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Managed Care Organization Pharmacy Directory

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MANAGED CARE JOBS - Page 1

1 Vice President of Operations & Business Development - Transitional Care Management Pasadena, CA, USA The organization touches millions of lives across the country, and the clientele includes Managed Care Organizations, Medical Groups, MSO, Health Plans, Hospitals, Health Systems, and Long Term Care ...... Apply Now>>

2 Workforce Management Care Coordinator II - Day of Job Town and Country, MO, USA ... managed efficiently throughout the day Assist in monitoring of sick calls, tardiness, etc ... TWCCWF105 Workforce Mgmt Care Coord II Nonexempt 208088BR... Apply Now>>

3 Field Care Manager - RN Jacksonville, FL, USA Preferred Other Managed care experience * Preferred Other Prior utilization management experience preferred in some geographic regions * Preferred Other Experience in care of the elderly is required ...... Apply Now>>

4 Manager - Field Care Manager RN Atlanta, GA, USA Required 3 years of experience in managed care * Required 1 year of management experience * Preferred Other NCQA, EQRO accreditation experience * Preferred Other Specialty Experience - In ...... Apply Now>>

5 HCS DIRECTOR NETWORK AND ACCOUNT MANAGEMENT - UNC HEALTH ALLIANCE Morrisville, NC, USA ... managed care. - Recruit new providers, effectively communicating with and supporting new and established practices, and retain high performing network members. - Work directly with entity C ...... Apply Now>>

6 Travel Telemetry Nurse - (Tele RN) - Gallipolis Gallipolis, OH, 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>>

7 Travel Telemetry Nurse - (Tele RN) - Livingston Livingston, NJ, 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>>

8 AVP Managed Care Charlotte, NC, USA As a multi-billion dollar health system, we are seeking an experienced managed care leader as AVP Managed Care. This person will manage contracting strategy and negotiations for a portfolio of payers ...... Apply Now>>

9 RN Manager - Care Management Full-time Highline Medical Center Burien, WA, USA We are a family of hospitals, health care services, and medical providers delivering compassionate ... This job is responsible for planning, managing and evaluating the care management activities ...... Apply Now>>

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

11 Managed Care Territory Manager Western, NE, USA We are looking for 2 Managed Care Territory Managers (Eastern US and Western US) to expand their business with new and existing clients. This a new position, reporting directly to the CEO. Operating ...... Apply Now>>

12 Senior Clinical Officer (MD or DO) Waukesha, WI, USA Senior Clinical Officer (MD or DO) with a national managed care company Our client, a national managed care company, is seeking to fill a senior level clinical officer position, for a position ...... Apply Now>>

13 Field Care Manager New York, NY, USA ... Managed Care experience Community-based or In-Home visit experience Experience working with either Geriatric, chronically ill or functionally challenged populations Job Type: Part-time/Per Diem ...... 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 Utilization Management Analyst Bakersfield, CA, USA EDUCATION & EXPERIENCE · Associates Degree in related field preferred. · Experience working in business office preferably a managed care or other healthcare related environment performing ...... Apply Now>>

16 Executive Director Managed Care South Bend, IN, USA He/She will conduct system-wide managed care activities including credentialing and contracting. He/She will direct a system-wide utilization review/ quality management program. He/She will oversee ...... Apply Now>>

17 RN Care Manager- Care Management, Part-time, Days Highline Medical Center Burien, WA, USA 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>>

18 Operations Manager - Care Coordination Rancho Cordova, CA, USA Bachelor's degree in Healthcare Management or equivalent experience preferred. * PMP, Six Sigma or Lean certification preferred Work Experience and Background Work Experience and Background... Apply Now>>

19 Foster Care Services Clinical Manager Tacoma, WA, USA The Foster care Services Clinical Manager (FCSCM) works collaboratively with Site Directors, Site Clinical Managers and supervisors to increase levels of consistency throughout the FBH System ...... Apply Now>>

20 Hamilton - Clinical Manager - Women's Programs 8917 Princeton HealthCare System is a leading provider of healthcare services. As a respected nonprofit ... Princeton HealthCare System is currently searching for a Full Time , Days , Clinical Manager, Women ...... Apply Now>>

21 Home Care Manager/Care coordinator Staten Island, NY, USA We are aggressively seeking a Home care Manager to take charge the operation at our non- medical Home Care organization in Staten Island. The Organization's Staten Island territory operation is ...... Apply Now>>

