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Job Description: Director of Vendor Management - Healthcare Director of Vendor Management - Healthcare Location: Bronx, NY Salary: $125,000-$180,000 Experience: 6.0 year(s) Job Type: Full-Time Job ID: 120583       About the Opportunity A healthcare organization is actively seeking an experienced professional for an excellent opportunity as a Director of Vendor Management with their staff. Reporting directly to the Vice President of Provider Relations and Network Development, the Director of Vendor Management will be responsible for maintaining vendor relations that support company-wide initiatives through strong contracts, due diligence and on-going vendor maintenance. Company Description Healthcare Organization Job Description The Director of Vendor Management will: Oversee vendor selection, due diligence oversight, and maintenance of vendor relationships Develop materials to evaluate vendors upon contracting and annual review Provide monthly reporting to measure vendor metrics and distribute to department heads or Delegated Vendor Oversight Committee as appropriate Represent the organization in vendor meetings Develop policies, contractual guidelines, and performance measures that are consistent with CMS and DOH requirements Work with compliance and quality to ensure policies and procedures are addressed and documented as downstream entities Implement new vendor arrangements Coordinate meetings with vendor and support departments such as IT, MM, CS, and Claims Ensure that work plan is kept on track and operational issues are identified and resolved up front prior to going live Identify new vendors for required service needs Identify and monitor vendor concerns, recommend solutions, and follow up during the process, as well as communicates resolution to ensure problems have been resolved Conduct financial analysis and reporting to evaluate potential cost savings Work with strategic planning to help senior staff make decisions on new cost saving initiatives Pursue and suggest pharmacy cost savings Conduct financial analysis as it relates to contract negotiations and on-going pharmacy initiatives Produce innovative ideas on how to improve pharmacy benefit programs and relationships Required Skills 6+ years of experience in Medicaid/Medicare, HMO/PPO, and Pharmacy Benefit Bachelor's Degree in related field Vendor management experience Strong Pharmacy experience Flexibility in traveling for on-site annual and pre-contractual audits Strong analytical and financial analysis skills Broad project management experience Ability to communicate effectively with different departments and levels within the organization Desired Skills Supervisory or Management experience

Job Description: Healthcare Integrator Healthcare Integrator Location: Bronx, NY Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1011370       About the Opportunity A recognized social services organization located in the Bronx is actively seeking a self-motivated and dynamic individual for a promising opportunity on their staff as a Healthcare Integrator. In this role, the Healthcare Integrator will be responsible for assessments and service plan development, Medicaid case management, linking and advocacy. Company Description Social Services Organization Job Description The Healthcare Integrator will: Work collaboratively with all relevant stakeholders to assess the youth's need for B2H services Maintain all casework mandates set forth by JCCA, ACS/DSS and OCFS Develop and update the Individualized Health Plan (IHP) according to JCCA, ACS/DSS and OCFS mandates Link the youth and family/caregiver to any and all identified services during enrollment Complete CANS assessments within required time frames Obtain and maintain all required certifications within required time frames, e.g. CANS, CPR/First Aid Participate in all required internal and external trainings Attend Program Meetings, Team/Unit Meetings, and ad hoc meetings Required Skills CANS-certified 1-3 years of related experience CPR/First Aid-certified Mandated Reporting experience Solid organizational and follow-up skills Computer Literacy (specifically Microsoft Word and Excel) Excellent telephone and interpersonal skills Excellent writing skills Demonstrates discretion Desired Skills Experience working with CONNX

