Top 2310 Care manager Jobs in Wellington Fl

VBC Account Manager
MyCare Medical —Jupiter, FL
- Spanish
- Microsoft Outlook
- English
Quick Apply
Licensed Practical Nurse (LPN) Care Manager - Medicare Population Health
Asaar Medical —Boca Raton, FL
- $50,000 - $80,000 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse Case Manager, Care Coordination, Bethesda East,FT
Baptist Health South Florida —Boynton Beach, FL
- $73,860.80 - $96,019.04 a year
- Full-time
- Nursing
- RN License
- Hospital
- Wellness program
- Health insurance
Pool Registered Nurse Case Manager, Care Coordination, Bethesda East,Per Diem
Baptist Health South Florida —Boynton Beach, FL
- $47 an hour
- Per diem
- Nursing
- RN License
- Hospital
- Wellness program
- Health insurance
Holocaust Services Geriatric Case manager
Ruth and Norman Rales Jewish Family Services —Boca Raton, FL
- $60,000 a year
- Full-time
- Mid-level
- Geriatrics
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
Care Manager - Multiple Openings in FL (BH, LPN, LVN)
Molina Healthcare —Delray Beach, FL
- $24.00 - $46.81 an hour
- Full-time
- LVN
- Mid-level
- Driver's License
- Health insurance
Social Work Case Manager, Care Coordination, Bethesda West,$10
Baptist Health South Florida —Boynton Beach, FL
- $60,249.48 - $78,324.32 a year
- Master of Social Work
- Hospital
- Adults
- Wellness program
- Health insurance
Care Manager
Palm Beach Care Management —West Palm Beach, FL
- $38 - $40 an hour
- Weekends as needed
- Hybrid work
- Background check
- Master of Social Work
- Skilled nursing facility
- Continuing education credits
- Paid holidays
Quick Apply
12d
Field Care Coordinator
Humana —Boynton Beach, FL
- $53,700 - $72,600 a year
- Full-time
- Microsoft Word
- Spanish
- Nursing
- Paid jury duty
- Paid parental leave
Care Coordinator, Behavioral Health
Health Care District of Palm Beach County —Palm Beach, FL
- Full-time
- BLS Certification
- Mid-level
- Outpatient experience
Care Coordinator
Neuro Behavioral Hospital —West Palm Beach, FL
- Full-time
- Psychiatry
- Addiction Medicine
- Mid-level
Quick Apply
Care Coordination Case Manager
Boys Town South Florida, Inc. —West Palm Beach, FL
- Weekends as needed
- Bilingual
- Clean driving record
- Addiction Medicine
- Health insurance
- Tuition reimbursement
5d
Executive Housekeeper Opening (Palm Beach, FL)
Lily Pond Services —Palm Beach, FL
- $90,000 - $100,000 a year
- Weekends as needed
- English
- Residential
- US work authorization
- Health insurance
- 401(k)
Case Manager - Acute Rehab Unit
Select Medical Rehabilitation - Palm Beach —Lake Worth, FL
- $45 an hour
- 8 hour shift
- Hospital
- Mid-level
- Rehabilitation center
- Dental insurance
- Paid time off
Quick Apply
Manager, Clinical Care Integration
Conviva Senior Primary Care —Jupiter, FL
- $94,900 - $130,500 a year
- Full-time
- Spanish
- Nursing
- LVN
- Paid parental leave
- Paid holidays
3d
Medical Equipment Sales Rep
Crown Medical, Inc. —West Palm Beach, FL
- $83,106 - $114,357 a year
- Full-time
- Driver's License
- Organizational skills
- Communication skills
Quick Apply
Registered Nurse Case Manager, Care Coordination
Bethesda Hospital, Inc. —Boynton Beach, FL
- $73,860.80 - $96,019.04 a year
- Nursing
- RN License
- Hospital
- Wellness program
- Health insurance
Medical Device Rep
Crown Medical, Inc. —Boca Raton, FL
- $82,110 - $113,361 a year
- Full-time
- Driver's License
- Organizational skills
- Communication skills
Quick Apply
Customer Care Manager II
Pulte Home Company, LLC —West Palm Beach, FL
- Full-time
- Construction site
- Computer literacy
- Mid-level
Kidney Care Specialist
Fresenius Medical Care —Lake Worth, FL
- $17 - $25 an hour
- Weekends as needed
- Local
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance

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VBC Account Manager

MyCare Medical -
Jupiter, FL

Quick Apply

Job Details

Qualifications

Customer communication
Microsoft Outlook
Medicare
Healthcare compliance
HEDIS

Full Job Description

VBC Account Manager, Broward, FL Region

POSITION SUMMARY:
MyCare Medical Group is a healthcare organization committed to delivering the highest quality, most cost-effective care to its patients. We are looking for an experienced Account Manager, Provider Relations, who will be responsible for assisting in the communication and dissemination of information to the current community of Affiliate MSO Medicare Advantage providers. This position will be assigned provider accounts in our Broward Market (including but not limited to Broward) to guide, manage, and communicate directly with the Physician Staff and Providers assisting with technical support on topics including but not limited to service, network, MRA & HEDIS compliance Utilization, Claims and Credentialing.

