Top Managed Care Executive jobs in Racine, 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
-
Racine, 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
Care Manager II (RN) - Now Hiring
- Managed Health Services WI
-
Kansasville, WI
FULL_TIME
- You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offeri...
- 8 Days Ago
General Laborer
- Top Choice Rentals
-
Kenosha, WI
FULL_TIME,PART_TIME,TEMPORARY
- Will be responsible for but not limited to washing and installing tents, washing tables and chairs and setting them up, loading trucks, making deliveries of various other rental items and organizing w...
- Just Posted
Physical Therapist
- Tree Top Staffing LLC
-
Pleasant Prairie, WI
FULL_TIME
- We are seeking a Physical Therapist to serve as a trusted ally on patients’ journey toward restoring motion and optimizing their functional abilities. Your role will be vital in maximizing their quali...
- 10 Days Ago
Top CDL A Flatbed Drivers Make
- System Transport
-
Island Lake, IL
FULL_TIME
- NEW INDUSTRY-LEADING PAY PACKAGESYou spoke. We listened. Right now, earn MORE with our NEW Industry-Leading Pay Packages for both Regional and OTR Routes when you drive for System Transport as a CDL-A...
- 27 Days Ago
Front Desk Agent
- Best Western Executive Inn- Kenosha
-
Kenosha, WI
FULL_TIME
- Our job opportunity: Position: Front Desk Agent Hotel name: Best Western Executive Inn Address: 7220 122nd ave, Kenosha WI 53142 Hours: 2pm- 10pm Quarterly Bonus What you get to do in this role: Repre...
- Just Posted
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0 Top Managed Care Executive jobs found in Racine, WI area
Associate Manager, Project Management Products
- S.C. Johnson & Son, Inc.
-
Racine, WI
- SC JOHNSON IS A FIFTH-GENERATION FAMILY COMPANY BUILT ON THE SPIRIT OF OUR PEOPLE. We have been leading with purpose for...
- 4/26/2024 12:00:00 AM
RN/LPN - Registered Nurse / Licensed Practical Nurse- $8k-$10k Sign-On Bonus
- Hiring Now!
-
Somers, WI
- Are you looking to find personal and professional fulfillment, and align your career with your values? At Gateway Founda...
- 4/26/2024 12:00:00 AM
Caregiver (PRN)
- Capri Communities LLC
-
Kenosha, WI
- ** Caregiver (PRN)** ** St Catherine Commons (SCC) Casa del Mare** **** **SUMMARY** The Caregiver (PRN) provides persona...
- 4/26/2024 12:00:00 AM
Caregiver (PRN)
- St Catherine Commons (SCC) - Casa del Mare
-
Kenosha, WI
- Position Details Employment Status: PRN What's in it for you? Flexible hours Get paid now with Pay Active Opportunity to...
- 4/25/2024 12:00:00 AM
Manager, Cloud Platform Engineering
- S. C. Johnson & Son Inc.
-
Racine, WI
- Racine, WisconsinCategory: Engineering, IT, Research and Development Job ID: 26408SC JOHNSON IS A FIFTH-GENERATION FAMIL...
- 4/24/2024 12:00:00 AM
Caregiver
- Killarney Kourt
-
Sturtevant, WI
- What's in it for you? Flexible hours Get paid now with Pay Active Opportunity to help and support an older generation A ...
- 4/22/2024 12:00:00 AM
Assistant Tech Designer, Innerwear
- Jockey
-
Kenosha, WI
- At Jockey, caring is our responsibility. It's the fabric of who we are and drives everything we do. It drives us to list...
- 4/22/2024 12:00:00 AM
Assistant Tech Designer, Innerwear
- Jockey International, Inc.
-
Kenosha, WI
- At Jockey, caring is our responsibility. It's the fabric of who we are and drives everything we do. It drives us to list...
- 4/22/2024 12:00:00 AM
About Racine, Wisconsin
Racine (/rəˈsiːn/ rə-SEEN) is a city in and the county seat of Racine County, Wisconsin, United States. It is located on the shore of Lake Michigan at the mouth of the Root River. Racine is located 22 miles south of Milwaukee. As of the 2010 U.S. census, the city had a population of 78,860, making it the fifth-largest city in Wisconsin. Its median home price of $103,625 makes it one of the most affordable cities in Wisconsin to buy a home. In January 2017, it was rated "the most affordable place to live in the world" by the Demographia International Housing Affordability survey.
Racine is th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Managed Care Executive jobs
$205,585 to $364,737
Racine, Wisconsin area prices
were up 1.8% from a year ago
were up 1.8% from a year ago
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