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Managed Care Specialist jobs

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BEHAVIORAL HEALTH CARE MANAGER II- CALIFORNIA MARKET

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...

CompanyElevance Health
AddressCERRITOS, CA
CategorySales/marketing
Date Posted 20 hours ago See detail

Behavioral Health Care Manager II- California Market New

Elevance Health

CERRITOS, CA

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...

20 hours ago seen See more...

Behavioral Health Care Manager I - Indiana New

Elevance Health

INDIANAPOLIS, IN

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 Guidelines...

20 hours ago seen See more...

Beauty Care Reporting & Ad Operations Specialist New

Procter & Gamble

Chicago, IL

Ownership of trafficking and tagging across multiple digital media types. Manage campaign and asset creation, trafficking instructions and create ad serving tags. Work with media, creative and analytics teams at the onset of a cam...

22 hours ago seen See more...

Beauty Care Reporting & Ad Operations Specialist New

Procter & Gamble

Cincinnati, OH

Ownership of trafficking and tagging across multiple digital media types. Manage campaign and asset creation, trafficking instructions and create ad serving tags. Work with media, creative and analytics teams at the onset of a cam...

22 hours ago seen See more...

Senior Specialist, Project Management- Drug Development- Hybrid New

Merck

Rahway, NJ

Managing the end-to-end Drug Development process including projects that are of moderate complexity and/or partnering with a more seasoned project manager on high complexity projects; driving cross functional teams to develop comp...

24 hours ago seen See more...

Child Care Manager

Harvey Club 24 Llc

Harvey, LA

$12 - $13 an hour

Arrive at work promptly at scheduled time, wearing proper uniform, ("The Club" t-shirt, black or khaki pants or shorts), Club hat only. Greet children and parents/members when they arrive. Assist children and babies with daily tas...

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Lead LTSS Service Care Manager-BH - Now Hiring

Arizona Complete Health

Tucson, AZ

$34.81 - $62.54 per hour

Oversees and reviews ongoing long-term care plans/service plans and works with care management team to identify providers, specialist, and/or community resources needed for long- term care. Provides insight and guidance on develop...

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Nurse Care Manager (PACT)-Intermittent

Department Of Veterans Affairs

Eugene, OR

Competitive

Manages assigned panel(s), utilizes registries, and ensures appropriate evaluation and access is provided to patient panels. Demonstrates competence in primary care practice and decision-making, deliberate planning, and critical t...

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Nurse Manager, Outpatient Mental Health - Nursing, Acute Care

Department Of Veterans Affairs

Peoria, IL

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

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Care Manager

Nyu Langone Health

Brooklyn, NY

$30.45 - $34.30 per hour

Assess patients care management needs via patient intake assessments. Maintain caseload size established by the department and meet monthly core service productivity requirements. Performs other duties as assigned or volunteered i...

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LTSS Service Care Manager - Now Hiring

Arizona Complete Health

Willcox, AZ

$25.97 - $46.68 per hour

Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome. Assists with developing ongoing long-term care plans/service plans and works to identify providers, speci...

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RN Care Manager - Summacare

Summa Health

Akron, OH

$30.60 - $45.90 an hour

SummaCare - 1200 E Market St, Akron, OHFull-Time / 40 Hours / DaysRemote - In Area OnlySummary :Care Managers collaborate across a broad continuum of care to assess, plan, implement, coordinate, monitor and evaluate services to su...

2 days ago seen See more...

Care Standardization Specialist Quality Services

Akron Children's Hospital

Akron, OH

To treat every child as we would our own To treat others as they would like to be treated To turn no child away for any reason...

2 days ago seen See more...

Administrative Specialist / Manager

A2Z Ozone, Inc.

Louisville, KY

$18 - $20 an hour

Responding to messages for marketplaces, including Amazon.com. Answer messages on social media. Responding to customer service email and phone messages. Light phone duties. Create quotes for businesses, universities, and internati...

2 days ago seen See more...

Vendor Managed Inventory Specialist

Ballard Industrial

Seattle, WA

$23 - $26 an hour

Using company vehicles to deliver product while following all local traffic safety laws and guidelines. Driving daily including up to 220 miles roundtrip at least one day a week (no over nights). Taking inventory of stock levels a...

