- BrightStar Care (Pewaukee, WI)
- …home care processes from intake to discharge * Verifies practitioner authorization, payer network status, and pre-authorization prior to case acceptance * Ensures ... L10 and management meetings * Works closely with the Branch Manager and HR Manager on staffing, recruiting, and performance reviews * Attends monthly Franchise… more
- Amgen (Tampa, FL)
- …our products to medical professionals and helping them navigate the complex payer environment. We are actively searching for a **Specialty Representative or Senior ... marketing strategy and promoting Amgen products as led by the District Manager . Responsibilities include: + Provide current and comprehensive knowledge of Amgen's… more
- HCA Healthcare (Austin, TX)
- …+ You will prepare and/or coordinate preparation of Cost Report (through Reimbursement Manager ) and Tax work papers in an accurate and timely manner. (High Risk, ... marketplace. + You will assist CFO (through the reimbursement manager ) in analyzing revenue effect of reimbursement changes in...in analyzing revenue effect of reimbursement changes in all payer groups. + You will track external audits. Ensure… more
- Beth Israel Lahey Health (Chestnut Hill, MA)
- …referrals for scheduled visit and documents in system. Document appropriate payer information, including worker's compensation and auto liability. 3. Informs patient ... timing for patients and providers. Addresses scheduling problems and concerns with manager to resolve issues. 5. Records and forwards accurate messages to providers… more
- Covenant Health Inc. (Knoxville, TN)
- …and possible impact on operations. + Ensures compliance with federal, state, and payer regulations while implementing industry best practices. + Works with peers to ... and performance management in consultation with Human Resources and department manager . + Oversees any disciplinary proceedings for staff, in consultation with… more
- Amgen (Owensboro, KY)
- …our products to medical professionals and helping them navigate the complex payer environment. We are actively searching for a **Specialty Representative or Senior ... marketing strategy and promoting Amgen products as led by the District Manager . Responsibilities include: + Provide current and comprehensive knowledge of Amgen's… more
- CVS Health (Lansing, MI)
- …**Position Summary** In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and rate ... and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and implementation… more
- Fairview Health Services (Edina, MN)
- …appropriate responses to routine clinical events as delegated by the Clinical Manager . The Lead Licensed Psychotherapist provides direct care to patients depending ... of pertinent patient care data. + Works in collaboration with Clinical Systems Manager to determine staffing needs. + Coordinates program schedule changes as needed… more
- Banner Health (Phoenix, AZ)
- …coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for clinical quality of Care ... Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS Certification for CCM… more
- Amergis (Orange, CA)
- …to support San Clemente! Experience highly preferred. Position: Housing Case Manager Location: San Clemente, CA- onsite Shift: Monday-Friday 8:30am-5:30pm Pay Rate: ... HMIS experience required, CalOptima Connect experience preferred (or + comparable payer portal). Roles and duties: + Comprehensive Case Management: Conduct intake… more
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