- Cardinal Health (Phoenix, AZ)
- …benefit investigations, prior authorizations, and appeals, preferred + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and policies, ... preferred + Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of ICD9/ICD10 coding is preferred + Critical and creative thinking, preferred + Important to have a strong attention to detail **TRAINING AND WORK… more
- BAYADA Home Health Care (Tucson, AZ)
- …OASIS and care plan coding + Monitor episodic utilization + Act as internal case manager and client advocate + Participate in hiring, interviewing and ... (OT) or Speech Language Pathologist (SLP)** to fill the position of **Rehab Manager ** in our **North Tucson Visits** home health office. As Rehab Manager… more
- Molina Healthcare (AZ)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... of MI. This position will support our MMP (Medicaid Medicare Population) that is part of the Personal Care...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
- BAYADA Home Health Care (Tucson, AZ)
- …is currently seeking a full-time **Registered Nurse** to become our next **Clinical Manager ** in our Medicare certified home health office in **Tucson, AZ.** ... to policies and procedures. Clinical Managers are also accountable for internal case management, field staff evaluation and development. **Duties of a Clinical … more
- Molina Healthcare (AZ)
- …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... of OHIO. This position will support our MMP (Medicaid Medicare Population) with members on Waiver program. This position...members on Waiver program. This position will have a case load and manage members enrolled in this program.… more
- Datavant (Phoenix, AZ)
- …vision for healthcare. **What we're looking for:** The incoming Risk Adjustment Analytics Manager will be stepping into a role on the Business Analytics team and ... of its analysts. We are looking for a hands-on manager who has experience and interest in providing guidance...(2+ years) + 3+ years of experience working with Medicare , ACA, and/or Medicaid risk adjustment models + 5+… more
- CenterWell (Tucson, AZ)
- …us put health first** **$10,000 Sign On Bonus Available!** The **Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
- Deloitte (Tempe, AZ)
- …knowledge of the individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or Medicare Supplement products ... role and compensation decisions are dependent on the facts and circumstances of each case . A reasonable estimate of the current range is $167,325 to $278,875. You… more
- Datavant (Phoenix, AZ)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... measure product impact, and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Healthfirst (AZ)
- …across a variety of treatment settings for high risk, complex populations + Certified Case Manager + Interqual, Milliman, and/or TruCare knowledge + Knowledge of ... direct, and support staff + Experience in managed care, case management, identifying alternative care options, and discharge planning...Centers for Medicare & Medicaid Services (CMS), New York State Department… more
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