Clinical Care Manager CA We are seeking a Clinical Care Manager CA 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
Product Manager, Consultant The Product Manager, Consultant will be part of the Digital Member Engagement and Experience team, reporting to the Senior Manager, Product Management. In this role, you will use your Product Management expertise to connect clinical and product
Job Title Program Manager, Senior Middle Markets and Small Business Job Description The Strategic Planning and Performance team develops long-term strategies, annual plans, and supports tracking and reporting performance for Middle Markets and Small Business lines of business.
Role: Registered Nurse (RN) - Case Manager Comp: $64.10 / point | $100,000 - $133,000 /year Mileage in addition to productivity comp Schedule: Full-time Monday–Friday + some weekends (as needed) Location: Field-based Who We Are: Adaptive Home
Shasta Regional Medical Center Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Shasta Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your
Job Description The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Manager, Behavioral Health Utilization
Care Manager RN Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nations largest nonprofit Catholic healthcare organizations, CommonSpirit
Job Description The Utilization Management team reviews inpatient stays and prior authorization for our members and correctly applies the guidelines for nationally recognized levels of care for both our Medi-Cal and Medicare populations. The Utilization Management
Manager Of Medicare Marketing And Sales The Manager of Medicare Marketing and Sales will oversee the development and execution of Partnerships Medicare D-SNP marketing and sales strategy focused on driving smart and measurable growth. The Marketing manager will lead
Digital Personalization Product Manager The Platform Strategy & Operations team, within Blue Shield of Californias Intelligent Automation & AI organization, owns BSCs member intelligence and orchestration layerunifying member data, generating predictive insights, and activating personalized experiences across
Care Management Manager The Care Management team is looking for a leader with Care Management experience who can help design and lead our Population Health Management (PHM) Medi-Cal Care Management line of business. The Manager, Care Management will
Project Manager The Nexus Platform team is looking for a Project Manager to provide oversight and planning for various size initiatives that require development and delivery from the Platform. The Project Manager, Consultant will report to the Senior Manager. In
Job Description The Behavioral Health Utilization Management (UM) team performs prior authorization and concurrent reviews for members by applying evidenced based guidelines, policies, and nationally recognized clinical criteria across multiple lines of business. The Manager, Behavioral Health Utilization
Project Manager Consultant The Enterprise Mandates Delivery team is responsible for transforming new laws into audit-ready projects with defined ownership, scope, timelines, and funding, and oversees implementation through the full project lifecycle, including transition to operational owners.
Excited to Grow Your Career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position
Manager Respiratory Care Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nations largest nonprofit Catholic healthcare organizations, CommonSpirit
Senior Manager of Care Management The Care Management team is looking for a leader who can lead and oversee our team to ensure the effective coordination of patient care across multiple settings. In this role you will
Regional Account Manager, Neurology, Sacramento, CA The Regional Account Manager, Neurology, Sacramento, CA manages and develops long-term relationships with assigned physicians, extended prescribers, and other customers in the assigned territory. The individual will represent the assigned Alexion brands
Account Manager The Account Manager is pivotal in owning the B2B customer relationship in the largest and most complex healthcare delivery networks (e.g. Health systems/HSs, State CDC Awardees, major health departments and Federally Qualified Health Systems/FQHCs). The role
Employment Type:Full time Shift:Rotating Shift Description: POSITION DESCRIPTION: Assists in the examination and treatment of patients by tracking patient information, documenting the medical record, assisting with in-office procedures and testing, administering medications and providing patient and