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Success in this role will be measured by aligned goals that include but are not limited to membership growth, quality, risk adjustment, utilization management, and overall financial performance.
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Demonstrated leadership experience in BH utilization and care management, particularly for members with Severe Mental Illness (SMI), Substance Use Disorders (SUD), co-occurring physical health issues, and dual disorders of mental health and substance abuse.
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A satisfactory equivalent combination of education, training, and minimum 5 years of relevant Healthcare industry experience in a provider network management and value-based environment. Minimum 3 years of relevant Healthcare industry experience in a provider network management and value-based environment; or.
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The Asset Manager will play a critical and central role in supporting the smooth operation of the investment performance for the US Residential Mortgage Credit, Special Situations and Insurance Solutions Desks with respect to our Alternatives Portfolio Management.
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The Department of Risk Management at SUNY Downstate Health Sciences University is seeking a full-time Risk Management Coordinator / TH Utilization Review and Quality Assurance Senior Coordinator.
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ORPI is recruiting for one (1) City Research Scientist II to function as a Continuum of Care (CoC) Project Manager. The CoC is the NYC planning body that develops long-term strategic plans and manages year-round planning efforts to address housing and service needs of persons experiencing homelessness in NYC. FHPR also serves as the Homeless Management Information System (HMIS) lead.
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Ares offers a number of additional benefits including access to a world-class medical advisory team, a mental health app that includes coaching, therapy and psychiatry, a mindfulness and wellbeing app, financial wellness benefit that includes access to a financial advisor, new parent leave, reproductive and adoption assistance, emergency backup care, matching gift program, education sponsorship program, and much more.
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Position Overview Under the direction of the Senior Director of Integrated Case Management or Designee, the Medicare Care Manager Team Lead manages day to day activities of the case management team (Case Managers and Case Management Associates) to ensure quality outcomes (i.e., reduction in emergency room visits and hospital admissions, improved member satisfaction) and cost effectiveness.
$100,000 - $110,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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5 years' experience in eCommerce merchandising, UI/UX, interactive and visual design, business management, or related area. ECommerce merchandising, UI/UX, Interactive and Visual Design, Business Management, or related area, Master's degree in Merchandising, Visual Design, Business Management, or related area.
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The Clinical Program Manager, Clinical Command Center is a Registered Professional Nurse, Physician Assistant, or Nurse Practitioner, who manages the 24 hour a day functions of health-system throughput, transfer center, quality, and delivery of care.
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Bachelor's degree in merchandising, visual design, business management, or related area and 3 years' experience in eCommerce merchandising, UI/UX, interactive and visual design, business management, or related area.
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It involves the direction and oversight of all office space planning, utilization and management including, without limitation, the management of all associated construction and purchase of furniture and fixtures associated with small, medium, and large-scale office construction projects.
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Lead the strategic implementation and optimization of all marketing systems and platforms with a focus on digital asset management (DAM) systems, ensuring the efficient organization, retrieval, and utilization of the company's vast library of visual assets.
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Reporting into the Medical Value Liaison Field Director, the Senior Medical Value Liaison (MVL)/Executive MVL is a field-based role focused on applying clinical expertise and experience/knowledge of payors, health policy, payer utilization management, and pharmacoeconomics to strategically support Karuna's scientific strategy and business objectives.
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Collaborate with IT and other relevant stakeholders to evaluate, select, and integrate digital asset management (DAM) systems and other technological solutions that align with the unique needs and objectives of the photo studio.
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care manager utilization management jobs Company: Metroplus Health Plan in Newark, NJ
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