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Managed Care Pharmacist jobs

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REGISTERED NURSE CARE MANAGER

This position will be working closely with complex renal patients in their home, dialysis center, by phone and electronically as needed. * Core values consistent with a patient-centered approach to care* Proactively acts as a pati...

CompanySomatus
AddressEau Claire, WI
CategoryInformation Technology
Job typeFull-Time
Date Posted 2 weeks ago See detail

Registered Nurse Care Manager

Somatus

Eau Claire, WI

This position will be working closely with complex renal patients in their home, dialysis center, by phone and electronically as needed. * Core values consistent with a patient-centered approach to care* Proactively acts as a pati...

2 weeks ago seen See more...

Patient Care Manager/Clinical Manager (RN) - Now Hiring

At Home Healthcare

Colorado, United States

$90,000-$95,000 per year

Receives referrals and ensures appropriate clinician and/or therapist(s) assignments for timely patient evaluation by signing off after authorization and plotting start of care (SOC) visits. Coordinates determination of patient ho...

2 weeks ago seen See more...

Nurse Manager Community Inpatient - Transitional Care

Department Of Veterans Affairs

Las Vegas, NV

Competitive

Experience in VA facility community care coordination with Community Hospital Inpatient, Community Nursing Home, and State Veteran Home Programs throughout the episode of care (EOC), with continued stay reviews and management of d...

2 weeks ago seen See more...

Assistant Manager Ambulatory Care RN, Urgent Care - Evening (Harbor City)

Kaiser Permanente

Harbor City, 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...

2 weeks ago seen See more...

Client Care Manager

Havenwood Home Care

Boise, ID

Havenwood Caregiver Services is seeking to fill the role of Client Care Manager for the Boise office. Performing onsite assessments and quality assurance visits to clients' homes to assure complete satisfaction of care servicesPer...

2 weeks ago seen See more...

RN Care Manager - Moorhead Family Medicine Clinic

Sanford Health

Moorhead, MN

$32.00 - $48.00 per hour

$10,000 Sign On Bonus available for Qualified Candidates!Department DetailsWe are looking for someone to join our growing Moorhead Family Medicine Clinic. Collects and relays information (assessment, screening, diagnostic testing...

2 weeks ago seen See more...

Pharmaceutical Sales - Assoc. Territory Manager - Primary Care

Eli Lilly And Company

Dallas, TX

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 to...

2 weeks ago seen See more...

Patient Care Coordinator Case Manager

Kaiser Permanente

Fremont, CA

Utilization Management: Performs daily pre-admission, admission, and concurrent utilization reviews using guidelines, institutional policies/procedures, and other information to determine appropriate levels of care and readiness f...

2 weeks ago seen See more...

Care Manager–Social Worker

University Of Maryland Medical System

Glen Burnie, MD

General SummaryThe Care Manager collaborates with members of the healthcare team, community resources, and with the patient/patient family to promote optimal outcomes for the patient across the continuum of care. The Care Manager...

2 weeks ago seen See more...

Regional Director of Environment of Care (Facilities Management)

Touchstone Communities

Fort Worth, TX

The ideal candidate must have multi-facility/SNF healthcare maintenance experience and ability to travel throughout Texas weekly.. NFPA 101 2012 Life Safety Code andNFPA 99 2012 Health Care Facilities Codes knowledge required.....

2 weeks ago seen See more...

Regional Director of Environment of Care (Facilities Management) - Now Hiring

Touchstone Communities

Houston, TX

The ideal candidate must have multi-facility/SNF healthcare maintenance experience and ability to travel throughout Texas weekly.. NFPA 101 2012 Life Safety Code andNFPA 99 2012 Health Care Facilities Codes knowledge required.....

2 weeks ago seen See more...

Senior Analyst Managed Care Financial

Newyork-Presbyterian Hospital

New York, United States

$84,000 - $93,500 a year

Masters Degree in Business, Health or Public Administration or Nursing Key knowledge in areas of Managed Care, reimbursement methodologies, budgeting or cost accounting Bachelor's Degree 2024 Great Place To Work Certified 2024...

3 weeks ago seen See more...

Nurse Manager (Community Care)

Department Of Veterans Affairs

Prescott, AZ

Competitive

Providing clinical leadership and expertise on Community Care processes and regulations. Serving as a liaison to both internal and external providers and managing care of the Veteran and the seamless transition to and from the com...

2 weeks ago seen See more...

