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Managed Care Organization Pharmacy Directory



1 Clinic Manager Los Angeles, CA, USA Candidate must have experience in managed care, state and federal healthcare requirements, healthcare finance related to billing, medical terminology, referral processing and disability claim ...... Apply Now>>

2 Registered Nurse Case Manager/UM RN-Managed Care Organization Brooklyn, NY, USA Compass Healthcare Consulting & Placement is conducting a search for our client, a Managed Care Organization servicing NYC and surrounding areas is seeking a RN, Registered Nurse Case Manager for an ...... Apply Now>>

3 Manager, Care Coordination - Health System Peds Westwood, CA, USA Understanding of health care, healthcare delivery systems and managed care... Apply Now>>

4 Lead / Utilization Management / Care Coordinator - Case Management Resource Center Glendale, CA, USA Job Summary: The Lead / Utilization Management / Care Coordinator is responsible for the direct ... be identified, managed, tracked, trended and reported to Director and designated hospital ...... Apply Now>>

5 Director of Managed Care Rancho Cordova, CA, USA By securing optimal reimbursement and protecting the interests of the hospitals in contract negotiations and the implementation and management of managed care contracts and relationships, this ...... Apply Now>>

6 Rehab Manager East Meadow, NY, USA REHAB MANAGER JOB SUMMARY The Rehab Manager must be a NYS licensed Occupational or Physical ... Assist in determining the needs of the residents/patients and in developing the total plan of care... Apply Now>>

7 Executive Director of Managed Care - IN - 27046662 South Bend, IN, USA $100,000 to $120,000, Executive Director of Managed Care - IN - 27046662 We are in search of an Executive Director of Managed Care working in a fast pace innovative environment where you have the ...... Apply Now>>

8 Care Managers (RN) DAYTON And FAIRLAWN, Ohio Fairlawn, OH, USA Interqual, NCCN) and government sponsored managed care programs.Licenses/Certifications: Current OHIO RN license. Valid driver's license required... Apply Now>>

9 Resident Services Director (LVN or RN required Care Manager) Chula Vista - Senior Living Chula Vista, CA, USA The Resident Services Director is responsible for managing the core functional areas of resident care; this includes but is not limited to, assessing and reassessing residents, communication with ...... Apply Now>>

10 Bi-Lingual Utilization Management Clinical Specialist Tampa, FL, USA BHM Healthcare Solutions, Inc. is seeking a Bi-Lingual (Spanish/English) UM Clinical Specialist to ... Clinical experience in Utilization Management Responsibilities include, but are not limited to... Apply Now>>

11 Cardiac Cath Lab Manager Full Time (Regular) Days Robbinsdale, MN, USA Nurse Managers serve as a link between nursing personnel and other healthcare disciplines/ workers throughout the organization and within the healthcare community. Nurse Managers have major ...... Apply Now>>

12 RN Care Manager Baltimore, MD, USA The RN Care Manager position is a great advancement opportunity for an energetic registered nurse with a passion for education and development. If you enjoy providing excellent patient care in the ...... Apply Now>>

13 Manager Care Coordination San Bernardino, CA, USA Knowledge of various managed care service principles and techniques; ability to deliver and ensure cost effective and efficient operations in a managed care system. Education and Experience... Apply Now>>

14 RN - Revenue Cycle Manager, Care Coordination Westwood, CA, USA Demonstrated knowledge and understanding of managed care and commercial insurance, Medi-Cal, Medicare, and CCS. Demonstrated leadership and organizational abilities with previous demonstration of ...... Apply Now>>

15 MDS Coordinator - Heritage Park Rehabilitation and Healthcare Fort Myers, FL, USA You will monitor and document the management of the Medicare and Managed Care residents in collaboration with facility team members. You are entrusted to provide innovative, responsible healthcare ...... Apply Now>>

16 Manager, Contracts (Managed Care) Fountain Valley, CA, USA ... Managed Care) is responsible for the negotiation, analysis and contract language of provider contracts which include but are not limited to Primary Care Physicians, Specialist Physicians, Primary ...... Apply Now>>

17 RN Care Manager - Registered Nurse for Managed Care Glen Oaks, NY, USA Compass Healthcare Consulting & Placement is conducting a search for an established Managed Long Term Care Plan (MLTC) servicing New York City and surrounding areas. Our client is seeking experienced ...... Apply Now>>

18 Clinical Manager St Paul, MN, USA Clinical Manager Location: St. Paul, MN Duration: Full Time Job Info * Performs complex analysis ... Creates a positive work environment which enhances care delivery and fosters a professional ...... Apply Now>>

19 Regional Director Business Development - Regional Fairfax, VA, USA Educate facilities on managed care contracts including billing requirements. * Work closely with facility Business Office and Area Financial Analyst to ensure timely payment of managed care claims... Apply Now>>

20 Care Navigator Manchester, CT, USA Additional experience in case management, home care, and utilization review/management is preferred. COMPETENCIES * Requires good analytical, organizational and interpersonal skills as well as the ...... Apply Now>>

