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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 11 hours ago See detail

RN Managed Care Coordinator I (Utilization Management) New

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...

11 hours ago seen See more...

Discharge Planning Assistant, Full-Time, First Shift, Care Managment Services New

Uc Health

Cincinnati, OH

The ONLY Level I trauma hospital in Cincinnati with a diverse range of patients. Opportunities for clinical advancement. The Discharge Planning Assistant will support Care Management Services delivering high-quality care to patien...

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Care Manager - Transition in Care (Remote) New

Houston Methodist

Houston, TX

Serves as a clinical expert for hospital patients post discharge and in the ambulatory setting, working collaboratively and maintaining active communication with physicians, nurses, office staff and other members of the interprofe...

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Truck Care General Manager New

Love's Travel Stops & Country Stores

Oak Creek, WI

$50,764 - $73,608 a year

Maintain a safe and clean facility. Greet customers, address vehicle service needs, and document issues. Provide detailed repair cost estimates, sales promotions, and obtain necessary approvals. Keep customers updated on vehicle s...

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RN - Registered Nurse Case Manager/Care Coordinator - Patient Aligned Care Team

Department Of Veterans Affairs

Redding, CA

Competitive

Exhibits leadership in promoting proactive and evidence-based care by bringing up to date research and data to the team and leading process improvements to keep team practices current and safe based on High Reliability Organizatio...

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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 days ago seen See more...

Home Care Coordinator/Branch Manager - Now hiring in Kennewick! New

Alternative Nursing Services

Kennewick, WA

$21 - $26 an hour

401(k). 401(k) matching. Health insurance. Paid sick time. Paid time off. Paid training. Monday to Friday. In-person. Kennewick, WA: Relocate before starting work (Required)....

18 hours ago seen See more...

Pediatric Care Manager, RN New

Sunshine State Health Plan

West Palm Beach, FL

$52,900 - $95,200 a year

Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goal...

19 hours 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...

7 days ago seen See more...

RN Care Manager (No Weekends or On-Call Requirements)

Ohio's Hospice

Dayton, OH

The RN Care Manager is a DRIVING position. This position will be seeing patients living in facilites within the Dayton, Kettering, Oakwood and surrounding areas We provide superior care and superior services to patients at their e...

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Registered Nurse (Chief Integrated Care Management-Office of Community Care)

Department Of Veterans Affairs

Walla Walla, WA

Competitive

Executes leadership that is characterized by substantial and continuous responsibility and accountability for integrated programs that cross services and/or discipline lines. Functions as an advisor, administrator, educator, consu...

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Registered Nurse - Cardiology Hub and Spoke Network Nurse Care Manager

Department Of Veterans Affairs

Ann Arbor, MI

Competitive

Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care. Assesses, plans, implements, and evaluates care based on age-specific components. Assumes responsibility fo...

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Pediatric Care Manager, RN

Sunshine State Health Plan

Fort Myers, FL

$52,900 - $95,200 a year

Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goal...

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Care Manager RN - Family Medicine

Providence Swedish

Olympia, WA

Graduation from an accredited school of nursing. Upon hire: Washington Registered Nurse License 2 years Work experience in RN role. Bachelors Degree Nursing Experience managing complex patients in an ambulatory setting. Medical H...

2 days ago seen See more...

Home Health Patient Care Manager - Easton, MD

Lhc Group

Easton, MD

?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 days ago seen See more...

Data Analyst - Managed Care Admin

Cone Health

Greensboro, NC

Excellent Excel skills Attentive to detail and accuracy Strong organization skills Problem solving skills- genuinely curious/inquisitive Good communication skills...

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MANAGED CARE ASSISTANT

Continental General

Austin, TX

$40,000 - $45,000 a year

Listen and empathize with policyholders and/or their representatives to understand their needs and resolve any issues they may express regarding moderately complex inquiries, policy coverage's and/or their claim status. Ability to...

2 weeks ago seen See more...

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...

2 weeks ago seen See more...

Case Manager (Managed Care Coordinator)

Elevance Health

Arlington, VA

Performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of member's program needs. Using tools and pre-def...

3 weeks ago seen See more...

Communications Manager - Hair Care

Procter & Gamble

Cincinnati, OH

Bachelor's Degree . Knowledge of social media, digital marketing, and digital influencers . General understanding of influencers and media. . Strong written communications skills ....

2 days ago seen See more...

Manager Nursing/Patient Care Registered Nurse RN Emergency Services

Osf Healthcare

Galesburg, IL

$45.15 - $74.49 an hour

3-5 years progressively more responsible related work experience in a clinical/healthcare setting. Strong interpersonal and communication skills....

3 days ago seen See more...

Care Manager RN, Flex

University Of Maryland Medical System

Towson, MD

The Care Manager coordinates the care and service of selected patient populations across the continuum. He/ she works collaboratively with physicians and other members of the health care team to achieve the highest quality clinica...

3 days ago seen See more...

Case Manager - Foster Care

Molina Healthcare

Richmond, 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...

3 days ago seen See more...

Managed Care Billing Specialist*

The New Jewish Home

Bronx, NY

$65,000 - $68,900 a year

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

3 weeks ago seen See more...

Utilization Managed Care Nurse

Access Healthcare Physicians, Llc

Spring Hill, FL

From $65,000 a year

401(k). Dental insurance. Health insurance. Life insurance. Paid time off. Vision insurance. 8 hour shift. Day shift. Monday to Friday. Medical records: 1 year (Preferred). CTST: 1 year (Required). RN: 5 years (Required). HEALTH P...

3 weeks ago seen See more...

Primary Care Nurse Manager

Department Of Veterans Affairs

Providence, RI

Competitive

Directly oversee the Primary Care and Outpatient Specialty clinic. Plan work to be accomplished by subordinates, set priorities, and prepare schedules for completion of work. Give advice, counsel, or instruction to subordinate per...

4 days ago seen See more...

Assistant Nurse Manager Geriatrics and Extended Care

Department Of Veterans Affairs

Lorida, FL

Competitive

The Assistant Nurse Manager (ANM) supports the Nurse Manager (NM) with supervisory duties and responsibility for the 24/7 operations of their designated units. Works with the NM to improve evidence-based practices/changes in their...

4 days ago seen See more...

Assistant Manager Ambulatory Care RN, Family Medicine (Harbor City)

Kaiser Permanente

Harbor City, CA

This will support AATC, Bridge Program/Clinic, ETC and HUB. 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...

4 days ago seen See more...

Surgical Acute Account Manager - Peoria/Davenport area (New Health Care Company)

Solventum

East Peoria, IL

$137,645 - $168,232 a year

Proven category leadership Innovation mindset driving improved patient outcomes Collaborative customer relationships Strong sales growth and profitability with significant recurring sales Driving 3M revenue by developing and manag...

4 days ago seen See more...

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...

4 days ago seen See more...

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