- Molina Healthcare (Bowling Green, KY)
- …new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified ... Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case… more
- Northwell Health (Staten Island, NY)
- …program limits, as required.*Serves as primary contact to insurance carriers and managed care companies. Ensures patients are appropriately certified and assists ... and appropriateness for admission to particular modality and level of care .*Provides referrals to those not accepted into treatment.*Recognizes possible signs and… more
- Colorado State University (Fort Collins, CO)
- …State University provides a full range of cost-effective mental health and primary care medical services on campus, referral for community specialty care , and ... what they do + Compassion - they have genuine care and concern for others + Empowerment - they...Coordinator reports directly to the Patient Access and Registration Manager . Required Job Qualifications Education + High School Diploma… more
- Omaha Children's Hospital (Omaha, NE)
- …on hospital reimbursement. Knowledge of the current healthcare climate, including managed care developments, HIPAA standards and governmental program ... our mission is to improve the life of every child through exceptional care , advocacy, research and education. As the state's only full-service pediatric healthcare… more
- Omaha Children's Hospital (Omaha, NE)
- …on hospital reimbursement. Knowledge of the current healthcare climate, including managed care developments, HIPAA standards and governmental program ... our mission is to improve the life of every child through exceptional care , advocacy, research and education. As the state's only full-service pediatric healthcare… more
- Prime Healthcare (Chula Vista, CA)
- …Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. ... 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
- Compass Group, North America (Edgartown, MA)
- …food cost controls, and presentation + Previous P&L accountability or contract - managed service experience is desirable. + Strong supervisory, leadership, ... food cost controls, and presentation + Previous P&L accountability or contract - managed service experience is desirable + Strong supervisory, leadership,… more
- Sevita (Columbus, OH)
- …relations with local government authorities such as counties, regional centers and managed care contractors; coordinates, encourages, and bolsters engagement for ... (MCOs, state referrals) and escalates potential issues (eg, unresponsive case manager , etc.); approves referral decisions to admit individuals into our services,… more
- Moses/Weitzman Health System (CT)
- …billing rules. Insurance reimbursement methods, the claims appeal process, understanding of managed care contracts and capitation payments + Proficient ... to achieve a high level of productivity + Notifies Manager of information that negatively impacts production + Assist...more than 500,000 patient visits per year from primary care hubs and community clinics across the state of… more
- Compass Group, North America (Duluth, GA)
- Intelas **Position Title: Manager of Biomedical Services** **Join Intelas, a Compass One Healthcare company.** Intelas, a Compass One Healthcare company, delivers ... and drives 98% equipment uptime-so clinicians can focus on care , not equipment issues. We support nearly 4,500 healthcare...outpatient clinics. With more than 1.15 million medical devices managed , we provide the clarity and consistency needed in… more