Assistant Manager, Rehabilitation - Outpatient Ambulatory Care

Pix11

New York, NY

An engaging leader with a strong team and patient-centeRered focus.. Invested and effective in mentoring and fostering relationships and networks.. Experienced in clinical patient care utilizing an evidence-based approach.. Innova...

2 weeks ago seen See more...

RN Patient Care Manager

Lhc Group

Cookeville, TN

opportunities to get closer to patients and provide quality support to your patient-facing teams. to be valued and respected by patients and their families. a sense of security, incredible team support, and flexibility for true wo...

2 weeks ago seen See more...

Nurse Care Manager LPN

Fcc Behavioral Health

Kennett, MO

Possession of a High School Diploma or equivalent;. Registered Nurse or Licensed Practical Nurse with current Missouri license. Five years primary care experience in Nursing and experience with healthcare technology preferred. Mee...

2 weeks ago seen See more...

Nurse Manager, Connected Care

Veterans Health Administration

Bloomington, IL

Internal to an agencyCurrent federal employees of this agency. Has supervisory responsibility for reviewing and evaluating the work performance of Home Telehealth employees, support staff and provides the administrative supervisio...

2 weeks ago seen See more...

Home Health Patient Care Manager RN

Patient Care

Hartford, CT

opportunities to get closer to patients and provide quality support to your patient-facing teams. to be valued and respected by patients and their families. a sense of security, incredible team support, and flexibility for true...

2 weeks ago seen See more...

RN Care Manager

Oregon Health & Science University

Portland, OR

Comprehensive health care plans. Covered 100% for full-time employees and 88% for dependents. $25K of term life insurance provided at no cost to the employee. Two separate above market pension plans to choose from. Vacation - 192...

2 weeks ago seen See more...

Managed Care Biller

Cassena Care

Woodbury, NY

$55,000 - $60,000 a year

Collect, enter and process primary and/or secondary claim information on departmental cycle for multiple SNF locations. Monitor verifications and authorizations obtained and ensure complete service spans are covered. Answer busine...

3 weeks ago seen See more...

Managed Care Enrollment Specialist I (Remote)

Preferred Family Healthcare

Missouri, United States

$36.6K - $46.3K a year

Compiles application documents for appropriate payers and communicate with providers for final signatures if applicable. Submits payer initial enrollment and revalidation applications in various formats and follows up with payers...

3 weeks ago seen See more...

Registered Nurse Care Manager

Somatus

Sacramento, CA

Strong community engagement and facilitation skillsAbility to travel throughout the assigned region and comfort with conducting home visits depending on the assigned market needs.PreferredBachelors degree in nursingDemonstrates e...

2 weeks ago seen See more...

Division Sales Manager, Institutional Account Sales, Acute Care-Great Lakes

Astrazeneca

Detroit, MI

Lead Acute Care Hospital Sales Representative to build trust with customers and demonstrate value in selling situations through high-quality engagements that deliver solutions in targeted accounts across diverse customer segments...

2 weeks ago seen See more...

Behavioral Heath Care Manager II

Elevance Health

WOBURN, MA

Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guideline...

2 weeks ago seen See more...

Care Team Manager

Intrepid Usa

Tucson, AZ

Culture driven by servant based leadership with an inverted organization chart. Our clinical teams are at the top and our CEO is at the bottom supporting our organization. Our Care Centers are not franchises. We have a National Su...

3 weeks ago seen See more...

Manager, Ambulatory Care Clinic

Denver Health

Denver, CO

$78,802 - $118,203 a year

Manages and coordinates operations of designated area. (10%) Participates in strategic planning and actively participates in improvement projects and new initiatives. (10%) Supervises administrative staff and determines work proce...

3 weeks ago seen See more...

Manager, Care Management (Maternal-Child Health) - VA Medicaid

Humana

Virginia, United States

$84,600 - $116,300 a year

Supervises Care Management personnel and oversee all Care Management functions, including assessment, care planning, and care coordination. Leads development of Care Management policies and procedures to ensure compliance with Com...

3 weeks ago seen See more...

Coordinator, Managed Care II/CM-DM

Hornet Staffing

Columbia, SC

Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health man...

4 weeks ago seen See more...

Managed Care Coordinator - Foster Care

Elevance Health

Roanoke, VA

Working with children within the Foster Care System. Responsible for performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordinat...

4 weeks ago seen See more...

Operations Manager Wound Care

Dr. Mobicare - Southern California

Beverly Hills, CA

Establishing and maintaining effective relationships with referring physicians and administrative personnel who are integral to the operation of the wound program. Provides daily management and oversight of all aspects of the woun...

3 weeks ago seen See more...

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