Clinical Health Manager

Job Summary:The Clinical Operations Lead LPN is responsible for overseeing the clinical staff and ensuring efficient and optimal patient care delivery in the practice. This role requires strong leadership skills and the ability to maintain high standards of clinical practice and infection control.Key Responsibilities:Maintain high standards of clinical...

Job Summary:Acadia Healthcare is seeking a skilled Clinical Case Manager to join our team. As a key member of our behavioral health team, you will be responsible for managing client cases with a solid background of clinical knowledge and expertise.Key Responsibilities:Provide case management and care coordination services for clients in the...

Care Delivery and CoordinationAt Acadia Healthcare, we seek a skilled Clinical Case Manager to join our team in managing client cases with clinical knowledge and expertise. This role may also involve providing therapeutic services to clients.Key Responsibilities:Provide care coordination services for clients in our facility.Responsible for coordinating...

Job SummaryCarelon Global Solutions, a managed service delivery organization, is seeking a Clinical Nurse Reviewer to join their team. As a key member of the Elevance Health family of companies, this role will play a critical part in providing information technology and business operations services for health plans.Key ResponsibilitiesConduct...

About the JobAbarca Health is seeking a highly skilled Office Experience Manager to lead our physical offices and ensure seamless operations. In this role, you will oversee all aspects of office management, including purchasing, facilities maintenance, employee satisfaction, and administrative support.Key Responsibilities:Manage general office functions,...

Job SummaryCardinal Health is seeking a skilled Pharmacist II to join our team. As a key member of our healthcare team, the successful candidate will be responsible for providing clinical expertise in pharmacy services, ensuring the highest quality care for our patients. ResponsibilitiesReview electronic medical records and prescriptions to ensure accuracy,...

Company OverviewAbarca Health is a leading healthcare technology company that is revolutionizing the pharmacy benefits industry with its innovative solutions.We are seeking a highly skilled Data Insights Analyst to join our team and contribute to our mission of transforming healthcare.Salary: $85,000 - $110,000 per year, depending on experienceJob...

At Savard Group, we are seeking a highly skilled and motivated Health and Safety Manager to oversee and enhance our health, safety, and environmental practices within our manufacturing facilities in San Juan, PR. The ideal candidate will possess in-depth knowledge of local environmental policies and will play a crucial role in ensuring compliance with OSHA...

Care Manager Job SummaryAt Protalents, we are seeking a skilled Care Manager to provide intensive follow-up to members exhibiting behavior or an environment that may predispose them to non-compliance with medical treatment. This role is critical in reducing hospitalizations, costly treatments, and worsening mental health status.Key Responsibilities:- Provide...

Job SummaryWe are seeking a skilled Neonatal Nurse Practitioner to join our team at Advocate Health. This role will provide high-quality patient care and contribute to our mission of delivering exceptional healthcare services.Key ResponsibilitiesProvide clinical care to neonatal patients and their families, including assessment, diagnosis, and treatment...

Job SummaryAs a PBM Account Manager at Abarca Health, you will be responsible for catering to the needs of our clients. You will team up with the Client Success department to ensure that your attention to detail focuses on what's most important: the client's needs.The ideal candidate will have 3+ years of experience as an account manager or related position,...

About Abarca HealthAbarca Health is a revolutionary company that's redefining pharmacy benefits through smarter technology. Our mission is to deliver exceptional healthcare services while ensuring the satisfaction of our clients and beneficiaries.Job SummaryWe're seeking a highly skilled Coverage Determination Team Manager to oversee the Coverage...

Job Title:Clinical Care CoordinatorJob Summary:Fulfill a critical role in our team as a Clinical Care Coordinator at Floral Long Term Care. As a skilled Registered Nurse, you will oversee patient care, ensuring seamless interactions between healthcare professionals and residents.Responsibilities:Develop and maintain patient care plans, collaboratively with...

A career-defining opportunity awaits at Abarca Health, a revolutionary healthcare company reimagining pharmacy benefits. As a seasoned PBM Account Manager, you will be the face of our organization, forging strong relationships with clients and driving business growth.

Our Company OverviewAt Protalents, we are committed to diversity and inclusion. We strive to create an equal opportunity work environment and take affirmative action for women, minorities, veterans, and individuals with disabilities.">About the RoleThis Clinical Social Worker Leader position is responsible for providing intensive follow-up to members who may...

Abarca Health is igniting a revolution in healthcare by redefining pharmacy benefits with smarter technology.Making healthcare awesome is key to everything we do, and our Strategy to Execution team helps us reach those heights through service design, project, and process improvement, as well as strategy planning.The Project Management and Process Improvement...

OverviewUnitedHealth Group, a global leader in healthcare, empowers individuals to live healthier lives by connecting people with care, pharmacy benefits, data, and resources. As a Clinical Investigation Analyst RN, you will play a vital role in improving health outcomes by analyzing medical records and identifying opportunities for cost savings.This...

About the RoleWe are seeking a skilled Healthcare Utilization Specialist to join our team at Elevance Health. This is an exciting opportunity for a motivated and detail-oriented individual to work in a dynamic environment.Job SummaryThe Healthcare Utilization Specialist will be responsible for conducting preauthorization reviews for diagnostic imaging...

About This RoleElevance Health seeks a skilled Nurse Reviewer I to join our team. In this role, you will be responsible for conducting preauthorization, out of network, and appropriateness of treatment reviews for diagnostic imaging services.Key ResponsibilitiesConduct initial medical necessity clinical screening and determine if initial clinical information...

Job OverviewAbarca Health is seeking an experienced leader to join our team as a Medicare Part D Operations Team Manager. This role will lead the day-to-day operational tasks related to Medicare Part D processes, ensuring consistency in quality and alignment with company strategies.Key ResponsibilitiesManage a team responsible for Prescription Drug Event and...