Managed Care Jobs in USA

DescriptionPosition at Nuvance Health Med Practice PCOBGYN HospitalistopportunityatVassarBrothers Medical Centerin Poughkeepsie NY (75 minutes North of New York City)Vassar Brothers Medical Center(VBMC)ofNuvanceHealth proudly joining Northwell Healthlocatedjust 75 minutes north of New YorkCityis see...

Join us as a Utilization Review Clinician!Schedule: Monday - Friday 40 hours onsite. As a Utilization Review Clinician for MiraVista in Holyoke Massachusetts youll bring your experience and knowledge where your voice matters. A Utilization Review Clinician is an integral part of our multidisciplinar...

Part time- 20 hours a weekScope of WorkPlans and prioritizes care for individuals and population of patients focusing on strategies that will promote optimal health within populations. Demonstrates expertise current knowledge in nursing care and management of a caseload of patients of varying comple...

SummaryThe Managed Care Stop Loss Reinsurance Sales position with Summit Reinsurance is responsible for developing and growing relationships with brokers health plans managed care organizations provider-sponsored health plans and other risk-bearing entities. This role focuses on marketing and sellin...

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...

For questions regarding this position please contact the Recruiter listed in the Supplemental Information section.ABOUT THE POSITIONThe County of Riversides Riverside University Health System (RUHS) - Community Health Centers is seeking a detail-oriented and experienced Patient Services Coordinator...

We are seeking a passionate Care Manager I - LVN to join our Population Health team in the Houston Texas this full-time role you will play a key part in coordinating care supporting patients through transitions of care and addressing barriers that impact overall health and wellness.As a Care Manage...

Company DetailsAs a member company of W. R. Berkley Corporation Berkley Healthcare has assembled a unique team of multi-disciplinary insurance professionals to take a fresh look at healthcare organization insurance. We pride ourselves on our deep expertise in underwriting claims and distribution in...

DSHS is committed to hiring skilled and dedicated individuals who share a passion for public health to pursue our vision of A Healthy Texas. If you are looking to make an impact and tackle new challenges we encourage you to consider a career with us.Employee Benefits: DSHS offers insurance coverage...

Our CompanyAdoration HealthOverviewCoverage Area - Minnesota and WisconsinThe Area Vice President (AVP) of Business Development is responsible for identifying and pursuing new business opportunities to drive growth and revenue for assigned area or territory. The AVP is responsible for leading a team...

The Clinical Social Worker MSW interviews and evaluates patients and family members to identify social emotional and economic factors which may interfere with obtaining maximum benefits from medical care; develops and implements a social work treatment plan to be offered to patients and family; sele...

About UsVertical Health Services operates aninhouse rehabilitation programat Lee Summit Place in Lee Summit Mo allowing us to maintain full control over quality of care staff development and resident outcomes. Our therapy team is an integral part of our facility culture working closely with nursing...

DescriptionEncounter Data Quality Control Analyst (ITBA-SS/AHSO)This position is responsible for the quality and validity of encounter data and working with Managed Care Organizations (MCO) and Behavioral Health Administrative Service Organizations (BH-ASO) to ensure accurate and complete data that...

DescriptionJob SummaryDevelops administers directs and implements all nursing and related patient care activities for areas of accountability. Works in close collaboration with the nursing team to meet and support diverse organizational business initiatives/strategies. Responsibilities include but...

DescriptionPosition at Northwell HealthPART TIME- 20 hours per week- Mon-Fri 8pm- 12am shift- Rotating weekends and holiday coverage expected!Northwell is the largest not-for-profit health system in the Northeast serving residents of New York and Connecticut with 28 hospitals more than 1000 outpatie...

At Johnson & Johnsonwe believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented treated and curedwhere treatments are smarter and less invasive andsolutions are our expertise in Innovative Medicine and MedTech we are unique...

Anticipated End Date:Position Title:RN Utilization Management Nurse (InPatient) California HMOJob Description:RN Utilization Management Nurse (InPatient) California HMOVirtual:This role enables associates to work virtually full-time with the exception of required in-person training sessions provid...

Anticipated End Date:Position Title:RN Utilization Management Nurse (InPatient) California CommercialJob Description:RN Utilization Management Nurse (InPatient) California CommercialVirtual:This role enables associates to work virtually full-time with the exception of required in-person training s...

Come work at the best place to give and receive care!Job Description:Who We Are:Southern New Hampshire Health has been a cornerstone of the region since 1893 delivering high-quality compassionate care close to home. Anchored by Southern New Hampshire Medical Centera 188-bed DNV-accredited hospital i...

Evolution Wellness is a growing private outpatient mental health practice in Wilmington North Carolina. We provide therapy services for anxiety trauma depression relationship concerns and life transitions for individuals couples families and teens.We are seeking a detail-oriented and proactive Billi...