Manager, Case Management

Health PLan of San Joaquin
French Camp, CA
Health Plan of San Joaquin (HPSJ) is a growing, dynamic, community based managed care health plan that offers commercial products and government sponsored programs in a three county service area. We a...

Posted: 10 days ago

Inpatient Utilization Management, Manager / 4689

Houston, TX
Position Description: Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of healthcare companies, we provide health benefits to p...

Posted: 13 days ago

Manager of Medical Management

CMCS
Indianapolis, IN
???? POSITION SUMMARY: This position is responsible for overseeing the clinical operations of a Medical Management department at a Third Party Administrator (TPA) in order for members to receive high ...

Posted: 13 days ago

Medical Policy Manager

Cambia
Portland, OR
Medical Policy Manager Portland, OR This position plans, directs organizes and manages Regence-wide medical policy activities including: evidence-based policy development and publication related ...

Posted: Today

Claims Investigation Case Manager

Emdeon
Minnetonka, MN
Position Overview: The Case Manager is primarily responsible for triaging claims, and performing prospective and retrospective investigations to identify and resolve possible instances of healthcar...

Posted: 10 days ago

Nurse Specialist (Diabetes Case Manager)-DH

United States Federal Government
Shiprock, NM
The Indian Health Service (IHS) is the principal federal health care provider and health advocate for American Indians and Alaska Natives (AI/AN). The IHS goal is to raise Indian health status to the ...

Posted: 11 days ago

Inpatient Utilization Management, Manager

APS Healthcare
Houston, TX
Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of healthcare companies, we provide health benefits to people covered by Medica...

Posted: 10 days ago

Inpatient Utilization Management, Manager

Universal American
Houston, TX
Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of healthcare companies, we provide health benefits to people covered by Medica...

Posted: 13 days ago

Manager of Utilization Management

Catholic Health Initiatives
Federal Way, WA
Summary Under the direction of the Director of Quality & Care Management and the clinical oversight of the Chief Medical Officer, the Manager of Utilization is responsible for the coordination, imp...

Posted: 7 days ago

Supervisor Care Management 2ft1

Meridian Health
Neptune, NJ
Overview: How have you impacted someone's life today? At meridian Health our nursing teams are focused on changing the lives of our patients by providing the highest level of care each and every da...

Posted: Today

Manager, Organizational Integrity, HIM & Coding Compliance

Trinity Health
Livonia, MI
SALARY GRADE: $79,107.55 - $98,912.72 POSITION PURPOSE The Organizational Integrity Manager ?? HIM and Coding Compliance position provides necessary and valuable health information management expert...

Posted: 12 days ago

Provider Contract Manager

Kaiser Permanente
Oakland, CA
The Provider Contract Manager will be responsible for the following: Contract Negotiation: Negotiates financially competitive and predictable contracts. This includes participating in collaboration w...

Posted: 13 days ago

RN) Manager, Utilization Management

Dignity Health
Belmont, CA
This position is responsible for successful implementation of the Utilization Management, Complex Case Management, and Quality programs for Sequoia Physicians Network (SPN). Develops and implements e...

Posted: 13 days ago

Service Unit Non RN Manager I

Kaiser Permanente
Vacaville, CA
Manages or assists in managing one or more unit providing ambulatory services. Ensures staff provides high quality, accessible, cost effective care, and patient focused services to members across the ...

Posted: 11 days ago