21 Licensed Nursing Home Administrator / NHA Canton, MI, USA Join our team and work with the best in healthcare! The Nursing Home Administrator is: Responsible for the overall management, leadership, growth, and profitability of the facility. Plans, develops ...... Apply Now>>

22 Appeals Management Coordinator Chicago, IL, USA ... managed care, patient medical insurance, medical insurance, healthcare management, healthcare, hospitals, long term acute care, transitional care hospitals #MON-HD #LI-HD Qualification: As an Appeals ...... Apply Now>>

23 Home Manager | Care Home (dementia) | Good CQC Wigan, UK Home Manager Care Home (dementia) Good CQC Wigan, Lancashire Salary: Circa £30k - £32k per annum Must have Deputy or Home Management experience Remit Compass Associates are working alongside a well ...... Apply Now>>

24 Home Manager | Care Home (dementia) | Turnaround work req Burnley, UK Home Manager Care Home (dementia) Turnaround work req. Near Burnley, Lancashire Salary: Circa £30k - £32k per annum Must have Deputy or Home Management experience Remit Compass Associates are ...... Apply Now>>

25 Assistant Nurse Manger - Cardiovascular ICU - Days Dallas, TX, USA Works with Unit Manager, Assistant Manager Care Coordination, Transition Coordinator and other disciplines to streamline discharge of patients and reaches goals for time to discharge from orders ...... Apply Now>>

26 Registered Care Coordinator Case Manager Utilization Review New York, NY, USA Home health, SNF, and/or rehab experience desired Medicare/Medicaid managed care programs preferred Must be proficient in Computers (Prior UM experience REQUIRED) This is a field position. 3 weeks of ...... Apply Now>>

27 General Manager 2 Memphis, TN, USA Responsible for partnering with Managed Care counterpart to understand provider networks and grow market share. * Monitors key performance indicators and is responsible for implementing corrective ...... Apply Now>>

28 Case Manager-Care Coordinator-Social Worker Detroit, MI, USA Dynamic and growing healthcare clinic in need of passionate case managers with a Bachelor's Degree in Social Work to provide care coordination for the vulnerable adult population in Greater Wayne ...... Apply Now>>

29 Care Manager Ii (RN) Wenatchee, WA, USA Interqual, NCCN) and government sponsored managed care programs. Current state's RN license... Apply Now>>

30 Case Manager I San Diego, CA, USA ... in a Managed Care setting Description Summary This Case Manager position is with the Staffing Resource Network (SRN) department of Sharp HealthCare. The case manager will provide timely and ...... Apply Now>>

31 Senior Care Manager (CA Health & Wellness) Interqual, NCCN) and government sponsored managed care programs. Licenses/Certifications\: Current state---s RN license. URAC Recognized Care Management Certification must be obtained within 6 months ...... Apply Now>>

32 Managed Care Territory Manager - Health Care Sales If so this privately held 30m medical supply and DME company wants to speak with you We are looking for 2 Managed Care Territory Managers Eastern US and Western US to expand their business with new ...... Apply Now>>

33 Managed Care Contract Analyst Green Bay, WI, USA Compile and track all Managed Care Agreements * Maintain all renewals and new agreements * Provide analysis of business to the Director Managed Care and SVP Managed Care weekly, monthly as needed... Apply Now>>

34 Registered Nurse- (Care Manager) Fargo, ND, USA Minimum of 3 years clinical, managed care or case management experience 2. Clinical experience required in the care of persons with Asthma, COPD, Diabetes and Heart Failure or other Program specified ...... Apply Now>>

35 REGIONAL MANAGER - CARE HOMES Glasgow, UK Regional ManagerCare Homes Central Belt - Scotland Up £65,000 per annum £5K Car Allowance Benefits In Touch Recruitment is working on behalf of an award winning care provider to recruit an ...... Apply Now>>

36 Registered Nurse (RN) Director of Case Management - Permanent Position Fort Lauderdale, FL, USA ... managed care and capitation 2+ years in a Director/Manager role over Case Management/Utilization Review strongly preferred... Apply Now>>

37 Billing Collection Manager Lake Success, NY, USA Collects and follows up on Managed Care cases. 4. Interacts and meets with Jamaica's DFTA clinical department and makes them aware of any client and case management changes. 5. Meets with DFTA case ...... Apply Now>>

38 Lead Trauma Nurse - Augusta (01417-8231) Roswell, GA, USA Manages care with primary trauma surgeon 7. Responsible for documentation compliance 8. Responds to in-house trauma patients critical needs 9. Facilitates psychosocial support 10. Mentors trauma ...... Apply Now>>

39 Coordinator - Home Care Islandia, NY, USA CDPAP and Managed Care Contracts * Excellent organizational and communication skills, attention to detail and a commitment to excellence! * A team player who enjoys working with people * Experience ...... Apply Now>>

40 Care Manager (RN) Yonkers, NY, USA About the Opportunity A recognized managed care facility in Brooklyn is actively seeking a compassionate and empathetic Registered Nurse (RN) for a promising opportunity on their staff as a Care ...... Apply Now>>

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