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RN, Health Plan Care Manager at Adventist Health
Portland, Oregon, United States - Full Time
Skills Needed
Care Management, Case Management, Utilization Review, Care Planning, Collaboration, Quality Improvement, Patient Flow, Capacity Management, Communication, Preventative Care, Wellness Counseling, Nutritional Counseling, Relationship Management, Data Management, Cost Reduction, Medical Necessity
Specialization
A Bachelor's Degree in Nursing (BSN) is preferred along with nursing experience. A Registered Nurse (RN) licensure in the state of practice is required, and a Certified Case Manager (CCM) certification is preferred.
Experience Required
Minimum 2 year(s)
Associate Caregiver Health RN at Providence Medical Grp.
Walla Walla, Washington, United States - Full Time
Skills Needed
Registered Nurse, Bls, Acute Care, Post Acute Care, Employee Health, Occupational Health, Microsoft Office, Excel, Telephonic Services, Virtual Care, Compliance, Service Level Agreements, Clinical Services, Caregiver Health, Problem Resolution, Customer Service
Specialization
A Washington Registered Nurse License and BLS certification are required upon hire. Candidates should have at least one year of experience as an RN in an acute or post-acute setting.
Agency Recruiter - Healthcare at Designworks Talent
Boston, Massachusetts, United States - Full Time
Skills Needed
Healthcare Recruiting, Client Relationships, Collaboration, Independent Management, Ai Recruiting Technology, Ats, Networking, Clinical Roles, Non Clinical Roles, Administrative Roles, Allied Health, Entrepreneurial Spirit, Knowledge Sharing, Search Strategies, Best Practices, Talent Pooling
Specialization
Candidates should have a proven background in healthcare recruiting and established client relationships. Ideal applicants are agency recruiters who value independence and collaboration.
Experience Required
Minimum 5 year(s)
Account Executive- Healthcare at Hyland Software Inc Canada
, , United States - Full Time
Skills Needed
Account Management, Sales Planning, Customer Relationship Management, Sales Forecasting, Negotiation, Communication, Collaboration, Opportunity Management, Technical Knowledge, Organizational Skills, Self Motivation, Market Trends, Rfp Management, Software Demonstration, Crm Proficiency, Trust Building
Specialization
Candidates should have an Associate's Degree or equivalent experience, along with experience as an Account Manager and knowledge of sales in relevant technology solutions. Strong communication, organizational, and collaboration skills are essential, along with the ability to manage work independently.
Experience Required
Minimum 2 year(s)
Caregiver or Home Health Aide at AdvisaCare
Armada, Michigan, United States - Full Time
Skills Needed
Motivated, Reliable, Personal Care, Good Communication Skills, Integrity, Independent Work, Transportation, Drug Screening, Background Check
Specialization
High school graduate or GED is required. Candidates must have reliable transportation and a valid driver's license.
Healthcare Compliance Officer at CLS Health PLLC
Webster, Texas, United States - Full Time
Skills Needed
Compliance Program Development, Regulatory Compliance, Internal Audits, Risk Assessments, Policy Review, Training And Education, Collaboration, Analytical Skills, Organizational Skills, Communication Skills, Ethical Standards, Corrective Action Planning, Data Retention, Compliance Advisor, Mitigation Strategies, Integrity Promotion
Specialization
A bachelor's degree is required, with an advanced degree preferred. Candidates should have 8+ years of healthcare compliance experience and certifications in Healthcare Compliance and/or Healthcare Privacy Compliance strongly preferred.
Experience Required
Minimum 5 year(s)
Project Manager (Healthcare) at Jobgether
, , United States - Full Time
Skills Needed
