Managed Care Jobs in USA

Job DetailsWith a commitment to patient and family centered care the Safety Associate works collaboratively with the health care team to provide safety companionship and supportive care for patients who require additional monitoring or assistance. Promotes quality patient care comfort and a safe env...

Job DetailsWith a commitment to patient and family centered care the Mental Health Technician assists in delivering care observing patient behaviors and assisting with various aspects of patient care. The Mental Health Technician works closely with the R.N. and reports any changes in patients mood...

Job DetailsWith a commitment to patient and family centered care the Patient Care Technician (PCT) provides designated direct and indirect patient care activities under the direction and supervision of the licensed clinical team members in ways that value the uniqueness of each individual and addres...

Job DetailsWith a commitment to patient- and family-centered care the professional nurse uses the nursing process in ways that values the uniqueness of each individual and addresses the physical psychological emotional and social needs of the diversity of patients served by Jefferson Health. Develop...

Job DetailsWith a commitment to patient- and family-centered care the professional nurse uses the nursing process in ways that values the uniqueness of each individual and addresses the physical psychological emotional and social needs of the diversity of patients served by Jefferson Health. Develop...

Job DetailsWith a commitment to patient- and family-centered care the professional nurse uses the nursing process in ways that values the uniqueness of each individual and addresses the physical psychological emotional and social needs of the diversity of patients served by Jefferson Health Ambulato...

Job DetailsWith a commitment to patient- and family-centered care the professional nurse uses the nursing process in ways that values the uniqueness of each individual and addresses the physical psychological emotional and social needs of the diversity of patients served by Jefferson Health Ambulato...

Provider Enrollment Specialist - ONSITE Submit with proof of education; High School Diploma 1-3 years of Payer Enrollment experience Solid knowledge of PC applications to include WORD EXCEL ACCESS. Our Irving Corporate Physician Group Office 5101 OConnor Blvd Irving TX 75039 Summary: Coordinates...

The Manager Care Management is responsible for the daily management and organization of all activities and staff within the Care Management Department including care coordination case management discharge planning utilization management social work services and pre-admission case management. The Ma...

JOB SUMMARY/PURPOSEServe as an advocate for providers by ensuring they are informed supported and educated on Samaritan Health Plans procedures benefits policies and available provider toolsCoordinates and provides administrative support to the Network Contracting and Relations with internal dep...

Job Description Summary MRI TECHNOLOGIST - Perform MRI imaging safely and efficiently based on established guidelines and protocols. MRI technologists will be required to have sound knowledge of cross-sectional anatomy spine anatomy neuro-vascular anatomy and head and neck anatomy including knowledg...

Job Preview The Prior Authorization Specialist is responsible for ensuring that payers are prepared to reimburse Hopedale Medical Complex for scheduled services in accordance with the payer-provider contract. The representative will contact payers to request service authorizations and may collect...

What would you do The SpecificsEnsures high quality customer service while following all safety protocols.Ensures a smooth flow of customers through the store.Answers screens and forwards incoming phone calls in accordance with National Vision protocol.Processes and understands managed care plans w...

The Practice Success Manager serves as the operational owner of assigned provider relationships across Guidehealths partner networks ensuring successful engagement sustained performance and accountability at the practice level. This role functions as the primary operational and relationship partner...

PurposeDescribe the primary goals objectives or functions or outputs of this position.This role is field-based and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience.Execute brand strategy and tactics in field sales...

Talent will be hired at a level commensurate with experience. This role is field-based and candidates should live within a reasonable distance from the primary city.The geography includes the following locations:Charleston WVBeckley WVRoanoke VALynchburg VAExecute brand strategy and tactics in field...

This role is field-based and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. This geography covers the areas surrounding: Hattiesburg Tupelo Greenville Collierville TNExecute brand strategy and tactics in field...

This role is field-based and candidates should live within a reasonable distance from the primary city. Talent will be hired at a level commensurate with experience. This geography covers the areas surrounding: Hattiesburg Tupelo Greenville Collierville TNExecute brand strategy and tactics in field...

Job Requisition ID:53928BPIS: 12061Opening Date:06/01/2026Closing Date: 06/15/2026Agency: Department of Healthcare and Family ServicesClass Title:EXECUTIVE II - 13852Skill Option:NoneBilingual Option:NoneSalary: Anticipated starting salary $6589/monthly; Full salary range $6589 - $9541/monthlyJob Ty...

DescriptionNemours is seeking an Orthopedic Authorization Liaison to join our Nemours Childrens Health team in Wilmington DE.The Orthopedic Authorization Liaison is responsible for optimizing payment of services by obtaining and processing Elective Urgent and Emergent referrals and authorizations fo...