- Johns Hopkins University (Baltimore, MD)
- …with accuracy and provide up to date insurance information found on Johns Hopkins Managed Care website. + Facilitate scheduling of lab tests and other ... variety of areas which may include, but not limited to scheduling, registration and care coordination. + Serve as a resource for other Dental Office staff and other… more
- Amergis (Orange, CA)
- Amergis Healthcare is seeking a highly motivated an experienced LMFT/LCSW Medical Case Manager to help support a health insurance agency! The Medical Case ... be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + Behavioral health clinical experience.… more
- Northern Light Health (Bangor, ME)
- …patient care . Performs any duties and/or responsibilities assigned by Manager or Supervisor for which qualified. Responsibilities: + Carries out daily patient ... A Psychiatric Technician practicing at this level is inexperienced in providing care for psychiatric patients. The Psychiatric Technician will possess a high school… more
- Molina Healthcare (MI)
- …active and unrestricted in state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM), ... least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, care… more
- Northern Light Health (Bangor, ME)
- …bed assignments, optimizing hospital capacity while ensuring the highest level of care for patients. The nurse collaborates with physicians, nursing staff, and ... their practice. The specialist is responsible for the delivery of care , facilitating change and mentoring/developing all nursing personnel. They work collaboratively… more
- Katmai (Fort Carson, CO)
- …ensure appropriateness of referrals. + Identify cases that may benefit from alternative levels of care and involve the case manager as needed to provide ... of professional and patient care activities. + Interface with the Managed Care Support Contractor (MCSC) and multidisciplinary personnel as needed to… more
- Henry Ford Health System (Grand Rapids, MI)
- …of computer systems and personal computers. + Knowledge and experience of a managed care organization's operations are required. + Knowledge of physician ... including new contracts, terminations and modifications, and configuration of Contract Manager , Facets or its successor systems. As a team member, provide… more
- Katmai (Fort Carson, CO)
- …ensure appropriateness of referrals. + Identify cases that may benefit from alternative levels of care and involve the case manager as needed to provide ... of professional and patient care activities. + Interface with the Managed Care Support Contractor (MCSC) and multidisciplinary personnel as needed to… more
- Manchester Center for Rehabilitation and Healing (Manchester, TN)
- …regulations and guidelines that govern the process + Acts as an in-house Case Manager demonstrating detailed knowledge of residents health status, critical ... an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of all Minimum… more
- Albany Medical Center (Albany, NY)
- …relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting, as well as the provision and reimbursement ... and hospital clinical leadership, legal, compliance, billing, finance, IT, case and utilization management, quality, credentialing, and other related departments.… more