- UTMB Health (Dayton, TX)
- …Patient Care UTMB Health Requisition # 2300653 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations ... **_JOB SUMMARY_** **:** Competent clinician to provide direct nursing care to an assigned group of patients and possesses...Act. Competently functions as a member of an interdisciplinary care team which is focused and patient centered. Manages… more
- Penn Medicine (West Chester, 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
- HCA Healthcare (Kansas City, MO)
- …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
- CVS Health (Chicago, IL)
- …Qualifications** * Perinatal Mental Health Certification (PMH-C) * NICU experience * Managed Care Organization experience is strongly preferred. * Discharge ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Valor Health (Vero Beach, FL)
- … care . + Acts as point person within PACT Team. + Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient and ... local VA medical centers. Our comprehensive set of services includes primary care , diagnostics, laboratory, telehealth, behavioral health, and more. As a Registered… more
- CareFirst (Baltimore, MD)
- …for healthcare payor organization. **Knowledge, Skills and Abilities (KSAs)** + Knowledge of managed care concepts and care management activities. + Skilled ... **PURPOSE:** The Medical Director oversees all activities of utilization review, care management and quality to determine the medical effectiveness of proposed… 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 ... our Pulmonary services and help expand access to specialized care in our region. As part of a dedicated,...system, you'll play a key role in enhancing local care delivery while enjoying the natural beauty and community… more
- University of Southern California (Los Angeles, CA)
- …and documents avoidable delays in the M drive. * Maintains awareness of current managed care contract requirements. * Participates in appeal process. * Performs ... In collaboration with the interdisciplinary team, provides care coordination services evaluating options and services required to meet an individual's health care… more
- Insight Global (Philadelphia, PA)
- …communication between company and the practice. 8. Maintain positive relationships with managed care agencies, commercial providers, public and private funders, ... daily operations and coordination of the center's primary and behavioral health care services. The CMO is responsible for implementing effective leadership and… more
- Catholic Health Initiatives (London, KY)
- …or exceeds standards set by the facility + Educate patients on both clinical and managed care + Participate in clinic and network task forces as requested and ... implement the mission of the facility to deliver health care to those in need in the performance of...performance of all job responsibilities + Ensure that patient care meets or exceeds the facility quality standards +… more