A managed care organization serving California Medi-Cal members is seeking an experienced and compassionate nurse (RN or LVN/LPN...Job Title: Remote Admissions Coordinator – Long-Term Care & Rehabilitation (RN or LVN/LPN) Company: Leading Managed...
care management plan and modifies as necessary. Interfaces with Medical Directors and Health Professionals on the... "telephonic" Case Management experience with a Managed Care Company preferred Certification as a Case Manager. Ability to talk...
, and the neighboring cities. Serving as the trusted medical home for our patients, TCCH offers a wide range of services... in a professional, accurate, and customer-oriented manner Obtains information from patients' health insurance or managed care...
of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review...We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Bay...
within the Technology organization. Coordinate and drive meetings with executive leaders to review workforce design..., Managing Directors, and VPs) to manage workforce restructuring, onshore/offshore resource movement, and managed service...
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical... Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...
demographic and other information about existing and future residents, and review and analyze data. 6. Ensures that the property... – Makes good and timely decisions that keeps the organization moving forward. 6. Interpersonal Savvy – Relates openly...
. Responsibilities include: 1. Provide direction and vision (in coordination with the VP-BH and Medical Director-BH) on clinical... (condition management) (DM) processes. 5. Direct and manage the activities of Clinical Managers. 6. Work with the Medical...
and security solutions, and managed services to individuals, businesses, government agencies, and more. Regardless of how, when... regarding quality and supply as required Review all purchase requisitions for content, accuracy, interchangeability...
. Minimum Requirements: Requires BA/BS in Pharmacy. Minimum of 2 years of managed care pharmacy (PBM) experience... working with Medicare and Commercial providers strongly preferred. PBM or Managed Care experience highly preferred...