- University of Southern California (Alhambra, CA)
- …MCG reviews are completed within 24 hours of admission; Observation patients are effectively care managed on a daily basis; and Facilitate throughput and timely ... Hospital admissions, or Re-admissions. 4. Maintains awareness of current managed care contract requirements. 5. Coordinate the...Director of Health Services. 9. Collaborate with Medical Director , PCP/Primary Care Team and Director… more
- Gentiva (Madison, WI)
- … care experience + Knowledge of hospice principles, regulatory compliance, and managed care + Strong communication, collaboration, and organizational skills + ... **Overview** **Lead Compassion. Inspire Excellence. Elevate Hospice Care .** We are seeking a Senior Patient ...join our hospice team. Reporting directly to the Executive Director or Administrator, you will play a vital role… more
- ChenMed (North Lauderdale, FL)
- …relationships and higher level of satisfaction with key specialists with support from network director or associate director . + Conducts site visits to ... on policies and certifies specialists with support of network director or associate director . +...based of the data + Experience working in Medicare managed care environment **PAY RANGE:** $48,418 -… more
- Centene Corporation (Raleigh, NC)
- …must reside in North Carolina.** Ideal candidate will have experience in ** managed care quality** . **Education/Experience:** Associate 's degree in ... **Position Purpose:** Review medical records for potential Quality of Care (QOC) incidents, applying clinical criteria to determine if...of the potential QOC for presentation to the medical director for a final review; may also be involved… more
- ChenMed (Houston, TX)
- …and linguistically diverse setting is essential + Experience working within a managed care environment strongly preferred **PAY RANGE:** $270,461 - $386,372 ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...the scope and member volume. + Assists the Medical Director , Cardiology in managing the day-to-day clinical and business… more
- First Atlantic Health Care (South Portland, ME)
- …reimbursement for various payer sources including, but not limited to, Medicare, MaineCare and Managed Care * Maintain daily census and mix goals per facility ... and build relationships. * Effectively communicate admission information to Admission Associate /Assistant or facilities in a timely manner. * Effective and timely… more
- CenterWell (Shelby, NC)
- …part of our caring community and help us put health first** Reports To: Associate Director , Home Health Branch Administrator FLSA: Exempt **Work Schedule** : ... NC branch location.** The **RN Clinical Manager** coordinates and oversees all direct care patient services provided by clinical personnel. This role is focused on… more
- Northern Light Health (Bangor, ME)
- …systems. * Acquires, maintains and demonstrates working knowledge of the practice's managed care plans. * Facilitates, coordinates and ensures timely acquisition ... all mandatory education. * Assumes necessary functions of Practice Director /Office Manager in his/her absence. * Compiles data for...Front Office staff in their area of responsibility with managed care (eg, collection of co pays,… more
- PVH Corp. (Bridgewater, NJ)
- …of Network & Network Security services to the organization. + Helps the Sr Director Managed Services to develop operational policies in the area of support ... to be a servant leader. **What You'll Do:** + Advises the Sr Director Infrastructure & Security Services on IT Operational strategy and delivers input regarding… more
- ConvaTec (Lexington, MA)
- …100 Index (LSE:CTEC). To learn more please visit http://www.convatecgroup.com **Position Overview:** The Associate Director plays a key role to the success of ... of chronic conditions, with leading positions in Advanced Wound Care , Ostomy Care , Continence Care ,...Convatec's clinical trials. The Associate Director , Clinical Trials Management oversees the… more