Job Description: Healthcare Recruiter Healthcare Recruiter Location: Mineola, NY Salary: $20-$25 per hour Experience: 1. year(s) Job Type: Temporary / Consulting Job ID: U1014032       About the Opportunity A medical center on Long Island is currently seeking a new Healthcare Recruiter for a great opportunity with their growing staff. In this role, the Healthcare Recruiter will be responsible for the full-cycle recruiting of qualified and diverse candidates from a variety of sources.  Apply today! Company Description Medical Center Job Description The Healthcare Recruiter will be responsible for: Assisting in developing recruitment strategies that support organizational goals Partnering with Hiring Managers to identify current and future staffing needs Establishing and maintaining external relationships to achieve recruitment objectives Required Skills 1+ year of experience working within a Recruitment Department Associate's Degree in Human Resources or related field Microsoft Office/Suite Solid sourcing and interviewing skills Exceptional phone etiquette Great interpersonal skills Excellent communication (verbal and written) Strong attention to detail Highly organized Desired Skills 1+ year of Recruitment experience in a Healthcare environment Bachelor's Degree in Human Resources or a related field Professional  in Human Resources Certification (PHR)

Job Description: Healthcare Recruiter Healthcare Recruiter Location: Morristown, NJ Salary: $40-$45 per hour Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1004997       About the Opportunity A recognized healthcare system headquartered in Morristown, NJ is actively seeking a self-motivated and diligent Recruiter for a rewarding opportunity on their staff. This is an excellent opportunity for someone with a proven proficiency in recruitment, strategic agility, customer service expertise and strong interpersonal skills with the ability to interface with all levels of disciplines. Company Description Healthcare System Job Description The Healthcare Recruiter: Selects appropriate job candidates Reviews online application and resumes Prescreens candidates to the appropriate managers Maintains strategic communication with hiring managers at all times Performs departmental needs assessments for hiring expectations to ensure quality hires Promotes and implements strategic initiatives Participates in the development and implementation of strategic recruitment initiatives at all sites Educates client on the recruiting process and the roles involved in the process Required Skills Excellent written and verbal communication skills Polished and professional demeanor Recruitment experience Ability to accurately and articulately document information Proficiency with computer platforms and applications Highly organized Strong interpersonal skills Desired Skills Bachelor's Degree Strong computer skills including knowledge of PeopleSoft Knowledge of OFFCP/AAP compliance Healthcare and hospital experience

Job Description: Case Manager Case Manager Location: New York, NY Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1014112       About the Opportunity A widely recognized healthcare organization located in New York City is actively seeking a compassionate and dynamic individual for a promising opportunity on their staff as a Case Manager. This is a fantastic opportunity for a qualified healthcare professional to advance their career with a premier healthcare organization in Manhattan. Apply today! Company Description Healthcare Organization Job Description The Case Manager will ensure exceptional care services are readily accessible to patients at all times. Required Skills Bachelor's Degree Exceptional phone skills Proven ability to talk with mental health patients Ability to multitask Strong technical abilities Exceptional communication skills

