Manager - Managed Care
Memorial Health Care System
Complexity of Work Requires critical and flexible thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a fast paced, high energy environment while multitasking, working independently and delivering quality outcomes. Must have strong technical & financial skills, negotiating skills and knowledge of contract language (develop, draft and interpret) and reimbursement terms. Extensive Managed Care Industry knowledge and understanding of hospital and insurance industries. Ability to work collaboratively in a collegial environment with multiple stakeholders to achieve department and organization goals. Required Work Experience 5 years contracting experience with 3 years contracting for hospital, professional services, ancillary facilities or specialty networks. Memorial Healthcare System is a community of caregivers dedicated to delivering quality patient- and family-centered care. This passion for caring extends to our teammates, who support one another and create heartfelt connections that last a lifetime. We are one family at the heart of exceptional care. Join us as we elevate the well-being of everyone we touch. #teamMHSflorida #J-18808-Ljbffr
$46.92k
...changing career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately... ...include: * Providing daily supervision and mentorship * Managing household routines and student schedules * Administering...SuggestedFull timeWork from homeRelocationRelocation packageFlexible hoursWeekday work- ...HVAC Service Manager About the Role: As the HVAC Service Manager you will play a critical role in overseeing the service operations... ...the job right the first time—with professionalism, respect, and care. Join a company where your work makes a difference and your growth...SuggestedLocal area
- ...Case Manager (BSW) Fort Lauderdale Behavioral Health Center, a subsidiary of UHS, is a private 182-bed hospital that specializes in... ...members are committed to providing compassionate, comprehensive care that uniquely fits the intensity and severity of each patient's...SuggestedLocal area
$60k - $80k
...our amazing team as a full-time Air Conditioning Field Service Manager / HVAC Manager ! WHY YOU SHOULD JOIN OUR TEAM We are a highly... ...successful without our hardworking and professional team. We care about our employees, which is why we promote from within and...SuggestedFull timeFor contractorsWork at office- ...TITLE: REMOTE CASE MANAGER - INTEGRATED CARE. LOCATION: FORT LAUDERDALE, FL. 33304. DURATION: 6+ MONTHS. LICENSE : LCPC, LCSW OR RN. THE RN REQUIRES A MIN. BACHELOR’S DEGREE. ALL OF OTHER LICENSES REQUIRES A MASTER’S DEGREE. TEMP-TO-PERM REMOTE POSITION....SuggestedPermanent employmentTemporary workLocal areaRemote work
$92.65k - $110k
...Position Summary The HR Manager will serve as a strategic partner to the STERIS Instrument Management Services (IMS) Commercial leadership... ...global provider of products and services that support patient care with an emphasis on infection prevention. WE HELP OUR CUSTOMERS...Temporary workFor contractorsLocal area- ...pharmacies, manufacturers, and government entities to strengthen care and access in local communities. McKesson plays a key role in... ...purpose-driven culture. Role Description The Field Reimbursement Manager is a full-time, on-site role based in the Miami–Fort Lauderdale...Full timeWork at officeLocal area
- A leading company is seeking a Remote Case Manager to join their team. The role involves coordinating care for members, conducting assessments, and managing care plans while ensuring compliance with regulatory policies. Successful candidates will hold relevant licenses...Remote work
- ...Intensive Case Manager The Intensive Case Manager provides home- and community-based services for clients residing in off-site housing... ...and necessary for specialized services, promoting coordinated care and ultimately the client's success. 6. Anticipates client's need...Work from homeRelocationTrial period
$79.5k - $168.7k
...deliver results and make an impact. We embrace you for who you are, care for your well-being, and nurture your career. Everyone has... ...can help shape the future of our industry. Job Description: Manager, Partner Affairs About Partner Affairs Partner Affairs enables...Full timeLocal areaRemote workWorldwide$40 - $44 per hour
...Description Job Description Actalent is Hiring a Remote RN Case Manager!! Must Have Pediatric Acute Experience! Job Description The Pediatric Case Manager – Population Health & Concierge Care Coordination (Care Coordinator, RN) plays a critical role in managing...Contract workTemporary workWork at officeLocal areaRemote workMonday to FridayFlexible hours$38 - $44 per hour
...Job Description Job Description Actalent is Hiring a Team of OB RN Case Managers Job Description The OB RN Case Manager coordinates comprehensive care for maternal and child health populations, ensuring safe, evidence-based interventions across the continuum of...Contract workTemporary workWork at officeMonday to Friday- ...ESSENTIAL JOB RESPONSIBILITIES Housing Case Manager Conduct comprehensive interviews and complete intake assessments to determine... ...to internal and external services. Implement trauma-informed care and family-centered best practices in all interactions....Permanent employmentTemporary workWork experience placementWork at officeLocal areaFlexible hours
