Under the administrative direction of the Respiratory Care Director and the medical direction provided by the Medical Director, Respiratory Care Services, the Manager for Respiratory Care is responsible for providing administrative, technical and clinical direction for RCS. The Manager oversees and ...
Our team of talented Case Managers aims to individualize health care to meet each patient's specific needs with a patient-centric and outcome-driven focus. This 9 Hospital system, a part of Highmark Health, is transforming the future of healthcare by providing highly effective services to customers,...
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...
Contributes to or completes comprehensive assessment of patients and their families/caregivers, inclusive of clinical/physical needs, social determinants of health, and economic barriers impacting their ability to manage their health. Case Management - American Board of Occupational Health Nurses (A...
The Ambulatory Nurse Manager is responsible for the operational management and administration of those activities which promote the delivery of safe, efficient, and effective health care. Masters in Nursing, Public Health OR Bus Admin preferred. Nationally ranked, Jefferson, which is principally loc...
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...
Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access...
A minimum of three years clinical home health experience and demonstrated abilities in Medicare Certified Home Health Agency (CHHA) standards. CMS Conditions of Participation (CoP's) and Department of Health regulatory requirements. Collaborates with Quality Manager/Clinical Educator to identify edu...
Collaborate with Primary Care Physicians, Medical Specialists, Home Health and other ancillary healthcare providers with the goal being to coordinate member care. This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. Ass...
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 ...
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 ...
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...
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 ...
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...
Knowledgeable of the biomedical testing, healthcare, and radiation safety industries. ...
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...
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 ...
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...
Develops plans of action and provides manager support to utilize effectively workforce management tools and reports to ensure all timeliness and accuracy requirements are met for enrollment/billing, claims customer service telephone and written/appeals are met for all contracts (TDP, ADDP, and FHFA)...
Healthcare or Health Insurance Industry. Managers are to ensure that policies and procedures that have been developed by leadership are adhered to, and carried out by their direct reports. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status ...
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 role is a unique opportunity to be at the forefront of integrating generative AI into healthcare marketing, shaping the future of healthcare experiences. As Artificial Intelligence Marketing Technology Manager, you will be the technological cornerstone of our marketing & experience team, drivin...
Healthcare Reform compliance and filing requirements for health insurance entities (e. This job is responsible for managing the financial accounting and reporting activities for the various health insurance subsidiaries of the Organization in accordance with Statutory Accounting Principles (SAP). Th...
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...