Project Management, Agile Methodologies, Business Analysis, Healthcare Data, Stakeholder Management, Problem Solving, Negotiation, Communication, Organizational Skills, Risk Management, It Concepts, Apis, Sql, Bi, Healthcare Systems, Value Based Care
Specialization
Candidates should have 7+ years of project management experience and 3+ years in business analysis. A bachelor's degree in Computer Science, Engineering, or a related field is required, along with experience in Agile tools and knowledge of healthcare systems.
Experience Required
Minimum 5 year(s)
Healthcare Community Liaison at Healthkeeperz
Fayetteville, North Carolina, United States - Full Time
Skills Needed
Healthcare Sales, Marketing, Community Relations, Public Speaking, Relationship Building, Organizational Skills, Self Motivation, Field Work
Specialization
Candidates should have 2+ years of experience in healthcare sales or marketing, preferably in Hospice or HME. A bachelor's degree is preferred, and a valid driver's license is required.
Experience Required
Minimum 2 year(s)
Caregiver or Home Health Aide at ComForCare Home Health Care - NW Pittsburgh
New Castle, Pennsylvania, United States - Full Time
Skills Needed
Daily Activities Assistance, Mobility Assistance, Companionship, Meal Preparation, Transportation, Personal Care
Specialization
A high school diploma or GED is required, along with access to reliable transportation. A passion for serving and helping others is essential, and previous caregiving experience is a plus.
Caregiver or Home Health Aide at ComForCare Home Health Care - NW Pittsburgh
Avalon, Pennsylvania, United States - Full Time
Skills Needed
Daily Activities Assistance, Mobility Assistance, Companionship, Transportation, Meal Preparation, Personal Care
Specialization
Candidates must have a High School Diploma or GED and access to reliable transportation. A passion for serving and helping others is essential, and previous caregiving experience is a plus.
Health Care Manager (Remote) at UPMC
Pittsburgh, Pennsylvania, United States - Full Time
Skills Needed
Care Coordination, Clinical Experience, Communication Skills, Problem Solving, Treatment Planning, Community Resources, Behavioral Health, Documentation, Interpersonal Skills, Case Management, Supervision, Assessment, Crisis Intervention, Training Development, Utilization Review, Quality Management
Specialization
A Master's degree in a human service field or a Licensed Pennsylvania RN with 6-8 years of clinical experience is required. Candidates should have five years of experience in clinical, care coordination, or case management, with knowledge of community resources and best practices in healthcare.
Experience Required
Minimum 5 year(s)
Healthcare Assistant | Casual at Oceania Healthcare (NZ) Limited
Hamilton, Waikato, New Zealand - Full Time
Skills Needed
Compassionate Nature, Empathy, Clear Communication, Collaborative Spirit, Flexibility
Specialization
At least 1 year of experience in caregiving or a similar role is required. Candidates should possess a compassionate nature and flexibility to work across a rotating roster.
Healthcare Virtual Assistant at BruntWork
, Biliran, Philippines - Full Time
Skills Needed
Healthcare Background, Customer Service, English Communication, Tagalog Fluency, Hipaa Compliance, Patient Records, Technology Proficiency, Professional Phone Manner, Empathetic Communication, Attention To Detail
Specialization
Candidates must have a healthcare background and customer service experience, along with strong English and Tagalog communication skills. Knowledge of HIPAA compliance and experience with patient records are also required.
Experience Required
Minimum 2 year(s)
Healthcare Consulting Analyst at VMG Health
Brentwood, New York, United States - Full Time
Skills Needed
Healthcare Consulting, Financial Skills, Client Engagement, Team Collaboration, Client Interaction, Research, Writing, Microsoft Outlook, Microsoft Excel, Microsoft Word, Microsoft Powerpoint, Communication Skills, Problem Solving, Detail Orientation, Learning, Self Starter
