- Excellus BlueCross BlueShield (Dewitt, NY)
- …Must demonstrate proficiency with the Microsoft Office Suite. + Experience in interpreting managed care benefit plans and strong knowledge of government program ... program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and… more
- Mount Sinai Health System (New York, NY)
- …+ Experience working in healthcare provider analytics related to revenue modeling, managed care contracting, population management, case management, clinical or ... others in the Data Science team and takes the lead role in project initiatives. **Qualifications** + BA or...higher preferred, in analytics development expertise, preferably in health care , or for a health provider, health plan or… more
- Trinity Health (Troy, NY)
- …skills are required as well as knowledge of working with community agencies and managed care representatives is desired. + Experience working with a diverse ... and an affiliate of St. Peter's Health Partners, we care for more people in more places. **Position Highlights:**...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Pacific Medical Centers (Seattle, WA)
- …outside providers/vendors. Serves as the principal department contact with IT for managed care operations platforms. Manages revisions/upgrades to software as ... Pacific Medical Centers and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters… more
- WellSpan Health (York, PA)
- …using computerized inquiry functions. + Maintains a knowledge base of insurance/ managed care processes related to pre-certifications and authorizations and ... safety observation recommendations in the ED. + Determines appropriate level of care based on the client's history, psychosocial history, clinical presentation, and… more
- Mohawk Valley Health System (Utica, NY)
- …, end-of-life- care and hospice. + Apply knowledge of Health Insurance and Managed Care Programs, along with values- based care , pay-for-performance ... PHYSICIAN ADVISOR Department: CASE MANAGEMENT Job Summary The Physician Advisor collaborates with Care Managers and Attending Physicians to align on the level of … more
- Immigration and Customs Enforcement (Port Isabel, TX)
- …Assets Support Team), and other IHSC personnel (ie, Field Medical Coordinator, Managed Care Coordinator, etc.), other health services professionals, and mental ... behavioral health services at DHS ICE facilities, providing clinical care . Responsibilities include, treatment planning, crisis intervention, and program… more
- CommonSpirit Health Mountain Region (Colorado Springs, CO)
- …cooperation with emergency department personnel, psychiatrists, clinicians, attending physicians and managed care representatives. While in this position you ... and Kansas, we deliver the same high standard of care to our employees as we do to our...the most diverse communities across the nation, letting humankindness lead the way. Overview: You have a purpose, unique… more
- Elevance Health (Indianapolis, IN)
- …Certification as a Case Manager is preferred. + Minimum 3 years experience in acute care setting preferred. + Managed Care experience is preferred. + Ability ... Case Manager I - OB** is responsible for performing care management within the scope of licensure for members...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Valor Health (Danville, VA)
- …clinical reminders "due" at the time of each patient visit. + Assists in co- managed care collaboration with non-VA providers, and facilities. + Provides patient ... to federal government service. We aim to deliver high-quality care in a way that upholds the health of... for them with respect and through methods that lead to superior clinical outcomes. Valor is different because… more