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Job Description:
The Inpatient Acute Care Management Assistant is a patient-focused role that manages and optimizes patient care in collaboration with nurses and social work care managers, often serving as a bridge between patients, their support people, and the healthcare team. Their responsibilities encompass a range of tasks, including coordinating appointments, facilitating communication wi...

**This is posted in anticipation of a future role**
Position Summary:
Care Managers are responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/ or appeal status.
The information contained herein is intended to be an accurate reflection of the duties and responsibilities of the i...

Who We Are
Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra laye...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one pe...

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
MUST RESIDE IN THE WEST CALIFORNIA AREA
Registered Nurse Strongly Preferred
Position Purpose: Perform...

Company :
Highmark Health
Job Description :
JOB SUMMARY
This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors...

Company :
Highmark Health
Job Description :
JOB SUMMARY
This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors...

Company :
Highmark Health
Job Description :
JOB SUMMARY
This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monit...

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 perspective on workplace flexibility.
* Assess the member's current health status, resource utilization, past and present treatment plan and services,...

Bachelor's degree in Health Care Administration, Business, Finance, Management, or a related field.
• Eight plus years of Project Management experience.
• Project Management Professional (PMP) certification.
• Experience in medium to complex enterprise-wide project management.
• Experience implementing General Healthcare technology projects and/or ERP systems with additional focus on third-...

Insight Institute of Neuroscience & Neurosurgery (IINN) aims to advance, challenge, and revolutionize neurosciences and medicine through scientific research and advanced technology, driven by a passion to help others regardless of any obstacles and challenges that may lie ahead. Our integrated team of medical professionals does so through creative, innovative techniques and care principles deve...

Sr. Engineering Manager, Care Navigation
Remote / Engineering – Software Engineering / Full-time / Remote Apply for this job Join the team reinventing Healthcare!
The Role: Are you ready to lead the team who will build the next standard for healthcare? We’re looking for a senior engineering manager with a passion for building user centric products to lead one of our rapidly growing Prod...

Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients with two or more chronic conditions. We believe every patient with chronic disease deserves consistent check-ins, follow-up, and support.
The position of the Nurse Chronic Care Coordinator, Remote will perfo...

Description
Position at Clarvida - Oregon
About your Role:
As a Family Care Specialist you will work with a small caseload of families involved with Child Welfare living within Marion, Polk and Yamhill Counties. You will provide skill building, parent coaching and connect families to community resources to assist in the remediation of safety threats/concerns. Meeting with ODHS to provide upda...

Manager, Vision Care Inside Sales
At Alcon, we are driven by the meaningful work we do to help people see brilliantly. We innovate boldly, champion progress, and act with speed as the global leader in eye care. Here, you'll be recognized for your commitment and contributions and see your career like never before. Together, we go above and beyond to make an impact in the lives of our patients an...

About this role
The Sr. Project Manager will serve as a critical partner in advancing Transcarent's Care Delivery strategic initiatives through strong project leadership, cross-functional execution, and disciplined delivery governance. This role will support the planning and implementation of complex clinical, operational, and technology-enabled initiatives that enable scalable, high-quality ca...

Company :
Highmark Health
Job Description :
JOB SUMMARY
This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monit...

Oyster Point Pharma, Inc (Delaware corp)
Viatris is a global healthcare company uniquely positioned to bridge the traditional divide between generics and brands, combining the best of both to more holistically address healthcare needs globally. With a mission to empower people worldwide to live healthier at every stage of life, we provide access at scale, currently supplying high-quality medici...

Marathon Health is a leading provider of advanced primary care in the U.S., serving 2.5 million eligible patients through approximately 630 employer and union-sponsored clients. Our comprehensive services include advanced primary care, mental health, occupational health, musculoskeletal, and pharmacy services, delivered through our 680+ health centers across 41 states. We also offer virtual pri...

Why Work Here?
"Mission driven, great benefits and room for growth!"
Why consider AORN, Association of periOperative Registered Nurses, as the next place for your career as our Marketing Project Manager? Because we're innovative and all about quality and collaboration - we're continually seeking to enhance our offerings to allow us to better tailor to the needs of our nurse members while expand...