Care Management Support Assistant Humana IncCare Management Support AssistantVARemote$39,000–$49,400 / yearTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. Ensures the timely and correct submission of Commonwealth-required deliverables, research alternative contact information for hard-to-search members, contact members to engage them in our care management programs, and support inbound call escalations.
Senior Analyst - Onsite Inventory Management ConnexFMSenior Analyst - Onsite Inventory ManagementMaryland, MD$63,800–$80,000 / yearInventory Management is accountable for the design and execution of demand planning and customer forecasting systems, supply planning, product deployment and expediting processes and the development and implementation of a stocking optimization model to minimize costs and inventory while delivering on service requirements. Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a distributor of pharmaceuticals, a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities.
Director Case Management MedStar HealthDirector Case ManagementColumbia, MD$120,702–$238,222 / yearOversees and ensures the timely execution of Case Management activities related to Enrollee Discharge Planning Transitions of Care special benefit operations (for example transportation and personal care services) Behavioral Health Case Management and Special Population Services (for example unhoused enrollees and pediatric case management).Establishes and maintains a monitored reporting cadence (for example reports and dashboards) for enrollees in case management that include annual assessments critical incidents special populations behavioral health and transitions of care coordination efforts. The Director ensures adherence of case management programs across markets while addressing unique state-specific regulatory and population needs partners closely with Utilization Management Pharmacy Quality Population Health Equity and Provider Relations to drive enterprise clinical performance.
Informatics Change Management Lead Gritter FranconaInformatics Change Management LeadWashington, DCOHI is further responsible for ensuring the success of the modernized VA EHR, Oracle Health Millennium/Cerner through continuous exploration, integration, deployment and release on demand of Integrated Health Technology (IHT) solutions. VHA supports and provides medical care for VA’s eligible beneficiaries through the VA health program, which includes VA Medical Centers (VAMCs) and contracted health care networks.
NewRN Case Management Rehab Unit HCA Healthcare IncRN Case Management Rehab UnitReston, VA$37.63–$52.68 / hourYour responsibilities will include: Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences Developing and implementing individualized treatment plans that reflect the patient's strengths, needs, and personal recovery goals Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care Promoting HCA Healthcare's values of compassion, respect, and excellence through every patient and family interaction What qualifications you will need: Basic Cardiac Life Support must be obtained within 30 days of employment start date(RN) Registered NurseAssociate Degreeat least 1 year of experience in Rehab prefer previous experience in case management Benefits Reston Hospital Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC Senior Vice President and Chief Nurse Executive HCA HealthcareReston Hospital Center has provided quality healthcare services since 1986.
Director Utilization Management MedStar Family Choice MedStar Health Research InstituteDirector Utilization Management MedStar Family ChoiceWashington, DC$120,702–$238,222 / yearMaster's degree Master's degree in Nursing (MSN) Public Health (MPH) Healthcare Administration (MHA) Business Administration (MBA) or related field preferred. The Director of Utilization Management (UM) provides strategic and operational leadership for the health plan's centralized utilization management function across both plans.
Health Information Management (HIM) Analyst – Epic HIM / Solventum / Payor Platform InterscriptsHealth Information Management (HIM) Analyst – Epic HIM / Solventum / Payor PlatformChantilly, VirginiaThe ideal candidate will possess strong knowledge of health information management processes, medical records management, coding workflows, regulatory compliance, and healthcare technology systems. We are seeking a detail-oriented Health Information Management (HIM) Analyst with experience supporting HIM operations, Solventum (formerly 3M Health Information Systems), and healthcare payor platform workflows.
Change Management III Prometheus Federal ServicesChange Management IIIFairfax, VAFull timeLead change management assessments and support the development of change management strategies drawing on structured change methodologies (e.g., ADKAR) to guide transformation initiatives. Essential Duties & Responsibilities Drive successful adoption of new technologies, workflows, tools, and policies by designing and executing change management strategies that maximize user engagement.
NewManagement Analyst U.S. Department of Veterans AffairsManagement AnalystWashington, DC$62,629–$81,423 / yearExamples of specialized experience would typically include, but are not limited to: Knowledge and understanding of health services administration principles, including long-term care concepts, organizational behavior, financial management, and the application of statistical methods to support decision-making; Knowledge of VA policies and procedures related to VA mission, goals, and the operations of Geriatrics and Extended Care (GEC) programs; Knowledge of budgeting concepts and procedures, including and understanding of principles of cost benefit analysis to analyze the effect of programs or organizational changes on GEC and medical center costs, fund control points and time and leave costing; Oral and written communication skills for preparing status reports, policies, memorandums, and for maintaining positive and effective interactions with all services involved in extended care operations; Knowledge of Total Quality Improvement/Quality Management principles in healthcare and the ability to assist with data entry and analysis of TQI metrics within the department; and Ability to identify, analyze, and resolve problems using sound judgement and effective conflict-resolution strategies. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidates abilities; and assist a hiring manager with making a final selection for a position.
NewInventory Management Specialist U.S. Department of Veterans AffairsInventory Management SpecialistWashington, DC$52,559–$83,582 / yearSecond consideration: Career transition (CTAP, ICTAP, RPL) Federal employees - Competitive service, Federal employees - Excepted service, Individuals with disabilities, Internal to an agency - appears on USAJOBS, Land & base management, Military spouses, Peace Corps & AmeriCorps Vista, Special authorities, Veterans. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidates abilities; and assist a hiring manager with making a final selection for a position.
