is required for this position, and candidates must be licensed in the state of Texas. Position Purpose: Develops, assesses, and facilitates... to members Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects...
a fresh perspective on workplace flexibility. Hybrid Position - Remote with field visits Must be licensed and reside in in...-centered care or services Monitors care plans / service plans and/or member status, change in condition, and progress...
for long-term care members in a cost-effective manner May precept clinical new hires by fostering and building core skills... and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching...
for long-term care members in a cost-effective manner May precept clinical new hires by fostering and building core skills... and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching...
and be licensed in the state of Texas Service Deliver Area: Austin TX Pediatric experience required Position Purpose: Performs...-centered care or services Monitors care plans / service plans and/or member status, change in condition, and progress...
in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state... delivery for long-term care members in a cost-effective manner Performs other duties as assigned Complies with all policies...
a fresh perspective on workplace flexibility. Must reside in Oklahoma. Centene is hiring a hybrid Care Manger... with children/youth in foster care and/or juvenile justice. Position Purpose: Develops, assesses, and facilitates complex care...
a fresh perspective on workplace flexibility. Must reside in Oklahoma. Centene is hiring a hybrid Care Manger RN... with children/youth in foster care and/or juvenile justice. Position Purpose: Develops, assesses, and facilitates complex care...
Glendale Lane in Sacramento, 95825. This is not an office-only position or a remote position! The expectation for the Clinical...), and Board Certified Behavior Analyst (BCBCA) in the state of California. Being a licensed and insured driver is necessary...
perspective on workplace flexibility. Must reside within the state of California and have a CA State clinical license... Addresses and participates in training of clinical staff resulting from data tracking and analysis efforts Identifies...
and sleep management services. Medical Directors in Clinical Operations determine the medical necessity of outpatient radiology..., cardiology, sleep management, endoscopies and surgical site of care requests using clinical guidelines, state mandates, health...
of care with ordering providers when consistent with applicable clinical criteria. Provide education regarding applicable.... Actively participate in groups that develop, revise, and enhance clinical appropriateness guidelines. Obtain additional state...
: Reviewing and interpreting clinician's patient care note/assessments for supportive clinical data needed for prior authorization... approvals and development of care plan recommendations. Develop and refine disease and drug specific clinical protocol...
of experience working as an LVN/LPN 2+ years of care management, utilization review or discharge planning experience Experience in... an HMO or experience in a Managed Care setting Base knowledge of requirements for Medicare, Medi-Cal and Commercial lines...
of experience working as an LVN/LPN 2+ years of care management, utilization review or discharge planning experience Experience in... an HMO or experience in a Managed Care setting Base knowledge of requirements for Medicare, Medi-Cal and Commercial lines...
identified care or services are accessible to members in a timely manner May monitor progress towards care plans/service plans... goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan...
Location City: Remote-US Location State: California Community / Marketing Title: Bilingual Spanish Care Coordinator... Role: Alignment Health is seeking a bilingual Spanish remote care coordinator to join the special needs plan (SNP) case...
unrestricted license in the State of California as a Clinical Social Worker or Licensed Marriage and Family Therapist Current... largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today Dignity Health...
unrestricted license in the State of California as a Clinical Social Worker or Licensed Marriage and Family Therapist Current... largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today Dignity Health...
today! This job oversees LPNs and other unlicensed assistive personnel in the performance of nursing care of assigned patients. Maintains... to blood, body fluid and tissue. The incumbent works in a patient care area; works in an area where patients enter; works...