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Managed Care Organization Pharmacy Directory



1 Manager - Care Coordination Santa Monica, United States 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>>

2 Manager, Care Management RN - Health Plan Fort Worth, Texas, USA Full-Time 1st Shift The Manager has the authority, accountability, and responsibility for the management of the daily operations of Cook Children's Health Plan (CCHP) Care Management Department ...... Apply Now>>

3 Director of Managed Care Contracting Camp Hill, PA, USA Director of Managed Care Contracting Are you an experienced Director of Managed Care Contracting looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance ...... Apply Now>>

4 Clinical Support Auditor New York, NY, USA Clinical Support Auditor - Medical Records Review - Managed Care One of New York's most popular health insurance providers is seeking a Clinical Support Specialist/Auditor to determine operational ...... Apply Now>>

5 Senior Director, Managed Care Nashville, TN, USA This position will work specifically within the Managed Care division and will support contracting activities within an assigned territory. Key functions within this role will be supporting ...... Apply Now>>

6 VP, Network Development & Contracting (Managed Care) Tacoma, WA, USA MBA or MHA degree preferred. * 10+ years of experience in managed care network development and provider relations/contracting management in a health care and/or managed care environment. * Previous ...... Apply Now>>

7 Managed Care Representative Dorchester Center, MA, USA Managed Care Representative DIVISION: Operations DEPARTMENT: Call Center REPORTS TO: Manager, Facilities FLSA: Non-Exempt FT/PT: Full time Position Summary: Reporting to the Director of Operations ...... Apply Now>>

8 Team Manager, Care Coordination (RN) (446-210) Redding, CA, USA ... healthcare professionals to meet organization's goal and mission. * Ensures compliance with all ... managed with other departments and providers both within and outside the organization... Apply Now>>

9 Clinical Manager - Home Healthcare Cedar Rapids, IA, USA Manages patient and family care as specified by the plan of care, assessing appropriateness, continuity, service, and quality of care Applies knowledge of clinical and administrative policies and ...... Apply Now>>

10 RN Care Manager - Care Management Burien, United States Through intervention, promotes the appropriate utilization of resources, identifies and addresses care gaps, promotes health behavior changes for patients to better manage their illnesses and ...... Apply Now>>

11 Care Manager New York, United States Sr Mgr, Care Management Essential Functions: * In conjunction with the PCP and member, completes a comprehensive assessment and develops a care plan utilizing clinical expertise to evaluate the ...... Apply Now>>

12 Manager, Care Transitions Takoma Park, USA Adventist Healthcare The Manager, Care Transitions, under the supervision and in collaboration with the Director, is responsible and accountable for the operational management, leadership ...... Apply Now>>

13 Managed Care Contractor Dalton, GA, USA Job purpose Under the direction of the Director of Managed Care, plans, organizes, administers, and directs the managed care contracting strategy for HealthOne Alliance; analyzes and negotiates ...... Apply Now>>

14 Administration, Physician Lead in Complex Care Management in Oakland, CA Oakland, CA, USA ... managed care; consistent with the goals of the Population Health, the Physician Lead, Complex Care Management * Works with Vice President, Population Health on developing a utilization management ...... Apply Now>>

15 Manager, Care Management RN - Health Plan Fort Worth, TX, USA Master's degree in nursing, health care administration or business preferred. * A minimum of 5 years clinical experience and three years of management experience required. * Current unrestricted ...... Apply Now>>

16 Nurse Manager - Care Management - Full Time Portland, OR, USA Shriners Hospitals for Children - Portland is seeking a full time manager for its Care Management Department which includes care managers, social workers and medical interpreters. The manager is ...... Apply Now>>

17 Office Manager/Care Manager, Dual Role (LPN OR RN) Baltimore, OH, USA The Manager ensures the efficient and effective delivery of patient care through effective human resource management and the implementation of FCHC administrative policies and procedures. The Manager ...... Apply Now>>

18 Manage Care Director Rosemead, CA, USA Assist the CFO to develop a corporate vision and set strategies to advance, grow and optimize the managed care sector of the business. * Ensure that revenues from health plan/ IPA/ third party ...... Apply Now>>

19 INTEGRATED CARE MANAGER Woodbridge, United States Promotes effective utilization and monitoring of health services, collaborates and communicates with the healthcare team and patient/caregiver to manage care and transitions. Develops and/or ...... Apply Now>>

20 INTEGRATED CARE MANAGER Norfolk, United States Sentara Neurology Specialists, located in Norfolk, Virginia, is seeking a full time Integrated Care Manager in our Neurology Department to assist with the management of the Epilepsy patient ...... Apply Now>>

21 Care Manager - LPN_LVN Houston, United States ... managed care company * Required Other prior experience working with a geriatric population Candidate Skills: * Intermediate Ability to drive multiple projects * Intermediate Ability to multi-task... Apply Now>>

22 Care Coordination Manager (Non-Clinical) (454-210) Redding, CA, USA Familiarity with managed care and/or utilization management preferred. Valid California driver's license and proof of current automobile insurance compliant with PHC policy are required to operate a ...... Apply Now>>