Job Description: Nazareth Hospital, Mercy Health System The mission of Mercy Health System is to participate in the healing ministry of its sponsor, the Sisters of Mercy, and the Roman Catholic Church. This mission is at the service of the entire community and addresses the diversified factors which impact the health care needs of the whole person. The mission is characterized by a special concern for the poor and disadvantaged. Mercy Health System is dedicated to providing easily accessible, patient-centered, compassionate health care. Building on our 100 year foundation of caring, we achieve our mission through our commitment to the overall health of the communities we serve. Our centers of health care excellence address the unique and diverse needs of these communities. Rooted in our core values, Mercy Health System, its facilities and affiliates offer access to quality medical care, delivered by compassionate, highly trained health care professionals to all in need. If you are an individual who is mission driven and who wants to make a difference in the lives of others, we invite you to join us. We know our colleagues are our core strength and that each contributes to our ministry of quality and compassionate care. As a Mercy colleague you will have a great working environment, career growth, competitive benefits, and support for involvement in your community.  Job Description Under the general supervision of the Director of Care Coordination, the Emergency Department Care Manager assists physicians and the interdisciplinary team in facilitating the entry of patients into the appropriate level of care by utilizing InterQual criteria. Reduces unnecessary admissions to the acute care hospital. Has accountability for assigning correct levels of care (Outpatient Observation vs. Inpatient Admission), attention to the issues presented by readmissions and recommending options for safe discharge. Coordinates all non-elective point of entry admissions (including direct admissions and SPU) and facilitates timely throughput of emergency room patients to ensure the safe delivery of services to the patient at the most appropriate level of care. Responsible for identifying community and other resources that are necessary for each individual patient and matches specific needs for continued care that are acceptable to the patient. Identifies services that require authorization and collaborates with payers to obtain needed authorizations for services. Ensures patient has a primary care physician follow-up. Collaborates with the ED healthcare team to determine the treatment plan, while observing quality and patient safety parameters, LOS, readmissions, denials and appeals.   Education and Training BSN or BA in Nursing. Enrolled or committed to enroll in a BSN or BA in Nursing program, making steady progress towards degree. Certification and Licensure Registered Nurse licensed in the State of Pennsylvania Case Management certification from an accredited organization preferred.   Skills • Managed care, government payers, third-party reimbursement • InterQual criteria and its application • Information systems, Midas preferred • Using MS Office applications • Developing and maintaining strong interpersonal relationships • Oral and written communication skills • Ability to document in an electronic health record completely and accurately  Experience Three (3) years of utilization management or case management experience, including emphasis on discharge planning.   Apply directly on line at: https://trinityhealth.wd1.myworkdayjobs.com/Nursing_Jobs/job/Philadelphia-Pennsylvania/XMLNAME-2000-T1005-RN-ED-CARE-MANAGER_00033311-1   A policy of Equal Employment Opportunity is maintained within all institutions. This policy is based on the right of all persons to work and to advance in their work on their own merit, ability and potential. This policy involves all persons regardless of race, color, religion, age, sex, sexual preference, national origin, veteran status, political affiliation, or handicap.

Job Description: Case Manager Case Manager Location: Plymouth, MA Salary:  Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U1015142       About the Opportunity A healthcare facility located in Plymouth, MA is seeking a compassionate and driven Case Manager for a promising opportunity on their staff. This is an excellent opportunity for a qualified healthcare professional to advance their career with a respected facility in the Greater Boston Area. Apply today! Company Description Healthcare Facility Job Description The Case Manager (RN) will ensure exceptional care services are readily accessible to patients at all times. Required Skills Active Massachusetts State Medical Assistant license 2+ years of case management experience BLS and ACLS Strong medical skills and knowledge Patient-oriented Ability to multitask Excellent communication skills

Job Description: Utilization Management Manager (RN) Utilization Management Manager (RN) Location: Brooklyn, NY Salary: $100,000-$110,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J137165       About the Opportunity A healthcare organization in New York City is currently seeking an experienced, licensed Registered Nurse (RN), with a strong Utilization Management background, for a promising Manager-level position with their growing medical staff. Assuming a leadership role within the Medical Management Department, the Utilization Management Manager (RN) will be responsible for overseeing the authorization of covered services for eligible members  and insuring high quality, cost-effective patient care and appropriate allocation of member services and resources. Apply today! Company Description Healthcare Organization Job Description The Utilization Management Manager (RN) will be responsible for: Overseeing the provision of utilization management functions, including: pre-certification; concurrent review; discharge planning; etc. Developing departmental process workflows for utilization management functions Hiring, supervising and managing a team of nursing professionals Maintaining staff productivity, effectiveness and efficiency Developing key indicators for staff; auditing staff to achieve key indicators and optimal outcomes Developing and analyzing operational and analytical reports needed to monitor and track operational efficiency Ensuring compliance with the goals of the Medical Management Department and the overall organization Conducting daily, weekly, monthly and quarterly meetings as needed with staff to review process issues Troubleshooting any issues that utilization management staff are experiencing during the authorization process Participating in quality improvement activities Required Skills 3+ years of experience in the Authorization of Services within a Healthcare Management company; 3+ years of Managed Care experience; and, 3+ years of experience in a Management position Associate's Degree in Nursing NYS Registered Nurse (RN) license Utilization Management / Review background Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Bachelor's Degree in Nursing CCM, CPHM and/or CMCN certification

