18 Managed Care jobs in Johnston, Rhode Island, United States

Johnston, Rhode Island, US (Hybrid)

$100–150K / year

About the Role We are currently seeking a highly motivated Manager, Care Management to support our Health Services Outpatient Care Management team at…

United States (Remote)

Molina Healthcare is hiring a remote RN Care Manager.

United States (Remote)

$150–180K / year

Director, Clinical Operations — Transitions of Care Our client is building a post-discharge service line for Medicare Advantage, Medicaid, and Exchange members.

United States (Remote)

$66.6–142.6K / year

Job Title: Case Manager, Registered Nurse (Remote) Job Location: Work at Home, New York, United States Job Location Type: Remote Job Contract Type:…

United States (Remote)

$65–85K / year

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

$120–155K / year

Job Description A bit more about this role: This position represents an amazing opportunity for a nurse practitioner or physician assistant with…

United States (Remote)

$122.7–202.9K / year

Position: Travel Nurse Practitioner The Monogram Advanced Practice Provider is a Nurse Practitioner is a critical role that provides access to…

United States (Remote)

Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit…

United States (Remote)

$75.3–135.4K / year

Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members.

United States (Remote)

$90K / year

As a registered nurse with an Illinois nursing license, you will work remotely to enhance the quality of member management, maximize both…

United States (Remote)

$62.7–97.2K / year

Company : Highmark Inc.

United States (Remote)

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

$82–87K / year

The Clinical Compliance Auditor II is responsible for ensuring Guidehealth’s clinical operations, utilization management activities, and delegated…

United States (Remote)

JOB DESCRIPTION Job Summary Provides senior level clinical support to quality team - contributing to quality management programs, initiatives,…

United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.

United States (Remote)

Welcome! We’re excited you’re considering an opportunity with us!

United States (Remote)

Welcome! We’re excited you’re considering an opportunity with us!