- AmeriHealth Caritas (Beaufort, SC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... member retention and assists auto enrollees with the selection of primary care physicians, explains program benefits and assists in follow-up to Member Services… more
- Cedars-Sinai (CA)
- …resources and social supports required. One (1) year of utilization management or managed care experience preferred. **Req ID** : 13036 **Working Title** : ... The Discharge Planner provides a broad range of support services to the Care Coordinators and to the licensed Clinical Social Workers with their transition planning… more
- Community Hospital Corporation (Greenville, TX)
- …negotiations with third-party payors for optimal reimbursement and contract performance of managed care contracts. + Administration of all Medicare & Medicaid ... Required Skills, Knowledge, and Abilities: + Knowledge of hospital and health care practices and procedures as well as laws, regulations, and guidelines pertaining… more
- Beth Israel Lahey Health (Lynn, MA)
- …in the following areas:** + Individual case management and knowledge of managed care + De-escalation/restraint management techniques + Motivational Interviewing ... therapeutic interventions to prevent relapse and ensure continuity of care based on physician care plans +...ensure continuity of care based on physician care plans + Provide information/education to patients and their… more
- The County of Los Angeles (Los Angeles, CA)
- …for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required ... health system, operating 25 health centers and four acute care hospitals, in addition to providing health care... care hospitals, in addition to providing health care to youth in the juvenile justice system and… more
- Catholic Health Initiatives (Lexington, KY)
- …or exceeds standards set by the facility + Educate patients on both clinical and managed care + Participate in clinic and network task forces as requested and ... implement the mission of the facility to deliver health care to those in need in the performance of...performance of all job responsibilities + Ensure that patient care meets or exceeds the facility quality standards +… more
- Penn Medicine (Mercerville, NJ)
- …pertinent to patient services and billing procedures: Including basic knowledge of all managed care plans. + Achieves proficiency in automated system: such as ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- The County of Los Angeles (Los Angeles, CA)
- …the social work activities of a small social work unit in a community ambulatory care or managed care setting. Essential Job Functions Interviews and ... - and expanded network of community partner clinics - DHS annually provides direct care for over 500,000 outstanding patients, employs over 23,000 staff, and has an… more
- Carle Health (Normal, IL)
- …+ Documents per department guidelines. + Maintains current knowledge of behavioral managed care and the precertification and utilization review activities ... Overview The counselor may provide care to persons with substance use disorders in...Master's Degree: Social Work Work Experience: Responsibilities Clinical Excellence/Patient Care + Provides evaluation, counseling and therapeutic services to… more
- BMS Family Health and Wellness Centers (Brooklyn, NY)
- …Through coordination with the medical team, ensures clinical practice compliance with Managed Care /HMO, SBHC contract and Federal and State guidelines. ... (http://maps.google.com/maps?q=592+Rockaway+Avenue+Brooklyn+NY+USA+11212) Job Type Full-time Description Provides adult medical health care services at BMS Health and Main Location, which… more