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...
Full-Time Home Health Registered Nurse Case Manager . Home Health Acute Care Patient RN Training provided. RN Lead, Clinical Manager, QA RN, or Director positions available. ...
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...
Full Time Home Health Registered Nurse Case Manager. Home Health Acute Care Patient RN Training provided. RN Lead, Clinical Manager, QA RN, or Director positions available. ...
Generally, eight years of applicable experience in state health and/or public health policy, including demonstrated project management and coordination skills working with state government agency partners, and experience executing objectives to advance policy changes in states. Comprehensive underst...
Manager, Clinical Quality Management & Compliance. Every day, Cambia’s dedicated team of Transformation, Quality, & Learning leaders are living our mission to make health care easier and lives better. As a member of the Transformation, Quality, & Learning team, our Manager Clinical Quality Managemen...
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...
Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Cardinal Health Innovative Delivery Solutions. Cardinal Health Innovative Delivery Solutions is one of the largest employers of acute-care pharmacist in the United States. Cardinal Health is the employer...
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 ...
The Behavioral Health Manager is responsible for a broad range of behavioral health services to the communities served by the Lake Roosevelt Community Health Centers. Lake Roosevelt Community Health Centers provide responsive, high quality health care services that meet the needs of all users in a n...
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...
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Behavioral Health Case Manager II. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsol...
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 a member of the tax team, our Senior Tax Manager will primarily be responsible for the Company’s annual Research and Development (R&D) tax studies (under IRC §41 and IRC §174), the identification and implementation of tax credits and incentives, and other special projects along with general incom...
This position will require the skillset of an experienced project manager who has successfully delivered large scale, multi-phased system implementations with multiple work streams, numerous different types of stakeholders and the ability to comfortably deliver updates and relay information to vendo...
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Behavioral Health Case Manager I. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsoli...
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...
Nemours Children's Health is seeking a Manager of Health Policy Communications to help lead enterprise strategic communications and thought leadership initiatives dedicated to its population health portfolio, which includes the National Office on Policy and Prevention, Value-Based Services Organizat...
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...
Home Health Acute Care Patient RN Training provided. RN Lead, Clinical Manager, QA RN, or Director positions available. ...
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...
Full-Time Home Health Registered Nurse Case Manager . Home Health Acute Care Patient RN Training provided. RN Lead, Clinical Manager, QA RN, or Director positions available. ...
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...
The Program Manager will provide assessments, assist with Community agency referrals and resources, coordinate crisis services, and general oversight to the program, to ensure quality behavioral health services are provided. As our New Journeys Program Manager, you will directly lead up to 6 employe...
Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Responsible for successfully managing customer relationships within an assigned set of existing customers to achieve the goals and objectives of both Cardinal Health and the Customer. Demonstrating the v...