Managed Care Jobs in Pittsburgh

Job Title: Care Manager II (RN) Duration: 6 months (Possible Extension) Location: Remote Webb County TX Shift: Day 5x8Hour (08:00 05:00) Note: Looking for candidates in Webb County area TX Position Purpose: Perform care management duties to assess plan and coordinate all aspects o More...

Shift: Days WHAT YOU WILL DO IN THIS ROLE: EXPERIENCE/EDUCATION/QUALIFICATIONS Masters degree in Mental Health Social Work Clinical Psychology or a closely related field required. Current unencumbered Oregon credential/licensure in one (1) of the following required: Licensed Cl More...

DUTIES: The Revenue Analyst II is a technical expert with strong analytical experience in a healthcare environment with emphasis in managed care and government reimbursement. This role serves as a nancial resource for both clinical and administrative areas and will act as More...

Position Overview Under the direction of the Director of Medicaid the Medicaid Care Manager Team Lead ensures that staff adhere to the Medicaid contractual requirements policies and procedures and workflows established to manage the vulnerable Medicaid population. The Medicaid Care M More...

Key Responsibilities: * File Transfer Management: * Oversee the endtoend file transfer process including planning scheduling and execution. * Configure and maintain file transfer protocols and standards to ensure secure and efficient data transmission. * Collaborate with crossfunct More...

Duties: Job Summary: Prepares clinical data for physician approval and obtains authorizations; acts as liaison between patient medical assistant physician and Central Business Office. Referrals Coordinator: Ensures all referrals are completed. Ability to prioritize based on urgency More...

Mobile Health Team Inc. a staffing agency has an opening for a permanent fulltime Behavioral Health Care Manager position. We are looking for someone with a passion for people. Location: Corvallis OR 97330 Start Date: 3/5/2024 Shift: Days Full Time Salary: $67000.00 to $97000.00 More...

Hours Per Week: 40.00 Hours Per Day: 8.00 Interview Notes: Role can be 3 months TTH OR Direct Hire MondayFriday 85 PM 100% onsite. *Must have experience in Healthcare environment with emphasis on managed care reporting and reimbursement. Department: FINANCE

Position Summary: Responsible for planning directing and managing all aspects of Accounts Receivables management for the Patient Financial Services department; including commercial managed care workers compensation ERISA selffunded and all other indemnity health plans. Ensures stan More...

PRIMARY PURPOSE: To develop and manage project assignments through completion; to communicate results; to make recommendations to management; and to provide training. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identifies required resources; researches project data procedures and histo More...

Job Details: Assists in the holistic assessment planning arranging coordinating monitoring evaluation of outcomes and activities necessary to facilitate member access to healthcare services. Advocates for the most appropriate care plan using sound clinical judgment; accurate planning More...

As a Transition Program Manager (Managed Service ProviderMSP) from BST/EST Time Zone and specializing in MSP transition projects you will work in conjunction with the Transition Manager MSP Transition Leader and advisory services team to ensure the successful execution of the transit More...

Position Overview: Examines and assesses clients finance numbers and situations and helps clients reduce and eliminate their debt through a debt management program and plan and save for retirement. Gathers clients budget information financial obligations and goals. Detects and analyze More...

Hello All I hope youre doing well. Job: DHHS MES IT Product Manager (735711) Location : 100% Remote Client : State of NC Type: C2C/W2 NC Department of Health and Human Services (DHHS) Information Technology Division (ITD) seeks an IT Product Manager to join the Medicaid More...

Title Care Manager I (RN) Duration 6 months Shift Mon to Fri 8 am to 5 pm Location Remote KS Walk me through the daytoday responsibilities of this the role and a description of the project : Check email and voice mail for important communication and member needs. Communicate with More...

DUTIES: Responsible for researching and resolving all unpaid insurance claims and following up on all customer inquiries/complaints related to unpaid balances. Other duties as assigned. Answers patient calls and researches and responds to patient concerns within 24 work More...

Duties: Primary functions of the Registered Nurse are to administer skilled nursing care for clients of all ages in their place of residence coordinate care with the interdisciplinary team patient/family and referring agency and assume the responsibility for coordination of care. Esse More...

Skills: Two years of previous acute care experience in MedSurg Maternal and child care Critical Care Pediatrics. Current Maternal Child home health experience Certifications/License: RN License AHA BLS Schedule Notes: Bronx Up to 40 hours a week depending on patient home visit More...

Seeking an RN care coordinator for primary care clinic in Bush Alaska. This position will coordinate care for patients in several remote locations for chronic care appointments follow up for recent hospitalization and an advocate to patient needs. Must be culturally sensitive respectf More...

Description: Required Qualifications: 1year recent (within the last 3 years) fulltime equivalent experience Graduate of an accredited nursing program. License Certification Registration Registered Nurse License (in the state where care is provided) Basic Life Support Preferred Qu More...