- Beth Israel Lahey Health (Westwood, MA)
- …to prescribed medication. **Essential Responsibilities:** 1. Understands product and payer reimbursement landscape and prior authorization guidelines and processes. ... difficult and/or unpredictable situations. Work progress is monitored by supervisor/ manager . 4. **Written Communications:** Ability to communicate clearly and… more
- Beth Israel Lahey Health (Westwood, MA)
- …referrals for scheduled visit and documents in system. Document appropriate payer information, including worker's compensation and auto liability. 3. Informs patient ... difficult and/or unpredictable situations. Work progress is monitored by supervisor/ manager . 4. **Written Communications:** Ability to communicate clearly and… more
- Beth Israel Lahey Health (Westwood, MA)
- …conjunction with the department leads to identify and resolve any payer related and reimbursement concerns, processing returned, and resolving customer complaints. ... area. May make recommendations for department policies, practices and programs. Manager or Director provides broad guidance and overall direction. 4. Written… more
- Cardinal Health (Baton Rouge, LA)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... appealing and compelling communications (infographics, Veeva Engage posts, slides, manager huddle scripts) tailored to diverse audiences-from frontline teams to… more
- Centene Corporation (Carson City, NV)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform on-site visits to assess member's needs and ... or resources, as appropriate + May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions,… more
- Houston Methodist (Nassau Bay, TX)
- …ANCC Case Management Recognized Certification **OR** + ACM - Accredited Case Manager (NBCM,ACMA) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates the skills and ... assessment and clinical skills + Possesses knowledge of health care financial and payer issues, and eligibility for state, local and federal programs. + Embodies the… more
- Select Medical (Henderson, NV)
- …committed to providing exceptional patient care **Responsibilities** The Director of Case Manager is responsible for the coordination of health care decisions by ... Clinical Interventions/Discharge and Care Planning Management; Fiscal Management; and Payer /Referral Management. **Qualifications** **Minimum Qualifications** + Current Licensure per… more
- Covenant Health Inc. (Harriman, TN)
- …documentation in accordance with professional, departmental, organizational, and payer guidelines and timeframes. Maintains established targets for compliance ... per month. + Physician office visits + Community lectures/volunteer + Case Manager visits/marketing + Provide in-services + Follows policies, procedures, and safety… more
- Sanofi Group (Denver, CO)
- …with other Regional Business Directors, brand marketing, thought leader liaisons, payer marketing, field reimbursement teams, managed markets field teams, medical ... clinical skills and knowledge. + Team Oriented. + Excellent general business manager . + Creative problem solver. + Solution-oriented **Why Choose Us?** + Bring… more
- Marshfield Clinic (Marshfield, WI)
- …preparation of responses to DRG validation requests and other third party payer inquiries related to coding and DRG assignments as requested **JOB QUALIFICATIONS** ... Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with… more