Managed Care Jobs in USA

DescriptionProvides professional patient care in the office.Responsibilities include but are not limited to the following:Clinical ResponsibilitiesTakes patient history and records the information in the patients chart.Confers with physicians about new patient findings and potential diagnosis and tr...

Job DetailsThe Healthcare Economics (HCE) teams primary function is to provide various clinical and financial analyses to management to support the business decision addition the team will provide consistent accurate reports to help management from other departments do their jobs more effectively.T...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...

Clinical LiaisonAre you looking for rewarding work in an organization dedicated to making a positive impact in the lives of others Bring your commitment and clinical skills to a team-based workplace that puts people first. Within this role you will Markets programs regionally and performs clinical s...

OverviewPURPOSE STATEMENT:Proactively monitor utilization of services for patients to optimize reimbursement for the facility. ResponsibilitiesESSENTIAL FUNCTIONS:Act as liaison between managed care organizations and the facility professional clinical staff.Conduct reviews in accordance with certifi...

Position OverviewThis position provides support in the financial and operating analyses of the managed care rates and contract proposals for the hospitals physicians and system ancillary agreements. This position will perform quality reviews of the contract performance identify and track discrepanci...

ArchWell Health is a new innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable accessible neighborhood clinics where seniors can feel at home and become part of a vibrant wellness-focused community. Our members experience gr...

SUMMARYMarkets our program (located in El Paso TX) regionally with a heavy emphasis on the Albuquerque/Santa Fe metro area and performs clinical screens when required to determine eligibility for program participation; communicates details of program descriptions with stakeholders; assessment market...

At Blue Cross and Blue Shield of Nebraska we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve.Our team is the power behind that promise. And as the industry rapidly evolves and we seek ways to optimize business processes...

Why NHC At NHC we Put our Heart in Everything We Do! We take pride in working together as a team in our family-oriented work environment. We provide a culture of excellence recognition empowerment and fun. We offer professional growth opportunities along with competitive compensation wage increases...

Position SummaryAs a part of our team of professionals the AIM (Admissions Intake Management) Clinical Manager concentrates on managing the admissions process to ensure it is comfortable for our patients and smooth for key staff and agencies.Full-time benefits start on the first day of the month fol...

Voted Great Place to Work for 6 years in a row!Join a growing closed-door long-term care pharmacy where your accuracy attention to detail and pharmacy knowledge directly support long-term resident care. This is a fast-paced behind-the-scenes role within our Intake Department focused on entering and...

Where Youll WorkBaylor St. Lukes Medical Center is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care neuroscience oncology transplantation and more. Our teams efforts have led to the creation of many research programs...

Manages the day-to-day operations of the billing department to maximize net revenues and cash flow by managing all aspects of the revenue cycle while ensuring adherence to policies and procedures. Monitor accounts receivable activity and initiates appropriate corrective measures as needed. Communica...

OverviewSt. Johns Riverside Hospital is a leader in providing the highest quality compassionate health care utilizing the latest state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson Ardsley Dobbs Ferry and Irvington S...

We recognize and reward top talent. If you are looking for a team environment where you can also make an individual contribution and are seeking opportunities for continual learning/advancement we encourage you to apply today!Job Summary:The Lead Care Manager is a direct service provider for individ...

Purpose:Youth Assertive Community Treatment (ACT) services are focused on improving or ameliorating the significant functional impairments and sever symptomatology experienced by youth due to mental illness or serious emotional disturbance. Clinical and rehabilitative interventions are also focused...

We recognize and reward top talent. If you are looking for a team environment where you can also make an individual contribution and are seeking opportunities for continual learning/advancement we encourage you to apply today!Job Summary:The Lead Care Manager is a direct service provider for individ...