RESPONSIBILITIES:

Owns and manages contractual relationship and performance of assigned in-network Affiliate provider groups.
Serves as primary point of contact for assigned providers.
Evaluates provider performance via Affiliate Provider Dashboard and develops performance actionable plans.
Completes new provider orientation for all applicable product lines to educate on policies and initiatives, resolve issues, and educate staff/providers.
Drives adoption, discussions and utilization of Provider Payor Portals, including Power Bi, Accureports (Rx, Hospital and ER Discharge, Medical Expenses via PMPM views), VIM, Switchboard, Smartlink and others.
Establish consistent and strong relationships with provider groups utilizing an account management approach.
Establish and leads cross-functional communication with internal departments, including but not limited to MRA and HEDIS.
Collaborates with internal cross-functional team to support provider performance and resolve barriers and challenges on a monthly basis.
Drives improvement of provider performance by educating, analyzing, interpreting, communicating utilization and quality metrics. Responsible for developing and executing performance improvement plans.
Has understanding and explains full risk contract reimbursement to providers and management leads cross-functional communication and works with internal support team to resolve provider contractual inquiries.
Plans, prepares, and executes effective group monthly meetings/discussion with proper objectives and expected outcomes with cross-functional communication on internal and external customers.
Maintains provider data integrity including monitoring provider credentialing, location additions, demographic updates, and terminations.
Provides continual training to assigned providers on provider portal and other resources to assist with claims, authorizations, member support, etc.
Provides oversight of delegated functions, as applicable.
Performs special projects/campaigns as assigned.
Partners with Network Development to identify network gaps and suggest additional providers for recruitment to ensure network adequacy, working with internal support team.

QUALIFICATIONS:

Bachelor's degree in healthcare administration, business, or a related field, OR with equivalent demonstrated work experience.
Minimum of 1 year of experience required working in Provider Relations, Account Management, Customer Service, or relevant position with demonstrated ability to perform the required responsibilities and duties.
Experience working in healthcare with an IPA/MSO/HMO/PPO environment preferred.
Case Management experience is desirable and would be ideal for success in this role.
Must be well-versed in HEDIS & MRA compliance; preferably within a managed care environment.
Excellent computer skills, specifically with Microsoft Office (Office 365) applications (Outlook, Excel, Word).
Must have excellent verbal and written communication skills.
Ability to multitask and organize priority of work throughout the day, managing their time accordingly, and be flexible in a results-driven, fast-paced, growth oriented, emerging company.
Self-direct and work autonomously and independently while consistently showing self-initiative.
Detail-oriented with strong analytical and problem-solving skills.
Ability to represent the company with external constituents, including demonstrating exceptional interpersonal skills and building rapport.
Bilingual English/Spanish preferred.
Must live within Broward Region.
Travel required; Must have reliable form of transportation, with the ability to travel within the market region approximately 75% of the time.

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Refine Your Search

care manager jobs in wellington fl

VBC Account Manager

Licensed Practical Nurse (LPN) Care Manager - Medicare Population Health

Registered Nurse Case Manager, Care Coordination, Bethesda East,FT

Pool Registered Nurse Case Manager, Care Coordination, Bethesda East,Per Diem

Holocaust Services Geriatric Case manager

Care Manager - Multiple Openings in FL (BH, LPN, LVN)

Social Work Case Manager, Care Coordination, Bethesda West,$10

Care Manager

Field Care Coordinator

Care Coordinator, Behavioral Health

Care Coordinator

Care Coordination Case Manager

Executive Housekeeper Opening (Palm Beach, FL)

Case Manager - Acute Rehab Unit

Manager, Clinical Care Integration

Medical Equipment Sales Rep

Registered Nurse Case Manager, Care Coordination

Medical Device Rep

Customer Care Manager II

Kidney Care Specialist

I want to receive the latest job alert for care manager in wellington fl

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