- Humana (Portage, WI)
- …to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity(R) which ... community? Humana is looking for a passionate Long Term Care Functional Screen Specialist to join the Inclusa team,...the Inclusa team, supporting members in the Wisconsin Family Care Program. In this dynamic role, you'll use the… more
- Valor Health (Danville, VA)
- … care . + Acts as point person within PACT Team. + Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient and ... VA medical centers. Our comprehensive set of services includes primary care , diagnostics, laboratory, telehealth, behavioral health, and more. About Our Benefits… more
- Mount Sinai Health System (Brooklyn, NY)
- …information utilizing internal or electronic sources. + Obtains and documents managed care referrals, required pre-certifications and authorizations as necessary ... provides clinical office support to Physicians & Surgeons and performs patient care and administrative duties necessary to deliver quality patient care .… more
- Sanford Health (Sioux Falls, SD)
- …abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced ... **Job Summary** The Nurse Practitioner (NP) provides service to patients in designated care settings, including: acute, short and long-term care , by assisting… more
- Humana (Fort Atkinson, WI)
- …to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity(R) which ... Inclusa team to serve members in the Wisconsin Family Care (FC) program. In this role, you will be...partnering with your fellow colleagues to provide top quality care to our members. They are looking to you… more
- CenterWell (Tallahassee, FL)
- …**Required Qualifications** + A minimum of three experience in Healthcare or managed care with Provider Contracting, Network Management or Provider Relations ... Proficiency in analyzing and interpreting financial trends for health care costs, administrative expenses and quality/bonus performance **Preferred Qualifications**… more
- Humana (Madison, WI)
- …the State of Wisconsin or be eligible for Certification and Licensure. + Previous managed care experience. + General knowledge of Medicaid and Medicare benefits. ... help us put health first** Humana/iCare is seeking a Care Coach to join the growing Dane County team...join the growing Dane County team in the Family Care Partnership (FCP) program. The FCP Care … more
- Ascension Health (Nashville, TN)
- …. + Function as a liaison for management staff, administration, physicians, managed care companies, community organizations, and other customers. + Coordinate ... Nodule Coordinator is responsible for the coordination, tracking, and facilitation of care for patients identified with lung nodules through Low-Dose CT (LDCT) lung… more
- HCA Healthcare (Miami, FL)
- …payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and ... team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is… more
- Fallon Health (Worcester, MA)
- …required. * 2 years' experience as a Utilization Management/Prior Authorization nurse in a managed care payer preferred. * One year experience as a case manager ... a company that cares. We prioritize our members-always-making sure they get the care they need and deserve. Founded in 1977 in Worcester, Massachusetts, Fallon… more