- Geisinger (Danville, PA)
- …In this innovative nursing position with Geisinger's Hospital at Home (TM) you'll bring healthcare to our community where they need it most - right where they live. ... work closely with primary care physicians, Geisinger's team of doctors, dietitians, case managers, pharmacists and other medical support staff as you visit patients… more
- Trinity Health (Livonia, MI)
- …reflects honest, ethical, and professional behavior. * Maintains daily contact with case managers/discharge planners and units to offer assistance and assure that ... followed up on in a timely and efficient manner. * Interacts with healthcare team members to answer any questions related to homecare/hospice and community-based… more
- CVS Health (Harrisburg, PA)
- …conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with ... for clinical and legal review. - Documents all appropriate case activity in case tracking system. -...law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters. - Demonstrates high level… more
- Humana (Lansing, MI)
- …functionality, virtual credit card payment program/process, and medical record management . + Identify recurring issues, conduct root cause analyses, and ... process, Availity, and member resources. + Submit and monitor Submit Business Case Justification (BCJ), Incorrect Payment Audit Request (IPAR), as needed. + Escalate… more
- Humana (Tallahassee, FL)
- …on case findings. Educates providers on utilization and medical management processes. + Enters and maintains pertinent clinical information in various medical ... management systems. + Communicate with providers or members **Use...may be able to research your request quicker. \#LI-BB1 Travel : While this is a remote position, occasional … more
- Humana (Springfield, IL)
- …appeal/dispute functionality, virtual credit card payment program/process, and medical record management that can be relayed to the provider. + Utilize process ... to optimize provider experience and satisfaction + Submit and monitor Business Case Justification (BCJ), Incorrect Payment Audit Requests (IPAR) and follow progress… more
- J&J Family of Companies (Chicago, IL)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact… more
- Novant Health (Charlotte, NC)
- …High School Diploma or GED, required. + Experience: Health Care experience, Case Management or related experience, knowledge of Microsoft office ... Serve as facilitator of the patient throughput/discharge planning process + Collaborate with case managers and other members of the healthcare team to implement… more
- CADDi (Chicago, IL)
- …visits, and business reviews to nurture these relationships and ensure their use case potential within CADDi is maximized + Customer Retention and Growth + Monitor ... offerings + Customer Satisfaction and Referenceability + Develop customer case studies with quantifiable results + Build our customer...work in-office 5 days a week and ability to travel up to 50% of the time. What you… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …street and venue-based outreach and engagement, assessment, health services and triage, case management , linkages to housing agencies, and mental health ... supervise the Community Health Worker and the Behavioral Health Case Manager. The RN Care Manager will work with...needs. + Participate in regular meetings with Alameda County Healthcare for the Homeless. + Provide culturally competent, trauma… more