Manager, Managed Care Regulatory Filings. AmTrust Financial Services, a fast-growing commercial insurance company, has a need for a Manager, Managed Care Filings in one of our offices in FL, TX, NY, CA, or IL. To support the Director of Utilization Review and Head of Managed Care and Clinical in the...
The Transfer Care Manager LPN/LVN supports care for Providence St Joseph Health (PSJH) patients by coordinating patient transfers. The Transfer Care Manager will be involved in taking and triaging calls, and facilitating inbound and outbound transfers for/from PSJH facilities. Our award-winning and ...
The User Experience & Design Manager role will serve as a driving force in operationalizing advanced design ideas and strategies, directly impacting acute and critical-care nursing practice within our reputable nonprofit healthcare organization. AACN is dedicated to creating a healthcare system ...
We work as a behavioral health partner for value-based care providers, joining forces with primary care practices and ACOs and MCOs to develop innovative behavioral health care models. The Behavioral Care Manager (BCM) has the exciting opportunity to build and grow Integral Health’s innovative menta...
Understanding of Medi-Cal managed care model, eligibility requirements, benefits, enrollment processes, and regulatory requirements governing Medi-Cal managed care plans. Understanding of Medi-Cal managed care model, eligibility requirements, benefits, enrollment processes, and regulatory requiremen...
The Program Manager independently maintains the day-to-day operations at one of our Health Scholar sites, located within one of our hospital or ambulatory care center clients. We are driven by our passion to help transform health care delivery, align financial incentives to support population health...
The Care Manager utilizes the following processes to meet the patient's individual healthcare needs: assessment, planning, implementation, coordination, monitoring and evaluation of the plan of care. The goal of the Care Manager is to advocate for and assist the patient in the achievement of optimal...
Customer Care Manager II - Irvine, CA**. ...
Overview Find Your Passion and Purpose as a Home Health Patient Care Manager Reimagine Your Career in Home Health As a medical professional, you know that what you do impacts you as much as your patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care b...
For over 50 years, the Critical Care business within Edwards Lifesciences (NYSE: EW) has operated at the intersection of groundbreaking medical innovation and improved patient care. As Critical Care transitions to an independent company, we will continue to benefit from the expertise and experience ...
Under direction of the Human Resources Chief, the Staff Services Manager I (Specialist) will act as the Project Manager responsible for managing the special project planning and activities within Workforce Support Branch in ServiceNow as part of the HR Modernization. The Project Manager Specialist w...
The Transfer Care Manager LPN/LVN supports care for Providence St Joseph Health (PSJH) patients by coordinating patient transfers. The Transfer Care Manager will be involved in taking and triaging calls, and facilitating inbound and outbound transfers for/from PSJH facilities. The transfer process e...
Qualifications:Available to participate in regional trainings that occur during the evenings and on some weekends (typically 1-2 weekends every month)Ability to travel to corporate office in downtown Los Angeles occasionally ....
Experience with Healthcare software and protocols: EHRs, LIMS, HL7, FHIR. Working directly for USA product company while developing innovative AI-driven healthcare;. Personalized development plan for your professional and career growth;. ...
The Care Manager utilizes the following processes to meet the patient's individual healthcare needs: assessment, planning, implementation, coordination, monitoring and evaluation of the plan of care. The goal of the Care Manager is to advocate for and assist the patient in the achievement of optimal...
And because of our breadth of care, your career at CHOC can be as diverse and fulfilling as you determine. The Ambulatory Care Manager utilizes the nursing process to help members/ families that have experienced a critical event or have a diagnosis requiring extensive resources. Preferred: Three (3)...
UC Title: AMBUL CARE PAT MGR 1. Works closely with the Chair(s) to ensure seamless operation between all activities of the School of Medicine and Medical Center related to directing and evaluating patient care activities, assisting with teaching and research, managing clinical resources, developing ...
Licensure Minimum: Licensure Preferred:.Work Environments - Functional Demand:.Medium - High energy level Lift and carry 40-50 lbs.Patients on bed, stretcher) Lateral transfer 150-200 lbs.Physical Activity Requirements:.Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine ...
California Correctional Health Care Services (CCHCS) seeks to fill Permanent/Full Time Staff Services Manager (SSM) I Specialist position(s) in the Performance Management Unit (PMU). Candidates new to CCHCS/Division of Health Care Services (DHCS) are required to submit to a background investigation ...
Your knowledge of the Healthcare landscape and industry trends will be vital for this role. Experience with Healthcare, HL7, FHIR, EHRs, LIMS. Interact with key business stakeholders, BSAs, Architects, Product Managers, and other IT teams to develop strong working relationships. Collaborate and work...
Care Manager II (RN) – Bachelor’s or Master’s degree in Nursing (BSN/MSN) required. Registered Nurse (RN) license - for Care Manager II (RN) position. This role works in collaboration with the physicians, nurses, clinical staff, and community agencies to identify and arrange for appropriate care. Re...
Manage assigned book of client business, serving as an advisor on client service and operations-related issues, scope as defined by business area.Contribute to corporate-wide efforts to develop efficient and effective processes that enable the company to service customers and support strategic initi...
Site Digestive Health Care complies with all applicable Federal civil rights laws as well as Section 1557 of the Affordable Care Act (ACA) and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Medical Office Manager is responsible for the smooth operation o...
This position must support, concurrent, retrospective inpatient review, discharge planning, transitional care and care management programs for Hoag MG and IPA assigned membership. This position is responsible for the daily oversight and management of inpatient and care management staff. BSN or Bache...
Care Manager II (RN) – Bachelor’s or Master’s degree in Nursing (BSN/MSN) required. Registered Nurse (RN) license - for Care Manager II (RN) position. This role works in collaboration with the physicians, nurses, clinical staff, and community agencies to identify and arrange for appropriate care. Re...