Job Seekers

41-60 of 114 results
Sort By

- McAllen, TX

Job description:Perform care management duties to assess, 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 optionsUtilize assessment skills and discretionary judgment to develop plan of care based upon assessment with....

- Amarillo, TX

Job description:Perform care management duties to assess, 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 optionsUtilize assessment skills and discretionary judgment to develop plan of care based upon assessment with....

- Amarillo, TX

Job description:Perform care management duties to assess, 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 optionsUtilize assessment skills and discretionary judgment to develop plan of care based upon assessment with....

- Lubbock, TX

Job description:Perform care management duties to assess, 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 optionsUtilize assessment skills and discretionary judgment to develop plan of care based upon assessment with....

- Corpus Christie, TX

Job description:Perform care management duties to assess, 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 optionsUtilize assessment skills and discretionary judgment to develop plan of care based upon assessment with....

- El Paso, TX

Job description:Perform care management duties to assess, 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 optionsUtilize assessment skills and discretionary judgment to develop plan of care based upon assessment with....

- Austin, TX

Job description:Perform care management duties to assess, 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 optionsUtilize assessment skills and discretionary judgment to develop plan of care based upon assessment with....

- Abilene, TX

Job description: Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams. Implement and manage procedures for tracking, identifying and problem-solving operational issuesInterpret and present program results and develop data-driven analysis and metrics used to measure effectiveness and ROI of all current and new productsAct as the clinical representative in various meetingsCollaborate with staff to identify internal....

- Los Angeles, CA

Grow your career while working and being trained in the exciting field of Oncology Clinical Research. This opportunity is for a large growing clinical trial site in W. Los Angeles. Requirements:*Experienced Oncology Nurse (RN required, OCN is a plus) *CA License*Must be able to follow the protocol and see that it is followed*Good communication skills and work well with patients and doctors *Full-time Mon-Fri *Must be commutable to W. Los Angeles Responsibilities may include: - Screening....

- Tacoma, WA

Clinical RN Are you interested in a challenging nursing role working in an outpatient clinical setting that focuses on complex cases? We are searching for nurses who enjoy a fast paced clinical environment working with medically challenging dual eligible - Medicare / Medicaid patients. As a clinical RN you will work with a team of clinicians and social workers providing comprehensive care with a goal of keeping these complex patients healthy and home with their families. You will see fewer....

- Tacoma, WA

Nurse Practitioner / Physician AssistantWe are searching for a Nurse Practitioner or Physician Assistant to work with a clinical care team at an outpatient clinic in Tacoma. This clinic provides comprehensive care with a focus on the dual eligible, Medicare and Medicaid, patient population. The model of care features a holistic approach with more time dedicated to all aspects of keeping patients healthy. In addition to clinical care, case managers direct social workers, therapists, dieticians....

- Renton, WA

Clinical RN Are you interested in a challenging nursing role working in an outpatient clinical setting that focuses on complex cases? We are searching for nurses who enjoy a fast paced clinical environment working with medically challenging dual eligible - Medicare / Medicaid patients. As a clinical RN you will work with a team of clinicians and social workers providing comprehensive care with a goal of keeping these complex patients healthy and home with their families. You will see fewer....


CARE MANAGER II - office-based - Maitland, FLMake a positive impact on members lives by helping them improve their health and access to care. Great opportunity to join a new team rolling out a new product in Florida. Supportive manager and unlimited growth- no on call or weekends! RN will assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. This may include assessment of the member's....


Director, Utlization - Medical Management - Harrisburg, PAUnique opportunity for an experienced leader to select and develop your own 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....

- Ft Lauderdale, FL

VP of Quality - Ft Lauderdale, FL Drive success in quality through process improvement activities for more efficient and streamlined workflow. VP is responsible for all activities related to NCQA Accreditation and HEDIS performance ensuring highest level of accreditation. OPPORTUNITY FOR EQUITY !!! SENIOR LEDAERSHIP role in a LARGE market. STRONG GROWTH potential- multiple product lines- GREAT relocation! -Manage all aspects of HEDIS improvement activities, including outreach, incentives, data

- Sacramento- near, CA

Director, Medical Management - CA New region opening and it's a GREAT opportunity to bring your own ideas and creativity. Strong leadership support of programs of care management. Director will work closely with the Medical Informatics team to identify trends that need to be addressed with program management.- Responsible for Care Management clinical inter-rater reliability and monitoring important aspects of care.- Effectively manages the activities of staff providing leadership and guidance.


This is an opportunity to join a top-ranked, academic, Magnet, medical Center with 900+ Beds. Reporting to the AVP, Nursing the Clinical Specialist serves as a clinical officer for patient care programs and services throughout the Med/Surg nursing units by providing clinical and operational leadership support. Provides clinical and analytical support to the nursing leadership to plan and predict patient care needs based on benchmarking, patient acuity/care trends, staff clinical education....


This is a fantastic opportunity with a world-class organization. We're looking for a few outstanding individuals who find genuine fulfillment by the successes in their work. Occupational Health Nurse Job Summary: As an LPN currently licensed to practice in the state of employment, administers direct care of employees with professional expertise according to medical directives and within the scope of practice and regulations of the State Nurse Practice Act, while working under direct....

- South Austin, TX

Job descriptionPosition Purpose: Perform duties to conduct and manage the day to day operations of the case management functions communicating with departmental and plan administrative staff to facilitate daily department functions while reporting to the Director of Medical Management. Review analyses of activities, costs, operations and forecast data to determine progress toward stated goals and statistical/financial purposes. Promote compliance with federal and state regulations and....


Job descriptionPosition Purpose: Perform duties to conduct and manage the day to day operations of the case management functions communicating with departmental and plan administrative staff to facilitate daily department functions while reporting directly to the Director of Service Coordination Review and analyzes activities, costs, operations and forecast data to determine progress toward stated goals and statistical/financial purposes. Promote compliance with federal and state regulations....

41-60 of 114 results
Unless noted above, applicants MUST be authorized to work in the US without Visa Sponsorship. US citizens and Green Card holders ONLY. We do not provide relocation assistance for those living outside the continental US. Please only click apply if you meet the specific requirements of the job listing, you are able to work in the location listed, and are comfortable with the salary range indicated above. Thanks for your interest. We look forward to working with you.