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Managed Care Organization Pharmacy Directory



1 Manager, Managed Care Contracts us ... Managed Care Contracts will oversee and manage support functions essential to operationalize productivity in the commercial organization. The role is to ensure contract compliance in the areas of ...... Apply Now>>

2 Care Coordinator Cerritos, CA, USA Maintains accurate and complete documentation in Case Management database. Qualifications: * Requires a high school diploma * 2 years of experience in Case Management Care Coordination in an HMO ...... Apply Now>>

3 Practice or Clinic Manager - Primary Care - Seattle, WA Seattle, WA, USA Our approach to managed care, which emphasizes behavior change as the only sustainable way to transform ones health, achieves high engagement. And the data shows that the more patients who use Vera ...... Apply Now>>

4 Clinical/Managed Care Writer Lawrence Township, NJ, USA Are you actively seeking for a new Clinical/Managed Care Writer role in Lawrence Township, New Jersey area or know someone that is? The position was start off being in Hopewell, New Jersey and then ...... Apply Now>>

5 Manager Mary Bridge Clinics (RN) Tacoma, United States This individual maintains broad responsibilities for all administrative functions of the practice locations, including operations, marketing, finance, assisting in managed care/third party ...... Apply Now>>

6 RN Manager, Care Management Torrance, CA, USA Preferred Qualifications: * 3 to 5 years prior acute nursing with critical care experience. * 2 to 4 years managed care/HMO experience in utilization review, case management or discharge planning ...... Apply Now>>

7 Regional Medical Director - Managed Care Fresno, CA, USA It also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, correctional healthcare services ...... Apply Now>>

8 Clinical Operations Manager, RN - Surgical Services Tacoma WA 10k Sign On Bonus Tacoma, United States Knowledge of regulatory requirements, managed care, health care delivery systems and nursing practice. * Master's degree in nursing preferred. Kaiser Permanente is an equal opportunity employer ...... Apply Now>>

9 Home Care Consultant-Client Care Manager Las Vegas, NV, USA This individual must be a self starter, have excellent relationship management skills and be adaptable to the ever- changing senior care industry. Must be able to work occasional weekends and ...... Apply Now>>

10 Registerd Nurse (RN) Nurse Manager/ Health & Wellness Director - RN - $12K Incentive Available! Medford, United States Manages the day-to-day clinical services of the community to ensure resident's healthcare needs are met. Ensures residents are treated with respect and dignity and ensures quality care as resident ...... Apply Now>>

11 LPN Med Care Manager San Rafael, United States Working here is an unbelievable privilege and it will be something I carry with me for the rest of my life!" - Sunrise Team Member At Sunrise, our LPN Medication Care Manager is responsible for ...... Apply Now>>

12 Inpatient Care Manager - Nurse Manager us We'll transform healthcare in the Bay Area--together. We've been named an "Elite" Medical Group for ... Assists in the operations of Care Management functions including planning, monitoring, and ...... Apply Now>>

13 Travel RN - Case Management - Ambulatory Care Oakland, CA, USA A Hospital in Oakland, California has orientations scheduled for Case Management Registered Nurses. Supplemental Health Care is partnering with this hospital to assist with filling Case Manager RN ...... Apply Now>>

14 Clinical Manager (Registered Nurse/RN) Cincinnati, OH, USA The Christ Hospital Home Health Care is a fast growing home health network looking for an Clinical Manager to join our team! The Clinical Manager provides oversight of all personnel and patient care ...... Apply Now>>

15 Chief Medical Officer East Hartford, USA ... societies, healthcare organizations, and education facilities-Provides leadership and management to the clinical division alongside the Chief Executive Officer-Maintain direct patient care ...... Apply Now>>

16 Clinical Program Manager Bakersfield, CA, USA Five to seven years managed care, hospital or medical group experience, focusing on quality improvement, utilization management, or clinical operations Project management experience at a medical ...... Apply Now>>

17 UM Clinical Services Coordinator - Managed Care Pasadena, CA, USA Considerable knowledge of Medi-Cal/Medicare Managed Care * Proficiency in 10-key and MS Office applications * Ability to work effectively and accurately in a fast-paced environment * Strong work ...... Apply Now>>

18 CNA, Care Manager Lynnwood, United States Working here is an unbelievable privilege and it will be something I carry with me for the rest of my life!" - Sunrise Team Member At Sunrise, our Care Manager is responsible for providing the ...... Apply Now>>

19 Practice Manager Anchorage, AK, USA These dyad relationships are responsible to ensure exceptional delivery of patient care. You are ... Population Health Management Done Right Our model has proven its worth in the market since 2012. We ...... Apply Now>>

20 RN - Senior Care Los Angeles, CA, USA Under general supervision by the Supervisor, Nursing and oversight by the PACE Physicians, the Nurse (RN) Case Manager/Care Coordination Team Leaderhas the responsibility to case manage all PACE ...... Apply Now>>

