- Signature Healthcare (Winchester, KY)
- …Care Consultant Candidate would have working knowledge of Medicare, Medicaid and Managed Care coverage, referral, and reimbursement methods. A passion for ... supervisory experience preferred. + Possess working knowledge of Medicare, Medicaid and Managed Care coverage, referral, and reimbursement methods. + Extensive… more
- University of Colorado (Aurora, CO)
- …DEA Certificate. Ability to be fully credentialed with the UCH system and UPI Managed Care . **Professor:** + Education: Terminal degree in Medicine or Osteopathy ... Ability to be fully credentialed with the UCH system and UPI Managed Care . **Preferred Qualifications:** + Experience with leading research teams in a DFM.… more
- Houston Methodist (Houston, TX)
- …application of positive language principles + Knowledge of Medicare, Medicaid and Managed Care requirements + Progressive knowledge of community resources, ... of discharge planning, utilization management, case management, performance improvement and managed care reimbursement + Understanding of pre-acute and… more
- UCLA Health (Los Angeles, CA)
- …$35.47 - $48.82 HourlyQualifications + Minimum of 2 years' experience working in a Managed Care Case Management and care coordination environment preferred. ... diploma, GED or equivalent. + Experience processing Inpatient and ambulatory Managed Care referrals. + Vodavi phone system experience preferred. + Ability to… more
- AmeriHealth Caritas (Southfield, MI)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... Prior experience as a Medical Director or Chief Medical Officer within a managed care organization is preferred. + Proven ability to lead clinical, quality, and… more
- Houston Methodist (Houston, TX)
- …Informs social worker/case manager of the patients' available benefits through insurance/ managed care provider. Assists in providing community resources/services ... to social workers and case managers, business office/patient access, etc. on insurance/ managed care benefits + Supports and assists with concurrent insurance… more
- Centene Corporation (Latham, NY)
- …including "metal" products offered through the New York State of Health (NYSOH), Medicaid Managed Care , Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability ... diploma or GED, required. 2 to 5 years prior experience in managed care , sales, customer service or related experience preferred. Basic computer skills.… more
- Valor Health (Bowling Green, KY)
- …VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Conducts individual, group, and family and marriage counseling and/or ... reminders "due" at the time of each patient visit. + Assists in co- managed care collaboration with non-VA providers, and facilities. + Functions as case manager… more
- UTMB Health (Galveston, TX)
- …knowledge of modern health care administration, principles, and practices within a managed care environment and/or an academic medical center. + Knowledge of ... Institute. The Assistant VP of SVHI assists in developing the patient care delivery system and operations across the clinical enterprise, collaborating effectively… more
- Penn Medicine (Philadelphia, PA)
- …* Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Additional Duties (where ... * Maintains comprehensive knowledge of reimbursement coverage from third party payers, managed care plans and protocols for referrals. Credentials: Education or… more