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Managed Care Organization Pharmacy Directory



1 Director Of Managed Care San Francisco, CA, USA Functions at the executive level of BHS management and will be responsible for all functions and activities of BHS Managed Care, a major division within BHS. $160,628.00 - $205,010.00/year APPLY ...... Apply Now>>

2 Director of Network Relations - Managed Care New York, NY, USA ... Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system ...... Apply Now>>

3 Managed Care Southwest Regional Coordinator Yacolt, WA, USA Managed Care Southwest Regional Coordinator: Posting #21489 Position Summary : Our Managed Care Department in Vancouver - Salmon Creek is seeking a full-time Regional Coordinator to oversee the ...... Apply Now>>

4 Physician - Administration - Administration - Management - *Medical Director Care Coordination Phoenix, AZ, USA Understanding of clinical protocols, reimbursement challenges, and managed care principles * Ability to perform as a Physician Advisor to ensure the medical management of cases and quality of patient ...... Apply Now>>

5 Healthcare Contracts Manager Honolulu, HI, USA ... in a Managed Care environment · Experience in provider contracting for government programs and/or commercial lines of business · Has established relationships and resides in the market for the ...... Apply Now>>

6 Utilization Management Clinician I Seattle, WA, USA ... Managed Care preferred Employment Eligibility * Complete and successfully pass a criminal background check * Has not been sanctioned or excluded from participation in federal or state healthcare ...... Apply Now>>

7 Inpatient Care Management Medical Director - Hawaii - Telecommute Honolulu, HI, USA Clinical experience within the past 2 years * 2+ years managed care, Quality Management experience and/or administrative leadership experience * Residence in Hawaii Careers with Optum. Here's the ...... Apply Now>>

8 Behavioral Health RN Case Manager - CCM ( Remote ) Hilo, HI, USA We are seeking a Behavioral Health Registered Nurse in Hawaii with their CCM certification to join a well-known managed care organization as a Behavioral Health RN Case Manager - CCM (REMOTE) Do you ...... Apply Now>>

9 RN - Inpatient Care Manager Santa Monica, CA, USA The role integrates and coordinates the functions of utilization management, care progression and care transition. The Case Manager I is accountable for a designated patient caseload and plans ...... Apply Now>>

10 Care Manager RN PRN Barton Creek, TX, USA Lakeway Hospital Specialty - ICU, IMC and Med/Surg JOB SUMMARY The Care Manager RN PRN will be responsible for assessing and coordinating patient care across the continuum, utilizing accepted ...... Apply Now>>

11 LPN Med Care Manager Fair Oaks, 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>>

12 Clinical Manager- Home Health Schofield Barracks, HI, USA Without home care, our clients risk infection and hospitalization, at hospitals with already ... As a Nurse Clinical Manager you will lead the field staff in providing exceptional client service ...... Apply Now>>

13 National Account Director for Medical Managed Care San Diego, CA, USA ... Managed Markets. Tasks * Develop new and existing relationships with IDNs, Hospital Groups, Health Care Systems, Medical Groups and Advocacy/Specialty Groups * Develop relationships and leverage ...... Apply Now>>

14 Clinic Manager South San Francisco, CA, USA The Assistant Center Manager (ACM) assists the Center Manager (CM) in the operations of the entire ... ABOUT SATELLITE HEALTHCARE Satellite Healthcare, Inc. has been among the nation's leading ...... Apply Now>>

15 Practice Manager Pleasant Hill, CA, USA Epic Care is one of the oldest and most prestigious multi-specialty private practice groups in the ... The Practice Manager is responsible for the day-to-day management and oversight of the clinics and ...... Apply Now>>

16 Vice President, Operations - Anesthesia - Vituity Practice Management - Emeryville Emeryville, CA, USA ... care and outcomes. Join the Vituity Team. We are one of the largest physician-owned and managed practice groups in the United States with leadership comprised of practicing clinicians just like you... Apply Now>>

17 Supervisor, Regional Care Management Costa Mesa, CA, USA Preferred: * 1 to 2 years of managed care/HMO experience in utilization review, case management or discharge planning. * 1 to 2 years supervisory or management experience in utilization review, case ...... Apply Now>>

18 Clinic Operations Manager - Pediatric Oncology Baltimore, MD, USA Knowledge of third party insurance and accountable/ managed care concepts. Knowledge of physician billing, hospital billing, and regulatory requirements preferred. Knowledge of computer applications ...... Apply Now>>

19 Physician - Family Medicine - Managed Care Opportunity---Family Medicine Physicians Wanted!! Lake... Leesburg, FL, USA Order tests for nurses or other healthcare staff to perform * Review test results to identify any abnormal findings * Recommend and design a plan of treatment * Address concerns or answer questions ...... Apply Now>>

20 Case Manager (Care Management) Yelm, WA, USA Case Manager (Care Management) - Posting #21826 Position Summary : Full-time Case Manager available for our Care Management Program located in Yelm. The Case Manager or Interdisciplinary team member ...... Apply Now>>

