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Managed Care Organization Pharmacy Directory

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MANAGED CARE JOBS - Page 1

1 Practice Manager Santa Rosa, CA, USA Vera's 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>>

2 Care Manager - Utilization Management San Diego, United States You will participate in the review and completion of referrals for Scripps Health Plan Services (SHPS) and Scripps Health Plan (SHP) Managed Care/HMO members. The Care Manager utilizes nursing ...... Apply Now>>

3 Supv-Case Mgmt Care Continuum Tacoma, United States 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>>

4 Resident Care Coordinator Lynnwood, United States To manage care giving staff; assist in coordinating the daily administrative and care giving functions of the Community under the direction of the Executive Director; assist the nursing staff with ...... Apply Now>>

5 System Director, Managed Care Irving, United States Description The System Director of Managed Care will serve as the managed care point person for certain Region(s) as Regional Subject Matter Expert (SME), while having System-wide accountability for ...... Apply Now>>

6 UM Clinical Services Coordinator - Managed Care Pasadena, CA, USA Considerable knowledge of Medi-Cal/Medicare Managed Care * Proficiency in 10-key and MS Office applications * Ability to work effectively and accurately in a fast-paced environment * Strong work ...... Apply Now>>

7 Senior Care Management Transition Coordinator Milwaukee, United States ... managed care preferred but will hire someone with strong discharge planning care management etc in an acute care facility Unrestricted license as a LCSW LMHC LMSW LMFT LPC PhD PsyD or RN license ...... Apply Now>>

8 Care Manager Kapolei, HI, USA ... managed care and state specific expertise preferred. • Demonstrated experience meeting strict deadlines and established cycle times through effective prioritization and follow-up. • Strong ...... Apply Now>>

9 LPN Med Care Manager Issaquah, 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 Medical / Clinical Office Manager San Antonio, United States Experience with Health Insurance and Managed Care concepts is preferred. Minimum 2 years Supervisory experience preferred.... Apply Now>>

11 Travel RN - Case Management San Francisco, CA, USA Supplemental Health Care is a nationally recognized healthcare staffing provider partnering with a hospital in San Francisco, CA to provide a Travel Case Management RN. Qualified RNs will receive ...... Apply Now>>

12 Travel Case Manager Registered Nurse San Francisco, CA, USA Supplemental Health Care, a nationally recognized healthcare staffing provider, is partnering with a hospital in San Francisco, CA, to provide a Case Manager Registered Nurse (RN) for a 13-week ...... Apply Now>>

13 Marketing/Care Associate Duluth, GA, USA ... Managed Care, LLC. Always be ready to accept and complete assign task.... Apply Now>>

14 Care Manager Cypress, CA, USA Knowledge of managed care and state specific expertise preferred. * Demonstrated experience exercising influence and negotiation skills to effectively manage patient care and health care outcomes... Apply Now>>

15 Managed Care Pharmacist Reno, United States Provides Pharmacist support to Senior Care Plus Med D Plans. Nature and Scope: This position is responsible for the utilization review activities, formulary development and management, coordination ...... Apply Now>>

16 Manager- Clinical Services PCU East Bremerton, United States Manages and evaluates the clinical operations, programs and resources of the assigned clinical area/facility to assure the safe and appropriate delivery of diagnostic and/or therapeutic patient care... Apply Now>>

17 Hospital Surgery Manager San Leandro, CA, USA Description What makes Kindred Healthcare a great place to work? Our people, of course! Our ... As a Surgery Manager / RN you will: * Responsible to coordinate and supervise the daily activities ...... Apply Now>>

18 Medical Director, Medical Director of Primary Care in Chicago, IL Chicago, IL, USA As a member of the Executive Management team, the Medical Director of Primary Care is responsible for implementing, reviewing and developing Clinical protocols, performance objectives, productivity ...... Apply Now>>

19 Rehab Manager/Director of Rehab-(PT/OT/SLP/COTA)- SIGN-ON BONUS- Napa, CA Napa, CA, USA Manage the delivery of care in the most cost effective manner. 13. Coordinate treatment activity between disciplines and team members. 14. Contribute to development of improved efficiency and ...... Apply Now>>

20 Medical Progressive Care Registered Nurse -Days - $10,000 Sign on Bonus 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>>

