- HCA Healthcare (Hermitage, TN)
- …payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...assistance. + Referral services for child, elder and pet care , home and auto repair, event planning and more… more
- Sanford Health (Fargo, ND)
- …abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced ... (PA) provides expert clinical guidance in a specialized field and coordinates patient care quality initiatives. Provides service to patients in acute, short and long… more
- Point32Health (Canton, MA)
- …required) **:** + 10-15 years of progressive business and leadership experience in health care and/or managed care . + 10+ years of leadership experience, ... Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to... and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture… more
- Saratoga Hospital (Saratoga Springs, NY)
- …the resources available in the community and requirements of government payers and managed care organizations. Involves the patient/family and/ or support person ... Social Worker - Care Management Location: Saratoga Springs, NY Employment Type:...NY Employment Type: Salaried, full-time Shift/Schedule: Day shift Department: Care Management Salary Range: $63,065.60 - $103,563.20 annually, based… more
- Evolent (Lansing, MI)
- …+ Minimum of one year of experience with medical management activities in a managed care environment + UM/UR experience + Clinical experience in Oncology, ICU, ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
- Elevance Health (GA)
- …states. **Preferred Capabilities, Skills and Experiences:** + Nursing experience in Home Health, Managed Care , Case Management, or Care Coordination. + Case ... criteria._** The **Nurse Case Manager Senior - Field Nurse** is responsible for care management within the scope of licensure for members with complex and chronic… more
- Humana (Eau Claire, 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 ... the Inclusa/Humana team, serving members in the Wisconsin Family Care (FC) program. In this dynamic role, you will...will collaborate closely with dedicated colleagues to deliver exceptional care and empower our members to thrive in their… more
- Ascension Health (Milwaukee, WI)
- …nursing facilities including the Alexian Village, ambulatory care facilities, home health care , physician practices, managed care services, and 4 cancer ... of efforts to improve cost effectiveness and quality of care provided to patients. + Accepts patient referrals from...of providers who are called to deliver compassionate, personalized care for all persons, especially those who are struggling… more
- HCA Healthcare (San Antonio, TX)
- …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
- Henry Ford Health System (Detroit, MI)
- …planning, home health care , rehabilitative medicine, community health or managed care preferred. + Knowledge of preventive service guidelines, clinical ... health plans to make sure patients get the right care at the right place and the right time?...advancing population health, while lowering the total cost of care . This position will be day hours (M-F )… more