Managed Care Jobs in USA

Anticipated End Date:Position Title:Psychologist Reviewer - part timeJob Description:Work location - Hybrid 1This role requires associates to be in-office 1 - 2 days per week fostering collaboration and connectivity while providing flexibility to support productivity and work-life balance. This appr...

Employment Type:Full timeShift:Description:THIS IS A 1099 POSITIONThe Physician Advisor serves as a physician leader responsible for improving clinical documentation accuracy case mix index (CMI) medical necessity compliance utilization management and hospital throughput.The Physician Advisor works...

Job Description: Summary:The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency through the understanding of current data & environment and modeling of future events. This role is amongst the group that is responsible for...

Job DetailsRegistered Nurse- Per Diem Hospital Based DayJob DescriptionJoin the mission of Improving Lives as a Staff Nurse at Jefferson Health. With more than 42000 employees were the second largest employer in Philadelphia and the largest health system in the Philadelphia region. And our work to i...

Job DetailsNurse Practitioner Student Health - FNPJob DescriptionResponsibilities: The advanced practice provider (Nurse Practitioner) within the ambulatory NP clinic setting works. The APP provides comprehensive care at the Thomas Jefferson University Student Health Services outpatient practice in...

Job DetailsJefferson Lansdale hospital is hiring a part time day RN! (2) 12 hour shifts 7AM-7PM with rotational weekends and holidays.Job DescriptionJoin the mission of Improving Lives as a Staff Nurse at Jefferson Health. With more than 42000 employees were the second largest employer in Philadelph...

Job DetailsProvides social work services assesses and enhances the patients/familys/significant others ability to cope with physical emotional and environmental problems related to illness/convalescence and discharge plan. Works collaboratively with the multidisciplinary healthcare team to establis...

Job DetailsThe Medical Laboratory Technician/Medical Laboratory Scientist (MLT/MLS) performs and monitors various medical laboratory analyses of patient specimens to provide accurate test results for confirming clinical diagnoses and treatment therapies. The MLT/MLS complies with regulatory requirem...

Job DetailsSummaryWith a commitment to patient and family centered care the Patient Care Technician (PCT) provides designated direct and indirect patient care activities under the direction and supervision of the licensed clinical team members in ways that value the uniqueness of each individual and...

Job DetailsAdmin SecretaryJob DescriptionJob DescriptionESSENTIAL FUNCTIONS:Manages all administrative functions of the Division of Hematology within Medicine (12 faculty).Schedule appointments prepare and update on-call schedule in Qgenda send schedule to call serviceArrange travel for all faculty...

Job DetailsThe Medical Assistant assists physicians as they assess examine and treat patients.Job DescriptionPerks:Top-Tier health insurance Opportunities for career advancement Employee discounts on products and servicesGenerous time offTuition Reimbursement Responsibilities:Patient flow management...

Job DetailsClinical Practice Leader: 7W Medical Surgical/ TelemetryJob DescriptionEducation - RequiredGraduate of an accredited school of nursing requiredEducation - Preferredin Nursing with emphasis in clinical nursing practiceMasters PreferredExperience - Requiredas an RN in an acute care settingi...

Job DetailsShift time: 3/4pm-11:30pm; EVS positions required rotating weekends and holidays.The Environmental Services (EVS) Associate aides in maintaining a high quality standard of housekeeping. This includes performing cleaning functions in assigned areas while following assigned schedules and sp...

Job DetailsWorking under minimal supervision schedule and conduct practitioner site audits for compliance with medical record preventive care access and availability and practice site standards for the purpose of credentialing and re-credentialing practitioners and ongoing monitoringJob DescriptionS...

Job DetailsThe Medical Assistant assists physicians as they assess examine and treat patients.Job DescriptionPerks:Top-Tier health insurance Opportunities for career advancement Employee discounts on products and servicesGenerous time offTuition Reimbursement Responsibilities:Patient flow management...

Job DetailsThe Jefferson Specialty Pharmacy (JSP) Fulfillment Associate will play a key role in the Fulfillment Center at a growing Specialty Pharmacy Operation. The candidate will ensure all patient shipments are packaged appropriately and accurately for delivery to patients sorted properly for dif...

Job DetailsThe Security Sergeant acts as the Front Line supervisor and manages the performance and effectiveness of the security officers. The Sergeant will direct assess and evaluate security officers. The Sergeant will respond to calls for service that are escalated and/or categorized as critica...

Job DetailsJefferson is seeking an Executive Leader of the Compliance and Privacy Program who serves as the chief architect and steward of the organizations enterprise-wide compliance vision strategy and governance. This leader will have direct oversight of a compliance department that serves 32 hos...

Job DetailsThe Change Realization Consultant is an individual contributor that is skilled in change leadership and partners with the Senior Change Realization Consultants and AVP of Change Realization in facilitating and sustaining change. This position is responsible for planning implementing and...

Job DetailsOversee the accounting and financial reporting functions of Thomas Jefferson University Health System ensuring appropriate accounting practices strong internal controls accurate revenue recognition required financial filings and wellgoverned financial policies. Safeguard the organizations...