21 Complex Care Manager - Bone Marrow Support La Jolla, United States ... managed care environment. * Bachelor's degree in nursing (BSN) or Certified Case Manager (CCM). * Registered nursing degree from an accredited school of nursing. * Must be able to speak, read and ...... Apply Now>>

22 Memory Care- PT Care Manager St. Charles, 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>>

23 Health Services & Care Coordinator San Francisco, CA, USA The Health Services and Care Coordinator plays an important and unique role in the MSO Care Coordination and Case Management team. Candidate is required to have well understanding to the many ...... Apply Now>>

24 Medical Management Specialist Albuquerque, NM, USA Plus 3 years wellness or managed care experience presenting clinical issues with members/physicians. * Knowledge of the health and wellness marketplace and employer trends. * Verbal and written ...... Apply Now>>

25 Director, Medicare New Hyde Park, NY, USA Manage ongoing reporting metrics aimed at providing insights and recommendations to enhance ... Demonstrated experience in healthcare, specifically in the health plan industry. * Extensive ...... Apply Now>>

26 Memory Care Director Renton, United States MEMORY CARE DIRECTOR - Grow your career with MERRILL GARDENS!! Merrill Gardens , a privately-owned ... Knowledge of how to develop and utilize service plans, medication management systems, infection ...... Apply Now>>

27 Care Manager (NOC Shift) Ventura, United States Our Care Managers are a key component to our success. Please watch this video about meaningful work and the story behind it, and then check out the job description below. RESPONSIBILITIES: • ...... Apply Now>>

28 Regional Medical Director Kuna, ID, USA 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>>

29 Resident Care Coordinator Seattle, United States Resident Care Coordinator Position Summary: The Resident Care Coordinator works as a liaison ... An employee should perform all duties assigned by his or her manager. Qualifications: To perform ...... Apply Now>>

30 Consumer Care Manager Cypress, CA, USA Consumer Care Manager Join a successful and growing sustainable consumer packaged goods organization that pioneered high quality green cleaning products over 50 years ago. We are looking for a ...... Apply Now>>

31 Nursing Home Administrator / Executive Director Lewistown, MT, USA ... care for our residents. We are currently accepting applications for a Licensed Nursing Home Administrator / Executive Director , to join this great management team. The ideal candidate will be ...... Apply Now>>

32 Payroll Manager Seattle, WA, USA Vera's 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>>

33 Care Manager Sierra Madre, CA, USA The Care Manager- Memory Care provides direct care to residents in the Memory Care neighborhoods (Connections and Haven), including activities of daily living, therapeutic activities programs, and ...... Apply Now>>

34 Practice Manager Katy, TX, USA Must have knowledge of the following: · CPT and ICD-10 coding · Managed care, Medicare, and Medicaid guidelines · Medical terminology and insurance practices... Apply Now>>

35 Clinical Case Manager (Managed Care) Des Plaines, IL, USA AltaStaff is a boutique staffing agency that works with Managed Care Organizations and government agencies. This is a full-time position working onsite at Chicago Behavioral Hospital (CBH) in Des ...... Apply Now>>

36 RN - DNS Wellness Director - $2,000 Sign on Bonus Bend, United States Assesses health, functional and psychosocial status of residents, initiating individualized service plans, proactively managing care and services for each resident, and maximizing the resident ...... Apply Now>>

37 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>>

38 Contract Manager (Healthcare Experience WANTED) Long Beach, CA, USA The Contract Manager will lead the Contracting Team to develop and manage Provider Networks through contracted primary care physicians and specialists, key hospitals, ancillary and any other ...... Apply Now>>

39 Quality Assurance/Continuous Improvement Nurse, LVN Rancho Cucamonga, United States Preferred Experience Experience and training in HMO or managed care setting preferred. Education Qualifications High school diploma or GED required. Preferred Education Bachelor's degree in health ...... Apply Now>>

40 LTSS Waivers Care Coordinator (Healthcare) Chicago, IL, USA ** This is a 3 month contract with likely extension ** Full-time, Contract Salary: $28-$30.00 AltaStaff is a boutique staffing agency that works with different Managed Care Organizations and Government ...... Apply Now>>



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