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- close to Macon, MO
new job!

TITLE: Physician Practice Administrator LOCATION: Missouri Are you looking for a new position where you can live and work in an area where you can make a difference and enjoy beautiful scenery and friendly people? Would you like to work in a hospital where you can but be part of a stable team that is a healthcare leader in the area. How about living in an area that is large enough to provide everything but small enough to where you could live in a lower cost and safer communities. Then this....


Director, Utlization - Medical Management - MAITLAND, FL Nice opportunity for an experienced leader to be part of a growing team. Generous relocation- excellent analytic tools and support. - Direct medical management program including UM, case management, QI and credentialing. - Develop department objectives and implement action plans to achieve objectives. - Evaluate and implement changes to medical service functions and performance. - Manage budget and forecast for strategic planning and key


Director, Case ManagementINNOVATIVE health plan truly values their nurses . The Director will be engaged in creating, defining and directing a complete Case Management Program across a diverse population.This will encompass needs analysis and planning; working with executive leadership to ensure targets are met for the annual operating plan; ensuring compliance with Corporate, State and NCQA standards. Director will be asked to develop and implement methods, policies and procedures to improve....

- Tacoma, WA

MANAGER, UM- Tacoma Growing team needs a strong leader and mentor for their UM nurses. Excellent communication with staff to enhance & facilitate daily department function is essential. GROWTH potential is excellent- rich benefit package! - Review analyses of activities, costs, operations and forecast data to determine progress toward stated goals and objectives. - Promote compliance with federal and state regulations and contractual agreements. - Develop, implement and maintain....


MANAGER, UM – Behavioral Health Perform duties to conduct and manage the day to day operations of the utilization management functions to include denials. Communicate with departmental and plan administrative staff to facilitate daily operations of the utilization management functions. - Ensure compliance with established referral, pre-certification and authorization policies, procedures and processes - Facilitate ongoing communication between care management staff, utilization management....

- Milwaukee, WI

Case Manager II - RN Innovative health plan truly values their nurses. This health plan has received numerous awards for their programs of care ! They offer generous benefits and PLENTY of opportunity to grow in your career RN will coordinate continuum of care for select members with complex medical and/or behavioral health conditions to ensure they receive the highest quality most effective care while maintaining cost effectiveness. Activity will include advanced review of admissions through....

- SEATTLE/TACOMA/Wenatchee, WA

CARE MANAGER II (RN) - SEATTLEINNOVATIVE health plan is known for award winning programs of care. Join a growing team with exceptional leadership!Plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Utilize....

- Chicago suburb, IL

Sr. Director, UM - Chicago Suburb Amazing growth continues with this national firm - award winning programs of care and a chance to TRULY make a difference for the medically undeserved population in Illinois. Benefits are excellent- career advancement opportunities are unlimited Director will join an already successful team and have oversight for referral management, telephonic utilization review, prior authorization functions, and case management programs and ensuring compliance government....


Medical Management Trainer – Appleton, WI Innovative national health plan! Newly created role will provide hands on training to clinical staff in Medical Management – RN’s and social workers. Great opportunity to influence quality of care for this underserved population. · Develop and conduct clinical educational classes/course · Develop, conduct and ensure maintenance of Case Management (CM) education · Conduct interqual training for CM staff · Conduct training to ensure proper inpatient....

- Appleton/Fox Valley, WI

Training Auditor (Clinical)Be part of a NEW team! You will be responsible for developing and conducting a variety of training programs and auditing tools for the medical managemnet team. You will provide insight to the Managers on areas of improvement and growth needed for the staff. GREAT growth opportunities and generous benefits!Conduct training needs analyses to determine specific training needs for clinical staff Identify, select, or develop appropriate training programs, including the....


Director, Clinical Operations (Behavioral Health) Be part of the leadership team for a market expansion. Talented team and strong opportunity to make a difference in your career and in the lives of the medically underserved. Director will oversee clinical functions in all service areas including: intensive case management (ICM), utilization review (UR), provider training and care coordination in collaboration with other senior leaders. Director will work to manage complex behavioral health....

