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Managed Care Organization Pharmacy : Oregon

KAISER FOUNDATION HEALTH PLAN NORTHWEST
10180 Se Sunnyside Rd      Clackamas,  OR 97015
503-571-4222
NPI: 1528002474
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
4855 Sw Western Ave      Beaverton,  OR 97005
866-279-1751
NPI: 1366497778
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
7705 Se Division St      Portland,  OR 97206
503-777-3311
NPI: 1568418051
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
3550 N Interstate Ave      Portland,  OR 97227
866-279-6122
NPI: 1013963131
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
9800 Se Sunnyside Rd      Clackamas,  OR 97015
866-280-0801
NPI: 1881641926
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
3600 N Interstate Ave      Portland,  OR 97227
503-331-6570
NPI: 1407803513
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10100 Se Sunnyside Rd      Clackamas,  OR 97015
866-280-1228
NPI: 1407893407
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
19500 Se Stark St      Portland,  OR 97233
866-280-2123
NPI: 1306883301
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2400 Lancaster Dr Ne      Salem,  OR 97305
866-280-1563
NPI: 1801834510
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
19185 Sw 90th Ave      Tualatin,  OR 97062
866-280-8818
NPI: 1699714063
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
5125 Skyline Rd S      Salem,  OR 97306
866-280-4583
NPI: 1467491886
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
5717 Ne 138th Ave      Portland,  OR 97230
503-261-2090
NPI: 1225078223
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
9900 Se Sunnyside Rd      Clackamas,  OR 97015
866-525-0581
NPI: 1467511832
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
1160 Wallace Rd Nw      Salem,  OR 97304
866-525-0583
NPI: 1609043116
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
11200 Sw Murray Scholls Pl      Beaverton,  OR 97007
866-331-8041
NPI: 1972736932
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
5381 E Main St      Hillsboro,  OR 97123
855-718-7759
NPI: 1427346543
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
2875 Nw Stucki Ave      Hillsboro,  OR 97124
866-280-0511
NPI: 1124462940
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
1700 Ne 102nd Ave.      Portland,  OR 97220
866-279-4581
NPI: 1093142234
PROSTAR PHARMACY CONSULTANTS LLC
91320 Coburg Industrial Way  Bldg 19    Coburg,  OR 97408
541-681-8117
NPI: 1760564561
WOODBURN HEALTH CENTER PHARMACY
1475 Mount Hood Ave      Woodburn,  OR 97071
971-983-5290
NPI: 1316378177


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 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>>

5 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>>

6 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>>

7 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>>

8 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>>

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 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>>

12 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>>

13 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>>

14 Nurse Manager ICU RN Plano, TX, USA Nurse Manager Critical Care - ICU Shift: Full time No Weekends Hospital Information: -513-bed Acute Care Facility -Level I Trauma Center -Level III Neonatal ICU -The Joint Commission Stroke ...... 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 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 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>>

27 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>>

28 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>>

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 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>>

39 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>>

40 Implementation Manager (Healthcare) us The Implementation Manager serves as the handoff from Commercial Business Development, entering the ... For healthcare providers, Remedy's software, analytics and administrative services support bundled ...... Apply Now>>



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