WellCare jobs

Viewing 21 - 30 of 684 jobs

• Registered Nurse (RN) - Quality Improvement

  WellCare Health Plans - Baton Rouge, LA

  The Quality Improvement Specialist supports the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies impacting plan compliance to regulatory and accreditation standards. The...

  19 days ago from HealthCallings

• Sr Mgr, Clinical Care Utlization Review

  WellCare Health Plans - Tampa, FL

  Oversees the day to day operations for inpatient utilization, outpatient utilization and prior authorization management activities for multiple markets designed to achieve quality and service driven objectives. Essential Functions: Manages...

  9 days ago from JobHat

• Patient Care Advocate - Bilingual LCSW required

  WellCare Health Plans - Plantation, FL

  The Patient Care Advocate works with members and providers to close care gaps, ensure barriers to care are removed, and improve the overall member and provider experience through onsite and optional face-to-face interaction with members...

  19 days ago from HealthCallings

• EPSDT Coordinator - Registered Nurse (RN)

  WellCare Health Plans - Louisville, KY

  About WellCare: WellCare Health Plans, Inc. provides managed care services targeted to government-sponsored health care ... about WellCare, please visit the company's website at www.wellcare.com. A Fortune 500 company traded on the New York...

  9 days ago from JobHat

• Sr Mgr, Quality Improvement (RN)

  WellCare Health Plans - Houston, TX

  Under the leadership of the Director of Quality Improvement is responsible for the oversight and management of Accreditation initiatives, state and regulatory quality compliance, HEDIS and quality improvement initiatives for PiPs, QiPs,...

  19 days ago from HealthCallings

• Corporate Medical Director

  WellCare Health Plans - Tampa, FL

  Daily utilization management activities for all lines of business including Medicare. Assist in the recruitment of participating providers, support provider relations activities, monitor performance of participating physicians and assist...

  9 days ago from JobHat

• Clinical Social Worker - LCSW/RN

  WellCare Health Plans - Tampa, FL

  Coordinates the socio economic needs and service of selected member populations across the continuum of illness. Interviews, coordinates and plans activities and behavioral routines to meet the social and medical needs of members and their...

  10 days ago from JobHat

• Inpatient Care Utlization Review RN - Office Setting

  WellCare Health Plans - Tampa, FL

  Oversees utilization management activities by assessing the necessity and efficiency of services through systematic monitoring of medical necessity and quality, while maximizing the appropriate level of care that correlates to the member's...

  10 days ago from JobHat

• Configuration Data Specialist

  WellCare Health Plans - Tampa, FL

  To ensure accurate and timely loading and maintenance of provider file information through appropriate research. This would include, but not be limited to: initial loads based on claim receipts, provider demographics, vendor information,...

  13 days ago from JobHat

• Hospital Services Specialist

  WellCare Health Plans - New York, NY

  Manages the relationship and all levels of operations support with network hospitals. Provides ongoing education to facilities regarding health plan operations. Identifies and implements process improvements and enhancements. Essential...

  13 days ago from JobHat