- ...simple: The NBI team puts safety first to provide extraordinary care, elevate others, go beyond best, and create great lives. Seeking... ...seeking a Clinical Care Coordinator who will be responsible for managing communication between patients, family members, and care...Work at officeFlexible hours
- ...ChildNet, Inc. is a private, not-for-profit community-based care (CBC) agency servicing Broward and Palm Beach County. We are contracted... ...Florida, Department of Children and Families, to provide case management support to abused, abandoned, and neglected children. ChildNet...Local area
- ...The Permanent Supportive Housing Case Manager is responsible for providing guidance, extensive support, and resources to individuals/families... ...in other Connections programs. Implement trauma informed care and harm reduction best practices. Adhere to the Core Values...Permanent employmentWork at officeLocal areaWork from home
- ...able to work in a stressful environment and take appropriate action. Strong technical, financial and negotiation skills. Extensive managed care insurance and hospital industry knowledge. Required Work Experience: 7 years managed care contracting experience with...Work experience placementLocal area
- ...Facilities Manager – ICBD Fort Lauderdale, FL, On-site Who We Are ICBD is a robust business incubator focused on private... ...success is ABA Centers, a revolutionary leader in autism care and diagnostics, ranked #5 on the Financial Times “The Americas’...For contractorsWork at officeLocal areaFlexible hours
- ...We are seeking an RN Care Manager to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence...
- ...visible success is ABA Centers, a revolutionary leader in autism care and diagnostics, ranked #5 on the 2024 Inc. 5000 list of... ...technology. Exact Billing Solutions – Innovative revenue cycle management and advanced billing support systems for healthcare providers....Full timeWork at officeFlexible hours
$41.2 - $62.17 per hour
Job Description: The RN Hospital Care Manager I delivers comprehensive care management services to designated patients, leveraging clinical expertise for screenings, assessments, and evaluations. This role involves developing and implementing patient-centered care plans...Hourly payRemote work$74.8k - $112.2k
...This position is part of a vast team of Behavioral Health Case Managers who are responsible for the review and evaluation of Short-Term... ...optimal outcomes. Determines when claims contain quality of care issues and escalates these through established channels. Independently...Temporary workWork experience placementWork at officeRemote work3 days per week$70k - $100k
...oncology by delivering highly specialized, value-based cancer care in the community setting. Formerly known as The Oncology Institute... ...clinical leaders to support employee relations, performance management, workforce planning, engagement, and organizational effectiveness...Work at officeLocal areaRemote work$90k
...are looking for a company with great culture, pay, benefits and management, please look no further! Position Description... ...company funded) ~ Flexible Spending Account and Dependent Care Account ~401k Plan (company quarterly match up to 4%) ~...Full timeContract workTemporary workFor contractorsWork at officeLocal areaFlexible hours- ...Clinic Health System team, and The Power of Every One. RN Case Manager Join Cleveland Clinic Weston Hospital's team of caregivers... ...collaborate with interprofessional teams across the continuum of care to facilitate effective transitional care coordination. In this...Work at office
- ...teamwork, and keeping up when the restaurant gets busy. If you bring the hustle and care about what comes out of your kitchen, we want you on our opening team. We are looking for a Kitchen Manager to supervise daily back of house restaurant operations. Kitchen Manager...Work experience placementFlexible hoursAfternoon shift
$90k - $95k
...do matters. The code you ship, the decisions you make, and the care you show a customer all add up to real impact. Today, tens of millions... ...so do you. About the opportunity Our SMB Customer Account Managers help customers solve workforce challenges while expanding the...Local area- ...RN Care Coordinator - Gastroenterology Join Cleveland Clinic Weston Hospital's team of caregivers that remain on the leading edge... ...care to provide longitudinal coordination of care and disease management for patients with chronic conditions. In this role, you will ensure...
$140k
...do matters. The code you ship, the decisions you make, and the care you show a customer all add up to real impact. Today, tens of millions... ...approach to understand complex workforce and human capital management challenges, create demand, and connect customers with solutions...Local area- ...outreach strategies, and cultivate partnerships that expand access to care and connect more patients to the services they need. LifeCare... ...to discuss home care services and individual needs/concerns and manage expectations as needed. Takes the initiative in building...Base plus commissionFull timeWork at office
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