2 days ago seen See more...

Care Manager II (RN)

Arizona Complete Health

Tempe, AZ

$66,100 - $118,900 a year

Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Utilize assessment skills and discretionary judgme...

2 days ago seen See more...

Managed Care Billing Specialist*

The New Jewish Home

New York, NY

Must be able to understand Managed Care contracts, create project spreadsheets forsubmission to payers, write reconsideration appeals and send to MCOs, and be able tocommunicate both internally and externally for resolution of c...

2 months ago seen See more...

Care Management Specialist (Bilingual in English/Chinese)

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...

2 months ago seen See more...

Care Management Specialist (Bilingual in English/Chinese)

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...

2 months ago seen See more...

Caregiver/Personal Care Specialist

Senior Helpers - Cerritos

Artesia, CA

$17 - $18 an hour

Have fun and engaging conversations with your clients to build relationships Participate in your clients favorite hobbies (scrapbooking, gardening, games, etc.). Prep meals for your clients to enjoy. Assist your clients with walk...

2 days ago seen See more...

Customer Care Specialist

Atlantis, Paradise Island

Plantation, FL

Monitors the Call Management System (AVAYA) to ensure all Customer Care agents and Travel Specialist are logged in and available to accept incoming calls. Assist with assessing team members performance by assessing team performan...

2 days ago seen See more...

Asset Management Specialist

Bae Systems

Hill AFB, UT

Administer property control program activities to ensure accountability of property. Prepare and maintain property accountability records. Conduct property inventories and provide guidance on policy and/or regulations pertaining t...

3 days ago seen See more...

Customer Care Specialist - Inbound

Bcforward

Tempe, AZ

Successful candidates will be customer oriented with a commitment to quality and personal ethics with the ability to adapt to continuous policy and procedure changes. * Must be 18 years or older* Must have a High School Diploma or...

3 days ago seen See more...

Customer Care Specialist

Diligent Health Solutions

Remote

Responsible for reviewing, interpreting and reacting to data provided. Effectively communicate messages, product information, and/or specific offers to customers and clients. Converse with customers and clients in a professional m...

3 days ago seen

Customer Care Specialist

Us Installation Group

Clearwater, FL

$15 - $16 an hour

Dental insurance. Health insurance. Paid time off. Vision insurance. 8 hour shift. Monday to Friday. In-person. High school or equivalent (Preferred). Customer Service: 2 years (Preferred). Call Center: 2 years (Preferred). Spanis...

3 days ago seen See more...

Case Manager/Care Coordinator, BHMA (FT) 8a-5p, Care Management

Ballad Health

Johnson City, TN

$63K - $79.7K a year

Job Title:Case Manager/Care Coordinator, BHMA (FT) 8a-5p, Care ManagementJob Code:MSHA000BZ7Location:INTEGRATED SOLUTIONS HLTH NTWK, Johnson City, TNPosition Type:Full-time (scheduled 72 hrs or more per pay period)Job DefinitionSC...

3 days ago seen See more...

Case Management Specialist

The Salvation Army

Chattanooga, TN

Job Summary:The Case Management Specialist for the Pathway of Hope/Families First program provides strengths-based Case Management services to families experiencing poverty. The person in this position interviews, accepts, and pro...

3 days ago seen See more...

Case Management Specialist- Antioch, TN

The Salvation Army

Nashville, TN

Here at the Salvation Army in Nashville we are looking for a energetic, dependable individual to become part of our Roadway Team, based out of our Antioch, TN location. As a Case Management specialist you will need a heart for peo...

3 days ago seen See more...

Affiliate Case Management Specialist

Broadcast Music, Inc

Nashville, TN

$59.3K - $75.1K a year

Delivers an exceptional customer experience by projecting an attitude of enthusiasm and willingness to serve customers. Effectively and efficiently handles a high volume of affiliate contacts and inquiries, primarily via telephone...

3 days ago seen See more...

Care Specialist

Synergy Homecare Of North Houston

Houston, TX

Enjoy serving others? Have a big heart with a lot of love to share? Take charge with a warm smile? Competitive pay. Direct deposit. Paid orientation and ongoing training. Time-and-a-half pay for overtime and holidays. Flexible sch...

3 days ago seen See more...

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