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- Chicago, IL

Job description Looking for a Change Agent/Managed Care experience/RN License/Familiar with Provider/Payor side/ Company doubling/Rapid Growth/ Medicaid & Fostercare ProductReporting to the Plan President, the VP Medical Management will perform duties to direct and coordinate the medical management, quality improvement and credentialing functions for the assigned health plan based on, and in support of the company’s strategic plan; establishing the strategic vision and attendant policies....


Our firm is in search of a Medical Director for a corporate clinic in the Seaford/ Millsboro DE region. To be considered you should be Board Certified or Board Eligible Family Practice or Emergency Room Physician as approved by the ABMS. This position involves working with patients ages 2 and up, so you must have experience with Peds. This site provides services for Primary, Acute and Chronic Disease Care including physicals, immunizations, routine lab work, EKG’s and chronic condition....


Looking for a Registered Nurse Manager, Clinical Operations for our Cardiovascular Operating Room at our Medical Center in Portland, Oregon. What's Great About This Opportunity? ...providing the best care and service to every person, every time. ...ranked among the top 100 companies to work for in Oregon. ...home to two of our award-winning Magnet medical centers ...located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal....

- SEATTLE/TACOMA/Wenatchee, WA

CARE MANAGER II (RN) - SEATTLEINNOVATIVE health plan is known for award winning programs of care. Join a growing team with exceptional leadership!Plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Utilize....

- Milwaukee, WI

Case Manager II - RN Innovative health plan truly values their nurses. This health plan has received numerous awards for their programs of care ! They offer generous benefits and PLENTY of opportunity to grow in your career RN will coordinate continuum of care for select members with complex medical and/or behavioral health conditions to ensure they receive the highest quality most effective care while maintaining cost effectiveness. Activity will include advanced review of admissions through....


Medical Director- Health Plan - OHIO Physicians seeking a purposeful career will appreciate the opportunity to guide and direct the care for the medically underserved population in OH as part of this expanding market. This national organization welcomes your innovative ideas and solutions for closing the gaps in care and quality. Physicians are encouraged to be actively engaged with their patient population and their physician peers in the community. Incredible opportunities for career....


Operations Director | Government Liaison - Health Plan Open due to promotion, this multi-faceted role will interface with external and internal stakeholders to maximize outcomes, quality, and profitability for national health insurer. Exceptional boss - strong growth potential. Director is responsible for the oversight of the many moving parts of enrollment, claims, and all other essential administrative components, with a focus on continuous improvement of operational efficiency as well as....


....SVP of Health Services (RN) | Executive Leader - Health Plan - Chicago HIGHLY VISIBLE opportunity working closely with the CEO. GENEROUS RELOCATION - strong analytics support- collaborative team! You will establish the strategic vision for this plan, directing and coordinating the medical management, clinical services, and quality improvement and credentialing functions across the IL market. - Team - building and collaboration with internal and external constituents will be key. -....


Director, Medical Management Operations - TempeRapidly expanding market - national healthcare enterprise!Innovative, process- driven leader will be called on to lead Medical Management process improvement initiatives to reduce medical costs, reduce administrative costs, and improve member quality. Assist Medical Management clinical leadership team to establish baseline and target metrics for key business/functional processes Develop and analyze reports across multiple systems to analyze key....


...VP Health Services | Medical Management (RN) - KANSAS Exceptional analytic support – unlimited career growth .....Reporting to the CEO, experienced clinical leader will establish the strategic vision and drive initiatives around programs of care management and quality. Collaborative participation with the exceptional leadership team in this market is a strong platform for success. Established business and new product are rolling out in KS. Direct and coordinate activities of department and....

- Coeur d Alene, ID

TOURIST RESORT AREA - COEUR D'ALENE, IDAHO LIVE AND WORK IN BEAUTIFUL NORTH IDAHO / EASTERN WASHINGTON STATE. LEAVE THE CITY TRAFFIC, HIGH CRIME AND POLLUTION! IN NORTH IDAHO, IT'S ALL ABOUT LIFESTYLE: Fresh air, little traffic, low crime, family friendly, fabulous pristine landscapes, unlimited outdoor recreation and a wonderful 4-season climate. ---------------------------------------------------------REGISTERED NURSE / RN / PSYCHIATRIC NURSE Experience highly preferred working in a mental....


