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Managed Care Organization Pharmacy : Rhode Island

WALGREEN EASTERN CO INC
100 Romano Vineyard Way      North Kingstown,  RI 02852
888-578-3457
NPI: 1194919597


MANAGED CARE JOBS - Page 1

1 Director, Managed Care Contracts Dallas-Fort Worth Metroplex, us Director, Managed Care NextStep Recruiting has partnered with a leader in the Healthcare Industry based in the Coppell/Lewisville Area to identify a Director, Managed Care Contracts on a direct hire ...... Apply Now>>

2 Director Level Managed Care Liaison Minneapolis, Minnesota, United States, us Director Level, Managed Care Liaison New Team, Top Company - National Build-Out One of our clients, a leading pharmaceutical company, is adding a new team (Medical Affairs Directors) that will be the ...... Apply Now>>

3 RN HEDIS / Quality Improvement Coordinator Tacoma, WA, USA HEDIS/Healthcare Quality Improvement Coordinator Tacoma, WA (Downtown) Our national managed care company's Health Plan is hiring a HEDIS/Quality Improvement Coordinator for HEDIS season. This HEDIS ...... Apply Now>>

4 Mgr-MB Clinics Tacoma, United States This individual maintains broad responsibilities for all administrative functions of the practice locations, including operations, marketing, finance, assisting in managed care/third party ...... Apply Now>>

5 Utilization Management Nurse Auditor Long Beach, CA, USA If you answered "yes" to any of these questions - this is the position for you! HealthCare Support is actively seeking a Utilization Review Nurse Auditor to join a top managed care company in Long ...... Apply Now>>

6 Mgr-Case Management Care Continuum Tacoma, United States The Manager Care Management is responsible for day to day leadership activities managing a team of clinical professionals in the execution of exemplary cross continuum care coordination. This ...... Apply Now>>

7 Care Manager (Bilingual) Rochester, NY, USA The Care Manager has responsibility for working as a lead member of the care team using principles of assessment, care planning, service and community referrals, and evaluation to coordinate ...... Apply Now>>

8 Healthcare Admin Software Implementation Project Manager Arizona, United States, us Managed Care Systems, Inc (MCSI). is a 20+ year old technology and service company that specializes in automated healthcare administration solutions. Our customers typically manage medical claims ...... Apply Now>>

9 Acute Care Optimization Specialist - Tulsa Tulsa, Oklahoma, United States, us You will be responsible for driving care redesign initiatives in the acute setting. This role will ... Collaborate with PAN Operations Managers to ensure the acute and post-acute initiatives are aligned... Apply Now>>

10 Clinical Nurse Manager Outpatient Care Coordination Los Angeles, United States Responsibilities The Clinical Nurse Manager reports to the Director of Outpatient Care Coordination and is responsible for providing leadership and management of clinical triage, complex case ...... Apply Now>>

11 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>>

12 Integrated Care Manager - Medicare 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>>

13 Manager, Practice Management Lancaster, United States Collaborates with physicians, other health care disciplines and managed care organizations to assure optimal patient care. Manages, directs and oversees all administrative and clinical operations and ...... Apply Now>>

14 Healthcare Management Consultant Seattle, Washington, United States, us Description Our client in Seattle, WA is looking for an experienced Healthcare Management Consultant to join their fast-paced team. Working side-by-side with clients, drawing on experience, expertise ...... Apply Now>>

15 Director, Medical Affairs, Neuroscience Palo Alto, United States Provide clinical and scientific support in responding to inquiries from healthcare professionals and managed care organizations. * Ensure that all medical affairs presentations are consistent ...... Apply Now>>

16 Veterinary Regional Manager Seattle, Washington, United States, us PetVet Care Centers, Inc. is one of the nation's leading operators of veterinary hospitals for ... Regional Managers support the managers and medical directors to meet and exceed their financial ...... Apply Now>>

17 LPN Med Care Manager Chevy Chase, 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>>

18 Unit Manager - RN (Resident Care Manager) Relocation Available Gig Harbor, WA, USA HCR ManorCare provides a range of services, including skilled nursing care, assisted living, post ... As an Unit Manager - RN, you will oversee the care management of a population of patients within an ...... Apply Now>>

19 RN Care Manager, PRN Sedona, United States Knowledge of federal, state and managed care rules and regulations including CMS and AHCCCS * Excellent interpersonal skills and the ability to effectively communicate verbally and in writing ...... Apply Now>>

20 Post Acute Healthcare Consulting Manager Orange County, California, United States, us Post Acute Healthcare Consulting Manager CPA Firm Location: Irvine, CA or St. Louis, MO The Post Acute Healthcare Consulting Manager will assist in providing cost reporting, reimbursement consulting ...... Apply Now>>

