Top Managed Care Executive jobs in Green Bay, WI
Top Managed Care Executive plans and directs all aspects of an organization's managed care function. Responsible for directing and implementing managed care systems for healthcare facilities. Being a Top Managed Care Executive requires a bachelor's degree. Typically reports to a top management. The Top Managed Care Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. To be a Top Managed Care Executive typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Recently Added Top Managed Care Executive jobs
RN Care Manager
- Managed Health Services Wisconsin
-
Carlton, WI
FULL_TIME
-
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
* We are currently offering a $5,000 sign-on bonus for this position *
** This hybrid remote role requires less than 50% travel in Milwaukee / Appleton area and candidates will have the flexibility to work remotely from their home the remaining time **
Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
• Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
• Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
• Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
• Provide patient and provider education
• Facilitate member access to community based services
• Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan
• Actively participate in integrated team care management rounds
• Identify related risk management quality concerns and report these scenarios to the appropriate resources.
• Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience
• Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
• Direct care to participating network providers
• Perform duties independently, demonstrating advanced understanding of complex care management principles.
• Participate in case management committees and work on special projects related to case management as needed
Education/Experience: Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2 years of clinical nursing experience in a clinical, acute care, or community setting and 1 years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.Licenses/Certifications: Current state’s RN license and a valid driver's license
Pay Range: $66,100.00 - $118,900.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
About the Company:
Managed Health Services Wisconsin
- 1 Month Ago
Vendor Managed Inventory Associate
- VALUE ADDED DISTRIBUTORS, LLC
-
De Pere, WI
FULL_TIME
- Value Added Distributors is looking for a driven, hardworking, and enthusiastic Vendor Managed Inventory (VMI) Associate to join our team in De Pere, WI! This position would mainly be responsible for ...
- 1 Month Ago
Pet Groomer
- Tip Top Grooming Shop
-
Green, WI
FULL_TIME,PART_TIME
- Experienced Pet Groomer needed at Tip Top Grooming Shop in Howard! Looking for a motivated pet groomer who loves to work with animals and knows how to preform grooming services. Must know how to give ...
- 22 Days Ago
Type Change 1
- Top Shelf Holdings
-
Lanse, MI
FULL_TIME
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- 1 Day Ago
Nurse Practitioner
- Top Docs, Inc
-
Rhinelander, WI
CONTRACTOR,PART_TIME
- TGB3 is seeking to contract a Nurse Practitioner (NP) or Physician Assistant (PA-C) to perform Compensation & Pension Exams (C&P) for our military Veterans at various sites through the USA. Length: 12...
- 1 Month Ago
Vendor Managed Inventory (VMI) Delivery Driver
- PTSolutions
-
Green Bay, WI
FULL_TIME
- Job Description: PTSolutions the leading supplier of industrial tools in the Midwest and one of the Top 100 distributors in the United States. With more than 30 locations throughout the country and mo...
- 2 Days Ago
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0 Top Managed Care Executive jobs found in Green Bay, WI area
Supervisory Legal Admin Specialist (Estate & Gift Tax) 12 month register Direct Hire Amended
- Department Of The Treasury
-
Green Bay, WI
- Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYED (SBSE)DIVISION? A description of the business units can be found at: htt...
- 4/26/2024 12:00:00 AM
Legal Admin Specialist (Estate & Gift Tax) (Estate Tax Technical Advisor) (TEMP NTE 1 YR MBE, MBP)
- Department Of The Treasury
-
Green Bay, WI
- Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYED (SBSE)DIVISION? A description of the business units can be found at: htt...
- 4/26/2024 12:00:00 AM
Principal Scientist
- Bausch + Lomb
-
Green Bay, WI
- Bausch + Lomb (NYSE/TSX: BLCO) is a leading global eye health company dedicated to protecting and enhancing the gift of ...
- 4/26/2024 12:00:00 AM
Account Manager - Enterprise Acquisition Sales
- Palo Alto Networks
-
Green Bay, WI
- Our Mission At Palo Alto Networks® everything starts and ends with our mission: Being the cybersecurity partner of choic...
- 4/26/2024 12:00:00 AM
Business Development Executive
- Certified Group
-
Green Bay, WI
- Certified Group is a leading North American provider of laboratory testing, regulatory consulting, and certification & a...
- 4/25/2024 12:00:00 AM
Director of Sales & Brand Growth
- Chick-fil-A
-
Green Bay, WI
- Company Overview CHICK-FIL-A GREEN BAY'S VISION STATEMENT: To positively influence, cultivate, and inspire all. CHICK-FI...
- 4/23/2024 12:00:00 AM
Director of Talent
- Chick-fil-A
-
Green Bay, WI
- Company Overview CHICK-FIL-A GREEN BAY'S VISION STATEMENT: To positively influence, cultivate, and inspire all. CHICK-FI...
- 4/23/2024 12:00:00 AM
Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
- Department Of The Treasury
-
Green Bay, WI
- Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
- 4/22/2024 12:00:00 AM
About Green Bay, Wisconsin
Green Bay is a city in and the county seat of Brown County in the U.S. state of Wisconsin, at the head of Green Bay, a sub-basin of Lake Michigan, at the mouth of the Fox River. It is 581 feet (177 m) above sea level and 112 miles (180 km) north of Milwaukee. The population was 104,057 at the 2010 census. Green Bay is the third-largest city in the state of Wisconsin, after Milwaukee and Madison, and the third-largest city on Lake Michigan's west shore, after Chicago and Milwaukee. Green Bay is home to the National Football League's Green Bay Packers.
Green Bay is the principal city of the Gree...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Managed Care Executive jobs
$201,363 to $357,248
Green Bay, Wisconsin area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
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