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Managed Care Organization Pharmacy : Massachusetts

CARITAS ST ELIZABETH HEALTH CARE
77 Warren St  Phcy Dept    Brighton,  MA 02135
617-562-5304
NPI: 1043359854
CARITAS ST ELIZABETHS HEALTH CARE
1609 Eglin St      Hanscom Afb,  MA 01731
781-274-9102
NPI: 1073635264
ELCAD INC
235 Sandwich St      Plymouth,  MA 02360
508-747-1247
NPI: 1851463640
HEALTH CARE PHARMACY INC
1030 President Ave      Fall River,  MA 02720
508-675-5858
NPI: 1356440986
OAKMONTSCRIPT LP
1500 District Ave      Burlington,  MA 01803
781-228-7347
NPI: 1821548637
PHARMA SERVICE LLC
1183 Acushnet Ave      New Bedford,  MA 02746
508-817-5044
NPI: 1184194276
STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC
1609 Eglin St      Hanscom Afb,  MA 01731
781-274-9102
NPI: 1538473269
STEWARD ST ELIZABETHS MEDICAL CENTER OF BOSTON INC
77 Warren St  Phcy Dept    Brighton,  MA 02135
617-562-5304
NPI: 1053626283


MANAGED CARE JOBS - Page 1

1 Care Manager RN PRN College Station, TX, USA JOB SUMMARY The Care Manager RN PRN will be responsible for assessing and coordinating patient care across the continuum, utilizing accepted criteria and guidelines to manage benefits and determine ...... Apply Now>>

2 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>>

3 Interim Manager, Area Care Management - Eureka Eureka, CA, USA & Requirements Interim Manager, Area Care Management in California StartDate: ASAP Opportunity on the California Coastline to Oversee Case Management for Two Hospitals as Interim Area Manager! The ...... Apply Now>>

4 Emergency Department Clinical Care Manager Full Time Days Palm Coast, FL, USA Qualifications What You Will Need: · Excellent written and oral communication skills required · Knowledge of InterQual, and or Milliman Care Guidelines (MCG), principles of Managed Care, Computer ...... Apply Now>>

5 Integrated Care Manager Phoenix, AZ, USA Participate in continuing education and current development in the field of medicine, behavioral health and managed care at least annually. * The position requires a full-time work schedule... Apply Now>>

6 Registered Nurse Care Manager Solon, OH, USA As a Home Health RN Care Manager , you will: * Perform or delegate the initial and ongoing evaluation of patient needs within their scope of practice. * Routinely complete Start of Care/Resumption of ...... Apply Now>>

7 Assistant Nurse Manager ICU FT Nights $10k Sign-on Bonus Davenport, FL, USA Understands the broad impact of reimbursement on the delivery of patient care services, including but not limited to Medicare, Managed Care, Medicaid, third party providers, challenges to current ...... Apply Now>>

8 Medical Director - Orlando Orlando, FL, USA Mentors physicians with regard to their clinical, managed care and personal concerns. * Helps to manage change. * Participates in committees to set medical management policies * Analyzes data ...... Apply Now>>

9 Quality Management Nurse Bakersfield, CA, USA Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in ...... Apply Now>>

10 Memory Care Director - 1372 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>>

11 Vendor Contract Analyst Rancho Cordova, CA, USA Are you an experienced managed care, procurement, or contract analyst looking for a new opportunity with a very large healthcare company? Do you want the chance to advance your career by joining a ...... Apply Now>>

12 Telephonic RN Care Manager QA Dallas, TX, USA The RN Care Manager serves as a care manager with responsibility for assessing and coordinating patient care across the continuum utilizing accepted criteria and guidelines to manage benefits and ...... Apply Now>>

13 Director of Integrated Care Management Seattle, WA, USA The Director of Integrated Care Management will collaborate with theCMO and Director of Population Health to develop, stand-up, and iterativelyimprove a highly effective care management program that ...... Apply Now>>

14 Case Manager/ Care Manager Oklahoma City, OK, USA Care Managers perform integrated case management (CM) and disease management (UM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved ...... Apply Now>>

15 Sr Mgr, Provider Relations - California Los Angeles, CA, USA ... a managed care plan. 2+ years' experience or demonstrated knowledge of network regulatory requirements and network management to those requirments. 5+ years of management experience. Project ...... Apply Now>>

16 Supervising Clinician - BCBA Beaverton, OR, USA Manage and maintain full productivity targets as indicated by center or home-based model.Retain 100 ... Promote the growth of Centria Healthcare and assist in the pursuit of business opportunities. (5% ...... Apply Now>>

17 Senior Behavioral Health Provider Relations Manager - Remote California San Diego, CA, USA ... managed care plan. 2+ years' experience or demonstrated knowledge of network regulatory requirements and network management to those requirments. Project Management experience preferred. Solid ...... Apply Now>>

