- WellSpan Health (Hanover, PA)
- … needs, use of community resources and responsibilities of membership in managed care . + Completes necessary paperwork, prior authorizations and/or scheduling ... locations may also utilize the selected candidate as-needed for patient care coverage. **General Summary** Performs screening to determine appropriate avenue for… more
- Sanford Health (Bemidji, MN)
- …abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care , and private sources, as applicable. Demonstrate extensive advanced ... to expand, with record-breaking procedure volumes and increasing demand for specialty care . Comprehensive Cardiac Care : Providers work across the full continuum… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …of information with the treatment team, external providers, collateral contacts, and/or managed care organizations; and implementation of the discharge planning ... or 2 hours of weekly group supervision. About Sacramento Behavioral Health Care Hospital (SBHH): SBHH provides services for Northern, Central, and at times,… more
- Trinity Health (Syracuse, NY)
- …operational initiatives including new services/programs, revenue enhancement, expense reduction, managed care utilization systems, and strategies. Responsible ... excellence in clinical pharmacy practice, regulatory compliance, and patient-centered care .** **POSITION PURPOSE** The Pharmacy Director - Regional /Chief Pharmacy… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …Genesis and eligible for care , the contact information for DEERS, the Managed Care Contractor for Tricare and the Benefits Counseling Assistance Coordinator ... center, case managers, product line nurses, providers, clinics, manage care support contractor liaison and other members of the...issues or concerns, to ensure proper use of Direct Care system and civilian network resources, and to ensure… more
- Sanford Health (Tracy, MN)
- …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
- Banner Health (Tucson, AZ)
- …Experience with office medical procedures and treatments and knowledge of insurance, managed care operations, EMR and scheduling software preferred. Additional ... Name:** Banner Staffing Services-AZ **Work Shift:** Day **Job Category:** Clinical Care Banner Staffing Services (BSS) offers Registry/Per Diem opportunities within… more
- HCA Healthcare (Plano, 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
- CVS Health (Springfield, IL)
- …**Preferred Qualifications** + Case management and discharge planning experience. + Managed care /utilization review experience. + Crisis intervention skills. + ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...8:00am-5:00pm CST. **Program Overview** Help us elevate our patient care to a whole new level! Join our Aetna… more
- Banner Health (Scottsdale, AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... Banner Health the best place to work and receive care . Phoenix is Arizona's major city and the fifth...for contributing to our award-winning patient care . POSITION SUMMARY This position leads the Quality Department.… more
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