managed care

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do.Today, SCAN is a nonprofit health...

Pay Range:$45.84 - $68.76A successful candidate's actual pay rate will be based on several factors including relevant experience, skills, training, certifications and education.Hospital Sisters Health System (HSHS) is seeking a Manager-Case Management to join our team. The Manager-Case Management is responsible for managing and supervising the team tasked...

Hours of Work :8AM-5PMDays Of Week :Monday-Friday, On Call as NeededWork Shift :8X5 Day (United States of America)Job Description :Your Job:Oversees day-to-day operations of the Care Management Department. Assures that appropriate resource utilization related to patient care is coupled with identified quality outcomes. Retains and develops competent staff....

Become a part of our caring community The Manager, Care Management leads teams of nurses, social workers, behavioral health professionals, and care management support professionals responsible for the care management of Medicaid members in Humana's Illinois market. The Manager, Care Management follows guidelines and departmental procedures; applies advanced...

Managed Care ManagerLocation: Remote (U.S.)Department: Revenue Cycle ManagementReports To: Director of Managed CareHelp Drive Access, Reimbursement, and Growth in HealthcareAre you an experienced managed care professional who thrives on building payer partnerships, negotiating contracts, and improving reimbursement outcomes? We're looking for a Managed Care...

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full.  Below, you’ll find other important information about this position. Reporting to the Manager of Pharmacy Services, the Managed Care Pharmacist is...

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full.  Below, you’ll find other important information about this position. Reporting to the Manager of Pharmacy Services, the Managed Care Pharmacist is...

Overview When you join Piedmont, you’re not just changing your work environment. We open doors to real change in the lives we touch — especially yours. We’re committed to bringing award-winning care to communities across Georgia and celebrating the strength our diversity creates. Together, we’re doing big things. One employee, one team,...

Overview You are the voice, the coordinator and the empathetic advocate of patients facing difficult situations. Your compassion for patients and families with acute and chronic health conditions knows no limits. You are committed to working with healthcare teams to ensure every patient receives the care, comfort and dignity they deserve. If this...

We are seeking a Program Manager Care Management to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.About the Role:The Program Manager Care...

Who You Are You’re a strategic thinker, trusted advisor, and collaborative partner who sees opportunity in complexity. You know how to turn challenging managed care issues into smart, actionable strategies that create meaningful results for hospitals, health systems, and physician groups. Whether you’re uncovering insights in financial data, shaping a...

SUMMARY Work in conjunction with diverse clinical teams and utilize community resources to meet the needs of individuals receiving care management services. Provide services in accordance with care management service requirements set by the state and company. Responsible for developing and monitoring Tailored Care Management care plans and Individual Support...

SUMMARY Work in conjunction with diverse clinical teams and utilize community resources to meet the needs of individuals receiving care management services. Provide services in accordance with care management service requirements set by the state and company. Responsible for developing and monitoring Tailored Care Management care plans and Individual Support...

Our promise to you:Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you...

RN Manager - Care Management Petaluma, California Full Time 8-hour, Day shifts. Ideal Candidate Must have Bachelor's Degree in Nursing Must have active California Registered Nurse License upon hire Minimum of 5 years of experience working in a healthcare role. Minimum of 3 years of Case Management experience within an acute care setting/ Inpatient/...

Our promise to you:Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you...

Department:11210 Aurora St. Lukes Medical Center - Social ServicesStatus: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:M-F 0800-1630 with availability/accountability to team during off hours and holidays.Pay Range:$47.50 - $71.25Major Responsibilities:Provides management oversight of the daily operations of the care...

Overview Location: Piedmont Fayette Hospital in Fayetteville, Ga When you join Piedmont, you’re not just changing your work environment. We open doors to real change in the lives we touch — especially yours. We’re committed to bringing award-winning care to communities across Georgia and celebrating the strength our diversity creates....

Description RN Manager - Case Management at Petaluma Valley Hospital in Petaluma, CA. This position is Full-time and will work 8-hour, Day shifts. Case Management is a collaborative practice including patients, caregivers, nurses, social workers, physicians, payers, support staff, other practitioners and the community. The Case Management process facilitates...

Program Manager Care ManagementWe are seeking a Program Manager Care Management to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.The Program...