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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 competitive benefits including a fresh perspective on workplace flexibility.
Excellent opportunity in Kansas!
Centene is hiring a Care Manager for the Sunflower Health Plan’s Care...

Office Location: Remote in Trillium’s catchment area to include the following counties: Northern Region (Bertie, Camden, Chowan, Currituck, Gates, Halifax, Hertford, Martin, Northampton, Pasquotank, Perquimans, Warren) North Central Region (Beaufort, Dare, Edgecombe, Greene, Hyde, Nash, Pamlico, Pitt, Tyrrell, Washington, Wilson) South Central Region (Carteret, Craven, Duplin, Jones, Lenoi...

LOCATION: Remote – Madison County
GENERAL STATEMENT OF JOB:
Intellectual and Developmental Disabilities (I/DD) Care Manager is responsible for knowing and implementing NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services standards and organizational policies. I/DD Care Manager is also responsible for providing comprehensive care management and monitoring...

LOCATION: Remote - Buncombe County, NC
GENERAL STATEMENT OF JOB:
The Mental Health/Substance Use (MHSU) Care Manager, hereafter referred to as care manager, is responsible for providing proactive intervention and coordination of care to eligible members and recipients of Vaya’s Health plan to ensure that these individuals receive appropriate assessment and services. This Care Ma...

LOCATION: Remote - Swain County, NC
GENERAL STATEMENT OF JOB:
Performs RN functions for Care Management members that are medically fragile or have significant chronic health conditions, have a mental health, substance use, intellectual/developmental disability and/or co-occurring disorders who are identified as meeting the risk stratification levels of the complex care platform and...

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 competitive benefits including a fresh perspective on workplace flexibility.
Must reside within the state of Arizona.
Position Purpose: Develops, assesses, and facilitates complex ca...

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com , then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System two-year institutions will also view open positions and apply within Workday by searching for “Find Jobs for St...

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com , then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System two-year institutions will also view open positions and apply within Workday by searching for “Find Jobs for St...

ABOUT US:
WSAudiology is a global leader in the hearing aid industry. Together with our 12,000 colleagues in 130 countries, we invite you to help unlock human potential by bringing back hearing for millions of people around the world.
Part of WSAudiology group, HearUSA is on a mission to reframe the world of hearing care and set the highest standard in modern hearing health. With an extensive...

Description
The Manager, Patient Care is responsible for leading a team who delivers patient care remotely during their recovery period.
Duties & Responsibilities:
• Manages and leads a growing post-operative team of medical and non-medical personnel
• Motivates high performance in a positive and fast paced work environment
• Provides leadership with respect to removing barriers and identi...

Why work at TidalHealth?
Looking for a rewarding place to work? Choose TidalHealth. U.S. News & World Report, a global authority in hospital rankings and consumer advice, has named TidalHealth Peninsula Regional and TidalHealth Nanticoke as 2022-2023 High Performing hospitals for 11 challenging and elective health conditions; the highest award a hospital can earn for U.S. News’ Best Hospital...

We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Population Health Services-Valley
Position Overview:
This position facilitates utilization management (UM) processes to support that the right care is provided at the right place and at the right time. To accomplish these goals, he/she applies established criteria to evaluate the appropriateness of admission, level...

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and...

This is a remote/work from position, candidates must be licensed and reside in Hawaii.
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coo...

We are actively recruiting for multiple current and/or future opportunities in Autism!! Seeking licensed Master's level BH/Autism experienced BCBA, LBS/LBA preferred candidates.
Authorizes and reviews utilization of autism services, including Applied Behavioral Analysis (ABA). Collects and analyzes utilization data. Assists with shaping of ABA services and assures coordination with other servi...

LOCATION: Remote – must live in or near Buncombe County, North Carolina. The position must live in North Carolina or within 40 miles of the North Carolina border. This position requires travel .
GENERAL STATEMENT OF JOB
The Care Manager Licensed Professional (“Care Manager - LP”) is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members ...

LOCATION: Remote – must live in or near Vance County, North Carolina. The position must live in North Carolina or within 40 miles of the North Carolina border. This position requires travel .
GENERAL STATEMENT OF JOB
The Care Manager is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients (“members”) to ensure that these ...

Position Summary:
Care Managers are responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/ or appeal status. This is a remote position with option to work in the Durham, NC office. This role will be a contract role with IQVIA managed by an external agency, with the opportun...

Position Summary:
Care Managers are responsible for contacting insurance companies to obtain correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/ or appeal status. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.
The information contai...

LOCATION: Remote – must live in or near Vaya’s catchment area. This person must reside in North Carolina or within 40 miles of the NC border. Travel is required for this position .
GENERAL STATEMENT OF JOB
The Fast Track Care Manager (FT CM) is responsible for providing proactive and reactive intervention and coordination of care to eligible Care Management members identified as "At Ris...