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Managed Care Organization Pharmacy : Nevada

3050 E Desert Inn Rd  Ste 124    Las Vegas,  NV 89121
NPI: 1750788816


1 Service Line Manager - Cardiovascular Service Line Sacramento, CA, USA ... managed care or integrated delivery systems; demonstrated ability to work with physicians.- Knowledge of business and management principles, and of budget control and accounting principles, including ...... Apply Now>>

2 VP of Managed Care Brockway, PA, USA Guardian Healthcare seeks a dynamic and innovative VP of Managed Care to evaluate, negotiate and secure financially and administratively favorable managed care contracts with new and existing health ...... Apply Now>>

3 RN Care Manager Omaha, NE, USA The role integrates and coordinates utilization management, care facilitation and discharge planning functions. Additional responsibilities for this health care role include: Coordinates/facilitates ...... Apply Now>>

4 IPA Managed Care Coordinator (IPA & Accountable Care Organization)* Land O' Lakes, FL, USA IPA Managed Care Coordinator Department: IPA & Accountable Care Organization (ACO) Reports to: Manager, Florida Medical Clinic IPA Position Level: 6B Job Summary: Assists providers, supervisors and ...... Apply Now>>

5 Clinical Supervisor, Care Manage,ent San Francisco, CA, USA SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 140,000+ members have access to a full spectrum of medical services including preventive care, specialty ...... Apply Now>>

6 Assistant Nurse Manager Medical PCU Ocala, FL, USA Description Assistant Nurse Manager Medical Progressive Care Unit AdventHealth Ocala 1500 SW 1st Avenue Ocala, FL Top Reasons To Work At AdventHealth Ocala · Horse Capital of the World · Driving ...... Apply Now>>

7 Sanctuary Clinical Care Manager Sultan, WA, USA Pasado's Safe Haven (PSH) is seeking an experienced Veterinary Clinical Care Manager (CCM) to join our dynamic team. The CCM is responsible for oversight of the daily operations of PSH's on-site ...... Apply Now>>

8 Physician Managed Care Collector Chicago, IL, USA Temp-to-Hire F/T Physician Managed Care Collector - West Loop of Chicago, IL Our client, a growing nephrology practice of 45 physicians, has an immediate need for an experienced Physician (Pro-Fee ...... Apply Now>>

9 Care Manager RN Temple, TX, USA JOB SUMMARY The Care Manager RN will be responsible for assessing and coordinating patient care across the continuum, utilizing accepted criteria and guidelines to manage benefits and determine ...... Apply Now>>

10 Memory Care Director - 1372 Sunnyvale, CA, USA The Director of Memory Care & Programs is a cornerstone of our success, providing comprehensive ... Join our dedicated management team and use your passion to make Belmont Village a Great Place to ...... Apply Now>>

11 RN Utilization Management Supervisor Sacramento, CA, USA Will be working for a health plan/managed care. * Office located in Natomas, CA (Sacramento) * Currently a remote position due to Covid - will eventually go back to the office. * Full Time Position ...... Apply Now>>

12 Care Manager II (RN) Field McAllen, TX, USA Interqual, NCCN) and government sponsored managed care programs. Licenses/Certifications: Current state s RN license. Texas Requirements: Education/Experience: Graduate from an Accredited School of ...... Apply Now>>

13 Vendor Contract Analyst Rancho Cordova, CA, USA Are you an experienced managed care, procurement, or contract analyst looking for a new opportunity with a very large healthcare company? Do you want the chance to advance your career by joining a ...... Apply Now>>

14 Manager, Care Management Beaverton, OR, USA Demonstrated working knowledge of health care cost containment concepts and managed care principles. * Knowledge of medical benefits and medical/transplant network administration. * Knowledge of ...... Apply Now>>

15 Director of Integrated Care Management Seattle, WA, USA The Director of Integrated Care Management will collaborate with theCMO and Director of Population Health to develop, stand-up, and iterativelyimprove a highly effective care management program that ...... Apply Now>>

16 Patient Care Manager - RN Augusta, GA, USA The Patient Care Manager is responsible for the supervision, orientation, instruction and on-going evaluation of all patient care staff who are engaged in the delivery of care. The Patient Care ...... Apply Now>>

17 System VP, Care Transformation and Clinical Excellence Chicago, IL, USA ... and manages care delivery across the continuum. This includes minimizing financial risk related to pay-for-performance programs, ensuring best outcomes to strengthen the SHS brand, developing and ...... Apply Now>>

18 Supv., Medical Management Operations (non-Clincial) New York, NY, USA At least 2 years of managed care experience. (P) * Supervisory experience. (R) * State of the art knowledge of care management tactics. (R) * Strong oral and written communication and interpersonal ...... Apply Now>>

19 Senior Behavioral Health Provider Relations Manager - Remote California San Diego, CA, USA ... managed care plan. 2+ years' experience or demonstrated knowledge of network regulatory requirements and network management to those requirments. Project Management experience preferred. Solid ...... Apply Now>>

20 Sr Mgr, Provider Relations - California Los Angeles, CA, USA ... a managed care plan. 2+ years' experience or demonstrated knowledge of network regulatory requirements and network management to those requirments. 5+ years of management experience. Project ...... Apply Now>>

