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Boston, MA
$95,000 - $110,000
Full Time
Healthcare
The Job Jobber

Salary: $95,000 - $110,000. You must be a US citizen or permanent resident to apply for this position! Manager, Case Management Isn't it time to join an organization that is leading the way in innovative government health care ? Collaboration with providers, award-winning programs of care and INCREDIBLE opportunity to grow! Open due to promotion - this position will have regional responsibility in NH and in MA. Manager will drive the daily operations of the case management functions, with a focus on analysis of activities, costs, operations and forecast data to determine progress toward...  more ->

8/21/2016 8:03:46 PMJS24252601
http://www.jobserve.com/EqQv4
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Fort Lauderdale, FL
$95,000 - $115,000
Full Time
Healthcare
The Job Jobber

Salary: $95,000 - $115,000 Director, Case Management - Atlanta Area INNOVATIVE health plan truly values their nurses. The Director will be engaged in creating, defining and directing a complete Case Management Program across a diverse population. GENEROUS RELOCATION - career potential is exceptional- rich benefit package! Direct the overall operational leadership of case management functions and staff Perform and oversee needs analysis and planning Work with executive leadership to ensure targets are met for the annual operating plan/financial management Ensure compliance with Corporate,...  more ->

8/21/2016 8:00:27 PMJS24252556
http://www.jobserve.com/EqQtW
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Atlanta, GA
$95,000 - $115,000
Full Time
Healthcare
The Job Jobber

Salary: $95,000 - $115,000 Director, Quality Improvement- ATLANTA INCREDIBLE opportunity to learn and grow in healthcare with a strong leadership team and unlimited growth! Experienced professional will lead and direct process improvement activities and NCQA Accreditation and HEDIS performance. GENEROUS relocation - excellent benefits! -Responsible for quality improvement aspects of risk adjustment processes for all products -Collaborate with Medicare STARS team to improve overall STARS ratings for Medicare products (including HEDIS, CAHPS, HOS) -Oversee provider satisfaction surveys and...  more ->

8/21/2016 8:04:23 PMJS24265643
http://www.jobserve.com/EqQwI
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Chicago, IL
$65,000 - $78,000
Full Time
Healthcare
The Job Jobber

Salary: $65,000 - $78,000. You must be a US citizen or permanent resident to apply for this position! DATA ANALYST II - Chicago Leading healthcare enterprise has received national recognition for their evidence-based programs that drive improved outcomes. A locally- based approach enhances their ability to deliver high quality and culturally sensitive health care services. Company offers exceptional technology, unlimited career potential and bonus incentives. Analyze health management programs including: data collection, validation and outcome measurement including financial, pharmacy,...  more ->

8/21/2016 8:00:26 PMJS24255126
http://www.jobserve.com/EqQtV
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Fort Lauderdale, FL
$110,000 - $150,000
Full Time
Sales and Marketing, Healthcare
The Job Jobber

Salary: $110,000 - $150,000 Senior Director, Outcomes Research & Analytics NEWLY CREATED role will work in close collaboration with the QUALITY team. Oversee all advanced analytic methodologies and processes involving program evaluation and predictive modelling, including evaluation studies, stratification and segmentation. Direct the design, development and deployment of new methods of analysing claims, eligibility and program data. NICE opportunity to build your team - GREAT RELOCATION- strong growth potential! Provide information to internal and external clients that can be used to measure...  more ->

8/21/2016 8:00:23 PMJS24253203
http://www.jobserve.com/EqQtS
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Los Angeles, CA
$70,000 - $94,000
Full Time
Healthcare
The Job Jobber

Salary: $70,000 - $94,000 Director, UM - Los Angeles Fantastic culture in this exceptional clinical setting right in the heart of L.A.! You are an hour from the beach - or the mountains! Develops, manages and directs the Utilization Management programs in a Service Area or a Medical Center. Develops and manages programs that emphasize appropriate admissions as well as concurrent and retrospective review of care. May also be responsible for other integrated functions such as Discharge Planning, Case Management program, Outside Utilization Review program, Transportation coordination and...  more ->

8/21/2016 8:00:12 PMJS24263156
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Milwaukee, WI
$110,000 - $155,000
Full Time
Healthcare, HR
The Job Jobber

