As a 24/7 Clinical Navigation & Support (CN&S) Care Manager (CM) you will deliver a guided, predictable and streamlined care experience for customers. Common situations include routine/acute/urgent/emergent need for care in order to direct customers toward specialized or higher levels of care (HLOC)...
The Clinical Care Manager is responsible for utilization management by conducting utilization review activities, population management, cross-system consultation, provider management and treatment quality monitoring. The Clinical Care Manager must utilize clinical knowledge of best practices and evi...
AllCare Plus Pharmacy, an IQVIA company, is seeking a Care Manager! Responsibilities will vary by program and its lifecycle. Care Manager’s may be responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance and check pri...
The Care Manager plans and manages behavioral and/or physical care with members and works collaboratively with them, their supports, providers, and health care team members. The Care Manager is responsible for applying care management principles when engaging members and addressing coordination of t...
The Manager, Health Equity Strategy and Innovation will work on high priority, high visibility initiatives in a rapidly evolving area within DaVita and in healthcare more broadly. Beyond the moral imperative for health equity, it is increasingly imperative to DaVita’s business success, both in terms...
Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits. Develops, assesses, and facilitates complex care management activities for primarily physical ...
Supports the care team in development of a person-centered care plan (“Care Plan”) to help define what is important to members for their health and prioritize goals that help them live the life they want in the community of their the Care Plan includes specific services to address mental health, su...
Growing your career as a Full or Part- Time Remote Customer Care Manager is an incredible opportunity to develop valuable skills. If you are strong in leadership, and persuasion and have the right determination for the opportunity, then schedule a meeting today to become a Remote Customer Care...
Support Members during transitions of care through assessment, coordination of care, education of the discharge plan of care, referrals, and evaluation of the effectiveness of the plan. You’ll monitor and update care plans based on real-time feedback from members and caregivers, continuously refinin...
Supports the care team in development of a person-centered care plan (“Care Plan”) to help define what is important to members for their health and prioritize goals that help them live the life they want in the community of their the Care Plan includes specific services to address mental health, su...
Chronic Care Manager Location: Remote 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. The position of the Nurse ...
CEAP - Certified Employee Assistance Professional - Care Mgmt, LCSW - Licensed Clinical Social Worker - Care Mgmt, LMFT - Licensed Marital and Family Therapist - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPC - Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Work...
Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits. May develop or assist with developing personalized service care plans/service plans for long-term care m...
Project Manager will lead high-impact projects across the Specialty Products and Programs (SPP) team and be an expert resource for the broader team on project management tools, analysis, and best practices for projects owned by others. Project Manager will also support the Director, Multisource Prog...
The ideal candidate for this position is a licensed professional with a background in the insurance industry as a care manager in a behavioral healthcare role, or an individual who has worked in a mental health or chemical dependency treatment facility in the area of utilization management, or in di...
Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. Associate benefits are designed to encourage personal wellness and smart health...
Manager, Business Systems Analysis. The Revenue Operations Manager (ROPS Business Analyst Team - Kinetic) will be responsible for identifying and implementing opportunities within DaVita’s revenue cycle systems, in collaboration with teams across the company. DaVita offers a competitive total reward...
Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. Associate benefits are designed to encourage personal wellness and smart health...
Supports the care team in development of a person-centered care plan (“Care Plan”) to help define what is important to members for their health and prioritize goals that help them live the life they want in the community of their the Care Plan includes specific services to address mental health, su...
At VIATRIS, we see healthcare not as it is but as it should be. We act courageously and are uniquely positioned to be a source of stability in a world of evolving healthcare needs. Develops and maintains strong working partnerships with targeted ECP accounts, and fully represents the vision & cultur...
Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits. Develops, assesses, and facilitates complex care management activities for primarily physical ...
DaVita is a rapidly growing Fortune 500 Healthcare Services company and a leading provider of kidney care in the United States. This teammate will engage renal discharge planners and case managers in an effort to build and strengthen relationships. Sound like you? Then you might be a great fit for t...
Job Title: Manager of Home Care Services. The Manager will oversee day-to-day business operations for home health services, ensuring compliance with state requirements and agency policies. The ideal candidate will have experience with Michigan's Home Help CHAMPS program and be well-versed in Medicai...
DaVita is a rapidly growing Fortune 500 Healthcare Services company and a leading provider of kidney care in the United States. Over the last decade, we set out to be the world's greatest dialysis company, and over the next decade, we're poised to build the greatest healthcare community the world ha...
The Home Care Acquisition Managers (HCAMs) are responsible for signing strategic, high value home care agencies into the A Place for Mom network. The HCAM may need to work with other departments to drive success – most frequently our Onboarding Specialists, Success Managers and Care Advisors. Keep i...