- Chicago, IL

Job description Looking for a Change Agent/Managed Care experience/RN License/Familiar with Provider/Payor side/ Company doubling/Rapid Growth/ Medicaid & Fostercare ProductReporting to the Plan President, the VP Medical Management will perform duties to direct and coordinate the medical management, quality improvement and credentialing functions for the assigned health plan based on, and in support of the company’s strategic plan; establishing the strategic vision and attendant policies....


Are you a Nurse Practitioner with a strong background in Surgical Services? Especially as it relates to Trauma cases? If yes, we want to speak with you! There are TWO openings. Perhaps you have a colleague, like you, who would also be interested. Please be sure to share our posting with those who are qualified. Our client facility is located centrally of Chicago, Detroit, Indianapolis and 3 miles from Michigan State Line. This is a college community experiencing economic growth and offers....

- Near Des Moines, IA

CHIEF NURSING OFFICER needed at Nonprofit, Progressive Hospital with Strong Financials. Critical Access Hospital with 800 employeesAnnually 5800 surgeries, 500 births and 15,000 ED visits Nursing Department ResponsibilitiesProvides the vision, leadership, management and implementation of programs/services for Med Surg, ICU, Surgery, Obstetrics, Emergency, Anesthesia, Hospice, Home Health, Case Management, Chaplaincy, Cardiac Services, Infusion Services and Wound CareServes on the....

- Outside of Wichita, KS

TITLE: Director of Pharmacy LOCATION: KS Are you interested in making a difference? Are you looking for a facility that is interested in candidates that want to grow professionally but have not been given the opportunity? Would you like to work in a facility that serves several counties and can offer small town living with lots of outdoor activities to create a work life balance and be within distance of a larger city? Then this could be an opportunity for you. SUMMARY: Directs and coordinates

- East of Columbus, OH

TITLE: Lab Manager over Phlebotomy LOCATION: East of Columbus, Ohio Are you considering a career change? Looking for a smaller community(25K population), that offers a low cost of living(18% lower than US average) and plenty of activities in the area but is within an hour of a large city. If so, an opportunity to work with an integrated health care system based in east central Ohio is looking for someone to join their team. The system is a not-for-profit and has over 300 physicians and....


Job description Looking for a Change Agent/Managed Care experience/RN License/Familiar with Provider/Payor side/ Company doubling/Rapid Growth/ Medicaid & Fostercare ProductReporting to the Plan President, the VP Medical Management will perform duties to direct and coordinate the medical management, quality improvement and credentialing functions for the assigned health plan based on, and in support of the company’s strategic plan; establishing the strategic vision and attendant policies....

- Battle Creek, MI area, MI

TITLE- Operating Room(OR) Technician LOCATION: Battle Creek, MI area Are you interested in making a difference in patient care? Are you looking for a facility that is interested in candidates that want to grow professionally but have not been given the opportunity? Would you like to work in a facility that serves several counties and can offer small town living with lots of outdoor activities and within short distance of larger cities like Kalamazoo, Lansing and Jackson? Then this could be an....


Immediate Career Opportunity for a Proficient, Compassionate, Detail-Oriented, Business Office AR/AP Professional with HR/Payroll Skills/Experience Are you a purpose-driven, career-oriented business office professional with a calling to be part of something bigger than self? If so, apply now to join an exceptional team of caring, compassionate, and talented professionals. Combine your best attributes of knowing what to do when, doing the right thing every time, on-time, and right the....

- Norwich, NY

Nurse Practitioner or Physician Assistant opportunity at a primary care practice located in a picturesque community in affordable upstate New York. Join a financially stable healthcare organization affiliated with a teaching hospital and enjoy top benefits and competitive compensation! Relocation assistance and other perks! Requirements: Certification as an NP or PA, with NY license or eligible. Two years’ experience minimum. Ability to work independently. Please email resume and the best....

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