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**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...

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...

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,...

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...

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...

Job Description:
At Cable One and our family of brands, we keep our customers and associates connected to what matters most. For our associates, that means: a thriving and rewarding career, respect for the communities where they live and work, a focus on health and wellness, an excellent work/life balance, and an open and inclusive workplace.
What you will do to contribute to the company's succ...

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...

Program Manager, Customer Care Services
Location: US Remote (Preferred location Michigan or Surrounding States)
Ready to make a difference?
ICF currently seeks a full-time program account manager to work within our Utility Programs and Services division. This position provides project management support across residential and commercial energy programs with a specific focus on delivering a high...

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...

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...

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...

This is a remote position supporting Louisiana. Candidates must be licensed and reside in Louisiana.
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge plannin...

Job Type
Full-time
Description
*** Desired candidate resides in the Eastern part of the US (East of the Mississippi River) and within 2 hours driving distance to a major airport ***
SUMMARY OF POSITION:
Under the guidance of the Sr. Sales Director-POC, this Regional Sales Manager is responsible for expanding market presence, driving sales growth, and managing key accounts for EKF Diagnostics' ...

This is where your work makes a difference.
At Baxter, we believe every person-regardless of who they are or where they are from-deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond.
Our Baxter colleagues are united by our Mission to Save ...

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact,...