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Managed Care Organization Pharmacy Directory

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MANAGED CARE JOBS - Page 1

1 Managed Care Contract Specialist East Los Angeles, CA, USA Our client, a healthcare non-profit, is seeking a managed care specialist to join their team. They are looking for someone who strong organizational skills, computer skills (reporting), and math ...... Apply Now>>

2 Nurse Manager-Care Continuum Delano, CA, USA Our client located in the state of California is looking for a permanent Nurse Manager to oversee Care Continuum. Ideal candidates must have BSN with 2+ years of population health/care management ...... Apply Now>>

3 Contract Manager San Francisco, CA, USA WHAT YOU'LL BRING * Experience in managed care contracting. * BA/BS in Business, Health Care or related field with two years of work experience or Masters Degree in Business, Health Care ...... Apply Now>>

4 Director of Rehabilitation - SLP - Chico Care Chico, CA, USA ... care - This includes but is not limited to: * Ensuring compliance with facility policies ... Managing Medicare Medical Review and Denials Management process in conjunction with the ...... Apply Now>>

5 MANAGER CARE MANAGEMENT Eden, NC, USA Responsible for day-to-day operations for designated Clinical Care Management Department team(s). Provides management direction to Case Managers, Utilization Managers, Clinical Social Workers ...... Apply Now>>

6 Direct Hire - Contract Configuration Manager - Managed Care Long Beach, CA, USA Prior knowledge of Hospital Contracts, Managed Care, IPA's, MSO, etc. is required * Manage a staff of 4-5 employees * Bachelor's Degree is preferred Referral Bonus: Not interested, but know someone... Apply Now>>

7 Envir, Safety, WC or OHN RN 3 Days in Uptown Chicago & 2 Days in Oak Park Chicago, IL, USA Facilitating the case management of lost work time cases. Maintaining confidential employee health records. Preparing, analyzing and filing reports as necessary. Participating in the detection ...... Apply Now>>

8 Direct Hire - Contract Manager - Healthcare Management Company - $90k Long Beach, CA, USA A wickedly awesome Healthcare Management/Consulting Company in Long Beach, is seeking a Contract Manager (Direct Hire). They've been around for over 36 years, and partner with some of the largest ...... Apply Now>>

9 Medical Operations Manager San Leandro, CA, USA ... of managed care regulations. * Experience in community clinics, public health and/or community health organizations * Working knowledge of claims adjudication, provider services, utilization ...... Apply Now>>

10 Healthcare Operations Manager Camarillo, CA, USA ... Managed Care Plans, among others. Participates in audits from these and other agencies. · Collaborates and partners with managers and department heads from other business units to ensure all ...... Apply Now>>

11 Care Manager LMFT LCSW Fresno, CA, USA Knowledge of government sponsored managed care programs * Case management/UM Experience * Master's degree in Social Work Duties * Develop, assess and adjust, as necessary, the care plan and promote ...... Apply Now>>

12 Manager of Healthcare Services Bothell, WA, USA Title Manager, Healthcare Services Location Bothell, WA Type Direct hire Client with offices in Bothell, Washington is seeking a Manager of Healthcare Services. This person will have 3 direct ...... Apply Now>>

13 Life Care Manager (Home Care) Huntington Beach, CA, USA The Care Partners At Home Life Care Manager (LCM) has the unique responsibility as a relationship manager, by managing a client/family caseload. As LCM you will assess clients for in-home companion ...... Apply Now>>

14 Manager, Healthcare Services Bothell, WA, USA Premiere client in Bothell, Washington is seeking a Manager of Healthcare Services. This position is a Manager in the UM Department, and oversees non-clinical teams in the Prior Authorizations ...... Apply Now>>

15 Compliance Specialist - Managed Care / Health Insurance Long Beach, CA, USA The successful individual must demonstrate integrity, credibility, strong interpersonal skills, and a command of regulatory requirements impacting government managed healthcare. Essential Duties... Apply Now>>

16 RN Case Manager Care Continuum Tacoma, WA, USA The RN Case Manager is responsible for exemplary cross continuum care coordination. This individual works with physicians, peers, community colleagues, and others to orchestrate care across the ...... Apply Now>>

17 LPN Med Care Manager Burlingame, 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>>

18 Care Manager (MSW, RN, MFT, OT, Gerontologist) Burlingame, CA, USA We are seeking a Care Manager MSW, RN, MFT, OT, Gerontologist) to join our team! You will provide emotional and administrative support to clients in either individual or group settings. San Francisco ...... Apply Now>>

19 Dental Office Manager El Segundo, CA, USA We are seeking an experienced Dental Office Manager in a high quality state of the art office in Manhattan beach. Please do not respond if you dont have Dental Experience. The candidate must have at ...... Apply Now>>