21 Travel Utilization Review / Case Manager RN Seattle, WA, USA Supplemental Health Care is a nationally recognized healthcare staffing provider, partnering with a hospital in Seattle, WA, to provide a Travel Utilization Review/Case Manager RN Unit: Utilization ...... Apply Now>>

22 Utilization Review / Case Management RN Seattle, WA, USA Supplemental Health Care is a nationally recognized healthcare staffing provider partnering with a Hospital in Seattle, WA to provide a Utilization Review/Case Manager RN. Unit: Utilization Review ...... Apply Now>>

23 Care Manager Alameda, 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>>

24 Quality Assurance Manager Tehama County, United States Examples of Duties Plans, organizes, and performs duties related to Quality Improvement/Assurance Program (QI/QA). | Administers managed care plan activities, audits organizational providers and ...... Apply Now>>

25 Contract Manager - Healthcare - Provider and Hospital San Francisco, California, United States, us POSITION SUMMARY Manage health plan provider and administrative contracts across all lines of business, including Medicare Advantage, Commercial and Medi-Cal. Key responsibilities include identifying ...... Apply Now>>

26 Associate Director, Medical Communication Palo Alto, United States Develop and maintain content (e.g., slide decks) for Medical Science Liaison (MSL) and managed care MSL (MCMSL) teams for assigned product(s) * In collaboration with key stakeholders within medical ...... Apply Now>>

27 Registered Nurse RN Manager - Health & Wellness Director Federal Way, United States Our residents are the reason we choose to deliver high quality care and services in a home-like ... Brookdale's Nurse Healthcare Director manage the day-to-day healthcare operations of our senior ...... Apply Now>>

28 Clinical Project Manager - Consumer care Fort Worth, TX, US, us Within Consumer Global Clinical Operations group, the Clinical Project Manager (CPM) plans and manages clinical studies according to clinical development plan and within defined timelines, resources ...... Apply Now>>

29 Senior Project Manager, Healthcare Construction Tacoma, United States This is not an IT-type job, but more akin to those who have at least 5-10 years of Healthcare Construction Project Management experience. JOB SUMMARY The purpose of this position is to manage and ...... Apply Now>>

30 RN Case Management Manager FT Days Valley Baptist Medical Center Brownsville TX Brownsville, USA Coordination of clinical care (medical necessity, appropriateness of care and resource utilization ... Remain current with relevant clinical / case management practices. * Assist Director with daily ...... Apply Now>>

31 Clinical Supervisor Colorado Springs, CO, USA Position Overview The Clinical Supervisor provides overall management and supervision of client care activities within the home care setting. Work in conjunction with other team members to ensure ...... Apply Now>>

32 Managed Care Case Manager Quincy, IL, USA Managed Care Case Manager **Position is located in or near Quincy, IL area. This role is Monday thru Friday no late evenings or weekends. This role is remote. Requires onsite visits with members and ...... Apply Now>>

33 GOVERNMENT ADMINISTRATION MANAGER Long Beach, CA, USA Knowledge of applicable state and federal managed care laws and guidelines (AB 1455, Accountable Care Act, HIPAA, Stark, etc.). * Experience negotiating health plan managed care agreements and ...... Apply Now>>

34 Senior Practice Manager - Region 65 (Naples) NAPLES, FL, USA The Senior Practice Manager role does not include the provision of direct patient care. Major Job Duties and Tasks Quality Practice Accountable for clinic team performance in achieving and ...... Apply Now>>

35 Registered Nurse Manager / Resident Care Director Dallas, United States What you'll bring to Sunrise Senior Living: - 2+ years of experience as an RN; one year in home health, assisted living, or long-term care preferred. - 1+ years of nursing management experience to ...... Apply Now>>

36 MDS/Resident Assessment Coordinator - RN Medford, United States Responsibilities The Resident Assessment Coordinator will be responsible for all of the facility Medicare and Managed Care residents as directed by the Resident Assessment Director. This will include ...... Apply Now>>

37 Healthcare Business Integration Manager Plano, Texas, United States, us The Healthcare Business Integration Manager will provide strategic oversight and partnership to facilitate communication and track all infromation, activities, tasks, status, team member allocation ...... Apply Now>>

38 Sr. Project Manager - ePMO Phoenix, AZ, USA ... managed care environment * Microsoft Project Server 2013 Administrator certification or equivalent MS/PMI certified training course. Background/experience/assignment VA Health and/or US Military ...... Apply Now>>

39 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>>

40 Utilization Management Nurse RN Long Beach, CA, USA Bachelor's degree in related field or equivalent experience Required Experience: ? 2-4 years managed care experience. * Data analysis experience. * Required Licensure/Certification: Valid State ...... Apply Now>>



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