23 Regional Manager - Care Homes Older People Huddersfield, United Kingdom REGIONAL MANAGER - CARE HOMES OLDER PEOPLE RESIDENTIAL & NURSING - WEST YORKSHIRE & NORTH WEST - SALARY £50,000 + COMPANY CAR Due to the growth of the business my client has a new requirement for a ...... Apply Now>>

24 Sr. Accounting / Financial Analyst - New Role / New ACO Managed Care Partners! Worcester, United States It's a unique opportunity for a strong seasoned Accounting expert with Medicaid and Managed Care expertise to not only help create a new position but also make a great impact on the financial side of ...... Apply Now>>

25 Deputy Manager - Care Home Nottingham, United Kingdom Deputy Manager - Care Home Newark-on-Trent, Nottinghamshire £10 per hour Permanent Contract - 42 hours per week In Touch Recruitment is working on behalf of a well-respected care home provider to ...... Apply Now>>

26 Deputy Manager - Care Home Ashton-Under-Lyne, United Kingdom Deputy Manager - Care Home Ashton-under-Lyne £10 per hour In Touch Recruitment are working in partnership with an elite care home provider to recruit an experienced Deputy Care Home Manager to ...... Apply Now>>

27 Home Manager | Care home (nursing) | £47k p.a. + bonus Sheffield, United Kingdom Home Manager Care home (nursing) £47k p.a. + bonus Sheffield, South Yorkshire Salary: £47k per annum + bonus *Current Home Management experience preferable (elderly care home)* *MUST be nurse ...... Apply Now>>

28 Nurse Manager RN - Managed Care for NICU Santa Clara, CA, USA A-Line Staffing Solutions is working with major Managed Care company in Santa Clara, CA whom are in need of an experienced and licensed RN for an upper-management position. This is a PERMANENT/DIRECT ...... Apply Now>>

29 RN Utilization Care Coordinator (Denials Management/UR) St Joseph, Michigan, USA ... in managed care or provider setting preferred. · Excellent Customer Service and Interpersonal Skills required. · Must have strong verbal and written communication skills, strong organizational ...... Apply Now>>

30 Senior Care Manager Roxbury, MA, USA Refer elders to other appropriate programs, including Medicaid Waiver, respite, and Managed Care in Housing or other available and appropriate resources. 6. Maintain up-to-date client records ...... Apply Now>>

31 Telemetry Nurse - Travel - (Tele RN) - West Burlington West Burlington, IA, USA Consistent monitoring of each of your patients for level of pain as well as providing pain management care can be expected. This environment is innovative, creative and patient centric, providing an ...... Apply Now>>

32 Home Manager | Care home (nursing) | £65k p.a + bonus Preston, United Kingdom Home Manager Care home (nursing) £65k p.a + bonus Preston, Lancashire Salary: £65k per annum + excellent bonus structure & benefits *Current Home Management experience preferable (elderly care home... Apply Now>>

33 Contract Manager (Healthcare background a must) Irvine, CA, USA Participates directly in managed care contract negotiations. Utilizes cost and managed care scorecard analyses to negotiate an acceptable rate. * Collaborates/communicates with revenue cycle and ...... Apply Now>>

34 Telemetry Nurse - Travel - (Tele RN) - Yakima Yakima, WA, USA Consistent monitoring of each of your patients for level of pain as well as providing pain management care can be expected. This environment is innovative, creative and patient centric, providing an ...... Apply Now>>

35 Managed Care Specialist Brentwood, TN, USA Primary Purpose The Managed Care Specialist works closely with the Manager of Licensure and Contract Management. The Specialist helps research, complete and submit all regulatory applications and re ...... Apply Now>>

36 Care Manager LPN Chicago, IL, USA ... with Managed Care and Patient-Centered Medical Home with the over goal of improved quality and delivery of comprehensive patient care. Job Type: Full-time Required education: · Associate Degree ...... Apply Now>>

37 Hospital Network Development Specialist -Healthcare Austin, TX, USA USA Managed Care Organization is hiring a Hospital Network Development Specialist. This position is responsible for developing and building PPO, Work Comp and Medicare networks. This is a great ...... Apply Now>>

38 Area Manager/PCG I Job Memphis, United States Bachelor's degree in Business Administration, Finance or Healthcare Administration. Must have three ... Knowledge of the principles and practices of health planning and clinic management sufficient to ...... Apply Now>>

39 Acting Care Home Manager / Care Operations Coordinator bedford, United Kingdom Acting Care Home Manager Location: Bedford (MK40) Salary: £25,064 - £27,744 per annum Job Type: Full Time (40 hours/week), Maternity Cover Job Role: The Company is an award-winning specialist care ...... Apply Now>>

40 Director of Managed Care Camarillo, CA, USA The Director of Managed Care and Network Operations coordinates the activities and communications among managed care staff and the administration. The Director of Managed Care and Network Operations ...... Apply Now>>

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