- 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
- Penn Medicine (Philadelphia, PA)
- …by the healthcare team and patient. Individual birth plans and specific needs are managed individually while providing a standard of care that supports the ... our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future...They work under the direct supervision of the nurse manager and the registered nurse to support the clerical… more
- Penn Medicine (West Chester, PA)
- …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Covenant Health Inc. (Knoxville, TN)
- …required. Knowledge of CPT, HCPC and ICD-10-CM coding, third-party regulations and managed care practices required. Minimum Experience: Three (3) years ... Overview Clinical Documentation Improvement Manager Full-Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's… more
- Fallon Health (Worcester, MA)
- …**Experience:** 4 plus years' experience in an office environment, preferably in health care and/or managed care system Strong analytical and problem-solving ... leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE ( Program of All-Inclusive Care for the Elderly)- in the… more
- Compass Group, North America (Tyler, TX)
- …regulatory compliance and drives 98% equipment uptime-so clinicians can focus on care , not equipment issues. We support nearly 4,500 healthcare sites nationwide-from ... large, campus-based acute care hospitals to system-integrated outpatient clinics. With more than...outpatient clinics. With more than 1.15 million medical devices managed , we provide the clarity and consistency needed in… more
- Elevance Health (IN)
- …+ Working in inpatient experience with strongly preferred. + Experience working within managed care strongly preferred. _If this job is assigned to any ... services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and...Director Associates. May be responsible for an entire clinical program . **How will you make an impact:** + Supports… more
- Sea Mar Community Health Centers (Oak Harbor, WA)
- …topics" (suicide risk assessment, behavior modification, etc.) as directed by the Program Manager . + Maintains documentation of mental health services, and ... contracts with the ability to tier clients in a managed care system. The ability to work...have any questions regarding the position, email Emmanuel Montenegro, Program Manager , at ###@seamarchc.org. Sea Mar is… more