- AmeriHealth Caritas (Philadelphia, PA)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping...At AmeriHealth Caritas, we're passionate about helping people get care , stay well and build healthy communities. As one… more
- Trinity Health (Livonia, MI)
- …the health care industry including hospital settings, physician practices, and managed care organizations. Knowledge and understanding of NCQA and TJC ... understanding of the various regulations and legislation of the health care industry as appropriate. Maintains good rapport and cooperative relationships. Approaches… more
- Medtronic (Little Rock, AR)
- …in business planning/consulting and territory financial analysis; preferred knowledge of managed care + Experience / knowledge of Physiology/clinical therapies ... referral accounts - Neurology, Physiatrist, Oncology, Internal Medicine, or Primary Care Physician/GP + Solid knowledge of the Reimbursement climate + Minimum… more
- Northwell Health (Staten Island, NY)
- …program limits, as required.*Serves as primary contact to insurance carriers and managed care companies. Ensures patients are appropriately certified and assists ... and appropriateness for admission to particular modality and level of care .*Provides referrals to those not accepted into treatment.*Recognizes possible signs and… more
- WMCHealth (Kingston, NY)
- …Guardianship proceedings and laws. + Complete pre-certification of inpatient admissions with managed care companies as required. + Exhibit cultural competence by ... as an essential member of the interdisciplinary team to maintain high-quality patient care . The MHE reports to the Regional Program Manager for the Crisis … more
- BJC HealthCare (St. Louis, MO)
- …strategic plan, managing the community, physician and employee relationships; positioning BJWCH for managed care and service as a link between BJC Healthcare and ... an intimate environment and is known for outstanding patient care . With 64 private patient rooms, 14 operating rooms...private patient rooms, 14 operating rooms and four intensive care unit rooms, the facility was designed to provide… more
- University of Michigan (Ypsilanti, MI)
- …other staff, patients, and outside third parties for insurance authorizations and other managed care related issues. + Respond to patient inquiries related to ... patients, populations and communities through excellence in education, patient care , community service, research and technology development, and through leadership… more
- Johns Hopkins University (Bethesda, MD)
- …data by phone or in person. + Obtains pre-certifications as required by patients' health care insurers or managed care providers. + Proficient in verifying ... an outpatient setting and have responsibilities related to patient care and the clinic environment. Time will be split...medical insurance forms. + Informs patients of costs or care being provided, and guides them to appropriate resources… more
- CVS Health (Richmond, VA)
- …Nursing, Behavioral Health, Long term Care , etc.) + 1+ years Managed Care experience. + Position requires proficiency with computer skills which ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Columbus, OH)
- …(Outlook, Teams, Excel) **Preferred Qualifications** - Knowledge of Medicare/Medicaid - Managed care experience **Education** Associates Degree in Nursing ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more