Job Description: Case Manager Case Manager Location: Turnersville, NJ Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1001258       About the Opportunity A recognized healthcare facility located in Turnersville, NJ is actively seeking a patient-oriented and compassionate healthcare professional for a promising opportunity on their staff as a Case Manager. In this role, the Case Manager expedites discharge planning to ensure transition of care between patients and healthcare providers in order to confirm continuity and coordination of care for patients. Company Description Healthcare Facility Job Description The Case Manager will: Participate in the process of assessment, planning, facilitating, monitoring, and evaluation of options and services Meet individual patients' healthcare needs Participate n the promotion of quality outcomes, patient satisfaction, and cost-effective care delivery Perform other tasks as assigned Required Skills Patient-oriented Strong clinical skills and knowledge Ability to multitask Polished and professional demeanor Strong attention to detail Excellent communication skills Compassionate and empathetic Strong interpersonal skills

Job Description: Enrollment Manager Enrollment Manager Location: Hartford County, CT Salary:  Experience: 0.0 year(s) Job Type: Temporary / Consulting Job ID: U1012166       About the Opportunity A premier healthcare organization in Hartford County is looking for a goal-oriented, results-driven Enrollment professional to join their growing team in a Managerial role. In this role, the Enrollment Manager will be to manage, develop and support the Enrollment Team ensuring the consistent achievement of service, production and accuracy goals. This is a fantastic opportunity for the right candidate to continue their career with one of the most reputable healthcare companies in Connecticut. Company Description Healthcare Organization Job Description The Enrollment Manager will: Manage, evaluate and develop the Enrollment team staff consisting of front-line and supervisory level staff Develop and implement new plans and policies and ensure adherence to new policies and procedures Track and report statistics Develop and implement the budget for the department Work with Human Resources to recruit and retain a strong team Required Skills 4+ years of experience working within a Managed Care Enrollment setting; 2+ years of Management experience Bachelor's Degree or equivalent combination of education and work experience Solid assessment and documentation skills Computer and technical knowledge Solid problem solving and time management skills Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized

Job Description: Lab Supervisor Lab Supervisor Location: Newburgh, NY Salary: $70,000-$90,000 Experience: 6.0 year(s) Job Type: Full-Time Job ID: J136546       About the Opportunity An established healthcare facility located in Newburgh, NY is actively seeking a self-motivated and compassionate individual for a promising opportunity on their staff as Lab Supervisor. In this role, the Lab Supervisor monitors, coordinates, directs and performs technical activities in their assigned section of the Clinical Laboratory.  Company Description Healthcare Facility Job Description The Lab Supervisor: Works with delicate instruments, hazardous chemicals and body fluids from diseased patients Obtains data for the diagnosis and treatment of disease Interfaces with staff and Laboratory Management to maintain hospital and departmental goals, policies, procedures, quality improvement and safety Performs other tasks as necessary Required Skills Bachelor's Degree in a Laboratory Science 6 years’ experience as a practicing Medical Technologist in assigned area under a licensed, Board Certified Pathologis Strong lab skills and knowledge Ability to multitask Proven leadership skills Highly organized Desired Skills Computer experience MT (ASCP)

Job Description: Purchasing Manager Purchasing Manager Location: Queens, NY Salary:  Experience: 4. year(s) Job Type: Full-Time Job ID: J137389       About the Opportunity A New York City-based medical company is currently seeking an experienced professional to join their growing staff as their new Purchasing Manager.  In this role, the Purchasing Manager  will be responsible for assisting with the management of the Purchasing Department by establishing goals based on inventory needs and departmental needs. Apply today! Company Description Medical Company Job Description The Purchasing Manager will: Evaluate suppliers, assist with negotiating contracts, review product quality, and supervise purchasing staff Maintain records of goods ordered and received Locate vendors of materials, equipment or supplies, and interview them in order to determine product availability and terms of sales Prepare and process requisitions and purchase orders for supplies and equipment Maintain and stay within warehouse budget Review purchase order requests and censure they are compliant with financial policies and procedures Maintain purchasing and contract management policies, and procedures Participate in the development of specifications for equipment, products or substitute materials Review, evaluate, specifications and submit to Director for approval for issuing and awarding bids Coordinate activities of personnel engaged in buying, selling, and distributing materials, equipment, machinery, and supplies Prepare bid awards to be submitted to Director for approval Monitor available supplies, materials and products in order to ensure departments and nursing floors have access to materials they need Required Skills 4+ years of Purchasing Management experience Bachelor's Degree in a related field Strong knowledge of Supply Chain Management Working knowledge of Purchasing software Computer savvy Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Desired Skills Previous experience working in the Healthcare industry