22 DIRECTOR-LONG TERM CARE Albuquerque, NM, USA Bachelors degree plus a minimum of five (5) years management or health care experience required, with 3-5 years managed care experience preferred. Demonstrated long-term care administrative ...... Apply Now>>

23 Managed Care Sales Executive Lakeland, FL, USA Managed Care Sales Executive Job Grade\: P6 Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation ...... Apply Now>>

24 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>>

25 Care Manager (RN) Newark, NJ, USA About the Opportunity A New Jersey-based managed care company is currently seeking a licensed Registered Nurse (RN) for a promising opportunity on their staff as a Care Manager. In this role, the ...... Apply Now>>

26 Managed Care Contract Analyst Chesterfield, MO, USA We then marry these characteristics with extensive training in the areas of coding, accounts receivable management, managed care contracting, analytics and compliance. The results? We significantly ...... Apply Now>>

27 Field Support Manager- 1M Winter Park, FL, USA Maxim Healthcare Services is currently seeking a Field Support Manger . The Field Support Manger oversees and maintains operational compliance with all applicable federal, state, and local ...... Apply Now>>

28 Executive Director of Managed Care Indianapolis, IN, USA Requires the knowledge in healthcare delivery systems, managed care products/services/systems, health benefit plans, hospital/physician relations, utilization review/quality management and effective ...... Apply Now>>

29 Manager Surgery La Mesa, CA, USA Current BLS certification for Healthcare Providers * 3-5 years' of recent Main OR surgery ... Applies professional management principles of planning, organizing, leading and controlling to ...... Apply Now>>

30 Care Manager (RN) Sacramento, CA, USA Interqual, NCCN) and government sponsored managed care programs. BENEFITS * EXCEPTIONAL Benefits including: Health, Dental, Vision, Tuition Reimbursement, Employee Stock Purchase Program, 401(K ...... Apply Now>>

31 RN Occupational Health (Company Care) - Full Time Days - Blake Medical Center - Bradenton, Florida Bradenton, FL, USA Case management to service the Workers Comp Network * 24-hour access to medical care * Managed care services * Emergency care and follow-up for injured workers * Injury prevention education... Apply Now>>

32 Care Manager II RN Sacramento, CA, USA Interqual, NCCN) and government sponsored managed care programs. Current state's RN license What are the nice-to-have skills? Bachelor's degree in Nursing preferred Position Purpose: Perform care ...... Apply Now>>

33 Care Management Specialist II Chicago, IL, USA Registered Nurse (RN) with current, active, unrestricted license in the state of operations (or reciprocity if applicable). * 2 years clinical experience. * 1 year health insurance/managed care ...... Apply Now>>

34 RN Director of Care Management - Managed Long Term Care - MLTC Queens, NY, USA ... Managed Long Term Care Plan located in Queens, NY. The RN Director of Care Management, under the direction of the Executive Director Care Management/Long-term Services, plans, organizes, implements ...... Apply Now>>

35 Certified Prior Authorization Pharmacy Technician – Managed Care Orlando, FL, USA Certified Prior Authorization Pharmacy Technician – Managed Care Job Description Join one of the nation's leading pharmacy placement firms! Right now, Rx relief has a great opportunity for an ...... Apply Now>>

36 Care Manager II (CA Health & Wellness) Rancho Cordova, USA-California-Woodland Hills, CA, USA Interqual, NCCN) and government sponsored managed care programs. Licenses/Certifications\: Current state's RN license Centene is an equal opportunity employer that is committed to diversity, and ...... Apply Now>>

37 CLM - Clinical Manager Wexford, PA, USA Ensures documentation submitted by the organization to outside entities (administrative entities, support coordination units, managed care companies) related to the support needs of the people we ...... Apply Now>>

38 Director of Medical Management Rancho Cordova, CA, USA Proven leadership experience in a Managed Care / Health Plan / Health Insurance setting * Unrestricted Registered Nurse / RN License in California SALARY: Starting at $130,000 (Depending on ...... Apply Now>>

39 Supervisor of Medical Management Sunrise, FL, USA ... a reputable Managed Care Organization in Sunrise, Florida. Where you will be responsible for the day-to-day functions in a cross functional team. The Supervisor of Medical Management / RN ...... Apply Now>>

40 Care Coordinator UM/CM III (RN) Chicago, IL, USA Applies Case Management principles in coordinating resources necessary to implement treatment ... Knowledge of managed care and insurance industry. * Demonstrated team leadership of training ...... Apply Now>>



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