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Managed Care Organization Pharmacy : Ohio

COMMUNITY CARE NETWORK INC
3167 Fulton Rd Ste 111      Cleveland,  OH 44109
216-283-3865
NPI: 1033296363
HEALTHSPAN INTEGRATED CARE
10 Severance Cir      Cleveland Heights,  OH 44118
216-297-3803
NPI: 1790997773
HIGGINS PHARMACY INC
395 Park Ave Lowr Level      Amherst,  OH 44001
440-988-4366
NPI: 1376558973
MEDSMART CO OP PHARMACY
8044 E Market St      Warren,  OH 44484
330-856-6780
NPI: 1952343303
MERCY HEALTH OUTPATIENT PHARMACY BOND HILL
1701 Mercy Health Pl      Cincinnati,  OH 45237
513-952-5932
NPI: 1972033850
OHLIGER DRUG OF NORTH OLMSTED INC
27121 Center Ridge Rd      Westlake,  OH 44145
440-777-6200
NPI: 1861522591
PHARMACEUTICAL SERVICES INC
1401 Steffen Ave      Cincinnati,  OH 45215
513-769-7000
NPI: 1578856134


MANAGED CARE JOBS - Page 1

1 Director Level Managed Care Liaison us Director Level, Managed Care Liaison New Team, Top Company One of our clients, a leading pharmaceutical company, is adding a new team (Medical Affairs Directors) that will be the primary medical ...... Apply Now>>

2 Care Manager II (CA) EL VERANO, 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 Healthcare Services Manager us 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>>

4 Supervisor Health Care Services us Providence is calling a Supervisor Health Care Services to Providence Health Plan Partners, Medical Management in Beaverton, OR. We are seeking a Supervisor Health Care Services that is responsible ...... Apply Now>>

5 Vice President of Payor Contracting us Reporting to the CEO of MCMF, the Vice President is responsible for the strategy and execution of managed care contracting and ensuring other departments have a clear understanding of contract ...... Apply Now>>

6 Registered Nurse Clinical Care Manager PRN New Smyrna, United States Knowledge of medical necessity monitoring tools- InterQual, Milliman Care Guidelines (MCG), principles of Managed Care, Computer applications, including but not limited to: Windows, Outlook, Excel ...... Apply Now>>

7 Clinical Manager - Registered Nurse (Rn) Lakewood, 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>>

8 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>>

9 Business Analyst III Tacoma, WA, USA ... are • Advanced knowledge of Microsoft Applications, including Excel and Access preferred • Project management experience preferred Benefits and Payment Configuration: • Bachelor's degree in ...... Apply Now>>

10 Clinical Quality and Training Manager us Clinical Quality and Training Manager - Utilization Review AllMed Healthcare Management's mission is to improve the quality and integrity of healthcare by providing independent medical review ...... Apply Now>>

11 RN Manager of PACU Englewood, United States No Weekends SCHEDULE: Full-time RN Manager of PACU Swedish Medical Center We are seeking a RN Manager of PACU for our hospital to ensure that we continue to provide all patients with high quality ...... Apply Now>>

12 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>>

13 Business Analyst - Managed Care Bakersfield, CA, USA This individual should be well versed in managed care data structures pertaining but not limited to claims, eligibility, providers, vendors. Familiarity with fields on CMS and UB claim form, basic ...... Apply Now>>

14 Associate Medical Director - MD for Managed Care Queens, NY, USA Compass Healthcare Consulting & Placement is conducting a search for an Associate Medical Director, an MD, for a part time position with a Managed Long Term Care Plan located on the border of Queens ...... Apply Now>>

15 RN Manager, Care Management Orlando, FL, USA Develops collaborative relationships with the site patient care administrators, medical staff leadership, managed care contractors, and community leaders. * Supports positive relationships with ...... Apply Now>>

16 Care Navigator DeLand, FL, USA Project Leader/Regional Manager The CareThroughCare Navigator serves as an integral part of the medical care team to help empower and engage patients in their healthcare. While the Care Navigator ...... Apply Now>>

17 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>>

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 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>>

20 Member Care Coordinator Hobbs, NM, USA Maintain communication with management regarding development within areas of assigned ... care systems OR RN OR 3 years care coordination for a state managed or waiver program OR 3 years ...... Apply Now>>

21 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>>

22 Med 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 Med Care Manager is responsible for providing the ...... Apply Now>>

23 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>>

24 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>>

25 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>>

26 Medical Claims Clerk for H&W Fund Chicago, IL, USA Company Description We are employment specialists who have worked in heath care and managed care industry for over a total of 22 years. We staff temp, temp to hire, and direct hire placements... Apply Now>>

27 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>>

28 Business Analyst II Tacoma, WA, USA Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured ...... Apply Now>>

29 Travel Nurse RN - Case Management - $1,692 per week Puyallup, Washington, 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>>

30 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>>

31 Hospice Administrator Columbus, OH, USA Summit Home Care and Hospice is seeking a qualified Hospice Administrator to oversee the daily operations of our Hospice company! Job Title/Position: Hospice Administrator Reports to: Clinic Manager ...... Apply Now>>

32 RN Manager of Women's Services Thornton, United States We would love to talk to you about this fantastic opportunity. Healthcare Corporation of America ... The Nurse Manager provides leadership through planning, development, organizing, coordinating ...... Apply Now>>

33 RN - Critical Care Nights Ocala, United States Responsible for managing care of assigned patients and guiding and directing the activities of ancillary staff. May function as charge nurse. Functions on the nursing unit as assistant to the ...... Apply Now>>

34 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>>

35 Quality Measurement Analyst us An emphasis in Medicare or Medicaid/Medi-Cal managed care... Apply Now>>

36 Project Manager (Healthcare Facility) us ... manage and complete facility type projects within a multi-disciplined healthcare infrastructure. Projects occur across multiple campuses in the Northwest. Essential Duties and Responsibilities... Apply Now>>

37 Health Services Director Corvallis, OR, USA Proactively manage care and services for each resident including coordinating care services with other community professionals and overseeing arrangement of ancillary services such as pharmacy ...... Apply Now>>

38 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>>

39 Integrated Care Manager Jefferson City, MO, USA JOB POSTING | INTEGRATED CARE MANAGER Starting Salary: $65,000 - $75,000 DOQ The Missouri Coalition for Community Behavioral Healthcare (Coalition) represents 33 behavioral health safety net agencies ...... Apply Now>>

40 Resident Care Manager - RN (Unit Manager) Tacoma, WA, USA HCR ManorCare provides a range of services, including skilled nursing care, assisted living, post ... As an Unit Manager - RN, you will oversee the care management of a population of patients within an ...... Apply Now>>



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