- Houston Methodist (Houston, TX)
- …Knowledge of medical terminology and applicability + Excellent spelling/grammar skills + Managed care knowledge with the ability to differentiate between ... **Note: Office for this position is located at our Houston Methodist Continuing Care Hospital: 701 S. Fry Rd. Katy, TX 77450.** + **This is Monday-Friday opportunity… more
- The County of Los Angeles (Los Angeles, CA)
- …and achieve beneficial system transformation. + Cultivate and grow relationships with Medi-Cal Managed Care Plans to implement core CalAIM components related to ... and across the social service systems to support delivery of effective care that improves lives and outcomes. This includes actively seeking opportunities to… more
- WMCHealth (Valhalla, NY)
- …Guardianship proceedings and laws. + Complete pre-certification of inpatient admissions with managed care companies as required. + Exhibit cultural competence by ... collaborate effectively as part of the interdisciplinary team to uphold high-quality patient care . This position reports to the Director of Social Work and Program… more
- Ascension Health (Milwaukee, WI)
- …. + Function as a liaison for management staff, administration, physicians, managed care companies,community organizations, and other customers. + Coordinate ... recommendations for process improvement. + Provide referrals/support for follow-up care for patients who are uninsured or underinsured. **Requirements** Licensure… more
- HCA Healthcare (Houston, TX)
- …the annual budget. Departmental responsibility typically includes Accounting, Reimbursement, Managed Care , Health Information, and Utilization Review. Functions ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Novant Health (Charlotte, NC)
- …legal advice regarding relationships and transactions with hospitals, physicians, vendors, managed care companies, government and employers. + Prepares, reviews, ... + Analyzes the impact and application of federal and state health care laws and regulations, including reimbursement requirements, Stark, HIPAA, the Civil Monetary… more
- University of Rochester (Rochester, NY)
- …13166: Improving Access to Services for Persons with Limited English Proficiency, Medicaid Managed Care Requirements (42 CFR 438.10) The US Department of Health ... needed to empower the patient to participate in decisions related to their care - Intervenes by confirming with all parties if a possible cultural misunderstanding… more
- University of Michigan (Ann Arbor, 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
- Dignity Health (Santa Cruz, CA)
- …emergencies + Collaborate closely with Certified Nurse Midwives (CNMs) in a heavily co- managed care model. + Engage in innovative practices to enhance patient ... babies annually + Access to Level II Neonatal Intensive Care Unit (NICU) + 24/7 anesthesia coverage with a...for provider and family **Responsibilities:** + Deliver high-quality patient care in both office and hospital settings. + Clinic:… more
- AmeriHealth Caritas (Harrisburg, 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