- Penn State Health (Hershey, PA)
- …population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts . Mobilizes resources and manages ... family medical or genetic information._ **Union:** Non Bargained **Position** Registered Nurse Care Manager - Peds Infusion Room **Location** US:PA: Hershey |… more
- Penn State Health (Camp Hill, PA)
- …population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts . Mobilizes resources and manages ... on the terms outlined in company policy or union contract ._ _All individuals (including current employees) selected for a...status, and family medical or genetic information._ **Position** RN Care Manager (Per Diem) - DAY SHIFT… more
- Guthrie (Troy, PA)
- …b) Maintains a positive and professional relationship with payers that supports continued managed care contracts . c) Articulates the primary objectives of ... clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs...alternate levels of care . The Acute Case Manager also performs Utilization Management throughout the continuum of… more
- Penn State Health (Hershey, PA)
- …population as determined by individualized plan of care , clinical pathways, managed care guidelines and contracts . Mobilizes resources and manages ... family medical or genetic information._ **Union:** Non Bargained **Position** Registered Nurse Care Manager - Pediatrics Specialties - Hope Drive **Location**… more
- Beth Israel Lahey Health (Westwood, MA)
- …with supporting enhancements. Apply in-depth knowledge of reimbursement methodologies, risk-based payor contracts , trends in managed care finance, and ... lives.** Under the supervision of the Executive Director of Contract Finance, the Manager , Medical Economics will...the quarterly and year end settlement of shared risk contracts under the Funds Flow and the maintenance of… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Ambulatory Care Manager Location: Wilson Multicultural Medical Campus - 1425 Portland Avenue Building 1 (supporting practices of the ambulatory ... Monday-Friday 8am-4:30pm SUMMARY: The central role of the RN Care Manager is a commitment to improve...appropriate; * Conduct pre-visit planning and post-visit follow-up for care managed patients; * Provide feedback to… more
- Centene Corporation (Queens, NY)
- …partners **Education/Experience:** Bachelors Degree Required. MBA/MHA/MPH Preferred. 2-5 years of relevant managed care experience including at least 1 year of ... to partially offset the Education/Experience described above. 5-7 years of experience in managed care or healthcare consulting with a focus on Medicare Advantage… more
- Munson Healthcare (Traverse City, MI)
- …a knowledge base of all insurance reimbursement criteria. + Maintains knowledge of managed care contracts + Collaborates with nursing, infection control, ... POSITION SUMMARY The lead case manager provides direct supervision to Case Management personnel,...provides direct supervision to Case Management personnel, promote the progression-of- care ; and monitors the patient's progress to ensure that… more
- Rush University Medical Center (Chicago, IL)
- …may vary depending on the circumstances of each case. **Summary:** The Social Work Care Manager I is an Illinois licensed social worker who provides patient ... care coordinator, and advocate. The Social Work Care Manager I collaborates with other members...Experience utilizing motivational interviewing preferred. * Experience working with managed care in a health care… more
- Michigan State University (East Lansing, MI)
- …improvement goals, minimize expenses and maximize revenue. + Works with MSU Health Care administration to evaluate managed care opportunities, negotiate and ... + Performs cost analysis and manages process for new contracts and/or contract renewals + Recommend, plan,...manage third party, managed care , medical service agreements. + Collaborates with… more
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