Top Managed Care Executive jobs in Rochester, MN
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
-
Nelson, 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
Executive Director
- Timberdale Trace – Assisted Living & Memory Care
-
Owatonna, MN
FULL_TIME
- About the Company: We are a premier senior living retirement community dedicated to creating a welcoming, warm environment for the residents who call our community home. We offer competitive pay, comp...
- 28 Days Ago
Customer Care Executive - Owatonna, MN
- Metronet
-
Owatonna, MN
FULL_TIME
- Love Your Mondays again! Care Account Executive As a Care Account Executive, you will be instrumental in providing quality customer service and superior attention to our Residential customers and the ...
- 6 Days Ago
Delivery Driver at a Top Workplace
- US Med-Equip
-
Rochester, MN
FULL_TIME
- Join our life-saving mission! Become part of a fast-growing healthcare company as a Customer Service Representative - Medical Delivery Driver. CSR – Medical Delivery Driver/Technician Job Description ...
- 1 Day Ago
Top CDL A Flatbed Drivers Make
- System Transport
-
Altura, MN
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
Top CDL A Flatbed Drivers Make
- System Transport
-
Rollingstone, MN
FULL_TIME
- Job DescriptionNEW 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 Trans...
- 27 Days Ago
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0 Top Managed Care Executive jobs found in Rochester, MN area
Full Time Assistant Store Manager - Rochester, MN
- rue
-
Rochester, MN
- Company Description Living Our Values Inclusivity: rue21 embraces all of you. We promote individuality and celebrate our...
- 4/26/2024 12:00:00 AM
Driver - Rochester Public Transit
- Transdev
-
Rochester, MN
- Description Description Type: All Sites. Description Title: . Description Value: Have you considered being a Bus Driver ...
- 4/25/2024 12:00:00 AM
MEP Manager
- Gilbane Building Company
-
Rochester, MN
- Overview Do you consider yourself to be a highly technical, strong communicator with the desire to work in a team enviro...
- 4/24/2024 12:00:00 AM
Medicare Coverage Analyst
- Dana-farber Cancer Institute
-
Rochester, MN
- The work location for this position is full remote with occasional time onsite. The Medicare Coverage Analyst (MCA) is r...
- 4/24/2024 12:00:00 AM
Senior Medicare Coverage Analyst
- Dana-farber Cancer Institute
-
Rochester, MN
- The work location for this position is full remote with occasional time onsite. The Medicare Coverage Analyst (MCA) is r...
- 4/23/2024 12:00:00 AM
Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
- Department Of The Treasury
-
Rochester, MN
- Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
- 4/22/2024 12:00:00 AM
Operations Manager
- Multi-Color Corp
-
Rochester, MN
- Description Build your Career with an Industry Leader Multi-Color Corporation and Fort Dearborn have merged and are now ...
- 4/22/2024 12:00:00 AM
Assistant Store Manager (ASM) Rochester MN
- Holiday Station Stores - Workday
-
Rochester, MN
- Store 2746427: 919 37th Street NW, Rochester, Minnesota 55901 Availability - Shift/Days Flexible Availability This is a ...
- 4/22/2024 12:00:00 AM
About Rochester, Minnesota
Rochester is a city founded in 1854 in the U.S. State of Minnesota and is the county seat of Olmsted County located on the Zumbro River's south fork in Southeast Minnesota. It is Minnesota's third-largest city and the largest city located outside the Minneapolis-St. Paul Metropolitan Statistical Area. As of 2015, the Rochester metropolitan area has a population of 215,884. According to the 2010 United States Census the city has a population of 106,769. The U.S. Census Bureau estimated that the 2017 population was 115,733. It is the home of the Mayo Clinic and an IBM facility, formerly one of t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Managed Care Executive jobs
$211,706 to $375,597
Rochester, Minnesota area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does a Top Managed Care Executive do?
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