Jobs at CareNational RSS

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location Location images/datagrid/sortAsc.gif title Job Title images/datagrid/sortAsc.gif salary Salary images/datagrid/sortAsc.gif
Santa Cruz, CA 10389799Pediatric Social Worker $68,000 - $90,000
Pediatric Social Worker (LCSW or ASW or MSW) – Managed Care Santa Cruz, CA (NorthEast Suburb) ** Multiple Positions Open - available in Merced, Salinas, or outside of Santa Cruz ** Social Worker Job Summary: Pediatric Social Worker is ...
Orange, CA 10391563Prior Authorization LVN - Health Plan $26.00 - $34.00 / Hour
Prior Authorizations Nurse (LVN) - Managed Care Orange, CA Your Job Summary: The role of the Prior Authorization Nurse is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application ...
San Jose, CA 10398238Physician (MD or DO) $200,000 - $220,000
Medical Doctor, Complex Care Physician (Extensivist) San Jose, CA (in office / field) ** Requires travel to area medical centers, hospitals, SNFs, and member homes (mileage reimbursed). ** Medical Doctor Job Summary: The Medical Doctor, ...
Cerritos, CA 10419751Credentialing and Administrative Coordinator - Health Plan $21.00 - $22.00 / Hour
Credentialing and Administrative Coordinator - Managed Care Cerritos, CA ** This is a Full-Time, Benefits Available, CONTRACT opportunity, expected to last 6 months, or longer! ** Your Job Summary: The Credentialing and Administrative ...
Orange, CA 10419781Appeals & Grievances Coordinator – Health Plan $19.00 - $25.00 / Hour
Appeals & Grievances Coordinator – Managed Care Orange, CA *** This is a Full-Time, Benefits Available, CONTRACT assignment, expected to last around 5-6 months, or longer! *** Your Job Summary: The Quality Improvement Appeals & ...
Redding, CA 10423192Pharmacy Technician $18.50 - $19.00 / Hour
Pharmacy Technician - Managed Care Redding, CA Pharmacy Technician ​Summary: The Pharmacy Technician is primarily responsible for assisting in administering and maintaining Medicare pharmacy programs in compliance with Medicare Part D guidelines. ...
Santa Barbara, CA 10423609RN Supervisor of Utilization Review $79,000 - $120,000
RN Supervisor of Utilization Review - Managed Care Santa Barbara, CA Supervisor of Utilization Review Nurse Job Summary: Supervisor of Utilization Review / Utilization Management supports the Manager in overseeing the day-to day operations ...
Hesperia, CA 10433155Medical Assistant – Clinic $15.00 - $16.00 / Hour
CONTRACT Medical Assistant – Primary Care Clinic Hesperia, CA *** This is a Full-Time, Benefits Available, CONTRACT position expected to last 2-3 months, or longer *** Your Job Summary: Responsible for assisting clinicians in the examination ...
Oxnard, CA 10436137RN Manager of Case Management $98,000 - $120,00
RN Manager of Case Management - Managed Care Oxnard, CA Manager of Case Management Job Summary: Manager of Case Management provides clinical leadership for all Care Coordination programs by serving as an educator, role model, member advocate, ...
Oxnard, CA 10436164Lead Case Management RN $84,000 - $104,000
Lead Case Management RN – Managed Care Oxnard, CA Case Manager Job Summary: The Case Manager plays an integral part in the coordination of care assessing the member’s condition and providing them the necessary resources, options, and coordination ...
Oxnard, CA 10436221Lead Disease Management RN $84,000 - $104,000
Lead Disease Management RN – Managed Care Oxnard, CA Disease Management Nurse Job Summary: Disease Management Nurse / Health Coach Nurse plays an integral part in monitoring and assessing ongoing member health risks in real time and providing ...
Cerritos, CA 10461778Healthcare Data Specialist $18.00 - $20.00 / Hour
Healthcare Data Support Specialist – Managed Care Cerritos, CA ** This is a Full Time, Benefits Available, CONTRACT opportunity, expected to last around 6 months! ** Data Specialist Job Summary: The Healthcare Data Specialist plays an ...
Orange, CA 10461784Bilingual Customer Service Rep - Health Plan $15.50 - $16.00 / Hour
Customer Service Representative (Outbound Calls) - Managed Care Orange, CA *** This is a Full-Time, Benefits Available, CONTRACT opportunity, expected to last several months, or longer! *** Your Job Summary: Customer Service Representatives ...
Hartford, CT 10319277Field Nurse Practitioner - Health Plan $100,000 - $110,000
Field Nurse Practitioner (NP) - Managed Care Hartford, CT ** Requires travel to Member Homes and other Care Settings - Company Car provided and/or Mileage Reimbursed. ** Your Job Summary: The Nurse Practitioner will serve as the primary ...
Wilmington, DE 8922200RN, BSN Case Manager – Hospital $70,000 - $73,000
RN, BSN Case Manager – Hospital Wilmington, DE Your Job Summary: As a member of the medical management team, the RN Case Manager works with patients, family members and outside providers to deliver intensive, comprehensive case management ...
Tampa, FL 9495179Manager of Utilization Management - Dental Insurance $75,000 - $80,000
RDH Manager of Utilization Management - Managed Dental Care Tampa, FL *** Requires Bachelor of Science in Dental Hygiene (BSDH) degree and Registered Dental Hygienist (RDH) license! *** Your Job Summary: The role of the RN Manager of ...
Orlando, FL 10085759RN Manager of Utilization Management - Health Plan $75,000 - $80,000
RN Manager of Utilization Management - Managed Care Orlando, FL Your Job Summary: The role of the RN Manager of Utilization Management is to promote the quality and cost effectiveness of prior authorization and concurrent review functions. ...
Fort Lauderdale, FL 10097951Director of Quality Improvement Initiatives - Health Plan $120,000 - $140,000
Director of Quality Improvement Initiatives (HEDIS®/STARS/CAHPS) - Managed Care Fort Lauderdale, FL Your Job Summary: The Director of Clinical Quality Improvement Initiatives - Medicare is responsible for strategically developing and coordinating ...
Tampa, FL 10126048RN Director of Case Management - Health Plan $100,000 - $115,000
RN Director of Case Management - Managed Care Tampa, FL Your Job Summary: The Director of Case Management provides clinical leadership for all Health Care Services programs by serving as an educator, role model, member advocate, and change ...
Fort Lauderdale, FL 10233824Provider Network Analyst - TPA $40,000 - $48,000
Provider Network Analyst - Managed Care Fort Lauderdale, FL ​ Job Summary: The Provider Network Analyst supports the research and analyses of new and existing provider networks. They will support the Network Management team as needed. ...
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