The Nurse Care Manager in DD Healthcare Home is part of the person-centered integrated care team and provides individual and population-based health interventions to persons enrolled in the DD Health Care Home by integrating care for physical health conditions. Assist in developing a physical health...
May also be responsible for: utilization management process, ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home health, etc. PRN Opportunity located at SSM Health St. At SSM Health, we believe in providi...
The Nurse Care Manager in DD Healthcare Home is part of the person-centered integrated care team and provides individual and population-based health interventions to persons enrolled in the DD Health Care Home by integrating care for physical health conditions. Assist in developing a physical health...
May also be responsible for: utilization management process, ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home health, etc. PRN Opportunity located at SSM Health St. At SSM Health, we believe in providi...
The Clinical Programs Manager, Navista, executes innovative strategies for programs and solutions to enhance Cardinal Healths clinician facing business. Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Navista, a Cardinal Health company, is...
The Home Health Patient Care Manager Assistant (Licensed Practical Nurse, LPN) is responsible for assisting the Patient Care Manager in coordinating a team of staff to assure the continuity of high-quality care to home health patients assigned to the team's area. Home Health Patient Care Manager Ass...
Lead Project Managers and/or Program team in the development and maintenance of comprehensive plans for a defined program. Healthcare Insurance industry business and operational knowledge. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Ac...
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Healthcare or Health Insurance Experience. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, relig...
Develops and implements policies and procedures to guarantee efficient and effective delivery of health services in a unit. Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) . Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) . Basi...
Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the business strategy and shaping Procurement strategic direction. Certified Purchasing Manager (CPM). Highmark Health and its affiliates prohibit discrimination against qualified individu...
May also be responsible for: utilization management process, ED case management process, admission process, and act as a case manager liaison with post acute providers (skilled nursing facilities, rehab, home health, etc. PRN Opportunity located at SSM Health St. At SSM Health, we believe in providi...
Understanding of healthcare costs and the broader healthcare service delivery system. This job has primary ownership and oversight over a specified panel of oncology members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member...
The Nurse Care Manager in DD Healthcare Home is part of the person-centered integrated care team and provides individual and population-based health interventions to persons enrolled in the DD Health Care Home by integrating care for physical health conditions. Assist in developing a physical health...
With minimal direction from the executive director or director, the Project Manager is responsible for monitoring and supporting HSAG's compliance with State external quality review (EQR) contracts including compliance reviews, readiness reviews, and contributing to the development of annual technic...
Collaborates with interdisciplinary teams including physicians, nurse practitioners, physicians assistants, and the department managers for revenue integrity, coding and data quality, case management and health information management. Provides ongoing clinical documentation management program educat...
Bachelor's degree in Social Work or in health, human, or education services and 3 years of experience in long-term care, home health, hospice, public health, or assisted living. Master’s degree in Social Work or in health, human, or education services and 1 year of experience in long-term care, home...
With minimal direction from the executive director or director, the Project Manager is responsible for monitoring and supporting HSAG's compliance with State external quality review (EQR) contracts including compliance reviews, readiness reviews, and contributing to the development of annual technic...
Highmark Health's Enterprise Data Office (EDO) is seeking a passionate and experienced Testing and Quality Manager to champion a culture of quality and continuous improvement. Bachelor's Degree in Computer Systems Analysis, Data Processing, Healthcare Informatics or Management Information Systems. M...
As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. About CenterWell...
The Project Manager role also provides ongoing project management and support for the contracted EQR and EQR-related activities, including developing and managing work plans and timelines; communicating with State Medicaid agency, health plan, and internal staff members, and ensuring follow-up as ne...
The incumbent will play a key role with IT product managers and product owners planning in facilitating budget and resource requests and follow through. Salesforce Data Cloud, Marketing Cloud, Marketing Cloud Intelligence, Adobe Experience Manager, and Workfront). Highmark Health and its affiliates ...
Engage, motivate, and lead team in a positive manner that fosters teamwork and excellence, including planning and organizing work in a managerial role. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the...
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientati...
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 res...