LIVE AND WORK IN BEAUTIFUL NORTH IDAHO / COEUR D'ALENE, IDAHO TOURIST RESORTLEAVE THE CITY TRAFFIC, HIGH CRIME AND POLLUTION! IN NORTH IDAHO, IT'S ALL ABOUT LIFESTYLE: Fresh air, little traffic, low crime, family friendly, fabulous pristine landscapes, unlimited outdoor recreation and a wonderful 4-season climate. --------------------------------------------------------- NURSE PRACTITIONER or PHYSICIAN ASSISTANT- with PSYCHIATRIC EXPERIENCE and Idaho or compact state License - Relevant Psych....


UP TO $10,000 SIGN-ON BONUS!! GET OUT OF THE CITY MESS AND COME TO BEAUTIFUL IDAHO!! IT'S ALL ABOUT LIFESTYLE. Famous for its pristine landscapes of wild mountains, rolling hills and spring water lakes as well as for its magnificent four-season climate, northern Idaho is a paradise for both summer and winter sports of every kind. It is known for its quality of life, fresh air, friendly people, low cost of living and, yes, WILDLIFE IN YOUR BACKYARD. Numerous National Parks and Recreation Areas....

- Coeur d'Alene, ID

! SIGN-ON BONUS AND RELOCATION PAID. UP TO 6 WEEKS PTO ! ! GET OUT OF THE CITY TRAFFIC AND SMOG. COME TO BEAUTIFUL IDAHO ! IT'S ALL ABOUT LIFESTYLE: Fresh air, little traffic, low crime, family friendly, fabulous pristine landscapes and a wonderful 4-season climate. Laid-back, cozy community in the mountains of North Idaho, in the midst of white water rafting, miles of hiking trails, resort ski areas and clear water lakes and streams, all within one hour's drive of a large city and major urban

- Coeur d Alene, ID

LIVE AND WORK IN BEAUTIFUL NORTH IDAHO / COEUR D'ALENE, IDAHO AREALEAVE THE CITY TRAFFIC, HIGH CRIME AND POLLUTION! IN NORTH IDAHO, IT'S ALL ABOUT LIFESTYLE: Fresh air, little traffic, low crime, family friendly, fabulous pristine landscapes and a wonderful 4-season climate. ---------------------------------------------------------NURSE PRACTITIONER - with PSYCHIATRIC EXPERIENCE This FULL TIME position is based in an Oupatient Clinic which is part of a 50-bed Retional Medical Center in North....

- Coeur d Alene, ID

Magnificent setting in Northwest US, northern Idaho is a paradise for both summer and winter sports and is known for its quality of life, fresh air, friendly people and low cost of living. A number of national recreation areas as well as national and state parks are nearby. The city is within easy access of several colleges and universities which host a wide variety of year-long academic and cultural activities. This is a well established, highly reputable medical reference lab, independent....

- Coeur d Alene, ID

! SIGN-ON BONUS AND RELOCATION PAID. UP TO 5 WEEKS PTO ! ! GET OUT OF THE CITY TRAFFIC AND SMOG. COME TO BEAUTIFUL IDAHO ! IT'S ALL ABOUT LIFESTYLE: Fresh air, little traffic, low crime, family friendly, fabulous pristine landscapes and a wonderful 4-season climate. Laid-back, cozy community in the mountains of North Idaho, in the midst of white water rafting, miles of hiking trails, resort ski areas and clear water lakes and streams, all within one hour's drive of a large city and major urban


! SIGN-ON BONUS AND RELOCATION PAID. UP TO 6 WEEKS PTO ! ! GET OUT OF THE CITY TRAFFIC AND SMOG. COME TO BEAUTIFUL NORTH IDAHO, NEAR FAMOUS COEUR D'ALENE ! IT'S ALL ABOUT LIFESTYLE: Rural Living at its Best = Fresh air, little traffic, low crime, family friendly, fabulous pristine landscapes and a wonderful 4-season climate. Laid-back, cozy community in the mountains of North Idaho, in the midst of white water rafting, miles of hiking trails, resort ski areas and clear water lakes and streams,


Are you a BC MD or DO BC by an Approved ABMS Board certification by the American Board of Pediatrics, Primary Care and/or Family Medicine . Current state medical license without restrictions. This is and outstanding opportunity for someone who is interested in working a Utilization Review role in the Atlanta region. It is a plus if you have Medical Director experience or even experience working with a health plan company. To be considered you should have: * experience working with medicare and

- Norwich, NY

Nurse Practitioner or Physician Assistant opportunity at a primary care practice located in a picturesque community in affordable upstate New York. Join a financially stable healthcare organization affiliated with a teaching hospital and enjoy top benefits and competitive compensation! Relocation assistance and other perks! Requirements: Certification as an NP or PA, with NY license or eligible. Two years’ experience minimum. Ability to work independently. Please email resume and the best....

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