21 Manager, Home Health Hospice Tacoma, WA, USA With more than 700 care sites across the U. S. , from clinics and hospitals to home-based care and ... This job is responsible for managing the day-to-day clinical operations of an assigned division of ...... Apply Now>>

22 Travel ICU RN - Intensive Care Unit RN Bellingham, WA, USA Supports the Collaborative Care Management Model as a working partner with physicians, social workers, pharmacists and other professional staff. * Demonstrates proficiency in the application of ...... Apply Now>>

23 Dental Office Manager Huntington Beach, CA, USA As Dental manager you will coordinate dental benefits & services, patient treatment plans and staff ... Enforce healthcare & company policies, OSHA procedures & protocols ​ Qualifications: * Previous ...... Apply Now>>

24 Unit Manager Director (Full Time) Albuquerque, NM, USA We are changing how care is delivered by bringing together people like you passionate - highly skilled and motivated to make a difference. The Unit Manager/Assistant Director of Nursing of the Unit ...... Apply Now>>

25 PCMH Care Coordinator* Zephyrhills, FL, USA Officer Supervisor/Manager Job Summary: PCMH Care Coordinator (LPN) with Manage Care Humana Gold experience also responsible for facilitating care coordination services for patients in need of ...... Apply Now>>

26 Senior Nurse Manager ICU FT $7500 Sign-on Bonus Available Davenport, FL, USA Understands the broad impact of reimbursement on the delivery of patient care services, including but not limited to Medicare, Managed Care, Medicaid, third party providers, challenges to current ...... Apply Now>>

27 Care Manager (MSW, RN, MFT, OT, Gerontologist) San Jose, CA, USA We are seeking a Care Manager with a background in social work, nursing, gerontology or occupational therapy (MSW, RN, MFT, OT, Gerontologist) to join our team! This is a work from home opportunity ...... Apply Now>>

28 Travel Registered Nurse RN Manager PACU - Beverly Methuen, MA, USA Nurse Managers help patients by managing the nurses who care for them. While these nurses are mainly responsible for recruitment and retention of the nursing staff and overseeing them, they also ...... Apply Now>>

29 Polish Speaking Dental Assistant Chicago, IL, USA Temp Polish Speaking Dental Assistant on the NW side of Chicago Our dental client has an immediate need for a Polish Dental Assistant for three weeks starting on Monday 8/10. Hours are 9am to 6pm ...... Apply Now>>

30 Utilization Review RN Alameda, CA, USA Are you looking for an opportunity to work for an industry leading managed care health insurance provider? If you answered "yes" to either of these questions - this is the position for you! Daily ...... Apply Now>>

31 Travel ICU RN - Intensive Care Unit RN Chico, CA, USA Supports the Collaborative Care Management Model as a working partner with physicians, social workers, pharmacists and other professional staff. * Demonstrates proficiency in the application of ...... Apply Now>>

32 RN Nurse Manager Long Term Care/Skilled Nursing Olathe, KS, USA A strong understanding of skilled nursing standards of care, and federal and state regulations including Medicare, Medicaid, and Managed Care reimbursement rules * A measurable track record of survey ...... Apply Now>>

33 RN-Care Manager Bremerton, WA, USA The American Nurses Credentialing Center (RN-BC), or the American Care Management Association is desirable. Certification in Psychiatric Mental Health (RN-BC), American Nurses Credentialing Center ...... Apply Now>>

34 Resident Care Supervisor (LPN) Lockport, NY, USA Report to Resident Care Manager change in condition, daily needs, and progress of residents. * Follow the plan of care for each resident. * Responsible for all aspects of receiving, storing and ...... Apply Now>>

35 Regional Revenue Cycle Mgmt Director- Long Term Care / Skilled Nursing San Francisco, CA, USA Provide ongoing support/training on eligibility and authorization process for all payer types (Medicaid, Medicare, Managed Care, etc.) * Provide direction on the follow-up process for all payers ...... Apply Now>>

36 Absence Management Care Team Representative Indianapolis, IN, USA Absence Management Care Team Representative IF YOU CARE, THERE'S A PLACE FOR YOU HERE For a career path that is both challenging and rewarding, join Sedgwick's talented team of 21,000 colleagues ...... Apply Now>>

37 Medical Director, Utilization Management Los Angeles, CA, USA Proven expertise in managed care/capitation management-related environments * Knowledge of nationally recognized criteria (e.g., Milliman, Interqual etc.), medical necessity and benefit ...... Apply Now>>

38 Health Care Consultant Seattle, WA, USA Description Milliman's Seattle Health Practice is seeking a Healthcare Management Consultant to join our team. We are looking for an experienced consultant with interest and experience in state ...... Apply Now>>

39 Associate Director/Director, Field HEOR (MI/IL/IN/OH) Detroit, MI, USA This position requires expertise in building relevant evidence plans within the evolving US health care and managed care landscape and mastering the principles of health economics & clinical outcomes ...... Apply Now>>

40 Acute Care Transplant RN Manager Temple, TX, USA Provides nursing care as needed. The Manager, Nursing Registered Nurse (RN) 1 is responsible for fewer thatn 60 FTEs. ESSENTIAL FUNCTIONS OF THE ROLE Professional Practice Environment: Develops and ...... Apply Now>>

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