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100 Jobs

  • Supervisor, Case Management

    Tallahassee, Florida
    ... Statewide** Position Purpose: Supervise the day to day operations of the case management ... established onsite and concurrent review, case management, referral, pre-certification and authorization ...
  • Supervisor, Case Management - Long Term Care

    Topeka, Kansas
    ... Purpose:** Supervise the day to day operations of the case management function Implement ... , related field or equivalent experience. 3+ years of case management experience in a long term care setting ...
  • Manager, Case Management

    Tallahassee, Florida
    ... operations of the case management functions communicating with departmental and plan administrative staff to ... maintain compliance with policies and procedures regarding medical case management. Develop, implement ...
  • Senior Manager, Case Management

    TEMPE, Arizona
    ... Purpose:** Conduct and manage the daily operations of the case management function Ensure successful transition of care for members from case management to the utilization management Review ...
  • Behavioral Case Manager

    Austin, Texas
    ... . Position Purpose: Perform duties related to the day to day operations of the Integrated Case Management ... ' current functional level and, in collaboration with the member, develop and monitor the Case Management ...
  • Behavioral Case Manager

    Topeka, Kansas
    ... Purpose:** Perform duties related to the day to day operations of the Integrated Case Management ... ' current functional level and, in collaboration with the member, develop and monitor the Case Management ...
  • Director, Case Management

    Atlanta, Georgia
    ... defining and directing a complete Case Management Program in conjunction with corporate goals and objectives Direct the overall operational leadership of case management functions and staff ...
  • Director, Case Management (Pediatric)

    Tallahassee, Florida
    ... Purpose:** Responsible for defining and directing a complete Case Management Program in conjunction with corporate goals and objectives Direct the overall operational leadership of case management ...
  • Behavioral Case Manager

    SAN ANTONIO, Texas
    ... . Position Purpose: Perform duties related to the day to day operations of the Integrated Case Management ... ' current functional level and, in collaboration with the member, develop and monitor the Case Management ...
  • Manager, Case Management (Long Term Care)

    TUCSON, Arizona
    ... manage the day-to-day operations of the case management functions communicating with departmental and ... day-to-day operations of the case management function Review analyzes of activities, costs ...
  • Manager, Case Management (Long Term Care)

    TUCSON, Arizona
    ... Purpose:** Perform duties to conduct and manage the day-to-day operations of the case management ... functions. Oversee the workflow and day-to-day operations of the case management function ...
  • Transplant & Catastrophic Case Management Coord

    Jefferson City, Missouri
    ... with assigned medical directors Maintain oversight of case management activities at the health ... transplant and catastrophic case logs and perform related Medical Management and Finance Department reporting ...
  • Case Manager/Care Spec II (Non CA)

    Olympia, Washington
    ... seamlessly integrate complex services. Case Management services are generally focused on members who fall ... resources, contracting and community standards of care. Case Management includes assessment, coordination ...
  • Supervisor, Care Management (RN)

    LENEXA, Kansas
    ... Purpose:** Supervise the day to day operations of the case management function. Communicate with ... communication between case management staff, utilization management staff and contracted providers. Assist ...
  • Supervisor, Provider Data Management

    ATLANTA, Georgia
    ... -up issues Create and maintain KPIs and goals for provider data management team Plan ... provider data management experience in a managed care or insurance environment. Proficient in Microsoft ...
  • Supervisor, Utilization Management

    Raleigh, North Carolina
    ... on our Medical Management/Health Services team. Centene is a diversified, national organization ... team to ensure appropriate care to members. Supervises day-to-day activities of utilization management ...
  • Senior Transition Care Management Coordinator

    Trenton, New Jersey
    ... on our Medical Management/Health Services team. Centene is a diversified, national organization ... . Serve as primary point of contact for clinical personnel and department liaison when the Supervisor is ...
  • Supervisor, Clinical

    Raleigh, North Carolina
    ... Purpose:** Supervise and facilitate the daily operations of the case management and utilization management functions Oversee the workflow and day-to-day operations of high risk case management and ...
  • Care Manager II RN - Pediatrics

    MCALLEN, Texas
    ... , demonstrating advanced understanding of complex care management principles. Participate in case management committees and work on special projects related to case management as needed Each position will be the ...
  • Care Manager II RN

    LUBBOCK, Texas
    ... , demonstrating advanced understanding of complex care management principles. Participate in case management committees and work on special projects related to case management as needed Each position will be the ...
  • Care Manager II (RN)

    DALLAS, Texas
    ... management quality concerns and report these scenarios to the appropriate resources. Case load will ... , demonstrating advanced understanding of complex care management principles. Participate in case management ...
  • Supervisor, Behavioral Health

    Tallahassee, Florida
    ... responsible for supporting the care management team through case file reviews and monthly audit review of the ... on our Medical Management/Health Services team. Centene is a diversified, national organization ...
  • Care Manager II RN

    MCALLEN, Texas
    ... , demonstrating advanced understanding of complex care management principles. Participate in case management committees and work on special projects related to case management as needed Each position will be the ...
  • Supervisor, Program Coordinator

    Tallahassee, Florida
    ... work flow improvements to foster efficient and effective case management efforts Monitor distribution of members identified for case management to ensure positive results and program success ...
  • Care Manager (RN)

    Topeka, Kansas
    ... . The ideal candidate will have knowledge of case management process in a managed care or clinical ... on our Medical Management/Health Services team. Centene is a diversified, national organization ...
  • Behavioral Health Service Manager

    Austin, Texas
    ... :** Master's degree in Behavioral Health. 3+ years of case and/or utilization management experience ... on our Medical Management/Health Services team. Centene is a diversified, national organization ...
  • Care Coordinator Independence County

    LITTLE ROCK, Arkansas
    ... , encompassing all services and plans related to beneficiaries. Provide case management complying with Conflict Free Case Management rules. Provide health education and coaching to members tailored to ...
  • Care Manager II (RN)

    NEW YORK, New York
    ... , demonstrating advanced understanding of complex care management principles. Participate in case management committees and work on special projects related to case management as needed **Education/Experience ...
  • Behavioral Health Care Manager

    Olympia, Washington
    ... behavioral health care setting focusing on outpatient/inpatient utilization, case management and discharge planning Required 1+ year of experience in current case management as a licensed professional ...
  • Care Manager I (RN)

    CHICAGO, Illinois
    ... on our Medical Management/Health Services team. Centene is a diversified, national organization ... :** Perform care management duties to assess, plan and coordinate all aspects of medical and supporting ...
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