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Managed Care Organization Pharmacy : Montana

APPLIED HEALTH SERVICES INCORPORATED
200 Conway Dr      Kalispell,  MT 59901
406-751-7600
NPI: 1548228976


MANAGED CARE JOBS - Page 1

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 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>>

3 Vice President Clinical Health Services Management us Oversees all contracted vendor activities involved in clinical, pharmacy, and managed care programs. * Monitors and analyzes costs and prepares departmental budget. * Develops alliances with ...... Apply Now>>

4 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>>

5 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>>

6 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>>

7 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>>

8 Manager, Clinical Integration us Medical Home Network is a not-for-profit healthcare innovations organization dedicated to improving ... Located in a vibrant downtown Chicago setting we are currently seeking a full-time Manager ...... Apply Now>>

9 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>>

10 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>>

11 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>>

12 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>>

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 Part Time Medical Director us Manage our Care Team and ensure that employees are complying with policies when providing care * Resolve conflicts between and among physicians, members, and Upward Health personnel. * Meet with the ...... Apply Now>>

15 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>>

16 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>>

17 Manager - Commercial Managed Care Division us McDermott+Consulting (McDermottPlus) is a healthcare consulting firm with offices in Washington, D ... As a Manager, you will: * Assist in completing diligence assignments in a wide variety of health ...... Apply Now>>

18 Veterinary Regional Manager us PetVet Care Centers, Inc. is one of the nation's leading operators of veterinary hospitals for ... Regional Managers support the managers and medical directors to meet and exceed their financial ...... Apply Now>>

19 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>>

20 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>>

21 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>>

22 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>>

23 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>>

24 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>>

25 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>>

26 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>>

27 RN-Case Manager - Care Management Birmingham, Alabama, USA Description The UAB Department of Care Transitions has openings for acute care Case Managers/Care Coordinators. We are searching for professional Care Coordinators that are passionate about serving a ...... Apply Now>>

28 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>>

29 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>>

30 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>>

31 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>>

32 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>>

33 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>>

34 Unit Manager - RN Grosse Pointe, MI, USA As an Unit Manager - RN, you will oversee the care management of a population of patients within an assigned area, unit or clinical function. The position conducts the nursing process - assessment ...... 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 Unit Manager - RN West Bloomfield Township, MI, USA As a Unit Manager - RN, you will: * oversee the care management of a population of patients within an assigned area, unit or clinical function. * conduct the nursing process - assessment, planning ...... Apply Now>>

37 IT Project Manager us Bankers Healthcare Group is the fastest name in innovative financial solutions, the best of both ... Coordinate and manage logistics around scheduling of vendor, client & project team meetings... Apply Now>>

38 Program Manager for Ryan White Supportive Services us Health care setting experience is preferred. Have experience in program development, management, financial management and data reporting. Advanced experience with Microsoft software, to include ...... Apply Now>>

39 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>>

40 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>>



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