- WellSpan Health (Mount Gretna, PA)
- …using computerized inquiry functions. + Maintains a knowledge base of insurance/ managed care processes related to pre-certifications and authorizations, and ... approved WellSpan Philhaven evaluation forms. + Determines appropriate level of care based on the client's history, psychosocial history, clinical presentation, and… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …of information with the treatment team, external providers, collateral contacts, and/or managed care organizations; and implementation of the discharge planning ... or 2 hours of weekly group supervision. About Sacramento Behavioral Health Care Hospital (SBHH): SBHH provides services for Northern, Central, and at times,… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …Genesis and eligible for care , the contact information for DEERS, the Managed Care Contractor for Tricare and the Benefits Counseling Assistance Coordinator ... center, case managers, product line nurses, providers, clinics, manage care support contractor liaison and other members of the...concerns related to the ROFR referral process to team lead as needed. + Completes and returns Clear Legible… more
- ChenMed (North Miami, FL)
- …the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired + This position requires possession and ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...follows-up on multidisciplinary team meetings serving as host or lead for those conversations as needed. + Helps patients… more
- Trinity Health (Chelsea, MI)
- …the health care plan for assigned patient population through the use of care plans, critical pathways, managed care , and utilization review processes and ... organization that is committed to the principle that health care is a basic human right and that all...and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- HCA Healthcare (Manchester, NH)
- …payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and ... and The Mom's Place-an innovative birthing center that pioneered couplet care -we're proud to lead in both advanced medicine and compassionate service. As part of… more
- WellSpan Health (Mount Gretna, PA)
- …using computerized inquiry functions. + Maintains a knowledge base of insurance/ managed care processes related to pre-certifications and authorizations, and ... assessments to connect patients with the recommended level of care . + For Philhaven Hospital, the Access Center maintains...manage patient admission interaction, and to advise, counsel, and lead employees in compliance with policies. + Ability to… 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
- Beth Israel Lahey Health (Needham, MA)
- …2. License required: Nursing License 3. 3-5 years related work experience required in Acute care or managed care setting with two years prior experience in ... The RN Case Manager (CM) facilitates the coordination of care for those patients admitted to medical, surgical services,...in complex varied situations. 4. **Team Work:** Ability to lead collaborative teams for larger projects or groups both… more
- ERP International (Yuma, AZ)
- …community agencies and organizations, the TRICARE Lead Agent office, and the Managed Care Support Contractor. + Maintain adherence to JCAHO, URAC, CMSA and ... **Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense...pride and job satisfaction ERP Employees experience in providing care for our Military Members, their Families and Retired… more