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Managed Care Organization Pharmacy Directory



1 Care Manager II (CA) HORNBROOK, 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>>

2 Remote Utilization Review RN Remote, OR, USA This is an amazing opportunity for a Managed Care Organization, and the Remote Utilization Review RN will be responsible for ensuring medically appropriate, high quality, and cost-effective care of ...... Apply Now>>

3 Clinical Manager PCU Bremerton, United States Harrison is looking for a Clinical Manager to join our PCU that will be moving to our NEW HOSPITAL in Silverdale! This 500,000 Square-foot hospital will be the most energy efficient hospital in ...... Apply Now>>

4 Travel Case Manager Registered Nurse - Case Manager RN Castro Valley, CA, USA Supplemental Health Care, a nationally recognized healthcare staffing provider, is partnering with a hospital in Castro Valley, CA to provide a Case Manager Registered Nurse (RN) for a 13-week travel ...... Apply Now>>

5 LPN Med Care Manager Santa Ana, 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>>

6 CNA - Care Manager (Memory Care) Salt Lake City, 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>>

7 Associate Medical Director Salem, OR, USA Attend and participate in all relevant local and Care Management, Cost Management, Clinical, Quality, Utilization Management Committees and activities, including the Clinical Advisory Panel ...... Apply Now>>

8 Payroll Manager Seattle, WA, USA Veras model is anchored by three core elements: high engagement, managed care and organizational culture change, which combine to drive down utilization of costly services like ER, inpatient ...... Apply Now>>

9 Care Coordinator Sisters of St. Francis Alameda, CA, USA Req ID 2019-1461 Job Locations Management & Corporate Job Category Salaried - 72 Shift Day Who We Are Expressing our faith heritage, Elder Care Alliance is an integrated system committed to serving ...... Apply Now>>

10 Care Services Director - Social Worker us Create, maintain and manage care services budget with Executive Director and Board of Directors. Detailed Duties and Responsibilities * Research and evaluate current and potential services for ...... Apply Now>>

11 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>>

12 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>>

13 Telemetry Nurse Glendora, CA, 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>>

14 Care Navigator Seattle, WA, USA Case Management certification preferred. Work Experience * Minimum of five years of clinical practice in an acute care setting within the last five years is required. * Three years previous ...... Apply Now>>

15 Physician Practice Manager II - UW Medicine Heart Institute Service Line Seattle, WA, USA The UW Medicine Heart Institute provides acclaimed services in cardiac care. Our areas of specialty ... The Clinic Manager, under minimal direction of the Director, is responsible for managing all ...... Apply Now>>

16 Practice Manager II Chino Valley, United States Knowledge of Medicare, managed care programs, third party payers, Workers' Compensation CPT, ICD codes, and patient account collections * Electronic Medical Records (EMR) experience *Must pass pre ...... Apply Now>>

17 Care Coordinator - RN or LPN Walnut Creek, CA, USA Comprehensive knowledge of workers' compensation, insurance, and managed care, suggested. Familiarity with long- term care and/or sub-acute care, recommended. Education Requirements Current, active ...... Apply Now>>

18 Project Manager- Healthcare Experience Preferred Seattle, United States The ideal candidate would have experience managing healthcare projects. The purpose of this position is to lead individual, multi-disciplined real estate project solutions for clients, with direct ...... Apply Now>>

19 Lead Clinical Manager of Lactation Watsonville, CA, USA We are seeking a well-rounded and compassionate Lead Clinical Manager of Lactation to provide counseling to prenatal patients and postpartum patients to support breastfeeding and newborn care through ...... Apply Now>>

20 Case Manager - Skilled Nursing Facility (PRN) Tacoma, WA, USA Comprehensive knowledge of workers' compensation, insurance, and managed care preferred. Ability to negotiate coverage and provide complete and timely case management reports required. Prior ...... Apply Now>>

21 Chief Medical Officer us Extensive experience in population health managment, managed care, contracting and utiliztion management is needed. Medical degree with at least 5 years experience in managing healthcare delivery ...... Apply Now>>

22 Clinical Manager - Registered Nurse (RN) Tacoma, WA, USA Clinical Manager (RN) Aveanna Healthcare, the largest pediatric home health care company in the U.S., is hiring a Registered Nurse to fill the role of Clinical Manager to assist the Director of ...... Apply Now>>