Salary: $110,000 - $155,000 Director, Contracting & Network Development - Milwaukee This Fortune 500 healthcare enterprise is embracing market expansion and product diversification. Working closely with the VP and the plan CEO, as Director you will lead activities of the provider contracting, network development and provider relations teams. Your ideas and insight will be instrumental in developing effective strategy for the WI market. Perform complex financial analyses to identify medical cost improvement opportunities and develop strategies to reach financial goals. Monitor performance,...  more ->

8/21/2016 8:04:21 PMJS24131136
http://www.jobserve.com/EqQwF
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Columbus, OH
$75,000 - $96,000
Full Time
Healthcare
The Job Jobber

Salary: $75,000 - $96,000 MANAGER, HEDIS OPERATIONS - (non-clinical) Oversee and ensure HEDIS data accuracy and reporting, including investigations, auditing, and improvement opportunities. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization, maximizing opportunity to improve outcomes for members. Oversee activities, resources, methods, and procedures to achieve improvement in HEDIS measures Formulate and ensure compliance with HEDIS technical specifications, policies, operating procedures, and goals in...  more ->

8/21/2016 8:04:08 PMJS24251205
http://www.jobserve.com/EqQv8
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East Boston, MA
$75,000 - $90,000
Full Time
Healthcare
The Job Jobber

Salary: $75,000 - $90,000 You must be a US citizen or permanent resident to apply for this position! Provider Relations & Contracting Great team - strong analytics support! Growing health plan offers excellent career potential. You will coordinate and negotiate hospital, physician and ancillary service agreements. NICE chance to join a payer! - Recruit and develop provider network plan for region and set of providers - initiate contact with potential providers - Negotiate contracts with assigned providers and ensure that negotiations result in the unit cost targets expected. - Facilitate and...  more ->

8/21/2016 8:00:24 PMJS24261141
http://www.jobserve.com/EqQtT
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Boston, MA
$170,000 - $225,000
Full Time
Healthcare
The Job Jobber

Salary: $170,000 - $225,000 You must be a US citizen or permanent resident to apply for this position! Vice President, Network Development & Contracting - MA and NH Incredible growth has created the need for an additional leader and strategist. This is THE opportunity to be with a leading healthcare enterprise. VP will lead all aspects of provider network strategy including access analysis and network operations. Engage with other decision makers for analysis related to reimbursement and unit cost management. Develop, implement and maintain production and quality standards for the Contracting...  more ->

8/21/2016 8:04:10 PMJS24216223
http://www.jobserve.com/EqQwA
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Louisiana, MO
$115,000 - $150,000
Full Time
Healthcare
The Job Jobber

Salary: $115,000 - $150,000 Director, Business Analytics - St Louis Provide vision, strategy and operational leadership for this innovative healthcare enterprise! Director will handle all health economics functions relating to business development, financial outcomes and contracting analysis. In addition, the Director will serve as primary corporate analytical contacts for the company. Provide utilization and cost analyses to support health plan and corporate health benefits ratio, utilizing enterprise analytic and predictive models and data analysis tools Create an analytical environment...  more ->

8/21/2016 8:04:22 PMJS24232613
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Toledo Ohio
Full Time
Healthcare
Alpha Home Health Care

Role: Nurse - RN or LPN Location: Toledo, Ohio Alpha Home Healthcare Inc. is seeking passionate, care management professionals and leaders dedicated to delivering the highest quality in-home care management programs to complex chronically ill members enrolled in large health plans and managed care programs. Assignment Capsule: As a RN/LPN you will provide direct care to members and their families according to the established plan of care. As a RN/LPN you will provide a multidisciplinary approach to care. The RN/LPN position includes the following: Conducting assessments to identify problems,...  more ->

8/24/2016 2:36:25 PMCBRN/LPN-OHIO
http://www.jobserve.com/EpJ6m
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Michigan
Full Time
Healthcare
Alpha Home Health Care

Role: Nurse - RN or LPN Location: Michigan Alpha Home Healthcare Inc. is seeking passionate, care management professionals and leaders dedicated to delivering the highest quality in-home care management programs to complex chronically ill members enrolled in large health plans and managed care programs. Assignment Capsule: As a RN/LPN you will provide direct care to members and their families according to the established plan of care. As a RN/LPN you will provide a multidisciplinary approach to care. The RN/LPN position includes the following: Conducting assessments to identify problems,...  more ->

8/24/2016 2:20:44 PMCBRN/LPN-MICHIGAN
http://www.jobserve.com/EpdLa
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Beachwood, OH
Full Time
Healthcare, HR, Community
Jewish Family Service Association

Job Summary: The Forward Focus Housing and Job Placement Specialist provides individualized job placement assistance and housing placement assistance to adults and families working on documented Forward Focus financial self sufficiency case plans. The Specialist has preexisting networks and a positive reputation in the Cleveland Jewish Community. The placement specialist must create, build and maintain relationships among property owners/building management professionals and hiring professionals throughout the Jewish Community that result in documented housing and employment placements of...  more ->

8/27/2016 5:37:43 AMCB257
http://www.jobserve.com/EpUc7
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Akron Ohio
$12.50/hour
Contract/Full Time
Healthcare, Education
Oriana House, Inc.

