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Managed Care Organization Pharmacy : Wisconsin

COMMUNITY CARE INC
1555 S Layton Blvd      Milwaukee,  WI 53215
414-902-2397
NPI: 1932213923
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
8202 Excelsior Dr      Madison,  WI 53717
608-831-1773
NPI: 1346251840
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
3051 Cahill Main      Fitchburg,  WI 53711
608-661-7220
NPI: 1790796290
GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN
675 W Washington Ave      Madison,  WI 53703
608-257-5178
NPI: 1255342754


MANAGED CARE JOBS - Page 1

1 Clinic Manager, Athens, Full Time, 8am - 5pm Athens, TX, USA Must have strong background in ICD9 and CPT coding and all insurance plan types (HMO, PPO, Managed Care, Medicare, Medicaid, and commercial insurances). Now that you read about what you will be doing ...... Apply Now>>

2 Business Analyst (MANAGED CARE) Tempe, AZ, USA BUSINESS ANALYST (MANAGED CARE) TEMPE, AZ NEW position in TEMPE! Combine your expert clinical knowledge and skill in managed care analytics. Serve as the SME for this medical management area. (Will ...... Apply Now>>

3 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>>

4 Clinical Manager Chesapeake, VA, USA Administer nursing care to ill, injured, convalescent or disabled residents/participants. Advise ... The Clinical Manager consults and collaborates with other health care professionals to coordinate ...... Apply Now>>

5 RN, Case Management Tyler, TX, USA 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>>

6 Market Clinical & Quality Program Manager Meridian, MS, USA Strong background and familiarity with Medicare, Medicaid, ISNP, Nursing Facility and Managed Care preferred * Strong working knowledge of HEDIS/ STARs preferred Supervisory Responsibilities: * First ...... Apply Now>>

7 Clinical Supervisor PACU FT/40HRS Santa Fe, NM, USA Clinical Manager, PACU/PSU/Surgical Admit ENVIRONMENT: -Bloodborne pathogen: B Works irregular ... hours. Multiple simultaneous activities of patient care. Exposure to infectious diseases and x-rays... Apply Now>>

8 Care Manager: POP HEALTH SO (PHSO) Miramar, FL, USA The Care Manager is a member of a dynamic care management team responsible for achieving the highest levels of care transitions for a target population of the Memorial Healthcare System and Memorial ...... Apply Now>>

9 Practice Manager II Chase City, VA, USA The Practice Manager II partners with clinical leadership in a dyad model to ensure the efficient ... Examples of complex clinics/practices include urgent care centers/clinics/practices with in-house ...... Apply Now>>

10 Clinical Effectiveness Specialist, Staff Relief- Flexible, MRHS: Clinical Resource Management Hollywood, FL, USA Summary: Monitors and manages patient care to promote continuity of care, optimal patient outcomes, patient satisfaction, cost efficiency, and compliance. Ensures that patient care services are ...... Apply Now>>

11 Director of Memory Care & Programs - 1250 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>>

12 Clinical Manager (RN) - Home Heatlh - Full Time - 3500 Sign On Bonus Daytona Beach, FL, USA Supervises, monitors, and ensures competencies and performance of assigned home health care team(s) and ensures the delivery of quality home health services. * Supervises ongoing case management of ...... Apply Now>>

13 Unit Manager Director (Full Time) Brockton, MA, 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>>

14 Travel ICU RN - Intensive Care Unit RN Healdsburg, CA, USA The UM reviewer serves as a liaison between providers/ facilities and Care Management Division. Earn up to $58/hour while making a difference in patient care.. Contract Assignment - 13 Weeks ...... Apply Now>>

15 Care Management (LCSW, MFT, or LPC) San Rafael, CA, USA ... Managed Care cases. • Performs provider recruiting duties as needed. • Serves as liaison to other departments as needed. • Participates in training of other Care Managers as necessary. • ...... Apply Now>>

16 Travel ICU RN - Intensive Care Unit RN San Jose, CA, USA The UM reviewer serves as a liaison between providers/ facilities and Care Management Division. Earn up to $58/hour while making a difference in patient care.. Contract Assignment - 13 Weeks ...... Apply Now>>

17 Registered Nurse - ER job in Medford, OR Medford, OR, USA Manages care of patients experiencing life threatening problems * Performs triage interventions * The ED RN Manages basic life support needs and stabilizes patients until physician is available ...... Apply Now>>

18 Senior Medical Director, Public Sector - Psychiatrist Newtown, PA, USA Ensures the delivery of appropriate health care by overseeing the service coordination, utilization management, care/case management, population health/disease management, cost of care, health ...... Apply Now>>

19 Pediatrician/ Medical Director Colorado Springs, CO, USA You are also fluent in managed care financial concepts (capitation, IBNR, and MLR) We will support you with a comprehensive compensation package, an outstanding support team (including a site manager ...... Apply Now>>