Specialization
Candidates must have an MHA, MHSA, or MBA and a genuine interest in consulting for healthcare organizations. A strong desire to develop expertise in planning, finance, or compensation is also required.
Server, Healthcare-Full Time at Bishop Gadsden Episcopal Retirement
Charleston, South Carolina, United States - Full Time
Skills Needed
Food Service, Interpersonal Skills, Communication, Multi Tasking, Customer Service, Compassion, Organization, Attention To Detail, Dietary Needs, Cleaning, Teamwork, Time Management, Problem Solving, Flexibility, Professional Appearance, Elderly Care
Specialization
Candidates should have a high school diploma or equivalent and prior food service experience is preferred. They must be at least 18 years old and possess excellent communication and interpersonal skills.
Business Analyst - Healthcare at Hitachi Solutions
Singapore, , Singapore - Full Time
Skills Needed
Business Analysis, Healthcare Processes, Clinical Workflows, Microsoft Office, Microsoft Dynamics Crm, Power Platform, Agile Practices, Testing, Training, Documentation, Communication, Process Improvement, User Adoption, Stakeholder Management, Application Configuration, Customization, Workflow Management
Specialization
Candidates should have a minimum of two years’ experience as a business analyst or consultant in clinical or hospital management system implementations. A strong understanding of clinical workflows, healthcare processes, and proficiency in Microsoft Office tools is required.
Experience Required
Minimum 2 year(s)
Client Director - Healthcare at ServiceNow
Franklin, Tennessee, United States - Full Time
Skills Needed
Client Management, Executive Relationship Management, Sales Solutions, It Service Management, Hr, Security Operations, Customer Service, It Operations Management, Ai Integration, Team Leadership, Strategic Leadership, Financial Targets, Roadmap Development, Trust Building, Customer Experience, Virtual Teams
Specialization
To be successful, you need 7+ years of experience in client management and 2+ years as a Client Director or equivalent role. Experience in achieving sales targets and leading virtual teams is also essential.
Experience Required
Minimum 5 year(s)
Meewerkstage (mbo) Healthcare at Simac
Veldhoven, North Brabant, Netherlands - Full Time
Skills Needed
Technical Background, Curiosity, Collaboration, Ownership, Autonomy, Expertise, Problem Solving, Sensor Configuration, Technology Impact, Healthcare Knowledge
Specialization
We are looking for an intern with a technical background and a natural curiosity for innovation. You should be able to work well with others and demonstrate ownership of your tasks.
Healthcare Information Clerk at Yakima Neighborhood Health Services
Yakima, Washington, United States - Full Time
Skills Needed
Administrative Skills, Healthcare Administration, Data Entry, Patient Confidentiality, Hipaa Compliance, Medical Records Organization, Communication Skills, Attention To Detail, Time Management, Problem Solving
Specialization
Candidates must have a High School Diploma or GED and previous administrative experience, preferably in healthcare. They must also be able to pass a background check related to the position.
Healthcare Recruiter -REMOTE at InstantServe LLC
, Punjab, India - Full Time
Skills Needed
Healthcare Recruiting, Candidate Screening, Interviewing, Social Media, Job Boards, Relationship Building, Database Management, Communication, Organization, Healthcare Staffing, Negotiation, Trend Awareness
Specialization
Candidates should have at least 1 year of experience in healthcare staffing, particularly for nursing and allied health roles. Strong communication and organizational skills are essential, along with familiarity with staffing platforms.
RN, Health Plan Care Manager at Adventist Health
Portland, Oregon, United States -
Full Time

