- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …Paso **Preferred Qualifications:** + Three years of Credentialing experience in a managed care plan, medical staff services office or credentialing verification ... medical staff information + Assists the Credentialing Services Managing Director and Manager in ensuring compliance with relevant Joint...required + Three years of Credentialing experience in a managed care plan, medical staff services office… more
- Compass Group, North America (Mooresville, NC)
- …regulatory compliance and drives 98% equipment uptime-so clinicians can focus on care , not equipment issues. We support nearly 4,500 healthcare sites nationwide-from ... large, campus-based acute care hospitals to system-integrated outpatient clinics. With more than...outpatient clinics. With more than 1.15 million medical devices managed , we provide the clarity and consistency needed in… more
- AmeriHealth Caritas (Washington, DC)
- …+ Experience conducting prior authorizations and/or concurrent reviews within a managed care organization preferred **Licensure** + Active and unencumbered ... policies. When necessary, cases are escalated to the Medical Director for further review. The reviewer independently applies medical...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
- Ebenezer (Lake City, MN)
- …two weeks + Day shift + Every third weekend and holiday rotation Lake City Care Center is nestled near the picturesque Lake Pepin in southeast Minnesota. As part of ... the esteemed Mayo Clinic Health System and managed by Ebenezer, Minnesota's leading senior living operator with...to exceptional service. Our skilled nursing facility can provide care for up to 90 residents across our Transitional… more
- Accura Healthcare (Knoxville, IA)
- …We embrace a unique, upside-down philosophy that places residents, patients, and direct care employees at the very top of the organizational chart. That includes ... you! We take pride in providing quality, person-centered care , in addition to fostering an environment that team...will report to and work collaboratively with the Executive Director - LNHA to direct the day-to-day functions of… more
- Morehouse School Of Medicine (Atlanta, GA)
- …including consultation with physician, as appropriate. + Works with the clinic's medical director , associate director , or other assigned physicians to ... with an asterisk (*). + Have you been previously denied participation in any managed care organizations? (Open Ended Question) + * Do you have a current Georgia… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …of information with the treatment team, external providers, collateral contacts, and/or managed care organizations; and implementation of the discharge planning ... POSITION TITLE: Clinician - AMFT/ASW/LMFT/LCSW/APCC/LPCC REPORTS TO (TITLE): Director of Clinical Services Schedule: Per Diem/On call (Weekends, but flexible to… more
- Sodus Rehab & Nursing Center (Tarrytown, NY)
- …& paperwork requirements + Maintain knowledge of regulations governing Medicare/Medicaid/ Managed Care reimbursement processes + Coordinate and implement ... + Maintain knowledge of Federal and State regulations and reimbursement processes ( Managed Care , Medicare, and Medicaid). + Effectively manage budgeted occupancy… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …with BCBSMA criteria to adjudicate these requests. At the request of the Associate Medical Director of the Physician Psychologist Review Unit, the Reviewer ... activities + Perform additional tasks as assigned by the Associate Medical Director of the Physician Psychologist...panel appeals + Experience in Utilization Management in a managed - care environment (as a clinician or in… more
- CareFirst (Baltimore, MD)
- …to internal clients of all levels. + Working knowledge of medical insurance and managed care principles and knowledgeable of CPT and ICD-10 coding systems. ... makes him/her ineligible to perform work directly or indirectly on Federal health care programs. **PHYSICAL DEMANDS:** The associate is primarily seated while… more