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Featured Opportunity

Manager of Care Management

The Manager of Care Management is responsible for managing the day to day operation of the Care Management teams, including hiring, scheduling, coaching, development and evaluation of employee performance. In addition to the day to day responsibilities, the Manager will work in conjunction with the Director of Care Management on a variety of critical tasks including the management of one or more focused clinical initiatives.

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Recent Job Openings

Complex Care Clinicain - Manchester, NH
Description: Job Description The complex care clinician provides care management for the most complex, highest risk members, including those who are homeless, undergoing organ transplantation and with special health care needs. Through the use of assessments, motivational interviewing techniques and evidence based practices the complex care clinician engages with the member and the multidisciplinary team to develop an Individual Care ...
Reference Code: 2012731
Claims Adjudicator - Boston, MA
Description: Job Description Responsible for the accurate and timely processing of claims. Must meet published quality and productivity standards. Also, responsible for simple adjustments to previously processed claims. Key Functions & Responsibilities: Evaluates and processes claims in accordance with company policies and procedures according to productivity and quality standards. Interprets and processes routine and less complex...
Reference Code: 2012733
Care Coordinator - Boston, MA
Description: Job Description Care Coordinator - 30 hours per week Performs telephonic outreach and assessment of identified populations and provides coordination of community resources and support to Members and Providers across the state. Identifies, facilitates, coordinates and advocates for Member access to services that enhance healthcare access and delivery by assisting in the coordination of safety net services that provide for ...
Reference Code: 2012734
Operations Jobs at BMC HealthNet Plan and Well Sense