As an experienced M.D. or D.O. in a managed care or healthcare administration setting, you will partner closely with the internal Case Management and Health Services Quality teams to coordinate care through evidence-based decision making. You will also lead the Quality Improvement Committee and chair the Credentialing Committee, perform outpatient case reviews, and support NCQA accreditation and quality case reviews. This role requires decisiveness, strong analytical and critical thinking skills, and the ability to influence internally and externally.

Medical Director Case Management & Quality

The Clinical Case Manager Behavioral Health at CVS Health is responsible for utilizing advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services. This role aims to promote effective utilization of available resources and optimal, cost-effective outcomes. The position is fully remote in the USA, with standard business hours Monday to Friday, no weekends or holidays.

Clinical Case Manager Behavioral Health DSNP-Spanish Speaking

Clinical Case Manager Behavioral Health

The Manager of Implementation Management at UKG Payroll Services (UKGPS) will lead the UKG Ready Implementation Organization's Onboarding Team, focusing on configuring UKGPS functionality to enable the delivery of services. This role involves overseeing tasks and responsibilities critical to customer success and business operations, requiring strong leadership and team-building skills. The position emphasizes the importance of timely and accurate completion of tasks to ensure high-quality service delivery.

Mgr. Implementation Management

Manager, Implementation Management

Serenity Hospice Care is seeking a dedicated and compassionate RN Case Manager to provide exceptional care, comfort, and support to patients, develop individual care plans, perform regular check-ups, and communicate with family members as needed. This role will oversee the Middlesex & Somerset County areas.

RN Case Manager

As a Sourcing Manager at Regeneron Pharmaceuticals, you will support and assist in the development of the Regulatory Affairs Health Economics & Outcomes Research and Category Management strategy. This role involves gathering requirements, managing supplier relationships, and negotiating contractual agreements. You will work closely with Category Leads and business partners to assess the global supply base and optimize value, quality, and innovation in sourcing strategies.

Manager, Clinical Sourcing

Molina Healthcare is seeking a Registered Nurse with experience in Hospital Acute Care, Concurrent Review/Utilization Review, and knowledge of Interqual/MCG guidelines for an Inpatient Review Case Manager role. The position requires California licensure and involves working from home with a high degree of scheduling flexibility, including the ability to work weekends and holidays. The role focuses on assessing inpatient services for members to ensure optimum outcomes, cost-effectiveness, and compliance with all state and federal regulations and guidelines.

Inpatient Review (RN) Case Manager, California Pacific Hours

Inpatient Review Case Manager

The Clinical Case Manager BH at CVS Health is a full-time telework role based in Maricopa County, Arizona, requiring up to 50% travel within an assigned region. This role involves utilizing clinical skills to coordinate, document, and communicate all aspects of the utilization/benefit management program. The position focuses on applying critical thinking, knowledge in clinically appropriate treatment, and evidence-based care to provide care coordination, support, and education for members through the use of care management tools and resources.

Clinical Case Manager BH

Molina Healthcare is seeking a Case Manager RN to support members recently admitted to the hospital, ensuring a successful transition from inpatient to outpatient care. This role involves working remotely to coordinate care, conduct face-to-face and home visits, and educate members on various aspects of care. The position requires excellent computer skills, attention to detail, and the ability to multitask. Previous experience in case management, managed care, hospital, and/or home health is preferred.

Case Manager RN - Transition of Care Coach

Molina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

Case Management Processor (Remote in Texas)

Case Management Processor

The Behavioral Health Case Manager at Molina Healthcare will work remotely to support the Medicaid Behavioral health population, requiring excellent computer skills and attention to detail. This role involves multitasking between systems, talking with members on the phone, and entering accurate contact notes in a fast-paced environment. Local travel to the office in Troy, MI, for team meetings or trainings may be required.

Behavioral Health Case Manager

As a CBRE Program Manager, you will lead a team responsible for facilitating small to medium cross-functional projects and programs. This role involves managing the team's daily activities, coordinating cross-functional projects or programs from end to end, ensuring timely completion, and maintaining effective client relationships. The position requires a blend of supervisory skills, project management, and strategic thinking to support major company initiatives.

Program Manager

The Manager, Clinical Systems (IRT) will work with a cross-functional team of internal stakeholders and technology suppliers to support the implementation and maintenance of interactive response technology (IRT) solutions to support a clinical trial. This role involves providing technical oversight to ensure IRT solutions adhere to the study protocol, industry regulations, best practices, and company policies.

clinical systems manager

Clinical Systems Manager

The Client Relations Manager at Cardinal Health is responsible for managing the success of relationships with assigned customers to achieve identified goals and objectives. This role involves long-term relationship building between customers, Cardinal Health, and other professional organizations, with a focus on variable to moderately complex selling solutions. The manager will apply advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of program activities, own and develop tracking tools, and provide solutions that may set precedent.

Manager, Client Relations

Client Relations Manager

The Assistant Manager at Everything But Water is responsible for supporting the Store Manager in maintaining a customer-centric environment by prioritizing customers and driving sales. In the Store Manager's absence, they manage day-to-day store operations, staffing, and inventory management. They collaborate with the Store Manager to lead a team of Associates, ensuring excellent customer service and maintaining brand standards.

Assistant Manager

The Client Services Manager at Foodworks, a division of Compass Group, North America, is responsible for ensuring outstanding service to clients, building and sustaining long-term relationships, and maintaining customer satisfaction. This role involves a variety of tasks including client communication, data analysis, and problem-solving, all with the goal of enhancing the client experience and driving business success.

Jr Experience Manager - Texas

Client Services Manager

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Case Manager Jobs in Milltown, NJ Hiring Now