Top Managed Care Executive jobs in Wisconsin
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
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 offeri...
- 1 Month Ago
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 offeri...
- 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...
- 9 Days Ago
MANAGED CARE CONTRACT COORD, FCH - MANAGED CARE
- Froedtert Health
-
Menomonee Falls, WI
FULL_TIME
- Discover. Achieve. Succeed. #BeHere Location: US:WI:MENOMONEE FALLS at our WOODLAND PRIME 400 facility. This job is HYBRID.FTE: 1.000000Shift: 1st shift 8 am to 4:30 pm onsite Tuesday and Wednesday th...
- 1 Month Ago
Managed Care Coordinator
- Family Health Center of M
-
Ladysmith, WI
FULL_TIME
- The Managed Care Coordinator completes insurance requirements and provides case management as needed for services performed in various patient seeing settings. The individual obtains and provides insu...
- 13 Days Ago
Top Managed Care Executive jobs at Popular Companies
LPN/RN Wellness Nurse Part Time
- Maplewood Mayflower Place ALF LLC
-
West Yarmouth, MA
- LPN/RN Per Diem Wellness Nurse Reports To: Resident Services Director Summary: The Resident Services Nurse (Licensed Pra...
- 4/26/2024 12:00:00 AM
Senior Manager, PM - Digital Analytics
- Genpact
-
Danbury, CT
- Job description : We are looking for Senior Manager with experience in Digital analytics in pharma / life science, which...
- 4/26/2024 12:00:00 AM
Field Sales and Marketing Representative
- Techtronic Industries - TTI
-
Fairfax, VA
- Field Sales & Marketing Representative - Techtronic Industries, NA (TTI) About Us: TTI (Techtronic Industries) is a fast...
- 4/26/2024 12:00:00 AM
Field Sales and Marketing Representative
- Techtronic Industries - TTI
-
Dale City, VA
- Field Sales & Marketing Representative - Techtronic Industries, NA (TTI) About Us: TTI (Techtronic Industries) is a fast...
- 4/26/2024 12:00:00 AM
Field Sales and Marketing Representative
- Techtronic Industries - TTI
-
Arlington, VA
- Field Sales & Marketing Representative - Techtronic Industries, NA (TTI) About Us: TTI (Techtronic Industries) is a fast...
- 4/26/2024 12:00:00 AM
Sales Account Executive (Entry Level)
- Barton Careers
-
West Palm Beach, FL
- Overview Work hard and grow fast with Barton Associates! For this entry-level position, we’re seeking competitive, caree...
- 4/26/2024 12:00:00 AM
Sr. Manager/Associate Director - Analytics Consulting (CPG, Marketing Analytics)
- Tiger Analytics
-
Jersey City, NJ
- Tiger Analytics is an advanced analytics consulting firm. We are the trusted analytics partner for several Fortune 100 c...
- 4/26/2024 12:00:00 AM
Sr. Manager/Associate Director - Analytics Consulting (CPG, D-Com/Omni-Channel)
- Tiger Analytics
-
Jersey City, NJ
- Tiger Analytics is an advanced analytics consulting firm. We are the trusted analytics partner for several Fortune 100 c...
- 4/26/2024 12:00:00 AM
About Wisconsin
Wisconsin is bordered by the Montreal River; Lake Superior and Michigan to the north; by Lake Michigan to the east; by Illinois to the south; and by Iowa to the southwest and Minnesota to the northwest. A border dispute with Michigan was settled by two cases, both Wisconsin v. Michigan, in 1934 and 1935. The state's boundaries include the Mississippi River and St. Croix River in the west, and the Menominee River in the northeast.
With its location between the Great Lakes and the Mississippi River, Wisconsin is home to a wide variety of geographical features. The state is divided into five dist...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Managed Care Executive jobs
$208,540 to $369,980
Most Popular Cities in Wisconsin for Top Managed Care Executive Jobs
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