- Ventura County (Ventura, CA)
- …the current principles and techniques of diagnosis and treatment + Experience with managed care + Experience and current knowledge of Quality Assurance, ... 401(k) plan. + Health Plans - Medical, Dental, and Vision Plans for you and your dependents. You are...of Medicine and includes the following: + Experience with managed care + Experience and current knowledge… more
- Erickson Living (Springfield, VA)
- …for Home Health (certified) and Home Support (private duty) agencies, ensuring patient care is coordinated and managed appropriately. + Supervising the clinical ... Erickson Senior Living Join our team as a Home Care Clinical Manager who oversees and supports our onsite...inclusion, equity and belonging, which builds on our mission, vision and values + Medical, dental and vision… more
- Sharp HealthCare (San Diego, CA)
- …Nursing, and/or Home Health + 3 Years Medical Management experience, preferably in managed care , with supervisory experience + 2 Years Medical Management ... experience, preferably in a managed care setting + California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED **Preferred Qualifications** +… more
- Humana (Jackson, MS)
- …clinical specialists with recent inpatient experience preferred** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- Diversicare Healthcare Services & Diversicare Ther (Ripley, MS)
- …6. Manages all initial reviews, interim reviews and discharge reviews ( Managed Care authorizations/reauthorizations). 7. Collaborates with clinical team in ... at ### or ###@DVCR.COM **Full Time Benefits include:** + **Medical/Dental/ Vision ** + **Excellent 401k plan** + **Tuition Reimbursement** +...related to care management - eg Dart Chart/ Managed Care Log 10. Coordinates discharge planning… more
- Fallon Health (Barnstable, MA)
- …criteria, explaining processes for member request determinations and helping members navigate the managed care system + ** Care Team Communication** + Follows ... transportation **Experience:** + 2+ years job experience in a managed care company, medical related field, or...Demonstrates commitment to the Fallon Health Mission, Values, and Vision + Specific competencies essential to this position: +… more
- Ochsner Health (Baton Rouge, LA)
- …overflow. + 20 bed ICU managed by the Department of Pulmonary and Critical Care Medicine. + EICU, used for night and ICU call coverage assistance, is managed ... a mission to Serve, Heal, Lead, Educate and Innovate (https://www.ochsner.org/patients-visitors/about-us/mission- vision /) , coordinated clinical and hospital patient care… more
- LA Care Health Plan (Los Angeles, CA)
- …Degree Experience Required: At least 6 years of experience in financial auditing in a managed care industry. At least 4 years of leading, supervising and/ or ... verbal and written communication, and presentation skills. Knowledge of relevant managed care regulations and audit methodologies. Excellent analytical and… more
- Beth Israel Lahey Health (Woburn, MA)
- …of mental health and addiction programs. + Knowledge of state Medicaid and Managed Care Organizations payment and service specifications. + Experience managing ... + Knowledge of commercial behavioral healthcare practices, evidenced-based treatments, managed care principles, provider development, and quality improvement… more
- LA Care Health Plan (Los Angeles, CA)
- …recording, and braille projects in a language service provider setting or its equivalent. Managed care /health care experience including working in a health ... management system, translation memory, machine/AI translation, etc.). Knowledge of managed care language assistance regulations. Licenses/Certifications Required… more