Start Date

Immediate

Expiry Date

11 Feb, 26

Salary

0.0

Posted On

13 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Care Management, Case Management, Utilization Review, Care Planning, Collaboration, Quality Improvement, Patient Flow, Capacity Management, Communication, Preventative Care, Wellness Counseling, Nutritional Counseling, Relationship Management, Data Management, Cost Reduction, Medical Necessity

Industry

Hospitals and Health Care

Description
Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Manages the development, implementation and evaluation of the cavitation care management service lines. Enhances the quality of member management by promoting continuity of care and cost effectiveness through whole person in-patient and out-patient management, care integration, case management, utilization review and care planning. Job Requirements: Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Nursing experience: Preferred Licenses/Certifications: Certified Case Manager (CCM): Preferred Registered Nurse (RN) licensure in the state of practice: Required Essential Functions: Partners with internal and external physician advisors, as well as claims department and data management and analytics department to provide safeguards, processes and expected outcomes for the Health Plan's member population. Perform and/or coordinate preventative care, wellness, and nutritional counseling to Members. Develops and maintains positive relationships with customers internal and external. Works collaboratively with physicians, staff and service line leadership on quality and performance improvement activities related to optimal utilization of resources, efficient delivery of high quality care, patient flow, capacity management and other clinical cost reduction initiatives. Performs ongoing collaboration with staff to ensure a member's medical condition meets medical necessity criteria. Communicates changes that could affect the discharge plan of care. Manages communication related to discharge planning and utilization management. Performs ongoing collaboration with staff to ensure condition meets medical necessity criteria. Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Responsibilities
The RN, Health Plan Care Manager manages the development, implementation, and evaluation of care management service lines. They enhance member management quality by promoting continuity of care and cost-effectiveness through integrated care management.
RN, Health Plan Care Manager at Adventist Health
Portland, Oregon, United States - Full Time
Skills Needed
Care Management, Case Management, Utilization Review, Care Planning, Collaboration, Quality Improvement, Patient Flow, Capacity Management, Communication, Preventative Care, Wellness Counseling, Nutritional Counseling, Relationship Management, Data Management, Cost Reduction, Medical Necessity
Specialization
A Bachelor's Degree in Nursing (BSN) is preferred along with nursing experience. A Registered Nurse (RN) licensure in the state of practice is required, and a Certified Case Manager (CCM) certification is preferred.
Experience Required
Minimum 2 year(s)
Associate Caregiver Health RN at Providence Medical Grp.
Walla Walla, Washington, United States - Full Time
Skills Needed
Registered Nurse, Bls, Acute Care, Post Acute Care, Employee Health, Occupational Health, Microsoft Office, Excel, Telephonic Services, Virtual Care, Compliance, Service Level Agreements, Clinical Services, Caregiver Health, Problem Resolution, Customer Service
Specialization
A Washington Registered Nurse License and BLS certification are required upon hire. Candidates should have at least one year of experience as an RN in an acute or post-acute setting.
Agency Recruiter - Healthcare at Designworks Talent
Boston, Massachusetts, United States - Full Time
Skills Needed
Healthcare Recruiting, Client Relationships, Collaboration, Independent Management, Ai Recruiting Technology, Ats, Networking, Clinical Roles, Non Clinical Roles, Administrative Roles, Allied Health, Entrepreneurial Spirit, Knowledge Sharing, Search Strategies, Best Practices, Talent Pooling
Specialization
Candidates should have a proven background in healthcare recruiting and established client relationships. Ideal applicants are agency recruiters who value independence and collaboration.
Experience Required
Minimum 5 year(s)
Account Executive- Healthcare at Hyland Software Inc Canada
, , United States - Full Time
Skills Needed
Account Management, Sales Planning, Customer Relationship Management, Sales Forecasting, Negotiation, Communication, Collaboration, Opportunity Management, Technical Knowledge, Organizational Skills, Self Motivation, Market Trends, Rfp Management, Software Demonstration, Crm Proficiency, Trust Building
