- Actalent (Portland, OR)
- … care planning, RN, Managed care Top Skills Details Case management, care management, care manager , care coordination,RN Coordinator,Intake ... receive timely and effective care . Skills Case management, care management, care manager , care coordination, RN Coordinator, Intake Coordinator,… more
- Dignity Health (Gilbert, AZ)
- …and patient satisfaction outcomes. **Skills needed:** Knowledge of federal, state and managed care rules and regulations including CMS and AHCCCS. Working ... or related healthcare field + At least five (5) years of nursing experience + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM… more
- Centene Corporation (Frankfort, KY)
- …investigations with audit and risk analysis. 1+ year of experience in managed care or health insurance company. **Candidate Skills:** In-depth knowledge ... an investigative workload of moderate to high complexity. Assists manager on monitoring team caseload and report on metrics....of government programs, the managed care industry, Medicare, Medicate laws and… more
- Dignity Health (Santa Maria, CA)
- …Home Health experience **Special Skills:** + Demonstrates ability to work within a case - managed model of patient- care delivery. + Demonstrates proficient ... changes. **Interacts with Staff** Collaborates, cooperates and coordinates with RN Case Manager /supervisor to assure effective, consistent management of clients.… more
- State of Colorado (Denver, CO)
- …inmates/ parolees at their residence of record; + Apply evidence-based assessment, case planning and supervision techniques, set by policy and standards of practice, ... supervision plan of community-based parolees through the analysis of case material and interviews to update the Colorado Transition...(CVDMP) or community violation matrix, most of which are managed in the community and do not require arrest;… more
- UPMC (Pittsburgh, PA)
- …+ Provide liaison with community and private referral resources, as well as managed care entities. Develop, recommend, and research external providers, as ... EAP Specialist will establish collaborative relationships with clients, physicians, health care providers, and employers to achieve desired outcomes. The EAP… more
- Covenant Health Inc. (Knoxville, TN)
- …required. Knowledge of CPT, HCPC and ICD-10-CM coding, third-party regulations and managed care practices required. Minimum Experience: Three (3) years ... Overview Clinical Documentation Improvement Manager Full-Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's… more
- Eastern Connecticut Health Network (Manchester, CT)
- …outpatient ancillary departments. Verifies receipt of patient insurance information, including managed care authorizations; follows up to obtain missing patient ... POSITION SUMMARY: This position reports to the Manager , Central Authorization Center and works directly with...failures. + Reviews patient documentation to assure that proper managed care pre-authorizations have been obtained where… more
- Prime Healthcare (Chula Vista, CA)
- …Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. Experience in ... the changing needs of our community. Our 291-bed, acute care hospital features the San Diego Spine & Joint...of the CSU under the direction of the CSU Manager to assist with development and implementations of discharge… more
- J&J Family of Companies (San Diego, CA)
- …long-term sales potential relevant to percentage of patients treated, patient mix, Managed Care organizations and Specialty Pharmacies, and new protocols or ... is a Field Based role reporting to a District Manager . The OS has primary responsibility for developing the...hospital and large account sales, understand complex reimbursement and managed care dynamics with a documented history… more