- 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
- Beth Israel Lahey Health (Peabody, MA)
- …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. + Addresses Managed Care concerns with patients who require assistance. +… more
- Molina Healthcare (AZ)
- …experience, and at least 2 years as a medical director in managed care setting supporting utilization management/quality management initiatives, or equivalent ... to members - ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching...(CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case … more
- University of Southern California (Alhambra, CA)
- …and approval. Applies proficiency in understanding and applying contractual terms of our Managed Care contracts (ie, PPO, HMO, EPO, POS, Medi-Cal, Medicare, ... as needed. Communicates identified billing issues and trends to Supervisor and Billing Manager in a timely manner. Communicates issues with claim scrubber edits to… more
- Sevita (MN)
- …government authorities and referral agencies such as counties, regional centers, managed care contractors, and government administrators. 3. Related ... works with the Quality Improvement Director and directs the Quality Improvement Manager in developing and implementing state strategies to manage and improve… more