Job Description: Care Manager Care Manager Location: New York, NY Salary:  Experience: 3.0 year(s) Job Type: Temporary / Consulting Job ID: U1003995       About the Opportunity A Manhattan-based healthcare facility is actively seeking a compassionate and empathetic healthcare professional for a rewarding opportunity on their staff as a Care Manager. In this role, the Care Manager will provide direct care management services to clients living with HIV/AIDS, other chronic diseases, substance user, and/or mentally ill under supervision of Care Management Team Leader. Company Description Health Center Job Description The Care Manager will: Identify and recruit populations Initiate and coordinate the implementation of the comprehensive care plan Coordinate and oversee services between patient and extended care team providers Write and submit monthly services reports in a timely manner Conduct case finding and engagement of new referrals Maintain client-related records and other required documentation Accompany patients to appointments Perform other tasks as required Required Skills Bachelor's Degree in social work, nursing, social science, and/or psychology AA/AS in health or human services field with 3 years' of relevant work experience or Bachelor's Degree in a non-related field with 5 years' of post-bachelor's relevant work experience Experience working with one of the following communities: chronic disease including HIV/AIDS; substance user; mentally ill; LGBTQ Excellent written and verbal communication skills Strong attention to detail Consistent team player capable of effectively operating within organizational structure Ability to use Microsoft Word and Excel Desired Skills Bilingual in English and Bengali or Hindi

Job Description: Case Manager (RN) - Managed Long Term Care Case Manager (RN) - Managed Long Term Care Location: Bronx, NY Salary:  Experience: 3. year(s) Job Type: Temporary / Consulting Job ID: U1010042       About the Opportunity A healthcare company in New York City is currently seeking a licensed Registered Nurse (RN), with a strong Managed Long Term Care background, for a promising Case Manager position with their growing staff. In this role, the Care Manager (RN) will be responsible for the oversight, intervention and care management activities of their assigned members. Apply today! Company Description Healthcare Company Job Description The Case Manager (RN) will be responsible for: Collaborating with the multidisciplinary team to validate the care treatment plan Monitoring and updating the effectiveness of care treatment plan as the patients needs change Coordinating patient’s plan of care through case management of services and reports significant changes Completing all documentation in accordance with the policies and procedures Providing and documenting the authorization and reauthorization for services Performing job functions while ensuring quality, member safety and satisfaction in a fiscally responsible manner Required Skills 3+ years of Case Management experience BSN NYS Registered Nurse (RN) license Home Care background Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively Desired Skills Previous experience in a Managed Long Term Care facility Bilingual (English and Spanish)

Job Description: Care Manager - Managed Long-Term Care Care Manager - Managed Long-Term Care Location: Bronx, NY Salary: $85,000-$90,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J132656       About the Opportunity A patient-oriented and driven Care Manager is actively being sought out by a certified home health agency located in the Bronx for a promising opportunity on their Managed Long-Term Care team. In this role, the Managed Long-Term Care Care Manager will ensure optimal healthcare services are readily accessible to patients at all times. Company Description Certified Home Health Agency Job Description The Care Manager will be responsible for coordinating care for all Managed Long-Term care patients within the Agency. Required Skills BSN Active Registered Nurse license Strong clinical skills and knowledge Prior Home Care experience 3 years of experience managing Registered Nurses Case management of assessment experience Ability to multitask Prior UAS experience Patient-oriented Desired Skills Prior Managed Long-Term Care experience

