- Sanford Health (Fargo, ND)
- …abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced ... Summary** The Nurse Practitioner (NP) provides service to patients in designated care settings by assisting physicians, assessing patients, and treating injuries and… more
- HCA Healthcare (Sarasota, FL)
- …+ You are responsible for identifying patient accounts based on PPO, HMO, or other Managed Care Organizations + You will contact patients and provide updates on ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Medical...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- CVS Health (Tallahassee, FL)
- …reside in Florida **Preferred Qualifications** - Previous Utilization Management and/or Managed Care experience preferred - Discharge planning experience ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- HCA Healthcare (Palm Beach Gardens, FL)
- …to patient scheduling, registration and insurance verification + You will oversee center managed care contracts with third party payers including Medicare and ... Want to join a team of daring managers who care without reservations or limits? Our North County Surgicenter...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Omaha Children's Hospital (Omaha, NE)
- …Required + 1 year Prior experience in utilization review, case management, or managed care preferred. Preferred **Skills and Abilities** + Strong understanding ... managing the utilization review and authorization process for patients receiving care within the Partial Hospitalization Program (PHP). This role ensures continuity… more
- Banner Health (Phoenix, AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... Environmental Services, and Culinary Find your path in health care . If you're looking to leverage your Security Services...be recognized for our commitment to the latest health care advancements and excellent patient care . As… more
- CVS Health (Lansing, MI)
- …with 100% participation. **Preferred Qualifications** + 1+ year of experience in a managed care organization (MCO). + Experience in a high-volume clinical call ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- WTW (Atlanta, GA)
- …preferably gained in a health care consulting environment, health insurance carrier, managed care organization or another leading health care provider + ... As an Associate Director, you will support the Custom Care Management Unit (CCMU) team in the overall management...the CCMU product. CCMU is a high touch, custom care management program designed and monitored by WTW clinical… more
- HCA Healthcare (Largo, FL)
- …of fiscal business plan. + Review and approve all financial reports, budgets, managed care contracts and major expenditures. + Direct, establish, review 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
- UnityPoint Health (Cedar Rapids, IA)
- …* Documents per department guidelines. * Maintains current knowledge of behavioral managed care and the precertification and utilization review activities ... requirements and their own professional ethical standards. St. Luke's CARE delivery model (Continuity, Accountability, Relationship-based, Evidence-based) reflects a… more