managed care

Description The Manager, Care Management (CM) is responsible for direct oversight of the daily operations of the Care Management department as it relates to Discharge Planning. Ensures departmental day to day operations are successful by creating schedules, arranging coverage, and dividing work as necessary in order to ensure work is completed in...

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...

## Manager, Care ManagementApply: Remote Illinois: Full time: Posted Today: R-433189# **Become a part of our caring community**Humana Gold Plus Integrated is looking for Managers of Care Management who will lead teams of nurses, care coordinators and behavioral health professionals responsible for care management. The Manager, Care Management, works within...

Become a part of our caring community Humana Gold Plus Integrated is looking for Managers of Care Management who will lead teams of nurses, care coordinators and behavioral health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge to solve...

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...

Care Management SupervisorJoining 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...

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...

Become a part of our caring community Become part of Humana’s caring community and help us put health first. The Manager, Care Management is responsible for leading a team of care managers who support members with transitional needs, chronic conditions, and barriers that may impact health, independence, and well-being. This role provides operational...

Manager-Care Coordination/Care ManagementLocation: Brooklyn Heights Biweekly Hours: 80.00 Shift: M-F 8-5The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient...

Invest in Your Future and Theirs: Beginning January 1, 2027, eligible full-time Penn State Health employees receive a 50% Penn State tuition discount for themselves and eligible dependents, including a spouse and children. The discount applies at Penn State University Park, Commonwealth Campuses, World Campus, and Penn College of Technology.Penn State Health...

Location: BROOKLYN HEIGHTS Biweekly Hours: 80.00 Shift: M-F 8-5 The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services....

The Care Manager is responsible for the direction, management and monitoring of activities related to Quality and Process Improvement, Case Management, Clinical Pathway Development, discharge planning for the Pathways System for Case Management . Education:  Graduate of an accredited school of Nursing with an ASN / BSN required. Current state license...

Replies within 24 hours Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance RN Manager – Care ManagementLocation: Petaluma, CaliforniaJob Type: Full-TimeSchedule: 8-hour day shifts Position Overview We are seeking an experienced RN Manager – Care Management to lead and support care management services in an...

Replies within 24 hours Benefits: 401(k) Dental insurance Health insurance Paid time off RN Manager – Care Management Petaluma, California | Full-Time | 8-Hour Day Shift Seniority Level: Mid-SeniorBase Salary: USD $210,000 – $265,000Benefits: FullRelocation Assistance: NoTravel: OccasionallyPosition Overview The RN Manager – Care...

DescriptionSummary of Performance Expectations:     Education & Credentials:   Required Bachelor’s degree in healthcare administration, business, finance, economics, data science, or a related field is preferred.  Alternatively, an Associate’s degree in healthcare, or finance with 2-3 years of experience in a hospital setting may be considered.  In...

## Manager Care ManagementApply: Southlake, Texas: Full time: Posted Today: JR1000038363**Hours of Work :****Days Of Week :****Work Shift :**8X5 Day (United States of America)**Job Description :**Your Job: Oversees day-to-day operations of the Care Management Department. Functions as a ‘working manager’, assessing patients’ care...

General Summary Assists the Director of Population Health in the management of the Care Management Department in association with the Care Managers in accordance with regulatory requirements and the needs of the hospital. Assumes shared responsibility for ensuring optimal clinical and financial outcomes across provider lines and systems in conjunction with...

Methodist Richardson Medical Center is seeking a Care Management leader to oversee day-to-day operations of the Care Management Department, ensuring that resource use aligns with quality outcomes and staff development. You will mentor Care Transition Navigators, plan and implement operational, financial and personnel activities, and provide guidance to...

Join us at  NextStep Care– a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion  in a non-profit, mission-driven organization that’s...

RN Manager - Case ManagementCase 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 communication and care coordination along a continuum through effective transitional care management. Recognizing the...