Job Description: Case Management Nurse Manager (RN) Case Management Nurse Manager (RN) Location: New York, NY Salary: $81,000-$86,000 Experience: 0.0 year(s) Job Type: Full-Time Job ID: J130854       About the Opportunity A New York City healthcare organization is currently seeking a licensed Registered Nurse (RN), with a strong Case Management background, for a promising Managerial position with their growing staff. In this role, the Case Management Nurse Manager (RN) will be responsible for effectively managing the daily operations / workflow and supervising clinical and non-clinical staff to provide support for the organization's Care Management programs. Company Description Healthcare Organization Job Description The Case Management Nurse Manager (RN) will be responsible for: Assisting in developing strategic plan by partnering with Assistant Director and Fund management to identify opportunities that have direct impact on clinical and financial outcomes Accessing and analyzing all processes on an ongoing basis to determine their effectiveness, eliminate inefficiencies and make recommendations to senior management to improve workflow, operations, and staff performance Coordinating activities between clinical programs, communication, and report requirements to maintain operational efficiencies and to be in compliance with the Department of Labor (DOL), Summary Plan Description (SPD) departmental protocols and clinical policies and procedures Interacting and collaborating with other departments (e.g. Claims and Provider Relations) in troubleshooting, problem solving, and exchanging information in conjunction with maintaining effective communication with providers and members Staff development, clinical orientation, ongoing education, and training programs to meet the changing needs of the Department Continually assessing clinical staff performance against internal and external departmental and industry standards Required Skills 5+ years of Advanced or Specialized work experience in Care Management programs (Utilization / Case Management / Appeals Programs) within a Managed Care organization; 2+ years of progressive Leadership and Management experience Bachelor’s Degree in Nursing, Business or Health Care Administration or equivalent years of work experience required; plus Current NYS Registered Nurse (RN) license Working knowledge of Milliman / InterQual guidelines or other regulatory protocols (i.e. Medicare), claims processing, medical coding (ICD-9, HCPCS, CPT) and interpreting provider contracts Strong Medical / Clinical background Microsoft Office/Suite proficient Solid critical thinking and analytical skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized $ Desired Skills Previous management experience and CCM certification

Job Description: Case Manager (RN) Case Manager (RN) Location: Palm Beach Gardens, FL Salary: $38-$42 per hour Experience: 2.0 year(s) Job Type: Temporary / Consulting Job ID: U991220       About the Opportunity A healthcare facility in Palm Beach, FL, has an excellent opportunity for an experienced Case Manager (RN) to join their staff in a full-time role. As a Case Manager, the qualified candidate will be responsible for ensuring that patients are provided optimal healthcare. The Case Manager assumes a leadership role with the interdisciplinary team to achieve optimal clinical outcomes. Company Description Healthcare Facility Job Description The Case Manager will: Coordinate the care of an assigned patient population during the acute care phase of illness from a utilization and discharge planning perspective Promote effective utilization of healthcare resources Participate in clinical information collection and process improvement Required Skills Florida State Registered Nurse license 2-3 years of acute care experience in hospital case management Some clinical review experience $

Job Description: Case Manager (RN) Case Manager (RN) Location: New York, NY Salary:  Experience: 1.0 year(s) Job Type: Temporary / Consulting Job ID: U1005875       About the Opportunity A recognized healthcare facility in New York City is actively seeking a licensed Registered Nurse (RN) for a promising opportunity on their staff as a Case Manager. This is an excellent opportunity for a diligent and dedicated Case Manager (RN) to gain valuable work experience and further their career at the facility's Manhattan-based location. Apply today! Company Description Healthcare Facility Job Description The Case Manager (RN) will be responsible for ensuring optimal healthcare services are readily accessible to patients at all times. Required Skills 1+ year of Nursing experience Active NYS Registered Nurse (RN) license Previous experience working with the Pediatric population Solid assessment, clinical, and documentation skills Patient oriented Great interpersonal skills Excellent communication skills (written and verbal) Strong attention to detail Highly organized Able to multitask efficiently and effectively