21 Director, Inpatient System Care Management Oakland, CA, USA ... managed care contract criteria into overall Case Management functions. * Works closely with the VP of Care Management and Physician Advisors on any audits and secondary reviews; may include but not ...... Apply Now>>

22 Clinical Quality Manager San Francisco, CA, USA Our center is part of Surgical Care Affiliates (SCA), which is transforming specialty care in our ... As a Quality Nurse Manager, you will work in in concert with the Regional Quality Leader, Director ...... Apply Now>>

23 PRN RN Care Mgr-Bachlrs Round Rock, TX, USA The RN Care Manager functions as a clinician, case manager, and educator to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization... Apply Now>>

24 Director of Managed Care Sales Tigard, OR, USA The Director of Managed Care Sales is responsible for the strategic direction and the achievement of securing new managed care contracts and key objectives for the department. The Director of Managed ...... Apply Now>>

25 RN - ICU - Critical Care / Trauma Manager (BSN) - Up to $185K/year - PA - Seattle , Harstine Island, WA, USA RN - ICU - Critical Care / Trauma Manager (BSN) - Up to $185K/year - PA Incredible Health is seeking a Registered Nurse for a full time Critical Care / Trauma Manager position at a top hospital ...... Apply Now>>

26 RN Health & Wellness Director Seattle, WA, USA Manages the day-to-day clinical services of a highly complex, multiple product line, or large community. Ensures residents' healthcare needs are met while treated with respect and dignity, and ...... Apply Now>>

27 RN / Manager / Oregon / Any / Oncology Assistant Nurse Manager - Care Management and Coordination... Portland, OR, USA Cancer Center in the Portland, OR area is seeking an Outpatient Oncology Assistant Nurse Manager to oversee Care Management and Coordination. The Company * Moved into a new Cancer Center in early ...... Apply Now>>

28 Manager, Patient Financial Services Healthcare, Managed Services Santa Rosa, CA, USA ... hcare, Managed Services Job ID: JR- Category: Managed Services Opportunity Type: Experienced Country: United States Office Locations: Chicago - IL The Opportunity: Huron helps its clients drive ...... Apply Now>>

29 RN Care Manager Everett, WA, USA Knowledge of ICD and CPT coding preferred; knowledge of medical terminology and managed care required. Knowledge of organizational policies, regulations and procedures to administer patient care... Apply Now>>

30 Medical Director - CCO Medford, OR, USA Provide medical support for Care Management activities. Provide oversight of benefit determinations and appeals for medical and pharmacy as assigned by Senior Medical Director or CMO. May partner ...... Apply Now>>

31 Manager - Payor Contracting, Contracts Management (Full-Time, Days) Kirkland, WA, USA Responsible for the maintenance of managed care plan operating policies and systems; developing effective relationships with payers and providers related to those managed care plans; coordinating the ...... Apply Now>>

32 Physician - Administration - Administration - Management - Chief Care Officer Pasadena, CA, USA ... management initiatives including Alternative Payment Methodology, Pay 4 Perfo1mance, Accountable Care Organizations, Patient Centered Medical Home, Healthcare Effectiveness Data and information Set ...... Apply Now>>

33 Health Services Director - Licensed Practical Nurse - Relocation Provided! Sacramento, CA, USA If you are an RN and interested in taking your nursing career into a leadership and management position at a new state of the art memory care center, contact Director of Talent Acquisition Blake ...... Apply Now>>

34 Manager Medical Clinical Services Burien, WA, USA Overview: In 2020, united in a fierce commitment to deliver the highest quality care and ... Manages and evaluates the clinical operations, programs and resources of the assigned clinical area ...... Apply Now>>

35 Clinical Care Guide-LPN Corvallis, OR, USA JOB SUMMARY/PURPOSE Assists in activities to support members and/or providers to navigate through managed care. Applies knowledge of applicable regulations, identifies resources (internal or ...... Apply Now>>

36 RN - ICU - Critical Care Nurse Manager - Up to $135K/year - Seattle, WA - Iowa City , Toledo, IA, USA RN - ICU - Critical Care Nurse Manager - Up to $135K/year - Seattle, WA Incredible Health is seeking a Registered Nurse for a full time Critical Care Nurse Manager position at a top hospital system ...... Apply Now>>

37 Resident Care Manager (RN) - MDS Nurse Donald, OR, USA What does the Resident Care Manager (RN) - MDS Nurse do?: If you want to serve in a nursing leadership role where you stay busy, get to train other nurses, and get to help guide the care program at a ...... Apply Now>>

38 Manager, Accreditation - Remote Portland, OR, USA WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage ...... Apply Now>>

39 Patient Care Manager Hospice (RN) Los Angeles, CA, USA The Patient Care Manager fills a management position with both clinical and management responsibility for his/her team; serves as liaison to and conduit between the Director of Patient Care Services ...... Apply Now>>

40 Clinical Manager Hospice Home Health University Place, WA, USA Overview: In 2020, united in a fierce commitment to deliver the highest quality care and ... Wellness Program Responsibilities This job is responsible for managing the day-to-day clinical ...... Apply Now>>

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