefitted

Choc - Children's Health Orange County

Orange, CA

Clinical knowledge of multiple age groups, medical illness and treatment plans according to disease process, diagnosis and anticipated LOS. Licensure Required: Basic Life Support (BLS); Ped Emerg Assess Recog & Stabil (PEARS) up...

6 days ago seen See more...

MCC Patient Care Manager

Mens Health Foundation

Los Angeles, CA

$39.24 to $42.25 per hour

Medical, Dental, Vision, Life and LTD insurance (may be eligible on the 1st of the month following date of hire). 11 Paid Holidays + 1 mental health day. 401(k) Retirement plan (may be eligible for employer matching up to 4% follo...

6 days ago seen See more...

Care Manager

Minuteman Senior Services

Haverhill, MA

Conduct functional assessments of consumers living in the community. Develop service plans with the consumer and their support network, monitor plan on an ongoing basis through calls, visits, and case conferences to ensure consume...

6 days ago seen See more...

Travel Nurse RN - Care Manager - $3,402 per week

Gqr Healthcare

Los Angeles, CA

$3,402 per week

Specialty: Care Manager. Discipline: RN. Start Date: 05/06/2024. Duration: 13 weeks. 40 hours per week. Shift: 8 hours, days. Employment Type: Travel....

6 days ago seen See more...

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