- Sea Mar Community Health Centers (Bellingham, WA)
- …Rate: $20.76 Position Summary: Full-time Community Resource Navigator position available for our Managed Care Department in Bellingham, WA. The role of the ... with local organizations, agencies, institutions and businesses as directed by the Managed Care Department. + They will routinely work uninsured lists from Sea… more
- Penn Medicine (Radnor, PA)
- …practice revenue cycle management/oversight. Ensure practice alignment with all standards. Managed Care /Payer Management - Support implementation of managed ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...scope: <10 = # of staff directly and indirectly managed and <15,000 = # of budgeted annual visits… more
- Humana (Baton Rouge, LA)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- Ascension Health (Greenfield, WI)
- …nursing facilities including the Alexian Village, ambulatory care facilities, home health care , physician practices, managed care services, and 4 cancer ... FTE - 32 patient contact hours, 4 hours administrative care + **Call Schedule:** determined by department + **Practice...covering all ages. + The clinic offers a full-service LabCorp- managed lab and a full-service radiology department managed… more
- Henry Ford Health System (Detroit, MI)
- …team structures, improve upstream processes in collaboration with Revenue Cycle, Finance, Managed Care , System Analytics, and the Mosaic CIN. This leader ... revenues are accurately modeled and recorded. + Partner with Managed Care Contracting to ensure contract terms, reimbursement methodologies, and modeling… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …and ensure evidence-based treatment is being applied. An experienced case manager with managed care experience will be successful in this role. This position ... the US Preferred Skills and Experience * 2+ years of managed care experience; eg case management/health coach, utilization management and/or auditing experience… more
- Pacific Medical Centers (Seattle, WA)
- **Description** Responsible for maintaining and updating the GE/Centricity/IDX Managed Care Application (MCA) module for US Family Health Plan's managed ... as required by URAC. + Minimum of four years' experience in managed care operations or large group practice setting. + Microsoft SQL Server experience… more
- CVS Health (Tallahassee, FL)
- …training in a medical specialty). * Three 3+ years of experience in the managed care industry. * Experience in leading interdisciplinary teams. * Solid ... understanding of and concurrence with evidence-based medicine (EBM) and managed care principles. * Ability to travel on as needed basis; planned and scheduled in… more
- Penn Medicine (Philadelphia, PA)
- …practice revenue cycle management/oversight. Ensure practice alignment with all standards. + Managed Care /Payer Management - Support implementation of managed ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...+ 10+ = # of staff directly and indirectly managed . + 15,000+ = # of budgeted annual visits.… more
- University of Southern California (Alhambra, CA)
- …MCG reviews are completed within 24 hours of admission; Observation patients are effectively care managed on a daily basis; and Facilitate throughput and timely ... ER Visits, Hospital admissions, or Re-admissions. 4. Maintains awareness of current managed care contract requirements. 5. Coordinate the management of all… more
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