Specialization
Candidates should have an Associate's Degree or equivalent experience, along with experience as an Account Manager and knowledge of sales in relevant technology solutions. Strong communication, organizational, and collaboration skills are essential, along with the ability to manage work independently.
Experience Required
Minimum 2 year(s)
Caregiver or Home Health Aide at AdvisaCare
Armada, Michigan, United States - Full Time
Skills Needed
Motivated, Reliable, Personal Care, Good Communication Skills, Integrity, Independent Work, Transportation, Drug Screening, Background Check
Specialization
High school graduate or GED is required. Candidates must have reliable transportation and a valid driver's license.
Healthcare Compliance Officer at CLS Health PLLC
Webster, Texas, United States - Full Time
Skills Needed
Compliance Program Development, Regulatory Compliance, Internal Audits, Risk Assessments, Policy Review, Training And Education, Collaboration, Analytical Skills, Organizational Skills, Communication Skills, Ethical Standards, Corrective Action Planning, Data Retention, Compliance Advisor, Mitigation Strategies, Integrity Promotion
Specialization
A bachelor's degree is required, with an advanced degree preferred. Candidates should have 8+ years of healthcare compliance experience and certifications in Healthcare Compliance and/or Healthcare Privacy Compliance strongly preferred.
Experience Required
Minimum 5 year(s)
Project Manager (Healthcare) at Jobgether
, , United States - Full Time
Skills Needed
Project Management, Agile Methodologies, Business Analysis, Healthcare Data, Stakeholder Management, Problem Solving, Negotiation, Communication, Organizational Skills, Risk Management, It Concepts, Apis, Sql, Bi, Healthcare Systems, Value Based Care
Specialization
Candidates should have 7+ years of project management experience and 3+ years in business analysis. A bachelor's degree in Computer Science, Engineering, or a related field is required, along with experience in Agile tools and knowledge of healthcare systems.
Experience Required
Minimum 5 year(s)
Healthcare Community Liaison at Healthkeeperz
Fayetteville, North Carolina, United States - Full Time
Skills Needed
Healthcare Sales, Marketing, Community Relations, Public Speaking, Relationship Building, Organizational Skills, Self Motivation, Field Work
Specialization
Candidates should have 2+ years of experience in healthcare sales or marketing, preferably in Hospice or HME. A bachelor's degree is preferred, and a valid driver's license is required.
Experience Required
Minimum 2 year(s)
Caregiver or Home Health Aide at ComForCare Home Health Care - NW Pittsburgh
New Castle, Pennsylvania, United States - Full Time
Skills Needed
Daily Activities Assistance, Mobility Assistance, Companionship, Meal Preparation, Transportation, Personal Care
Specialization
A high school diploma or GED is required, along with access to reliable transportation. A passion for serving and helping others is essential, and previous caregiving experience is a plus.
Caregiver or Home Health Aide at ComForCare Home Health Care - NW Pittsburgh
Avalon, Pennsylvania, United States - Full Time
Skills Needed
Daily Activities Assistance, Mobility Assistance, Companionship, Transportation, Meal Preparation, Personal Care
Specialization
Candidates must have a High School Diploma or GED and access to reliable transportation. A passion for serving and helping others is essential, and previous caregiving experience is a plus.
Health Care Manager (Remote) at UPMC
Pittsburgh, Pennsylvania, United States - Full Time
Skills Needed
Care Coordination, Clinical Experience, Communication Skills, Problem Solving, Treatment Planning, Community Resources, Behavioral Health, Documentation, Interpersonal Skills, Case Management, Supervision, Assessment, Crisis Intervention, Training Development, Utilization Review, Quality Management
Specialization
A Master's degree in a human service field or a Licensed Pennsylvania RN with 6-8 years of clinical experience is required. Candidates should have five years of experience in clinical, care coordination, or case management, with knowledge of community resources and best practices in healthcare.
Experience Required
Minimum 5 year(s)
Healthcare Assistant | Casual at Oceania Healthcare (NZ) Limited
Hamilton, Waikato, New Zealand - Full Time
Skills Needed
Compassionate Nature, Empathy, Clear Communication, Collaborative Spirit, Flexibility
Specialization
At least 1 year of experience in caregiving or a similar role is required. Candidates should possess a compassionate nature and flexibility to work across a rotating roster.
