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Case Manager Working Hours 40 hours/week Job Type Clinical Full / Part Time Full Time Job Description We are seeking a full time Case Manager to join our Outpatient Team! In ..
11,960 Job Information Deloitte Manager, C&M - Healthcare - Customer Strategy & Applied Design in Philadelphia Pennsylvania Manager, Customer Strategy - Healthcare Health Care Focuses on assisting those organizations that are ..
11,960 Job Information Deloitte C&M - Healthcare - Customer Strategy & Applied Design Sr. Manager in Philadelphia Pennsylvania Senior Manager/Specialist Lead, Healthcare Customer Strategy In the current environment, Health Plans face ..
Description Reports directly to the Vice President, Medical Management Operations and serves as a member of the HGB Executive Committee. Leads functions related to HGB's Care Management programs to include predictive ..
Job ID 21000HLHAvailable Openings 1Position Specific Information $10K Sign on Bonus PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including ..
Description The Associate VP, Product Management will lead, manage and direct the overall product strategy for Enclara Pharmacia. This includes all facets of Enclara's digital product offering, including managing the product ..
Description Our client is a large Continuing Care Retirement Community with a skilled nursing and rehabilitation center, along with a personal care community who is currently hiring for an RN Supervisor ..
Description Responsibilities The Telephonic Care Manager will be part of the Humana Military Care Management team; providing a comprehensive, holistic approach for Disease Management and Personal Nurse programs throughout the continuum ..
Genesis Rehab Services is a leading provider of Physical, Occupational, Speech and Respiratory Therapy for older adults in skilled nursing facilities, independent and assisted living communities, CCRCs, Transitional Care Units, patients' ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Pittsburgh Pennsylvania Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..
Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the Department of Defense to administer the TRICARE health program for military members, retirees and their ..
Occupational health nursing is the specialty practice that delivers health and safety programs and services to workers and worker populations. The practice focuses on promotion and restoration of health prevention of ..
Description The Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, and/or ..
Description The Director, Health Services utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health Services requires an in-depth understanding ..
Job Location Williamsport MST (PA) - Williamsport, PA Position Type Full Time Education Level Masters Degree Travel Percentage Up to 50% Job Shift Various Shift Hours Job Description Community Solutions, Inc. ..
Job Information Humana Care Manager, Telephonic Behavioral Health 2 - Remote, US in Pittsburgh Pennsylvania Description Humana Military, a wholly-owned subsidiary of Humana Inc. headquartered in Louisville, KY, partners with the ..
Job Location Scranton MST (PA) - Scranton, PA Position Type Full Time Education Level Masters Degree Travel Percentage Up to 50% Job Shift Various Shift Hours Job Description Community Solutions, Inc. ..
Job Information Humana Manager, Behavioral Provider Contracting - Remote in Pittsburgh Pennsylvania Description The Manager, of Behavioral Health Provider Contracting communicates contract terms, payment structures, and reimbursement rates to providers and ..
Description Title: Director of Clinical Recruitment Division: Specialty Nursing and Allied Health We are looking for a sharp professional with successful experience in clinical staffing to add to our rapidly growing ..
Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. The National Medicaid Director of ..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
