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Full-Time

JOB SUMMARY Responsible for the supervision and coordination of care management staff, including intensive care management staff, providing expertise in designated programs. ESSENTIAL FUNCTIONS Assists clinical management in the development and on-going m...

San Diego, CA

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Full-Time

This position is a frontline service position providing assistance to Magellan’s members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorizati...

Harrisburg, PA

Full-Time

Must hold a California license at the independent practice level Job Summary This position has the primary responsibility of providing the full breadth of Child and Youth Behavioral (CYB) counseling services to children of all ages of military service mem...

Travis Air Force Base, CA

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Full-Time

Provides direct support to organizations and their employees through the delivery of assessment, consultation, education and triage services. Uses knowledge of federal regulations to assist organizations in their appropriate handling of employee concerns...

Maryland Heights, MO

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Full-Time

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilizat...

San Diego, CA

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Full-Time

Provides care coordination to members with behavioral health conditions identified and assessed as requiring interventions and oversight including multiple clinical, social and community resources. This role promotes the appropriate use of clinical and fi...

Columbia, MD

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Full-Time

Independently coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties performed are either...

Danville, PA

Full-Time

Independently coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Essential Functions - Provid...

Santa Fe, NM

1w
1 week ago

Full-Time

JOB SUMMARY Locates services for patients with the goal of supporting the coordination of care such that members are able to access care in a timely manner and to remain in the least restrictive level of care appropriate to their functioning. Facilitates...

Alpharetta, GA

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Full-Time

The ideal candidate will have 0-1 years quality improvement experience, preferably in healthcare. Strong working knowledge of Excel, SPSS and SQL highly desirable. Provides data collection, data management, data analysis and reporting, and decision manage...

Newtown, PA

Full-Time

Responsible for the implementation and support of all activities related to developing and maintaining service provider contracts. Interacts with all areas of the Magellan organization to coordinate network management and network administration responsibi...

Frankfort, KY

Full-Time

Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilizat...

Maryland Heights, MO

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Full-Time

Plays a key role in various multi-functional projects critical to the company in achieving its clinical and operational goals and objectives. Develops, implements and monitors clinical specialty programs in the field. Serves as clinical liaison for assign...

San Francisco, CA

Full-Time

Provides ongoing, community-based support for an assigned caseload of health plan enrollees to improve compliance with recommended health services with the designated health care provider. Conducts telephone and in-person communication with enrollees to a...

Orlando, FL

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Full-Time

This is a ground-floor opportunity to help build a people analytics group, by creating and delivering products that inform and empower decision makers. In this role, you’ll develop and manage a portfolio of Workday reports, from basic to advanced, and res...

Maryland Heights, MO

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Full-Time

***This is a Remote Opportunity*** Responsible for Workday system management and performance optimization. Designs, develops, and maintains system integrations. Plans, schedules, and implements platform upgrades. Configures and administers system security...

Maryland Heights, MO

Full-Time

Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria. ESSENTIAL FUNCTIONS: - Determines appropriateness for medications. Communicates decision to...

Newport, RI

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Full-Time

Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria. ESSENTIAL FUNCTIONS: - Determines appropriateness for medications. Communicates decision to...

Little Rock, AR

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Full-Time

Performs the basic duties of a pharmacy technician. Pulls and labels medication for pharmacist verification. Packs medications appropriately and affixes a shipping label after the order has been verified by a pharmacist. ESSENTIAL FUNCTIONS: - Under the s...

Orlando, FL

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Full-Time

Department Hours, 7 AM to 7 PM, Must be able to work any 8 hour shift within the department hours Starting Salary, $14.00/hour Training Start Date, October 30, 2017 The SBU Provider Services Associate I works on an operations team that strives to provide...

Maryland Heights, MO

Full-Time

This position is regionally/locally based and meets with members to ensure ongoing care coordination services are identified and met using a person-centered approach. Provides communication and education regarding available services and community resource...

Lynchburg, VA

Full-Time

Provides administrative and project management support. May serve as a shared resource to the other departments and assist others with data management. ESSENTIAL FUNCTIONS: - Responds to internal and external requests for information within scope of assig...

Scottsdale, AZ

Full-Time

Serves as liaison between departmental team business owners, end users, IT, Member Services and Membership Enrollment departments. Responds to ad hoc requests for support, reports and analysis. Supports departmental management team by providing trending a...

Glen Allen, VA

Full-Time

Performs research and analysis of Grievances filed by members, customers, and government entities to administer timely resolution within state and federal guidelines, benefit plan guidelines, and company policies and procedures. Maintains a caseload of Gr...

Scottsdale, AZ

Full-Time

General Job Information Title Supervisor, Medical Pharmacy Contact Center Grade 21 Job Family Call_Contact Center_Ph Country United States of America FLSA Status United States of America (Exempt) Recruiting Start Date 9/19/2017 Date Requisition Created 9/...

Orlando, FL

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