Healthcare Virtual Assistant at BruntWork
, Biliran, Philippines - Full Time
Skills Needed
Healthcare Background, Customer Service, English Communication, Tagalog Fluency, Hipaa Compliance, Patient Records, Technology Proficiency, Professional Phone Manner, Empathetic Communication, Attention To Detail
Specialization
Candidates must have a healthcare background and customer service experience, along with strong English and Tagalog communication skills. Knowledge of HIPAA compliance and experience with patient records are also required.
Experience Required
Minimum 2 year(s)
Healthcare Consulting Analyst at VMG Health
Brentwood, New York, United States - Full Time
Skills Needed
Healthcare Consulting, Financial Skills, Client Engagement, Team Collaboration, Client Interaction, Research, Writing, Microsoft Outlook, Microsoft Excel, Microsoft Word, Microsoft Powerpoint, Communication Skills, Problem Solving, Detail Orientation, Learning, Self Starter
Specialization
Candidates must have an MHA, MHSA, or MBA and a genuine interest in consulting for healthcare organizations. A strong desire to develop expertise in planning, finance, or compensation is also required.
Server, Healthcare-Full Time at Bishop Gadsden Episcopal Retirement
Charleston, South Carolina, United States - Full Time
Skills Needed
Food Service, Interpersonal Skills, Communication, Multi Tasking, Customer Service, Compassion, Organization, Attention To Detail, Dietary Needs, Cleaning, Teamwork, Time Management, Problem Solving, Flexibility, Professional Appearance, Elderly Care
Specialization
Candidates should have a high school diploma or equivalent and prior food service experience is preferred. They must be at least 18 years old and possess excellent communication and interpersonal skills.
Business Analyst - Healthcare at Hitachi Solutions
Singapore, , Singapore - Full Time
Skills Needed
Business Analysis, Healthcare Processes, Clinical Workflows, Microsoft Office, Microsoft Dynamics Crm, Power Platform, Agile Practices, Testing, Training, Documentation, Communication, Process Improvement, User Adoption, Stakeholder Management, Application Configuration, Customization, Workflow Management
Specialization
Candidates should have a minimum of two years’ experience as a business analyst or consultant in clinical or hospital management system implementations. A strong understanding of clinical workflows, healthcare processes, and proficiency in Microsoft Office tools is required.
Experience Required
Minimum 2 year(s)
Client Director - Healthcare at ServiceNow
Franklin, Tennessee, United States - Full Time
Skills Needed
Client Management, Executive Relationship Management, Sales Solutions, It Service Management, Hr, Security Operations, Customer Service, It Operations Management, Ai Integration, Team Leadership, Strategic Leadership, Financial Targets, Roadmap Development, Trust Building, Customer Experience, Virtual Teams
Specialization
To be successful, you need 7+ years of experience in client management and 2+ years as a Client Director or equivalent role. Experience in achieving sales targets and leading virtual teams is also essential.
Experience Required
Minimum 5 year(s)
Meewerkstage (mbo) Healthcare at Simac
Veldhoven, North Brabant, Netherlands - Full Time
Skills Needed
Technical Background, Curiosity, Collaboration, Ownership, Autonomy, Expertise, Problem Solving, Sensor Configuration, Technology Impact, Healthcare Knowledge
Specialization
We are looking for an intern with a technical background and a natural curiosity for innovation. You should be able to work well with others and demonstrate ownership of your tasks.
Healthcare Information Clerk at Yakima Neighborhood Health Services
Yakima, Washington, United States - Full Time
Skills Needed
Administrative Skills, Healthcare Administration, Data Entry, Patient Confidentiality, Hipaa Compliance, Medical Records Organization, Communication Skills, Attention To Detail, Time Management, Problem Solving
Specialization
Candidates must have a High School Diploma or GED and previous administrative experience, preferably in healthcare. They must also be able to pass a background check related to the position.
Healthcare Recruiter -REMOTE at InstantServe LLC
, Punjab, India - Full Time
Skills Needed
Healthcare Recruiting, Candidate Screening, Interviewing, Social Media, Job Boards, Relationship Building, Database Management, Communication, Organization, Healthcare Staffing, Negotiation, Trend Awareness
Specialization
Candidates should have at least 1 year of experience in healthcare staffing, particularly for nursing and allied health roles. Strong communication and organizational skills are essential, along with familiarity with staffing platforms.