- Genesis Healthcare (Beckley, WV)
- …to ensure seamless patient transitions into the skilled nursing setting. + Navigate managed care authorization processes and hospital discharge workflows. + Use ... the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in...experience as a **Clinical Liaison, Admissions Director, Hospital Liaison, Case Manager , or similar role** . +… more
- Molina Healthcare (Fort Worth, TX)
- …(CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America ... new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified… more
- Northern Light Health (Bangor, ME)
- …and referring to community-based providers. They are adept at articulating case reviews and creating documentation that reflects both active treatment provisions ... and client response to care . This person performs duties and/or responsibilities as assigned by the Manager or Supervisor. Responsibilities: + Completes… more
- HCA Healthcare (Fort Walton Beach, FL)
- …patients with discharge planning or psychosocial needs. + Obtains input from the RN case manager to ensure the discharge plan is appropriate and aligns with ... regulations and processes, and possesses a thorough understanding of managed - care concepts and length-of-stay management relating to...do in this role: + Works collaboratively with RN case managers, acute care nurses, physicians, insurance… more
- Mount Sinai Health System (New York, NY)
- …day-to-day operations, in collaboration with the School Based Health Center Administrative Practice Manager , in the care and treatment of patients as delineated ... Center ("MSAHC" or the "Center") works to provide health care and wellness for young people by providing vital...charged with ensuring that the above functions are developed, managed and delivered within a culture that is youth-centric,… more
- Northern Light Health (Bangor, ME)
- …direct client care or clinical formulations, are adept at articulating case reviews and creating documentation that reflects both active treatment provisions and ... an LMSW-CC, LCPC-C, LCSW, LCPC or LMFT with experience in providing trauma-informed care in the treatment of substance use and co-occurring disorders who provides… more
- Beth Israel Lahey Health (Exeter, NH)
- …payment plans, pricing estimates, Financial Assistance, Federal/State benefits, and the managed care process. This position supports Patient Access and ... Open Enrollment; providing education and processing necessary applications. 13. Addresses Managed Care concerns with patients who require assistance. 14.… more
- Elmcrest Children's Center (Syracuse, NY)
- …+ Work cooperatively with the Supervisor, Medicaid Managed Care Liaisons, and potential Care Manager , on each case to maintain the best quality of ... and communicate with team when there are changes. + Completion of Managed care contact notes (progress notes) + Attending supervision and staff meetings as… more
- Mount Sinai Health System (New York, NY)
- …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access… more
- UCLA Health (Los Angeles, CA)
- …services + Exceptional interpersonal, written, and verbal communication skills Preferred: + Certified Case Manager (CCM), preferred + At least one year of ... of Behavioral Sciences + Three or more years of Case Management/ Care Coordination experience in a healthcare...experience in a managed care or health plan setting, preferred… more