- Addiction Recovery Care (Lexington, KY)
- …Key Responsibilities + Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve the ... using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements. + Builds relationships with MCO. + Corrects identified… more
- Huron Consulting Group (Chicago, IL)
- …team as the expert you are now and create your future. The CI&I Manager will oversee junior staff responsible for conducting A/R and metric research, identifying ... operational leaders to drive shared accountability toward A/R improvement. The CI&I Manager is expected to provide strategic thought leadership to cross functional… more
- Billings Clinic (Billings, MT)
- …Click here (https://www.billingsclinic.com/campaign-landing-pages/magnet/) to learn more! RN Care Manager - Inpatient (Part-Time) CARE MANAGEMENT (Billings Clinic ... DOE: $38.96-$48.71 Under the direction of department leadership, the Care Manager provides services consisting of comprehensive care management, care coordination… more
- Boehringer Ingelheim (New Orleans, LA)
- …Boehringer Ingelheim's high regard for our employees. The Key Account Manager (KAM) is responsible for proactively creating mutually beneficial B2B relationships ... and future portfolio and therapeutic categories. The Key Account Manager (KAM) will seek to expand Boehringer Ingelheim (BIPI)...will be an important part, as well as traditional Payer contracting. + Needs, issues and market conditions. Strategy… more
- Arnot Health (Elmira, NY)
- Job Description CASE MANAGER - Up to $10,000 Sign on Bonus for qualified Case Managers! **This is an onsite position. MAIN FUNCTION: The Case Manager coordinates, ... facilitate achievement of quality and cost , patient outcomes. The Case Manager works collaboratively with interdisciplinary staff internal and external to the… more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager Certification; California Registered ... Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; Master's… more
- Highmark Health (Erie, PA)
- …health care team treatment goals, and need for post-acute services based on payer coverage, community resources, and patient preferences, and barriers to discharge + ... appropriate level of post-acute services according to patient's needs and preference and payer coverage in collaboration with the physician and health care team +… more
- Option Care Health (Birmingham, AL)
- …enterprise objectives + Within their assigned team, partners with operations and payer counterparts to build regional strategic market plans to increase market ... an expert in local market dynamics for their assigned team (including payer issues, state and government regulations, provider payment issues, etc.) and clinically… more
- Option Care Health (Chicago, IL)
- …enterprise objectives + Within their assigned team, partners with operations and payer counterparts to build regional strategic market plans to increase market ... an expert in local market dynamics for their assigned team (including payer issues, state and government regulations, provider payment issues, etc.) and clinically… more
- Northwell Health (Staten Island, NY)
- …to the health care team regarding quality, utilization of clinical resources, payer , and reimbursement issues. + Works with on-site screeners in transitioning ... clinical course. + Ensures compliance with current state, federal, and third party payer regulations. + Identifies patients for Alternate Level Care (ALC) care list… more