20 Telemetry Nurse - Travel - (Tele RN) Greenbrae, CA, USA Consistent monitoring of each of your patients for level of pain as well as providing pain management care can be expected. This environment is innovative, creative and patient centric, providing an ...... Apply Now>>

21 Home Health Start of Care RN - Clinical Assessment Advisor Oakland, CA, USA The start of care RN - clinical assessment advisor will perform OASIS visits in a large territory and the patient plan of care will be carried out by the appropriate case manager and team for the ...... Apply Now>>

22 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>>

23 LPN Med Care Manager Los Angeles, CA, USA 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>>

24 Case Manager Nurse (RN) Sussex, NJ, USA ... Managed Long-Term Services and Supports program (MLTSS). The care manager is responsible to coordinate and collaborate care with member/authorized representative, PCP, and any other care team ...... Apply Now>>

25 Health Services Director - LPN - Bonus Eligible! Yelm, WA, USA Leverage your strong clinical background to offer the best in care to our residents! * Serve on the management team of the community to ensure operational and financial success! * Build long term ...... Apply Now>>

26 Care Manager Oceanside, NY, USA The Care Manager is accountable for the management and coordination of the patient's plan of care beginning with the admission, active phase of care, and addressing of discharged needs and concerns ...... Apply Now>>

27 Director of Clinical Services / Patient Care Manager - Hospice Fort Worth, TX, USA DIRECTOR OF CLINICAL SERVICES / PATIENT CARE MANAGER - HOSPICE DO NOT APPLY FOR THIS POSITION UNLESS YOU HAVE THE SPECIFIC INDUSTRY EXPERIENCE AND REQUIREMENTS OUTLINED BELOW BRIEF SUMMARY: The ...... Apply Now>>

28 Travel Case Manager Registered Nurse Kealakekua, HI, USA Supplemental Health Care is a nationally recognized healthcare staffing provider partnering with a Hospital in Kealakekua, Hawaii to provide a travel Case Manager Registered Nurse. Unit Information ...... Apply Now>>

29 Program Director, TX STAR Kids Dallas, TX, USA ... managed care leadership experience is required. * Experience working with Medicaid members is required; experience working with special needs children is preferred. * Previous MCO experience is ...... Apply Now>>

30 Resident Care Coordinator Wenatchee, WA, USA Our post-acute and skilled nursing center is a contracted provider for Medicaid, Medicare and several managed care plans.: Questions? Contact : Build Your Healthcare Career with Prestige Care... Apply Now>>

31 Vice President, Health Plan Network Management Columbus, OH, USA ... Managed Care(preferably with at least some provider sponsored plan experience), provider contracting, network development, credentialing, procurement and provider relations or related industry ...... Apply Now>>

32 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>>

33 Contracts Manager Manhattan Beach, CA, USA ... all managed care provider/contract types specifically with governmental fee schedules and PCP schedules for each client. The Contracts Manager must be comfortable communicating and working with ...... Apply Now>>

34 Director, Correctional Medical Operations Centerville, UT, USA Responsible for coordination of on- and off-site medical, dental and mental health care; contract management to include creating and managing positive customer relationships; financial oversight ...... Apply Now>>

35 Interim Assistant Nurse Manager, NICU - 8 hr Evenings - San Leandro San Leandro, CA, USA & Requirements Interim Assistant Nurse Manager, NICU - 8 hr Evenings in California StartDate: ASAP Seeking Strong Nursing Leader for Interim Assistant Nurse Manager, NICU in the San Francisco Bay Area... Apply Now>>

36 Psychiatric Technician Georgetown, DE, USA Responsibilities may also include providing daily living care for the patients and leading activities for them under the supervision of licensed mental health professionals. Benefits We offer ...... Apply Now>>

37 Acute Care Services Medical Director Columbus, GA, USA Other position highlights include, but are not limited to, managing the program to achieve clinical ... care strategies, and more; participates in clinical oversight of the practices; takes the lead in ...... Apply Now>>

38 RN Weekend Clinical Manager (Remote) San Jose, CA, USA Compassionate care, uncompromising service and clinical excellence - that's what our patients have ... The Weekend Clinical Manager is responsible for the receipt, input, review, and completion of all ...... Apply Now>>

39 Patient Care Director - Adult Surgical Services (NURSE SVC MGR 3) - 21403 San Francisco, CA, USA Job Summary Participates with other senior managers to establish strategic patient care plans and objectives. Responsible for managing and directing: * Adult Surgical Services at the Mission Bay ...... Apply Now>>

40 Health Center Manager Highland Park, CA, USA The Health Center Manager is primarily responsible for managing and overseeing the provision and ... Experience: 4 years of supervisory experience in a healthcare or medical setting. Family planning ...... Apply Now>>



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