Job DescriptionOverview:
Fully Remote Role with 10 to 30% travel
The Director, Managed Care is a key operational leader within Gentiva's Managed Care team, reporting to the AVP, Managed Care. This role is responsible for the day-to-day execution of Gentiva's payer contracting activity — managing active contracts, coordinating negotiations, tracking the contracting pipeline, and ensuring the o...
Job DescriptionJob SummaryResponsible for overall strategy, planning, development, implementation, and supervision of Enterprise Pharmacy managed care pharmacy services for all lines of business. Possesses and maintains the oversight of the managed care pharmacy staff and leadership teams, functioning as a leader and facilitator in a team-based environment.Clearly and effectively articulates in a t...
The Managed Services Administrator is a behind the scenes technical role designed to support, maintain, upgrade, and automate within our managed services technology stack. Someone who loves learning new technology, automation, scripting, and root cause analysis. Driven to find efficiencies and thrives on innovation and working within a team. ESSENTIAL FUNCTIONS: Daily monitoring of internal and ex...
This role requires the ability to work lawfully in the U.S. without employment-based immigration sponsorship, now or in the future.Do you thrive in leading high-performing sales teams to exceed ambitious goals while elevating client experiences through technological solutions? As the Manager of Managed Services Specialists for Voice at Spectrum Business, you’ll empower your team to drive adoption...
Sign on bonus $10,000 possible eligibleJob Summary:Responsible for carrying out medical necessity reviews on all designated referrals for Home Care, DME Specialty Care services. The activities will include telephonic review for medical necessity of the designated services using established criteria and guidelines for coordination of services. Eligibility and benefit reviews will be performed as nec...
Job DescriptionJob DescriptionJob Summary and ResponsibilitiesPicture a Northern California mountain location within 1 hour of Lake Tahoe and 40 minutes of a major metropolitan area, without the traffic congestion. Imagine the smell of mountain air and pine trees as you enjoy a robust outdoor lifestyle. Envision practicing medicine with a group of like-minded physicians who are dedicated to their c...
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, ...
Description Providence is offering up to $10,000 Hiring Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits and compensation package offered by providence that begin on your first day of employment. Providence nurses are not simply valued – they’re invaluable. You will thrive in our culture of patient-focused, whole-person c...
RN Care Manager Open
RN Care Manager Open
Join BoldAge PACE and Make a Difference!Why work with us?A People First Environment: We make what is important to those we serve important to us. Make an Impact: Enhance the quality of life for seniors. Professional Growth: Access to training and career development. Competitive Compensation Medical/DentalGenerous PTO401K with Match Life InsuranceTuition ReimbursementFlexible Spending AccountEmpl...
Clinical Care RN Open
Clinical Care RN Open
Become a part of our caring community The Clinical Care Nurse (RN) is a clinic-based nursing role focused on improving patient outcomes. You will support safe Transitions of Care (TOC), reduce avoidable ED utilization, and drive Medicare Advantage Stars and quality performance. The Clinical Care RN plays a critical role in advancing clinical quality and supporting patients across transitions of car...
$40,000 Student Loan Repayment Or $30,000 Sign-on BonusNo on-call, no weekends, and no holidays required.Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and n...
Care Coordinator Open
Care Coordinator Open
Job DescriptionJob DescriptionOverviewThe Care Coordinator 3 RN is responsible for providing seamless, coordinated care across the continuum for patients identified as high risk. Responsibilities include: assessing, utilizing protocols, planning, implementing, educating/coaching, referring, coordinating/facilitating medication management, monitoring, evaluating, communicating, collaborating, and ne...
Care Manager Open
Care Manager Open
Job DescriptionJob DescriptionJob Description:The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical expertise for screenings, assessments, and evaluations. This role involves developing and implementing patient-centered care plans with shared goals and tailored interventions. The Care Manager collaborates seamlessly with patients,...
Care Coordinator Open
Care Coordinator Open
Job DescriptionJob DescriptionPosition SummaryThe LPN Unit Care Coordinator is responsible for supervising, implementing, coordinating, and managing patient care through interpersonal contact with patients, families, nursing staff, and others on his/her respective unit in accordance with all applicable laws, regulations, and Life Care standards.Education, Experience, and Licensure RequirementsAtten...
Care Coordinator Open
Care Coordinator Open
Job DescriptionJob DescriptionPosition SummaryThe RN Unit Care Coordinator is responsible for supervising, implementing, coordinating, and managing patient care through interpersonal contact with patients, families, nursing staff, and others on his/her respective unit in accordance with all applicable laws, regulations, and Life Care standards.Education, Experience, and Licensure RequirementsNursin...
Care Coordinator Open
Care Coordinator Open
Job DescriptionJob DescriptionLife Care Center of Longmont has excellent longevity in the leadership team making it a great place to grow your career! We are proud to be recognized for the following:4.8 Average Google star rating based on 637 reviewsUS News and World Report Best Nursing Homes for 2026 for both long term care & short term rehab‘800 Club‘ in 2025, an elite designation of the high...
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