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Can You Handle Half of the US?If so, this privately held, $30m+, medical supply and DME company wants to speak with you!We are looking for 2 Managed Care Territory Managers (Eastern US and Western US) to expand their business with new and existing clients. This a new position, reporting directly to the CEO. Operating remotely, the Territory Manage will enjoy a mid to high $100k base salary, bonuses, and comprehensive benefits.The company wants to speak with Managed Care professionals with....


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....


CARE MANAGERS (RN) –DAYTON and FAIRLAWN, OHIO SEVERAL positions – GREAT opportunity to work independently. MCO offers excellent benefits and career growth! 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....


Silicon Valley urban area mid size hospital. Progressive team based hospital case management model. Develops, coordinates and manages the administrative and operational activities that are directly associated with the utilization management of medical services provided to the health plan members. Works independently; establishes priorities for staff. Relocation expenses paid, six figure salary, up to 7% bonus. No sponsorship or remote work offered.Basic Qualifications: Experience - Three (3)....

- Oakland, CA

Major health care provider looking for an experience financial analyst. Prepares financial reports and conducts comprehensive analyses with written summaries to management. Responsibilities include compiling and generating reports, providing supporting data for budget purposes, providing consultative and advisory recommendations to managers on data analysis and performance reporting, and working with various financial leadership to develop departmental operational and financial reports.....

- Atlanta - Midtown, GA

One of Atlanta’s fastest growing e-retailers is seeking a Sr. Financial Analyst to join our team. In this newly created role, the selected candidate will work within the Financial Planning and Analysis group and will be Responsible for assisting in the development and execution of long range financial plans, annual budgets and quarterly forecasts, monthly projections, analyzes financial and operational results, and investigates significant variances. They offer competitive pay PLUS: 100%....

- Indianapolis, IN

Medical Director- Health Plan - Indianapolis, IN Physicians seeking a purposeful career will appreciate the opportunity to guide and direct the care for the medically underserved population in Indiana. This national organization welcomes your innovative ideas and solutions for closing the gaps in care and quality. Physicians are encouraged to be actively engaged with their patient population and their physician peers in the community. Incredible opportunities for career advancement. Assist the

- Pittsburgh or Harrisburgh, PA

Medical Director – Pittsburgh, PA Physicians – are you looking for a purposeful career that will allow you to broadly improve care for the medically underserved? This organization offers this – and so much more…career growth is unlimited here. Assist the VP of Clinical Programs to direct and coordinate the physician component of the utilization management functions for the PA market. Great opportunity to influence your peers in the medical community. · Provides medical leadership for....


Manager of Utilization Management – Dental Hygienist – TAMPA - FLORIDA RDH Salary is generous! Fortune 100 dental health insurance – so much room to grow – WONDERFUL benefits! Active Registered Dental Hygienist – any state Must work in Tampa – NICE relocation package! Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff to facilitate daily department functions.Review analyses of activities, costs, operations and forecast....

- 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....

- Greater St Louis, MO

Chief Medical Officer – Missouri Ideal role for an experienced physician seeking a purposeful career with an opportunity to directly and broadly impact the medically underserved. As part of the executive leadership team in this market, you will help to grow the organization and have strong influence over clinical and non-clinical issues Direct and coordinate the medical management, quality improvement and credentialing functions for the assigned business unit based on, and in support of the....

- near Portland, OR

Director, Case Management- near Portland, OR New position offers a nice relocation package & excellent career growth. Bring your innovative ideas and success stories! Director is responsible for defining and directing a complete Case Management Program in conjunction with corporate goals and objectives - Direct the overall operational leadership of case management functions and staff - Perform and oversee needs analysis and planning - Collaborate with executive leadership to ensure targets


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....

- Appleton or Eau Claire, WI

Behavioral Case Manager – Appleton or Eau Claire, WI – 3 new positions - CHOOSE a location! New market area will need clinician who enjoys some field work and travel within northern WI…fully integrated program of care. -Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health....

- Appleton/Milw/EauClaire, WI

Manager, Case Management – Milwaukee or Eau Claire, OR APPLETON, WI - CHOOSE a location! Serve as the leader for this health plan's newly established satellite office. Lead the daily operations of case management function. Reporting to a Sr Director in the main office, Manager will have responsibility for maintaining effective communication. Review analyzes of activities, costs, operations and forecast data to determine progress toward stated goals and statistical/financial purposes.Promote....

- Rancho Cordova, CA

Director, Medical Management - CA - NEED 2 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....


VP, Health Services | Medical Management - Milwaukee, WI Generous relocation & perks, including TUITION & stock optionsJoin an already successful leadership team as they continue to improve outcomes and quality in WI. VP will establish and implement the strategic vision for all medical management and quality functions. This is an IDEAL opportunity to bring your innovative ideas and success stories to an organization that values and listens to their clinical leadership. Exceptional....


Medical Director- Health Plan - OHIO Physicians seeking a purposeful career will appreciate the opportunity to guide and direct the care for the medically underserved population in OH as part of this expanding market. This national organization welcomes your innovative ideas and solutions for closing the gaps in care and quality. Physicians are encouraged to be actively engaged with their patient population and their physician peers in the community. Incredible opportunities for career....


Director, Utilization Management - PA Award –winning programs of care, advanced technology & analytics, GREAT leadership. RELOCATION offered – must have or be able to secure RN license in PA Lead the operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs, ensuing compliance government and contractual guidelines Oversee the operations of the referral management, telephonic utilization review, prior authorization, and

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