Managed Care Jobs in USA

Inspire health. Serve with compassion. Be the difference.Job SummaryProvides primary health care to a specific patient population within the guidelines of written protocols. Follows established nursing standards procedures and practices.AccountabilitiesEngages in the diagnosis and treatment of dise...

DescriptionRISE provides services for people with disabilities including residential settings day programs employment assistance managed care and hourly supports.Our mission is to create opportunities for and with people. This encompasses not only individuals and families for whom we provide service...

DescriptionJob Title:Utilization Review DirectorJob Type: Onsite Full-timePay rate:$$110000 -$148000Work Schedule: Monday-Friday 8am-5pm MSTYour experience matters Denver SpringsAt Denver Springs we are committed to empowering and supporting a diverse and determined workforce who can drive quality s...

DescriptionThis is a hybrid position and must be located within 100 miles of a Mayo Clinic campus for occasional on-site expectations based on business needs.Plans manages and facilitates installation of medium/large sized software programs or other technical projects to support systems processes or...

Location:Dodson Medical Office BuildingDepartment:Hematology OncologyShift:First Shift (United States of America)Standard Weekly Hours:40Summary:Cook Childrens Medical Center and Healthcare System based in Fort Worth TX has an excellent opportunity for a full-time Pediatric Hematologist to join our...

The Chief Medical Officer (CMO) for the Value-Based Services Organization (VBSO) serves as a senior clinical leader supporting the advancement of value-based care across the health system. The role focuses on improving quality clinical outcomes patient experience and total cost of care across define...

Join Our Team as a Human Resource Coordinator/Business Office ManagerSupport Employee Success and Drive Operational ExcellenceWe are seeking aHuman Resource Coordinator/Business Office Manager to join our growing team! This role is essential in overseeing both HR functions and business office operat...

Full-timeDescriptionCase ManagerPay: $21 (BOE)Employer Paid Benefits (No Cost to You!): TextCare Life Insurance EAP with Enhanced Behavioral Health Wellness Program and Paid Time Off (PTO).Benefits: Medical Dental Vision Retirement Plan and more!Position: Full-timeWe are seeking a dedicated and comp...

The Certified Peer Specialist / Certified Recovery Specialist supports CBH Clinical Department in the proper procurement of behavioral health services of CBH members. The Certified Peer Specialist/Certified Recovery Specialist will assist members in connecting to physical and behavioral health servi...

Community Health Worker (Bilingual Spanish)Staten Island NY -Hybrid (community-based office-based and some remote work)Full-time Monday-Friday$30-$33/hr Benefits 401k Company MatchPlease scroll to the bottom of this posting to review an important Candidate Safety & Fraud Awareness Disclaimer from...

Provide clinical social work services to children with acute and chronic illness their families and the staff of Seattle Childrens Hospital and the community in a managed care environment. Assist in the promotion of culturally appropriate family-centered care and wellness of patients and families by...

We are looking for a motivated Spanish and/or Tagalog speaking Nurse Practitioner / Physician Assistant to join a team that is passionate about improving the health of our patients. As part of the Quality Department the Clinical Operations team leads the effort to improve health outcomes through pro...

The Clinical Care Management Specialist/Integrated Care Specialist provides clinical recommendations and collaborative support to team members and physical health care staff involved in the Integrated Care Plan (ICP) Program.The Clinical Care Management Specialist reviews clinical information using...

We are looking for a Nurse Practitioner / Physician Assistant to join a team that is passionate about the health of our patients. As part of the Quality Department the Clinical Operations team leads the effort to improve health outcomes by coordinating and delivering key clinical care. Through outre...

Anticipated End Date:Position Title:Therapy Services Specialist (Bilingual Spanish)Job Description:The Therapy Services Specialist (Bilingual Spanish) is responsible for working under the guidance of occupational therapist collaborate with the managed care organization to support persons aging in pl...

Anticipated End Date:Position Title:Special Programs GBD Manager I- Foster Care (Licensed BH professional)Job Description:Special Programs GBD (Foster Care) Manager ILocations: Durham NC; Fayetteville NC; New Bern NC; Washington NC; and Kill Devil Hills NCField: This field-based role enables associa...

DescriptionThis is where you change your storyAt Meadows Behavioral Health we understand that new directions to career advancement and improvement can be scary but we are excited to offer you a possible new rewarding chapter with us! Come join us in transforming lives!Who are weMeadows Behavioral He...

Pay Range:$41600.00 - $54000.00Please emailif you are a candidate seeking a reasonable accommodation for the application and/or interview process.At BCBSRI our greatest resource is our people.We come from varying backgrounds different cultures and unique experiences. We are hard-working caring and c...

The Company Dexcom Corporation (NASDAQ DXCM) is a pioneer and global leader in continuous glucose monitoring (CGM). Dexcom began as a small company with a big dream: To forever change how diabetes is managed. To unlock information and insights that drive better health outcomes. Here we are 25 years...

ASSOCIATE GENERAL COUNSELAcuity Eye Group Southern California Full-Time ExemptAbout Acuity Eye GroupAcuity Eye Group is one of the largest ophthalmology platforms in the Western United States operating 50 clinic locations and multiple ambulatory surgery centers (ASCs) across Southern California. O...