21 Clinical Compliance, Sr. Leader, Clinical Reg. & Delegation Oversight Schenectady, NY, USA Eight (8) years managed care clinical experience, some of which should include compliance activities Management experience required Program development experience required Required Skills: • In ...... Apply Now>>

22 Geriatric Care Manager us As a Care Manager in the Sage Eldercare team, your responsibilities will include : · Serve clients in San Francisco, San Mateo County Santa Clara County on a full-time or part-time basis · Conduct ...... Apply Now>>

23 Nurse Mgr - Patient Care Services/Float Pool - Good Samaritan Puyallup, United States Internal contacts are with all levels of staff and management. External contacts include physicians, physician office staff, outside health care providers and organizations, vendors, and management ...... Apply Now>>

24 Quality & Care Transform Mgr, Quality Improvement Dept, 40hrs, DAY, EV Evanston, IL, USA Position Overview We are currently seeking a Quality and Care Transformation Manager for our Quality Improvement department located at Evanston Hospital in Evanston, IL. This is a full-time position ...... Apply Now>>

25 Care Coordinator Medical Interpreter San Francisco, CA, USA Develop and implement outreach activities to managed care members assigned by Health Plan to NEMS, to generate interest in NEMS services. * Conduct outreach activities to assigned members by phone ...... Apply Now>>

26 Member Care Coordinator Albuquerque, NM, USA ... Management department with their provider and member activities. ESSENTIAL FUNCTIONS: 1. Responsible for home health assessments and system updates. 2. Perform outreach and follow up attempts to ...... Apply Now>>

27 Quality Care Coordinator Orange, CA, USA Providing support to the network strategies Requirements: * 2 years' + experience working with physicians in a managed care/IPA, medical group, health plan or MSO environment * Provider Coordinator ...... Apply Now>>

28 RN - Residential Case Manager Schoharie, USA Check out the details below:Title: RN - Residential Case Manager Job Type: Direct Hire ... Will also provide clinical oversight to other care professionals. Provide nursing support and ...... Apply Now>>

29 CARE MANAGER Buffalo, NY, USA ... provide care management activities that include face-to-face meetings, electronic communications and telephone calls with consumers, their families and various community service providers... Apply Now>>

30 Temp-to-Hire Coders with E/M Physician exp in Chicago Loop Chicago, IL, USA Company Description We are employment specialists who have worked in heath care and managed care industry for over a total of 22 years. We staff temp, temp to hire, and direct hire placements... Apply Now>>

31 Travel Case Management Registered Nurse Seattle, WA, USA Supplemental Health Care has over 30 years of experience providing positions to qualified health ... Unit: Case Management Shift & Hours: 8 Hour Days Start Date: ASAP Contract Length: 13 Weeks ...... Apply Now>>

32 Managed Care/Credentialing Supervisor Houston, TX, USA Managed Care/Credentialing Supervisor Position Summary: The Managed Care/Credentialing Supervisor is responsible for providing direction to department employees and administration of contracts ...... Apply Now>>

33 Corporate Counsel of Managed Care Los Angeles, CA, USA Title: Corporate Counsel, Managed Care Position: The Corporate Counsel, Managed Care will be responsible for the management and/or supervision of dispute resolution of unpaid claims between PMH ...... Apply Now>>

34 Registered Nurse - Case Management - $7,500 Sign On Bonus (36 Hours, Tacoma) Tacoma, United States The Care Manager will work in 2 settings on a periodic rotating schedule, planning the discharges and follow up care for Kaiser Foundation Health Plan of Washington patients hospitalized at a nearby ...... Apply Now>>

35 Executive Director Managed Care Contracting CKHS Springfield, PA, USA The Executive Director Managed Care Contracting is responsible for the oversight of fee-for-service and value-based contracting and their implementation and related activities for Crozer-Keystone ...... Apply Now>>

36 CARE MANAGER - ED La Jolla, United States As an experienced Case Manager RN, you will be utilizing objective data, evidence based screening tools, and care team referrals, the CM screens all patients in their assigned caseload to identify ...... Apply Now>>

37 COMPLEX CARE MANAGER - RN - Organ Acquisition La Jolla, United States Join our highly engaged team as a Complex Care Manager. You will be responsible for the daily management and coordination of care for patients with complex health needs, including coordination with ...... Apply Now>>

38 RN Manager - Critical Care / ICU San Jose, CA, USA RN Manager - Critical Care / ICU (Permanent Roles) Includes HCA, Dignity Health, John Muir Health, Dameron Hospital, Verity Health, Stanford Children's Hospital, Sierra View Medical Center, and many ...... Apply Now>>

39 Manager- Clinical Services PCU East Bremerton, WA, USA Manages and evaluates the clinical operations, programs and resources of the assigned clinical area/facility to assure the safe and appropriate delivery of diagnostic and/or therapeutic patient care... Apply Now>>

40 Technical Project Manager us ... Healthcare, HL7 or IHE is required Required Experience and Qualifications 7+ yrs of relevant WORK experience (mandatory) Your background and skills: · Have successfully managed engineering ...... Apply Now>>

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