23 UM Care Manager - Evergreen Requisition Knowledge of managed care and state specific expertise preferred. * Demonstrated work experience to influence and negotiate to effectively manage patient care and health care outcomes. * Demonstrated ...... Apply Now>>

24 Travel Nurse RN - Case Management - $1,836 per week Wrangell, Alaska, USA ... managed care and the use of healthcare resources in the most cost-effective way possibleEnsure that the proper treatment is administered at the appropriate time in order to maximize health and well ...... Apply Now>>

25 Business Healthcare Analyst us We'll transform healthcare in the Bay Area--together. We've been named an "Elite" Medical Group for ... Confers with users, managers, and other departments to determine impact and dependencies of ...... Apply Now>>

26 Project Manager - Healthcare Tenant Improvements us The Seneca Group is currently seeking skilled project managers to join our healthcare team in the Seattle area. Candidates should have a minimum of 3 years of demonstrated excellence in healthcare ...... Apply Now>>

27 Care Coordination Supervisor - Youth Residential Housing Facility [ 080 ] Lake Oswego, OR, USA This individual also works with the Robinswood management team to review all referrals, assess ... The Care Coordination Supervisor acts as the primary Robinswood liaison to the Clackamas County ESD ...... Apply Now>>

28 Utilization Review Nurse, Outpatient Utilization Mgmt - PT/Days (8:30AM-5:00PM) Fountain Valley, United States Documents decisions that demonstrate independent judgment, critical thinking and application of complex managed care regulations including but not limited to benefit structures, health plan coverage ...... Apply Now>>

29 Medical Director Charleston, SC, USA ... care. Other position highlights include but are not limited to: managing the program to achieve clinical, operational and financial goals; strategic planning responsibilities such as physician ...... Apply Now>>

30 Healthcare Technical Implementation Project Manager San Francisco, United States ... are Technical Implementation Project Manager . ***** *** Candidate must be authorized to work in USA without requiring sponsorship *** Description : * Day-to-day contact for active customer ...... Apply Now>>

31 Manager, Population Health Management Honolulu, HI, USA The Care Management Manager is responsible for providing administrative and clinical leadership and oversight of the Population Health Management staff to ensure successful delivery of complex case ...... Apply Now>>

32 Project Manager - Healthcare Industry us An expert in project team management including dynamics of virtual teams, matrix reporting relationships and cross-functional resource identification and allocation * Healthcare industry experience ...... Apply Now>>

33 Social Worker Case Manager 1 Falls Church, VA, USA ... managed care and payer issues. * Psychosocial assessment and Interventions. * Provides discharge planning and continuity of care for assigned patients in the acute and post-acute setting... Apply Now>>

34 Memory Care Specialist - Multi-site Position Alameda, CA, USA ... Manager (CDCM). * California Residential Care Facilities for the Elderly (RCFE) Certification Preferred * Ability and willingness to travel throughout the State of California on a weekly basis and ...... Apply Now>>

35 Memory Care Coordinator Minneapolis, Minnesota, USA Additionally, this position works closely with the community's clinical team in an effort to promote open communication regarding the Memory Care resident's overall well-being. * • Manage and ...... Apply Now>>

36 Sr. Project Manager - Healthcare Mountlake Terrace, United States Six years project management experience * Healthcare experience * Management of projects involving business transformation Experis is an Equal Opportunity Employer (EOE/AA) - provided by Dice... Apply Now>>

37 Care Review Processor Healthcare Support Long Beach, CA, USA Experience with Medical Terminology. managed care,healthcare,data entry,medical terminology Company Description Not only is Collabera committed to meeting and exceeding our customer's needs, but we ...... Apply Now>>

38 RN Case Manager us Coordinate Care Team support for patients with new health management goals. * Assist with discharge planning and home care referrals. * Oversee Care Team Medical Assistant administration of ...... Apply Now>>

39 Critical Care Nurse Manager Coeur D Alene, ID, USA Kootenai Health, located in Coeur d'Alene, ID, is hiring a Critical Care Nurse Manager! If you are passionate about working with your team to provide exceptional services to Critical Care patients ...... Apply Now>>

40 Critical Care (Intensivist) Elk Grove Village, United States ... low managed care, simple licensing process and affordable cost of living. A comprehensive ... compensation package will be offered and may include: Salary plus Incentive Sign On Bonus ...... Apply Now>>

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