- CVS Health (Chicago, IL)
- …policy **Preferred Qualifications** + Case management and discharge planning experience + Managed care experience + Microsoft Office experience **Education:** + ... 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 (Bartlett, IL)
- …Qualifications** - Case management and discharge planning experience preferred - Managed Care experience preferred - Microsoft Office experience preferred ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Banner Health (Sun City West, AZ)
- …Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional ... **Department Name:** BBWMC/BDWMC Ortho-Clinic **Work Shift:** Day **Job Category:** Clinical Care Great careers are built at Banner Health. We understand that… more
- CVS Health (Phoenix, AZ)
- … required. **Preferred Qualifications** + Clinical experience in ER, ICU, or Critical Care preferred. + Managed Care /Utilization Management experience. + ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- WellSpan Health (York, PA)
- … needs, use of community resources and responsibilities of membership in managed care . + Completes necessary paperwork, prior authorizations and/or scheduling ... **General Summary** Performs screening to determine appropriate avenue for care of patients. Functions as a member of the...of patients. Functions as a member of the health care team at an intermediate nursing level to assist… more
- UTMB Health (Webster, TX)
- … Care Management UTMB Health Requisition # 2507029 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient ... **:** Supports the physician and interdisciplinary team in the provision of patient care (inpatient, outpatient, emergency and infirmary care ) with the goal of… more
- Penn Medicine (Philadelphia, PA)
- …Department, participates in financial negotiations with third parties, hospitals, and managed care organizations and maintains relationships. + Directs complex ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...for the department. Ensures consistent delivery of high-quality patient care and services as a trusted advisor to the… more
- Sutter Health (Berkeley, CA)
- …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... position coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. This position oversees… more
- Penn Medicine (Philadelphia, PA)
- …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- WellSpan Health (Lancaster, PA)
- …This includes the intricacies and nuances of complex funding issues for levels of care , Health Choices, managed care organizations and other funding ... treatment plans and hospital policies; performs a variety of client care . **Duties and Responsibilities** **Essential Functions:** + Provides day-to-day oversight of… more