- CenterWell (Austin, TX)
- …minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management ... patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate...seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical … more
- Sutter Health (San Francisco, CA)
- …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... Health! **Organization:** SHSO-Population Health Services-Bay **Position Overview:** Responsible for Care Coordination and Care Transitions Planning throughout… more
- Albany Medical Center (Albany, NY)
- …relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting, as well as the provision and reimbursement ... and incorporates innovative payment models and initiatives aligned to enhance patient care and support operations. + Ensures adherence to all federal, state, and… more
- Sanford Health (Hankinson, ND)
- …abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced ... Be part of something new, rooted in community and care **Job Summary** The Nurse Practitioner (NP) provides service...Nurse Practitioner (NP) provides service to patients in designated care settings, including: acute, short and long-term care… more
- CenterWell (Shreveport, LA)
- …experience and background + Experience working with Senior population. + Knowledge of Managed care and Medicare + Experience using a Customer Relationship ... retention associate responsible for executing initiatives that engage patients in their care , ensure exceptional experience, and drive growth and retention goals. In… more
- WellSpan Health (Lewisburg, PA)
- …using computerized inquiry functions. + Maintains a knowledge base of insurance/ managed care processes related to pre-certifications and authorizations and ... recommendations in the ED. + Determines appropriate level of care based on the client's history, psychosocial history, clinical...documentation necessary to refer patients to other levels of care when appropriate, and / or to other types… more
- HCA Healthcare (Englewood, CO)
- …payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Social...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- HCA Healthcare (Denver, CO)
- …private payer regulations and processes, and possesses a thorough understanding of managed - care concepts and length-of-stay management relating to patient and ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more… more
- HCA Healthcare (Nashville, TN)
- …payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more… more
- HCA Healthcare (Denver, CO)
- …private payer regulations and processes, and possesses a thorough understanding of managed - care concepts and length-of-stay management relating to patient and ... team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is… more