- Genesis Healthcare (Albuquerque, NM)
- …is required. *Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. ... achievement of maximum allowable RUG categories. *Communicate with the Business Office Manager regarding case -mix data required for billing. *Educate the… more
- HUB International (Omaha, NE)
- …of benefit plan review and renewal, assists with guiding and directing the Account Manager and Financial Analyst assigned to the case , resolving questions, and ... will be responsible for providing complete service and benefit management of True Group clients (>100 lives). This includes...client agreement if it is necessary to bid the case ; directs the bidding process and prepares, or reviews… more
- Elevance Health (Norfolk, VA)
- …Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss… more
- CommonSpirit Health (Rancho Cordova, CA)
- …+ Progressive responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more
- CommonSpirit Health (Rancho Cordova, CA)
- …leading up to or including supervisory role highly preferred + Experience in Utilization Management , Case Management or Care Coordination, ... completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review and any identified issues… more
- CDM Smith (Detroit, MI)
- …Description:** CDM Smith is a global leader in design, program management , and construction services. We deliver innovative solutions across water, infrastructure, ... with project managers and technical mentors. Operational and Business Management - Oversee project delivery, resource planning, and workload distribution.… more
- J&J Family of Companies (Phoenix, AZ)
- …This includes working with Surgeons, Office Staff, Administration, Pain Management Specialists and Rheumatologists throughout various aspects of the product ... product and customer knowledge to present, demonstrate, and ensure proper utilization of products. Actively promote special marketing promotions and support… more
- Terumo Aortic (Sunrise, FL)
- …+ Creates account specific strategies by geography to drive market acceptance and utilization of Thoracic devices. + Assists with new implanters of Thoracic devices, ... namely Thoraflex, to include in-servicing and initial case support. + Maintains a network of ...strategy in conjunction with Clinical Marketing, Downstream Marketing, and Manager of Medical Education + Actively involved in sales… more
- Leidos (Washington, DC)
- …cutting edge Pega development using Blueprint AI coding + Experience with Pega Dynamic Case Management , Pega Deployment Manager , Pega Surveys, and Pega ... management platform. **Primary responsibilities:** + Apply experience with Pega Dynamic Case , Management , Pega Deployment Manager , Pega Surveys, and Pega… more
- Comunilife (Queens, NY)
- …for its Casa Hope Families Shelter program. As a member of the Comprehensive Case Management (CCM) Team, The Program Director is responsible for daily ... operations including staff supervision and collaboration with on-site building manager at the Casa Hope Program. The Program Director...lead the team in proving a full range of case management services as well as medical,… more
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