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Minimum 10 years of previous experience working in HEOR and/or RWE outcomes research in the pharmaceutical, managed care or consulting industries. The candidate in this position will provide HEOR & RWE presentations, clinical presentations as necessary, conduct collaborative research, and enter into evidence-based medicine discussions with healthcare providers, RWE researchers, managed markets medical and pharmacy directors, quality improvement specialists, integrated delivery networks, and managed care formulary decision makers and consultant pharmacists, state Medicaid and Medicare decision makers, guideline developers and others.
Full-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Minimum 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments.
$88,854 a yearFull-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Qualifications: Must be BILINGUAL – Chinese (Cantonese or Mandarin) speakingGraduate of an accredited practical nurse or vocational nursing programCurrently licensed as an LPN/LVN in the StateCurrent CPR certificationMinimum of one-year experience in hospital setting, home health, or community health experienceMust have good understanding of managed careMust have reliable transportationMust be flexible and available on the weekends if needed.
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Three years experience in public health nursing, acute care, case management and/or in-home health care required; minimum of 2 years of managed care experience in case management with focus in inpatient and/or outpatient ambulatory care preferred.
$39.49 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Extensive knowledge of Medicare Managed Care organization determination, appeals and grievance requirements, specifically reconsideration and IRE submission requirements. Lead and/or participate in workgroups to address Grievance and Appeals issues, engaging key stakeholders, and improving systems.
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Providence Home and Community Care (HCC) is a service line within Providence with over 8,000 caregivers and 2,000 volunteers serving nearly 200,000 people a year, in their homes, in clinics and in a variety of congregate living ministries across our seven-state footprint.
$64.28 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Home health nurse, home health care nurse, home health RN, home health care RN, registered nurse, RN, R.N., nursing, nurse, acute care nurses, acute care, home care, hospital, medical, patient care.
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Job Description & Requirements Registered Nurse – Home Health - Travel - (HH RN) StartDate: 8/12/2024 Available Shifts: 8 D Pay Rate: $2061.27 - $2271.61 Required Qualifications Home Health and Oasis experience required CA LIC Preferred Qualifications EPIC About the Facility A member of the esteemed Kaiser group, which offers medical care to residents throughout California, this group is committed to offering its patients the finest in home health care.
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At least 4 years of managed care appeals and grievance experience. 3 Key Consulting is recruiting an Appeals and Grievances Lead for a consulting engagement with our direct client, a leading government-funded managed care health plan.
$41.8 an hourFull-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Additionally, the Manager of Behavioral Health Revenue Management assists with the resolution of revenue generating issues and contract utilization related to both in-house systems, managed care, and Los Angeles County DMH system, with an emphasis on data interactions and data analysis as it relates to utilization management.
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Requires solid communication and organizational skills, along with the ability to successfully operate in a managed care setting. Collaborates with the local Continuum of Care (CoC) homeless services systems, Managed Care Plans (MCPs), and Enhanced Care Management (ECM) providers to provide quality services to members.
$91,296.1 a year depends on experienceFull-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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At least two (2) years as an RN, preferably in home or community health care; at least one (1) year experience with the frail and elderly. Coordinates with the Home Care Coordinator to support participant care at home.
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Also, Medicaid (Fee for Service, Managed Care Organizations), Veteran’s Administration (VISNs), TRICARE Regional Offices, Specialty Pharmacy & Pharmacy Benefit Managers, ACOs and other Integrated Delivery Networks (IDNs), advocacy, consumer, provider and treatment systems.
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Experience deploying cloud infrastructure (e.g., AWS, GCP) using containers and orchestration (e.g., Docker, Kubernetes), managed using infrastructure as code (e.g., Terraform, Ansible). Experience or interest in working with Unreal Engine.
$216,200 a yearFull-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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This hybrid position will provide care to individuals in skilled nursing homes located in Beverly Hills and on the west-side of Los Angeles, while also giving the practitioner the ability to provide telehealth care in the comfort of their home office to a wide range of patients in the Westside community.
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home care in managed jobs Company: Inc in South Pasadena, CA
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