- Athena Health Care Systems (Middletown, CT)
- …on non-completed sections of MDS. + Retrieves/Prints and faxes medical records to managed care companies for utilization review purposes. + Transmits MDSs to ... on-going education and provides the information to the RCC/MDS Director so that he/she can follow up. + Enters...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed centers follow… more
- LA Care Health Plan (Los Angeles, CA)
- …and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience ... and receives clinical supervision as needed from the Medical Director of Care Management. The position is...with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed … more
- Athena Health Care Systems (Southbridge, MA)
- …on non-completed sections of MDS. + Retrieves/Prints and faxes medical records to managed care companies for utilization review purposes. + Transmits MDSs to ... on-going education and provides the information to the RCC/MDS Director so that he/she can follow up. + Enters...of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow… more
- Stanford Health Care (Palo Alto, CA)
- …individuals residing in San Mateo, Santa Clara, or Alameda counties. Supporting a value-based care model for Medicare Managed Care programs, serving all ... (APP) plays a pivotal role in the Transitions of Care Program (TOC), a collaborative initiative between the Geriatrics...prevent avoidable readmissions. Working closely with the TOC Medical Director , Nurse Manager, and Program Director to… more
- The New Jewish Home (Manhattan, NY)
- …and reports as requested by the Director of Admissions. 7. Contacts Managed Care Companies to obtain pre-authorization; reviews level requirements to obtain ... a plus. 3. Previous experience in post acute admissions processes 4. Acute Care experience preferred. 5. Bilingual is a plus. SPECIALIZED SKILLS AND COMPETENCIES :… more
- LA Care Health Plan (Los Angeles, CA)
- …Required: Minimum of 6 years of recent care management experience in a managed care setting, such as a health insurance environment and/or experience as ... net required to achieve that purpose. Job Summary Reporting to the Director of Enhanced Care Management (ECM), the ECM Manager will be responsible for overseeing… more
- Martin's Point Health Care (Gorham, ME)
- …patient care experience preferred + 3+ years of applicable experience with managed care preferred + Demonstrated experience working with Clinicians to deploy ... Join Martin's Point Health Care - an innovative, not-for-profit health care... and education. + In collaboration with Practice Medical Director and Practice Administrators, contributes to the design and… more
- HonorHealth (AZ)
- …accuracy and optimal reimbursement. + Attends JOC as requested by Utilization Management or Managed Care : Works with Director , Management and staff to ... Reviews concurrent denials and intervenes with attending and/or consulting physicians and managed care medical directors, as needed, for reconsideration and… more
- Erickson Living (Springfield, VA)
- …informational and developmental meetings to include Medicare and Medicaid coverage changes, Managed Care information, and other pertinent information for family ... Erickson Senior Living Join our team as a Health Care Counselor. In this role you are responsible for...of residents throughout the continuum + Notifies the physician, Director of Nursing, and Administrator of any medically complex… more
- Sharp HealthCare (San Diego, CA)
- …Nursing, and/or Home Health + 3 Years Medical Management experience, preferably in managed care , with supervisory experience + 2 Years Medical Management ... programs under the direction of the manager of in-patient care management and the Director of Utilization...experience, preferably in a managed care setting + California Registered Nurse… more