Management Analyst (Primary Care) U.S. Department of Veterans AffairsManagement Analyst (Primary Care)Washington, DC$61,722–$80,243 / yearThe Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidates abilities; and assist a hiring manager with making a final selection for a position. Monitors PACT team populations, maintains patient population within each PACT team including attrition (removing patients from PACT teams due to death, transfer, or no activity) and assignment (based on patient request, gender, morbidity, location, or other population).
Director - Enterprise Risk Management Virginia Commonwealth University HealthDirector - Enterprise Risk ManagementVAThe Director of Enterprise Risk Management is responsible for directing the VCU Health System Enterprise Risk Management (ERM) Program, including the design, implementation and oversight of the organization''s enterprise risk management framework. Leads the development and documentation of the ERM Program, including enterprise risk framework and enterprise risk appetite/framework/tolerance in collaboration with Senior Leadership.
Director Nursing Workforce Management MedStar Health Research InstituteDirector Nursing Workforce ManagementColumbia, MD$120,702–$238,222 / yearReporting to the system Senior Director of Workforce Management Solutions the Director of Nursing Workforce Management supervises associates and the daily operations of the nursing and other clinical workforce and resources utilization in accordance with established policies and procedures to ensure appropriate staffing levels are met for clinical and support staff on various Patient Care Units across the MedStar Health entities. Collaborates with leaders in other departments to create efficient systems and problem solve ongoing issues that impact departmental/hospital goals and patient care delivery as well as optimizes and enhances outcomes as they pertain to areas of direct responsibility.
NewCare Management Analyst - Work at Home CVS Health CorpCare Management Analyst - Work at HomeVA$18.50–$35.29 / hourThe Care Management Associate (CMA) role supports comprehensive coordination of medical services including Care Team intake, screening and supporting the implementation of care plans to promote effective utilization of healthcare services. Screens patients using targeted intervention business rules and processes to identify needed medical services, make appropriate referrals to medical ser‐vices staff and coordinate the required services in accordance with the benefit plan.
NewProject Management Analyst IQVIAProject Management AnalystColumbia, MarylandIQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. Job Summary: Support the planning, coordination, and delivery of non-complex projects by helping maintain scope, schedules, and success metrics.
NewAssociate Director, Regulatory Data Management & Intelligence ModernaTXAssociate Director, Regulatory Data Management & IntelligenceBethesda, MassachusettsThe Associate Director will establish enterprise data governance, define business capabilities, and partner closely with Regulatory Affairs, Regulatory Operations, CMC, Labeling, Quality, Enterprise Data, Digital, and external technology partners to continuously improve regulatory business processes, regulatory data quality, and enterprise technology capabilities. We are proud to have been recognized as a Science Magazine Top Biopharma Employer, a Fast Company Best Workplace for Innovators, and a Great Place to Work in the U.S. If you want to make a difference and join a team that is changing the future of medicine, we invite you to visit modernatx.com/careers to learn more about our current opportunities.
NewCase Management Assistant MedStar Health Research InstituteCase Management AssistantOlney, MD$18.70–$32.72 / hourAssists in the administration of Case Management functions to include, but not limited to follow-up with third party payers for the appeal status, assists with arranging the patient transportation, delivers Medicare Important Message letters, and other duties to assist the Case Management team. Under the direction of the Director of Patient Care Transitions, performs multiple activities that support the movement and transitions of patients out of the inpatient hospital setting.
Test Data Management Advisor Senior Elevance Health IncTest Data Management Advisor SeniorHanover, MD$139,545.12–$140,545.12 / yearThe Test Data Management Advisor Senior is responsible for conducting technical and project leadership of Data Management development projects, delivering functionality supporting test data reuse, reduction of production systems data usage, and storage of data for decommissioned systems. How You Will Make an Impact: Lead and oversee technical projects implementing test data management and use of the Enterprise Data Management Tool, including Archiving, Test Data Management and Decommissioning.
Manager Case Management (Registered Nurse or Social Worker) Inova Health SystemManager Case Management (Registered Nurse or Social Worker)Falls Church, VAThe new Magnet designation is in addition to several other prestigious recognitions which include: a five star rating from the Centers for Medicare and Medicaid Services (CMS), being named by IBM Watson Health as one the nation''s highest performing hospitals, and among the top 10 Major Teaching Hospitals, an A for Patient Safety by The Leapfrog Group, the #1 hospital in the DC metro area by U.S. News & World Reports, and being nationally ranked in gynecologic care. Must have one of the following: Accredited Case Manager (ACM) or Certified Case Manager (CCM), or MCG/UR or, Certified Clinical Transplant Social Worker (CCTSW) pr N/ASW-CM (ASWCM) or licensed as a Social Worker (LCSW) in Virginia or eligible to practice on the Commonwealth of Virginia as a Social Worker within 12 months of hire.
Director, Revenue Cycle Management-Suburban Hospital Johns Hopkins HospitalDirector, Revenue Cycle Management-Suburban HospitalBethesda, MDJHHS is an academically based health system consisting of: The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Johns Hopkins Howard County Medical Center, Suburban Hospital, Sibley Memorial Hospital, The Johns Hopkins All Children's Health System, Johns Hopkins Community Physicians, The Johns Hopkins Medical Services Corporation and Johns Hopkins Medical Management Corporation. The Director of Revenue Cycle Site Operations is an accomplished revenue cycle expert, who will undertake a key leadership role supporting all front-end and back office revenue cycle processes which enable JHHS to achieve its overall strategic and financial goals.