- HCA Healthcare (Tamarac, FL)
- …spiritual. + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid , and private payer regulations and processes. You will possess a ... What you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to… more
- Humana (Miramar, FL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... experience in telephone triage + Electronic Medical Record (EMR) experience + Previous RN or Medical Assistant experience + Ability to type 25-30 words per minutes… more
- Hawaii Pacific Health (Aiea, HI)
- …the first hospital in Hawai'i to receive a five-star rating from the Centers for Medicare & Medicaid Services. In addition to the programs and services at the ... across Hawai'i + Join a team of engaged urologists, APPs, and dedicated GU RN navigators + Bring research to patients through collaboration with the University of… more
- Healthfirst (NY)
- …managing in a virtual environment + Understanding of health plans such as Medicare , Medicaid and//or Managed Long-Term Care Plan (MLTCP) + Experience working ... + Lead, coach, and develop UM managers overseeing interdisciplinary teams of registered nurses, social workers, clinicians, and coordinators + Ensure UM operations… more
- Huron Consulting Group (Chicago, IL)
- …regulatory and accreditation requirements, ensuring compliance with Maryland state law, Medicare , Medicaid , and third-party payer standards. Oversees completion ... Level of Care Criteria and Milliman Care Guidelines (MCG) preferred. + Current RN license from Maryland Board of Nursing. + CCM or ACM certification preferred… more
- HCA Healthcare (Kansas City, MO)
- …spiritual. + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid , and private payer regulations and processes. You will possess a ... What you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to… more
- Stony Brook University (Stony Brook, NY)
- …+ Demonstrates an understanding of managed care trends, payer regulations and Medicare / Medicaid criteria for services. + Active participation in performance ... in special projects or other duties as assigned. **Qualifications** **Required:** + RN Licensure in NY State + Outpatient community service experience + Experience… more
- HCA Healthcare (Fort Worth, TX)
- …spiritual. + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid , and private payer regulations and processes. You will possess a ... What you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to… more
- HCA Healthcare (Salem, VA)
- …spiritual. + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid , and private payer regulations and processes. You will possess a ... What you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to… more
- HCA Healthcare (Plano, TX)
- …spiritual. + You will maintain a thorough working knowledge of the rules of Medicare , Medicaid , and private payer regulations and processes. You will possess a ... What you will do in this role: + You will work collaboratively with RN case managers, acute care nurses, physicians, insurance companies, and other staff members to… more