- Rady Children's Hospital San Diego (Temecula, CA)
- …health condition(s), reinforce teaching, and/or provide coaching to sustain teaching and Care Plan from Care Management Team, and help patients/families develop ... patient families to adopt healthy behaviors. The CHW supports providers and the Care Management Team through an integrated, holistic approach to care management… more
- Commonwealth Care Alliance (Boston, MA)
- …have): - 8+ years of direct experience in a healthcare or health plan environment, managed care preferred, with at least 6 years of experience in a leadership ... operational decision making - Knowledge of and experience with managed care organizations, areas of expertise and approaches - Demonstrated commitment… more
- Stanford Health Care (Palo Alto, CA)
- …of expected and actual revenue and contractual allowances for all payors including managed care , Medicare, Medi-Cal, commercial, and self pay payors. Oversee the ... and state filings. Work with other finance executives including VP of Managed Care and VP of Patient Financial Services to identify/optimize revenue enhancement… more
- Staffing Solutions Organization (Albany, NY)
- …in Albany, NY** **Division of Health Plan Contracting & Oversight (DHPCO) Item 1014** **Medicaid Managed Care and Managed Long-Term Care (MLTC) Cost ... Contracting and Oversight (DHPCO), in the development and oversight of the Medicaid Managed Care and Managed Long-Term Care (MLTC) Cost Reporting. This… more
- National Health Care Associates (Ridgefield, CT)
- …be experienced in skilled nursing business office management including: + Medicaid, Medicare and Managed Care Billing + Revenue Cycle Management in the areas of ... responsibilities + Thorough knowledge of Medicare, Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations + Ability to manage multiple… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …business acumen with sound analytical skills Registered Nurse with BSN highly preferred\. Managed care experience with Utilization Management and Care ... **Director, Commercial Clinical Operations - Care Management \(THM Division\)** Are you ready to...a high\-performing clinical team and shape the future of care management? We are seeking a **Director of Commercial… more
- Commonwealth Care Alliance (Boston, MA)
- …active RN license required Required Experience: - 7-10 years - 8-10 years of managed care operations experience, including a minimum five (5) years of leadership ... delivery Required Knowledge, Skills & Abilities: - Medicare and Medicaid managed care experience - Demonstrated knowledge of federal and state regulations… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …and utilization management and/or discharge planning experience. Thorough knowledge of managed care , utilization management, discharges planning, and continuous ... **NATIONAL LEADERS IN PEDIATRIC CARE ** Ranked among the top 10 pediatric hospitals...nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. Here world-class experts in… more
- National Health Care Associates (Glens Falls, NY)
- …+ Must have thorough knowledge of Medicare, Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations. + The ability to handle multiple ... Glens Falls is a proud affiliate of National Health Care Associates. As a **Certified Great Place to Work**...and that resources are optimized to provide the best care for our residents. **Key Responsibilities:** + Efficient and… more
- Commonwealth Care Alliance (Boston, MA)
- …experience in provider relations, network management, or healthcare operations within a managed care organization, health plan, or integrated delivery system. - ... vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines...for Commonwealth Care Alliance's SCO and One Care lines of business. This role is responsible for… more
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