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American multinational healthcare company
Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical…
Position Purpose: Works with senior care management team to support care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity…
Position Purpose: Directs the long-term care of members with physical/medical health needs and/or behavioral/mental health needs to develop and assess high quality, cost-effective healthcare outcomes. Develops…
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including…
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care…
Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Key Details: Must be a Board Certified…
This RN Care Manager role combines telephonic care management with field-based support for Medicaid members across northwest Kansas. Responsibilities include enrolling members in case management and completing required…
Position Purpose: Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost effective…
Position Purpose: Assist the Vice President of Medical Affairs to direct and coordinate the medical affairs functions for the business unit. Oversee the denials and appeals department. May manage other medical…
Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service…
Position Purpose: Oversees the care plans / service plans and care management activities of member needs to provide quality, cost-effective healthcare outcomes. Reviews and provides expert knowledge to inform…
Position Purpose: Authorize, direct and monitor care for behavioral health and/or substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and…
Program/Team Supported: This position supports the Population Health LTSS Care Management team, specifically the SED Waiver program. Travel: This is a field-based role requiring approximately 50% travel throughout…
The Senior Care Manager (RN) supports high-risk members through assessments, individualized care planning, outreach, and complex caseload management. The role also assists with case setup and backup training.…
The Lead Care Manager will support the pediatric and maternity care management population, with responsibilities that include managing complex cases, setting up cases, supporting audits, and assisting with the training…
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to…
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