- Rush University Medical Center (Chicago, IL)
- …* Experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service ... Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits is highly… more
- UTMB Health (Cotulla, TX)
- …Patient Care UTMB Health Requisition # 2202507 The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations ... Works under the supervision of a Psychologist, Mental Health Manager and/or Program Director. _ESSENTIAL JOB FUNCTIONS_...+ Contributes to the success of the UTMB Correctional Managed Care operation. + Interviews, evaluates and… more
- WellSpan Health (Northumberland, PA)
- … needs, use of community resources and responsibilities of membership in managed care . + Completes necessary paperwork, prior authorizations and/or scheduling ... **General Summary** Performs screening to determine appropriate avenue for care of patients. Functions as a member of the...HBO: Evaluates the patient outcome and meets with the manager and the hyperbaric physician to discuss patient treatment… more
- Houston Methodist (The Woodlands, TX)
- …Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, formulary processes and medication reconciliation activities while ... include precepting pharmacy students and pharmacy residents on clinical patient care rotations within areas of responsibility and contributing to fulfilling the… more
- Molina Healthcare (Fort Worth, TX)
- …and ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer ... * Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC),… more
- Molina Healthcare (Sacramento, CA)
- …Qualifications* At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: care ... care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation… more
- Northern Light Health (Bangor, ME)
- …Services Clinician models a multi-disciplinary approach to providing quality patient care as defined in the Acadia Hospital/Acadia Healthcare policy and procedure ... manual. This person performs duties and/or responsibilities as assigned by the Manager or Supervisor for which s/he is qualified. Responsibilities: + Provides… more
- Molina Healthcare (Dayton, OH)
- …At least 5 years health care experience, and at least 2 years of managed care experienced in one or more of the following areas: utilization management, ... care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and accreditation… more
- HCA Healthcare (San Antonio, TX)
- …to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at Methodist Hospital ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- HCA Healthcare (Fort Walton Beach, FL)
- …private payer regulations and processes, and possesses a thorough understanding of managed - care concepts and length-of-stay management relating to patient and ... indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Fertility and… more