• Clinical Care Management

    The Cigna Group (Wauwatosa, WI)
    ** Clinical Care Management - Operations Senior Advisor** The job profile for this position is Operations Senior Advisor, which is a Band 4 Senior ... Career Track Role. **Role Description:** This position reports into the Cigna Clinical Care Management organization. Incumbent will be responsible… more
    The Cigna Group (09/19/24)
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  • Manager, Care Partnership (Hybrid) - Lowell…

    Commonwealth Care Alliance (Boston, MA)
    … and staff enablement to support and improve care delivery, care management , and clinical operations in alignment with the strategic goals of CCA. ... team's daily operations , including the member experience, care management , care coordination, and...approved modality for a variety of clinical care and care management services… more
    Commonwealth Care Alliance (09/18/24)
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  • Director of Nursing

    Kaniksu Community Health (Sandpoint, ID)
    …support the provision of effective patient care . + Oversees and manages the Triage, Care Management , Clinical Operations Supervisors and Clinical ... KCH standards for HRSA/BPHC, Meaningful Use, UDS and other clinical management programs. + Oversees and manages...sick coverage, etc.) has been coordinated by utilizing the Clinical Operations Supervisor in each location. +… more
    Kaniksu Community Health (09/05/24)
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  • Enhanced Care Management

    LA Care Health Plan (Los Angeles, CA)
    Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position ... and to support the safety net required to achieve that purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is responsible for the … more
    LA Care Health Plan (08/20/24)
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  • Supervisor, Appeals and Grievances Clinical

    LA Care Health Plan (Los Angeles, CA)
    …of acute/ clinical care experience. Minimum of 2 years of experience in RN clinical operations in an acute care or health plan setting. Minimum of 2 ... Supervisor, Appeals and Grievances Clinical Operations RN Job Category: ...in a lead/supervisory experience. Equivalency: Completion of the LA Care Management Certificate Training Program may substitute… more
    LA Care Health Plan (09/20/24)
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  • Regional Director of Clinical

    National Health Care Associates (Wethersfield, CT)
    …invite you to join our team! **-** **What You'll Do:** As a Regional Director of Clinical Operations , our care centers will rely on your expertise to ensure ... mission + Coordinatest the development and updates to resident care and clinical systems + Ensures ...for transforming healthcare, consider this exceptional Regional Director of Clinical Operations opportunity! Drive excellence locally and… more
    National Health Care Associates (09/12/24)
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  • Nurse Coordinator RN

    RWJBarnabas Health (Somerset, NJ)
    …the care of the population served, as well as experience in clinical care operations , case management and/or patient throughput + Must have a working ... knowledge of hospital operations , medical/nursing staff procedures, hospital and community resources +...care , education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims… more
    RWJBarnabas Health (08/28/24)
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  • Care Redesign Clinical Leader…

    UNC Health Care (Morrisville, NC)
    …supports clinical /business case and various high-level stakeholder and project management plans required to achieve desired outcomes. Works with leadership team ... : .Bachelor's degree or higher in Business Administration, Science or Health Care -related field. .Master's degree preferred. If clinical : .Bachelor's degree or… more
    UNC Health Care (09/13/24)
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  • Vice President, Clinical Operations

    CareFirst (Baltimore, MD)
    …programs lines of business. + In depth knowledge of clinical operations and regulatory compliance related to utilization management . **Knowledge, Skills and ... standards, and managed care . + Strong people management and leadership experience in a clinical environment. + Ability to manage operations with… more
    CareFirst (09/06/24)
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  • Operations Project Analyst…

    Houston Methodist (Houston, TX)
    operations . Develops reports and other presentation materials for director/ management to showcase the need for change as appropriate. **FINANCE ESSENTIAL ... At Houston Methodist, the Operations Project Analyst position is responsible for providing...Analyst position serves a vital role in supporting the management team. This position relies on appropriate resources to… more
    Houston Methodist (09/21/24)
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