Job Description: Corporate Director - Case Management Corporate Director - Case Management Location: Newton, MA Salary: $125,000-$140,000 Experience: 3.0 year(s) Job Type: Full-Time Job ID: J137490       About the Opportunity An established healthcare provider in Massachusetts is actively seeking a self-motivated and compassionate healthcare professional for a promising opportunity as their new Corporate Director of Case Management. In this role, the Corporate Director of Case Management provides oversight for resident care delivery processes (clinical and rehab) in our Post-Acute (HC/SNF) settings. Apply today! Company Description Healthcare Provider Job Description The Corporate Director of Case Management will: Manage systems related to Medicare A, Managed Care, Medicaid, and ACO processes Evaluate current system workflows Identify gaps and create solution plan Deliver a strategic, proactive approach to an effective staff orientation and training program Engage inter-professional team members at all levels of the organization to participate in system design (practice/competency/documentation) Coordinate relevant clinical policy/procedure revisions Identify and manage key quality outcome data measures and methodology Create/implement a regularly scheduled communication plan   Required Skills Bachelor's Degree Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist license 3-5 years of divisional or corporate experience in post-acute care settings Expert knowledge of current state and federal government post-acute care regulations Expert Leadership skills In-depth knowledge of case management and resource utilization review practices Demonstrate ability to work effectively with all levels of the organization Demonstrate expertise in critical thinking and analytical skills Expert clinical skills and ability to provide educational programs to all levels of the organization Strong expertise in Medicare, Managed Care and ACO development Proficient to expert in the use of software systems conducive to developing and presenting system deliverables including, but not limited to Microsoft Office Suite Desired Skills Master's Degree Vendor management / business partnership experience Electronic Health Record experience Proficiency in  QAPI systems

Job Description: Case Manager (RN) Case Manager (RN) Location: Tampa, FL Salary:  Experience: 3.0 year(s) Job Type: Temporary / Consulting Job ID: U1015091       About the Opportunity A recognized healthcare company in Tampa is seeking a compassionate and patient-oriented Registered Nurse (RN) for a promising opportunity on their staff as a Case Manager. In this role, the Case Manager performs care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member healthcare across the care continuum and ensuring member access to services appropriate to their health needs. Apply today! Company Description Healthcare Company Job Description The Case Manager (RN): Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements Coordinates internal and external resources to meet identified needs Monitors and evaluates effectiveness of the care management plan and modifies as necessary Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans Negotiates rates of reimbursement, as applicable Assists in problem solving with providers, claims or service issues Required Skills Bachelor's Degree or higher in a health-related field Active Registered Nurse license or certification as a Case Manager 3 years of clinical experience or any combination of education and experience Knowledge of care management assessment technique, provider community, and community resources Proficiency with computer platforms and applications including word processing, spreadsheet, and database applications Strong verbal and written communication skills Highly organized Proven problem-solving skills Desired Skills 1 year of experience in home health/discharge planning

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You can find thousands of healthcare management jobs here on the ADVANCE job board. We have all different types of upper-level positions, ranging from case managers to IT project leaders to C-suite executives. There are so many directions that healthcare management careers can go in, and we want to make sure you don’t miss out on any of the opportunities that are available to you.

Whether you’re a seasoned executive looking to take the next step in your career or you’re a professional just exploring healthcare management jobs for the very first time, we have you covered. Our job board is easy to use and contains everything you need to discover openings that match your experience level. Because we have so many healthcare management jobs to browse through, you can choose to specialize in a particular field, like nursing for example, or hunt down positions with a broader scope. It all depends on your career goals.

There’s no limit to where you can go when you’re aspiring to be a leader in the healthcare industry. You have thousands of options at your fingertips, and the healthcare management jobs listed here are the best of the best.