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Managed Care Organization Pharmacy : North Carolina

A2Z PHARMACY LLC
1408 Archdale Dr      Charlotte,  NC 28210
980-355-0906
NPI: 1801193503
ALL-STATES PHARMACY INCORPORATED
221 Old Hendersonville Rd Ste D      Fletcher,  NC 28732
828-651-8810
NPI: 1265793012
SOUTHEASTERN REGIONAL MEDICAL CENTER
300 W 27th St      Lumberton,  NC 28358
910-735-8806
NPI: 1568761963


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 RN Manager Surgical Services Thornton, CO, USA No Weekends SCHEDULE: Full-time RN Manager of Surgical Services North Suburban Medical Center At ... To Care. Our Values: North Suburban's core values are designed to guide our organization in its ...... 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 Director Managed Care Irving, 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>>

6 Healthcare Admin Software Implementation Project Manager Scottsdale, AZ, USA Managed Care Systems, Inc (MCSI). is a 20+ year old technology and service company that specializes in automated healthcare administration solutions. Our customers typically manage medical claims ...... Apply Now>>

7 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>>

8 Care Manager Terre Haute, United States CARE MANAGER III- Bachelor's degree in Psychology, Social Work, Sociology, Family/Consumer Sciences, Child Development, Substance Abuse, Mental Health, Human services, Education, Criminology ...... Apply Now>>

9 RN Manager of Case Management Denver, CO, USA We are seeking a RN Manager of Case Management to ensure that we continue to provide all patients ... We would love to talk to you about this fantastic opportunity. Healthcare Corporation of America ...... Apply Now>>

10 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>>

11 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>>

12 Dentist Managed Care Representative Los Alamitos, CA, USA We are seeking a Managed Care Representative with a focus on the dental industry to join our team! You will be responsible for helping customers by providing product and service information and ...... Apply Now>>

13 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>>

14 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>>

15 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>>

16 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>>

17 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>>

18 Unit Manager - Contract Administration Operations Chicago, United States This position is responsible for managing the unit responsible for drafting and filing of standard and customer-specific documents for new/existing business in accordance with corporate guidelines ...... Apply Now>>

19 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>>

20 Regional Medical Director (Internal Medicine, Family Practice, Pediatrics or Emergency Medicine) ... Fresno, 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>>

21 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>>

22 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>>

23 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>>

24 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>>

25 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>>

26 Assistant Nurse Manager, Labor and Delivery, Full Time, Days, Sign on Bonus Eligible O'Fallon, United States Progress West HealthCare Center opened in February 2007 in one of the fastest-growing areas of St ... Manages individual(s) including but not limited to: hires, trains, assigns work, manages ...... Apply Now>>

27 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>>

28 Medical Director (IM, FP, Peds or EM) Opportunity in Iowa Des Moines, United States Previous experience within a managed care organization is preferred. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is preferred... Apply Now>>

29 Responsible Care Manager Dallas, United States ... and managed in compliance with the Company's overall corporate objectives, applicable Responsible Care Codes of Practice and ISO standards and is responsible for leading the Company's Workplace ...... Apply Now>>

30 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>>

31 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>>

32 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>>

33 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>>

34 Manager- Clinical Services PCU East Bremerton, United States Manages and evaluates the clinical operations, programs and resources of the assigned clinical area/facility to assure the safe and appropriate delivery of diagnostic and/or therapeutic patient care... Apply Now>>

35 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>>

36 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>>

37 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>>

38 RN Case Manager - FT Days Las Vegas, United States ... managed care environment or rehab facility. License: * Current Nevada RN license * Basic Cardiac Life Support required within 3 months of hire. * Case management certification preferred. Special ...... Apply Now>>

39 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>>

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



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