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Pharmacist Managed Care jobs

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RN-CASE MANAGER/CARE COORDINATOR

Federal employees - Excepted serviceCurrent excepted service federal employees. The publicU.S. Citizens, Nationals or those who owe allegiance to the U.S. Veterans. Provides direct patient care and guides the care provided by sign...

CompanyVeterans Health Administration
AddressFresno, CA
CategoryInformation Technology
Job typeFull-Time
Date Posted 2 months ago See detail

RN-Case Manager/Care Coordinator

Veterans Health Administration

Fresno, CA

Federal employees - Excepted serviceCurrent excepted service federal employees. The publicU.S. Citizens, Nationals or those who owe allegiance to the U.S. Veterans. Provides direct patient care and guides the care provided by sign...

2 months 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 for submission to payers, write reconsideration appeals and send to MCOs, and be able to communicate both internally and externally for resolution of c...

2 months ago seen See more...

Nashville, Tennessee - Family Medicine Physician - Great Compensation for Managed Care

Inspire Healthcare

Nashville, TN

Job Description An adult/geriatric medicine group is hiring in Nashville, Tennessee Looking for a physician to work in an outpatient office setting Focus is simply on developingrelationship and continuity of care Group handles all...

2 months ago seen See more...

Managed Care Pricing & Analytics Modeling Analyst

Ardent Health Services

Brentwood, TN

Conduct financial modeling, analysis and reporting related to Managed Care contract negotiations Concisely summarize and communicate the results of modeling activities in time sensitive environment Maintain working knowledge of cu...

2 months ago seen See more...

Resident, PGYI Managed Care Pharmacy

Kaiser Permanente

Hyattsville, MD

Practices patient, population and medication therapy management during rotations as assigned. Conducts tasks and projects assigned throughout the residency year. This includes, but is not limited to, supporting initiatives in serv...

2 months ago seen See more...

Assistant General Counsel - Managed Care Reimbursement

Prime Healthcare Management Inc

Denville, NJ

A law degree from an ABA accredited law school. A license to practice law. At least 7 years of experience, preferably at a reputable law firm or in-house legal department. Exceptional written and verbal communication skills. Subst...

2 months ago seen See more...

Assistant General Counsel - Managed Care Reimbursement

Prime Healthcare

Denville, NJ

A law degree from an ABA accredited law school. A license to practice law. At least 7 years of experience, preferably at a reputable law firm or in-house legal department. Exceptional written and verbal communication skills. Subst...

2 months ago seen See more...

Managed Care Coordinator

Elevance Health

Chesapeake, VA

...

2 months 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...

2 months 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...

2 months 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...

2 months ago seen See more...

Home Care RN Case Manager

Ecumen

Mankato, MN

Delivers skilled services efficiently and effectively to meet patients and families needs. Completes an initial, comprehensive, and ongoing assessment of patient and family to determine Home Care needs. Provides a complete physica...

3 weeks ago seen See more...

Care Management Coordinator - ACN - Pediatric Complex Care Management

Newyork-Presbyterian Hospital

New York, United States

$104,500 - $162,500 a year

Two years case management in an inpatient, HMO, Insurance or other outpatient/ambulatory setting Master's Degree in healthcare related field Bachelors degree in Nursing (BSN) Current NYS Registered Nurse (RN) licensure 3 to 5 year...

3 weeks ago seen See more...

Remote Complex Care Manager - High Risk Maternity

Healthfirst

New York, NY

$55.6K - $70.4K a year

Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits. Conducts assessments to identify barriers and opportunities for intervention, including addressing the social determinant...

3 weeks ago seen See more...

Health Navigator/Care Coordinator (Care Management Services) Non-BA

Acmh, Inc.

New York, NY

$45,855 a year

Develops rapport with clients in order to engage them in improving their health and wellness. Administers standardized health and psychosocial risk screenings according to Health Home protocols and timeframes. Utilizes health scre...

3 weeks ago seen See more...

Physical Therapist Case manager Home Care Hillsborough County

Adventhealth Shawnee Mission Home Health

Tampa, FL

$37.91 - $56.86 an hour

Coordinates and directs the care of a caseload of home patients requiring physical therapy as the primary skill. Provides comprehensive assessment, planning, implementation and evaluation for that caseload as the primary Care Mana...

4 weeks ago seen See more...

Patient Care Coordination Case Manager Short Hour

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...

4 weeks ago seen See more...

Assistant Manager Ambulatory Care RN, OBGYN (Moreno Valley)

Kaiser Permanente

Moreno Valley, 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 weeks ago seen See more...

Manager Ambulatory Care RN, Primary Care Plus - PT 20 (Harbor City)

Kaiser Permanente

Harbor City, 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 weeks ago seen See more...

Care Manager RN

Premise Health

Fort Wayne, IN

Proactive outreach to high risk members identified through claims data. Develops personalized treatment plans using provider care plans and member preferences. Supports Individual contributor to a proactive, multidisciplinary te...

4 weeks ago seen See more...

Care Manager Assistant - OAPS

Philadelphia Corporation For Aging

Philadelphia, PA

Medical, prescription drug, vision, and dental coverage. Flexible spending plan (health and dependent care). EAP, life insurance, short- and long-term disability insurance. Pre-tax commuting, and parking benefits. 403(b) retiremen...

4 weeks ago seen See more...

Supervisor Integrated Care Management

Amerihealth Caritas

Orlando, FL

Under the supervision of the Manager, Integrated Care Management (ICM), the Supervisor ICM is responsible for the daily oversight of the Complex Care Management unit providing clinical direction, organization, and monitoring of al...

4 weeks ago seen See more...

Care Manager - New York, United States - VNS Health

Vns Health

New York, NY

Referral bonus opportunities . Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays. Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability . Employer-m...

4 weeks ago seen See more...

Nurse Manager Orthopedic/Neuroscience/Wound Care

Memorialcare Long Beach Medical Center

Long Beach, CA

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. The incumbent shall plan, orga...

4 weeks ago seen See more...

Nurse Manager Orthopedic/Neuroscience/Wound Care

Long Beach Memorial Medical Group

Carson, CA

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. The incumbent shall plan, orga...

4 weeks ago seen See more...

MEDICAL ADHERENCE NURSE CARE MANAGER

Whitman-Walker Health

Washington, United States

73424.00 To 89627.00 (USD) Annually

Develops care plans, refers patients to necessary internal and/or external resources (e.g., substance abuse, mental health, specialists), and monitors medical progress in accordance with premier quality care standards.Core WWH Pri...

4 weeks ago seen See more...

Care Management Associate

Cvs Health

Harrisburg, PA

Responsible for initial review and triage of Care Team tasks.. Identifies principal reason for admission, facility, and member product to correctly apply intervention assessment tools.. Screen patients using targeted interventio...

4 weeks ago seen See more...

Pharmaceutical Sales - Territory Manage - Primary Care

Biospace

Houston, TX

Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and volunteerism....

4 weeks ago seen See more...

Assistant Nurse Manager- Long Term Care Rehab Unit

Department Of Veterans Affairs

Martinsburg, WV

Competitive

Provides coverage for other ANMs as needed. The ANM has responsibility and accountability for the direction and supervision of specific orientation, training, development of staff, and provides input into the evaluation of individ...

4 weeks ago seen See more...

Managed Vision Care - Billing Operations Associate

Visionworks

San Antonio, TX

High School Diploma, GED, or equivalent work experience Zero to one (1) years of experience in medical insurance claims billing preferred Proficient in MS Excel and Word. 10-Key by touch. Well-developed verbal, listening and phone...

4 weeks ago seen See more...

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