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Managed Care Organization Pharmacy : Alabama

AMERICAN PHARMACY COOPERATIVE, INC.
5611 Shirley Park Dr      Bessemer,  AL 35022
205-277-1496
NPI: 1245708049
MEDSPLUS CONSULTING LLC
1017 Sterling Lakes Cir      Helena,  AL 35022
205-542-1037
NPI: 1740843416
PHARMACY SERVICES DIVIRSIFIED INC
146 S Florida St      Mobile,  AL 36606
251-471-4560
NPI: 1194837179
SYLACAUGA HEALTH CARE AUTHORITY INC
315 W Hickory St      Sylacauga,  AL 35150
256-401-4065
NPI: 1356385983


MANAGED CARE JOBS - Page 1

1 Managed Care Contract Associate II Lafayette, United States Assists in the implementation of and financial analysis of managed care contracts and participates in revenue improvement initiatives on behalf of the company. Relies on extensive experience and ...... Apply Now>>

2 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>>

3 Care Manager II (CA) 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>>

4 Unit Manager Clinical Operations - Government Programs Belleville, United States Knowledge of managed care and insurance industry. * Verbal, written, and interpersonal communication skills. * PC proficiency to include Word, Excel, PowerPoint. * Analytical skills and sound ...... Apply Now>>

5 Quality & Care Transform Mgr, Comprehensive Stroke Team, Quality Improvement Dept, 40hrs, DAY, EV Evanston, IL, USA Position Overview We are currently seeking a Quality and Care Transformation Manager to support the Comprehensive and Primary Stroke programs at NorthShore University HealthSystem. The successful ...... Apply Now>>

6 Director Managed Care Shreveport, United States Description The Director of Managed Care is responsible for enhancing and maintaining managed care operations between the CHRISTUS providers (Acute Care Hospitals, Physicians and Ancillary providers ...... Apply Now>>

7 RN Clinical Program Manager for Center for Nursing Excellence Belleville, United States As a member of BJC HealthCare, Memorial Hospital Belleville provides full and part-time employment ... Manages individual(s) including but not limited to: hires, trains, assigns work, manages ...... Apply Now>>

8 Manager Value Based Care Management, Full-time Evanston, IL, USA NorthShore University HealthSystem (NorthShore) is a premier integrated healthcare delivery system ... Manage the day to day operations through the teams providing care navigation, utilization ...... Apply Now>>

9 LPN Med Care Manager San Diego, 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>>

10 Senior Transition Care Management Coordinator Wauwatosa, WI, USA Bachelor's degree in related field or equivalent experience. * 3 years in a managed care setting. * Case management or post hospital outreach experience. * Concurrent review or discharge planning ...... Apply Now>>

11 Travel RN - Case Management Gainesville, GA, USA Supplemental Health Care is a nationally recognized healthcare staffing provider partnering with a hospital in Gainesville, GA to provide a Travel Case Management RN. Qualified RN's will receive ...... Apply Now>>

12 Managed Care Director Full Time Columbus, United States The Managed Care Director is responsible for all aspects of contract management including performing the review, modeling, negotiation, analysis, implementation, and maintenance of the group managed ...... Apply Now>>

13 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>>

14 Clinical Specialist, Senior Plano, Texas, USA Work with Administrators and regional management to ensure optimal patient care and regulatory compliance. * Remain current with dialysis industry and technology. * Assist with program target goals ...... Apply Now>>

15 Director, Clinical Operations Plano, Texas, USA ... and management objectives. OUTCOMES * Develop, implement and monitor quality of care processes for program regulatory compliance in accordance with Company goals. * Ensure clinical processes in ...... Apply Now>>

16 Unit Mgr - RN (partial remote) - NEW OPENING Richardson, United States Knowledge of managed care program policies and procedures. * Knowledge of managed care and insurance industry. * Verbal, written, and interpersonal communication skills. * PC proficiency to include ...... Apply Now>>

17 Director Claims, Managed Care Workers Compensation Irvine, United States Reporting to the Head of Managed Care and Clinical, the Director of Managed Care will have responsibility for managing the performance, productivity, and medical management outcomes of AmTrust ...... Apply Now>>

18 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>>

19 Practice Manager- Limestone Wilmington, United States Evaluates, specifies and recommends equipment for operations and patient care in the office. * Manages practice operational budget and administration. Develops control procedures to ensure accurate ...... Apply Now>>

20 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>>

21 Regional Medical Director Boise, United States Provides clinical leadership for statewide care management: monitors site results through data review and care management calls which decrease negative variances and promotes the sharing of best ...... Apply Now>>

22 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>>

23 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>>

24 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>>

25 Practice Manager Smyrna Smyrna, United States Evaluates, specifies and recommends equipment for operations and patient care in the office. * Manages practice operational budget and administration. Develops control procedures to ensure accurate ...... Apply Now>>

26 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>>

27 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>>

28 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>>

29 Director, Medical Management RN Sacramento, CA, USA ... healthcare environment, preferable managed care. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. License ...... Apply Now>>

30 Senior Managed Care Data Analyst El Segundo, CA, USA Over 5 years and up to and including 7 years of experience. * 3 to 5 years background in healthcare industry and managed care. * 3 to 5 years experience with MS Access, Excel, and SQL. Preferred: * 3 ...... Apply Now>>

31 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>>

32 Assistant Nurse Manager - Pediatric Critical Care Transport Team Saint Louis, United States Overview Role Purpose Coordinates patient care, personnel management, maintenance of equipment, equipment purchased, and statistical accumulation. Responsibilities * Manages individual(s) including ...... Apply Now>>

33 RN, Clinical Auditor, Delegation Oversight Los Angeles, CA, USA Pride Healthcare is seeking a Clinical Auditor, Delegation Oversight to be responsible for ensuring that delegates contracted to perform Utilization Management (UM) functions on behalf of LA Care ...... Apply Now>>

34 Regional Medical Director (FP, IM, Med/Peds) Opportunity in California Chico, United States Maintain relationships with key employer groups, physician groups, individual physicians, managed care organizations, and state medical associations and societies. Participate in quality improvement ...... Apply Now>>

35 Care Manager - Case Management San Diego, United States As a Care Manager, you will be responsible for the daily management and coordination of care for patients with complex health needs, including coordination with providers, navigators and ancillary ...... Apply Now>>

36 RN Case Manager - Care Management Tyler, United States Patients are assessed for clinical documentation reflecting continuum of care and medical necessity according to criteria established by TMF, Medicare, Medicaid, Managed Care agencies, and Clinical ...... Apply Now>>

37 Director of Clinical Services Hospice Merced, CA, USA ... are organizations. I. The Administrator manages the implementation phase of contracting institutions and implemented with positive results to the hospice, according to applicable state and federal ...... Apply Now>>

38 MS Vice President Managed Services Alpharetta, United States With the largest community of clients in healthcare, Allscripts is able to deliver an integrated ... The primary purpose of the Vice President, Managed Services role is to oversee the activities of 3 ...... Apply Now>>

39 Travel Nurse RN - Case Management - $1,692 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>>

40 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>>



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