Oriana House, Inc. POSITION TITLE: Recovery Coach STATUS: Full Time & Part Time LOCATION: Akron, Ohio POSITION RESPONSIBILITIES: Responsible for the delivery of recovery coach services to Agency clients To be a Recovery Coach, you must complete the Recovery Coach Training offered by the State of Ohio and pass the exam. To be accepted into the state's Recovery Coach Training Program, you must be in recovery from an addiction to alcohol or other drugs. Essential functions of this job include, but are not limited to: Effectively communicates emergency situations in a timely manner to Counselor...  more ->

8/26/2016 4:57:59 PMASAPCBRECOVERY
http://www.jobserve.com/EqgtJ
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Beachwood,OH
Full Time
Healthcare
Jewish Family Service Association

Job Summary: Supervisor for our Day Support Program focusing on community inclusion for adults with developmental disabilities. This first shift, Monday thru Friday position, is responsible for overseeing the day-to-day functions of the program: staffing, consumer health and safety, fiscal, programming, regulatory compliance, participation and communication as a member of the department management team. The Supervisor provides leadership and support to all program subordinates and is responsible for organizing curricula and daily consumer program schedules and overseeing the implementation of...  more ->

8/26/2016 5:37:03 AMCB254
http://www.jobserve.com/EpR8h
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Cleveland, OH
Full Time
Healthcare
Medical Mutual

Utilization Management Nurse Reviewer-Care Authorizations1600287 Description Performs utilization management activities to ensure the provision of safe, timely, appropriate, and necessary covered healthcare services to members; promotes effective resource management by directing member care to accessible cost-effective network providers and services at the appropriate level of care; and facilitating timely discharge planning and continuity of care across healthcare settings. Provides educational assistance to providers and physicians regarding covered and non-covered care for medical/surgical...  more ->

8/26/2016 12:38:04 AMCB1600287
http://www.jobserve.com/EqelN
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Cleveland, OH
Full Time
Healthcare
Medical Mutual

RN Case Manager1600276 Description The Nurse Case Manager must practice case management within the scope of their licensure (based on the standards of the discipline). The case manager staff will be expected to engage members in the case management process and assess, plan, implement, coordinate, monitor and evaluate the treatment options of health care services. The Nurse Case Manager will coordinate and assure the delivery of service, assess physical as well as psychological factors involved in planning the patients care. The Nurse Case Manager will assist with setting of member specific...  more ->

8/26/2016 12:38:06 AMCB1600276
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Columbus Ohio
$18.09- $21.73 per hour
Contract
Healthcare
Heinzerling Foundation

Qualifications: Must be graduate of an approved school of nursing (LPN with Pharmacology) and maintain current registration in the state of Ohio Must maintain current certification in CPR and first aid. Must have sincere desire to work with individuals with developmental disabilities. Must be willing and able to instruct unlicensed persons on aspects of resident care that are within the scope of practice. Must be willing to work in a team-oriented environment. Job Responsibilities: Demonstrates knowledge and understanding of the laws and rules governing nursing by functioning within the legal...  more ->

8/25/2016 7:03:14 AMCB
http://www.jobserve.com/EpgGb
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Cleveland, Ohio
Full Time
Healthcare, Community
Western Reserve Area Agency On Aging

Reports to: Care Manager Supervisor Western Reserve Area Agency on Aging (WRAAA) is a private non-profit corporation, organized and designated by the State of Ohio to be the planning, coordinating and administrative agency for federal and state aging programs in Cuyahoga, Geauga, Lake, Lorain and Medina Counties. It is one of twelve Area Agencies on Aging (AAAs) in the state organized together with local service provider organizations and the Ohio Department of Aging (ODA) to form the state's public aging services network. The network works together to create opportunities for older Ohioan's...  more ->

8/24/2016 12:13:56 PMCB
http://www.jobserve.com/EmFMz
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