20 RN HEDIS Manager Bakersfield, CA, USA ... Managed Care Accountability Set (MCAS) audit and initiatives to improve health outcomes related to those measures. They also manage quality improvement initiatives for Performance Improvement ...... Apply Now>>

21 RN Case Manager San Jose, CA, USA Knowledge of managed care principles and practices with emphasis in Utilization Management and/or Case Management * Clinical knowledge and critical thinking skills with the ability to assess ...... Apply Now>>

22 Manager, Healthcare Services Bothell, WA, USA Required Experience bull 5+ years of managed healthcare experience, including 3 or more years in one or more of the following areas utilization management, case management, care transition andor ...... Apply Now>>

23 Clinical Operations Analyst Gardena, CA, USA Our services help Medicare Advantage, Commercial/Exchange, and Medicaid managed care plans improve and support accurate reimbursement in a post-Affordable Care Act market. Our services include ...... Apply Now>>

24 Dental Practice Manager Vallejo, CA, USA ... Management experience? You might be the perfect candidate to join our team ... Children's Choice Central Care & Premier Orthodontics is an established Pediatric and Orthodontic ...... Apply Now>>

25 Clinical Quality Review RN Monterey Park, CA, USA Strong investigative, problem solving, critical thinking and clinical assessment skills with ability to identify possible quality of care issues * Quality management, risk management, peer review ...... Apply Now>>

26 Case Manager Scottsdale, AZ, USA Thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, ACHC and human resource) management principles and applicable laws and regulations * Reports promptly any ...... Apply Now>>

27 Health Services Clinical Supervisor Goleta, CA, USA Knowledge of current principles and practice of managed care and health plan regulatory requirements * Ability to plan, direct, and coordinate activities for a large number of subordinates * Take a ...... Apply Now>>

28 Memory Care Care Manager /Care Giver (CNA) Colorado Springs, CO, 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 Care Manager is responsible for providing the ...... Apply Now>>

29 UM NICU Nurse Reviewer (Licensed Practical Nurse or RN) Lewis County, WA, USA Community Health Plan of Washington (CHPW) has an opportunity for a Remote Utilization Management NICU Nurse Reviewer . This role's primary responsibility is to perform assessment and utilization ...... Apply Now>>

30 Clinical Support Specialist - Referrals/Customer Service Tempe, AZ, USA Attend marketing and outreach meetings as directed to represent the plan Education/Experience: * 2-3 years managed care or physician's office experience * Minimum high school diploma or equivalent... Apply Now>>

31 RN Care Coordinator / RN Case Management San Jose, CA, USA RN Care Coordinator / Case Manager needed for long term contract assignment. Must have two years of recent acute care hospital based in experience in case management, care coordination, quality ...... Apply Now>>

32 Director of Group Operations Torrance, CA, USA Required Skills: 1) Clinical medical group operations management experience. 2) People, financial, and strategic leadership 3) Bachelor's degree Desired Skills: 1) Managed care 2) Master's degree... Apply Now>>

33 Project Manager with healthcare Harrisburg, PA, USA Project Manager with healthcare The Healthcare Analyst provides analytical support for the Office of Long Term Livingrsquos programs. Job Description Specific work items for the contractor are Lead ...... Apply Now>>

34 RN Supervisor Case Mgmt Care Continuum Tacoma, WA, USA The Supervisor, Case Management is responsible to provide immediate oversight, support, and direction to assigned hospital-based care management work teams. The Supervisor acts as the primary ...... Apply Now>>

35 Dental Office Manager Los Angeles, CA, USA ... Managed Care/Denti-Cal and PPO insurances and ability to present treatment and bill claims timely. . - Ability to conduct daily/monthly staff meetings and effectively manage and motivate team ...... Apply Now>>

36 medical office manager Inglewood, CA, USA ... EMR ins verification , managed care. Must be bilingual... Apply Now>>

37 Resident Manager with Room, board and all utilities included Sisters, OR, USA You will coordinate, mange and provide care and services for our Foster Care home and our five ... Experience in med management and documentation * Hold a current Ensuring Quality Care (EQC ...... Apply Now>>

38 FBH System Clinical Quality Improvement Coordinator Tacoma, WA, USA This position collaborates with Site Directors and Site Leadership Teams to help develop and manage effective systems to ensure the highest possible Standards of Care and Compliance for all treatment ...... Apply Now>>

39 Memory Care Manager (LVN) - Sign on Bonus $5,000 !!! Chula Vista, CA, USA We are seeking a FT - Memory Care Manager with a $5,000 Sign-On Bonus!! To be considered, apply in person at - 183 Third Ave Chula Vista Under the direction of the Director of Health Services is ...... Apply Now>>

40 Managed Care/Commercial Acct Specialist Long Beach, CA, USA QUALIFICATIONS · 2 years of recent claims follow up and collections experience - Acute Care ... Understand Clinical and Technical Denial Management. * Verify claims adjudication utilizing ...... Apply Now>>



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