18 Home Health Start of Care RN - $4,000 sign on bonus Tucson, AZ, USA Coordinates available resources to manage care plan and ensures stated outcomes are achieved * Periodically reassesses or delegates the reassessment of patient needs and revises care plan as ...... Apply Now>>

19 Dental Office Manager Huntington Beach, CA, USA As Dental manager you will coordinate dental benefits & services, patient treatment plans and staff ... Enforce healthcare & company policies, OSHA procedures & protocols ​ Qualifications: * Previous ...... Apply Now>>

20 Care Manager (MSW, RN, MFT, OT, Gerontologist) San Jose, CA, USA We are seeking a Care Manager with a background in social work, nursing, gerontology or occupational therapy (MSW, RN, MFT, OT, Gerontologist) to join our team! This is a work from home opportunity ...... Apply Now>>

21 Managed Care Support Specialist Portland, OR, USA Managed Care Support Specialist Prestige Care Portland, OR Build Your Healthcare Career with Prestige Care Prestige Care is a family-owned and operated industry leader in the skilled nursing ...... Apply Now>>

22 Assisted Living Manager Bemidji, MN, USA Eldercare of Bemidji is currently seeking a full-time Manager for their Tamarack Court Assisted ... Preference will be given to individuals with a degree in Healthcare Administration, Business ...... Apply Now>>

23 Unit Manager Director (Full Time) Louisville, KY, 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>>

24 LVN Med Care Manager Seal Beach, 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>>

25 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>>

26 RN - Care Manager Tacoma, WA, USA Interventions will be targeted towards effective management of each episode of care and the seamless transition to the next level of care. The goal will be towards promoting patient engagement and ...... Apply Now>>

27 Regence Utilization and Care Management Clinician Portland, OR, USA Overview Regence Utilization and Care Management Clinician Portland, OR; Salt Lake City, UT; Lewiston, ID Are you a nurse that has a passion for making a difference? At Cambia, our values are ...... Apply Now>>

28 Regional Revenue Cycle Mgmt Director- Long Term Care / Skilled Nursing San Francisco, CA, USA Provide ongoing support/training on eligibility and authorization process for all payer types (Medicaid, Medicare, Managed Care, etc.) * Provide direction on the follow-up process for all payers ...... Apply Now>>

29 Resident Care Supervisor (LPN) Weybridge, VT, USA Report to Resident Care Manager change in condition, daily needs, and progress of residents. * Follow the plan of care for each resident. * Responsible for all aspects of receiving, storing and ...... Apply Now>>

30 RN Case Manager Idaho Falls, ID, USA ... managed care reimbursement preferred. * Current CPR for Healthcare Providers certification * Professional certification as a Case Manager is preferred. Notice Our Company's recruiters are here to ...... Apply Now>>

31 RN - Case Manager Nashville, TN, USA We Are Hiring RN-Case Manager- Care Management - Full-Time,Day - St Thomas Midtown Hospital - Nashville,TN Schedule: Monday - Friday 8:00am - 4:30pm but can vary based on patient care needs. Some ...... Apply Now>>

32 Practice Manager Prescott, AZ, USA Knowledge of Medicare, managed care programs, third party payers, Workers' Compensation CPT, ICD codes, and patient account collections * Electronic Medical Records (EMR) experience *Must pass pre ...... Apply Now>>

33 Longhouse Adult Family Home Resident Manager Seattle, WA, USA The goal is a house with top notch care and highly engaged caregivers. SCHEDULE: This job is ... Day-to-day management of the Adult Family Home in accordance with the WAC, RCW, and Company plans... Apply Now>>

34 Health Care Consultant Seattle, WA, USA Description Milliman's Seattle Health Practice is seeking a Healthcare Management Consultant to join our team. We are looking for an experienced consultant with interest and experience in state ...... Apply Now>>

35 Medical Director, Medical Director - Urgent Care Federal Way, WA, USA This person will manage a staff of clinical practitioners in urgent care clinics in the Tacoma-Seattle area. The Medical Director will need to ensure medical staff is provided with support, feedback ...... Apply Now>>

36 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>>

37 Registared Nurse-MDS COORDINATOR Caldwell, TX, USA The case manager intervenes when necessary to assure that case is care is coordinated and timely. RESPONSIBILITIES Documents on the day of admission, or within the first twenty four hours, a clinical ...... Apply Now>>

38 Triage Nurse Brighton, MA, USA Assists in the management of patient utilization of health care system and provides patient education relative to health care needs, use of community resources and responsibilities of membership in ...... Apply Now>>

39 Home Health/ Hospice Per Diem Liaison RN Carmichael, CA, USA ... manager, care coordination, care coordinator, case manager, public health, discharge planner #missioncritical #hospice #homehealth #RN@DH Qualifications Minimum: 1 year Home health or related ...... Apply Now>>

40 Care Manager (Registered Nurse/RN) Federal Way, WA, USA Rotating weekend on-call. Position Summary The RN Care Manager is responsible for the coordination of the patient's care and services. Promotes quality care using a collaborative process that ...... Apply Now>>



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