- Humana (Burlington, IA)
- …with resources appropriate for the care and wellbeing of members. The LTSS Care Coordinator _( Care Coach 1)_ employs a variety of strategies, approaches, ... techniques to manage a member's health issues. The LTSS Care Coordinator _( Care Coach 1_...care services, Home and Community-Based Services (HCBS), and/or managed care organizations. + Intermediate to advanced… more
- LifePoint Health (Danville, VA)
- …Ideal for experienced professionals in healthcare access. *How you'll contribute* A Patient Access Coordinator III who excels in this role: . Ensures that all ... have a basic knowledge of CPT & ICD10 codes. Knowledge of Medicare, Medicaid and Managed Care Payers, as well as Medical Terminology. . Cross-trained in 2 or… more
- Sutter Health (San Francisco, CA)
- …referrals and/or authorizations accurately and consistently with minimal supervision. In Managed Care , processes authorization and referral requests for members ... in coordination with health plans and contracted providers. Provides support to the Case Management staff. Serves as a resource to providers regarding the authorization process. **Job Description** : **EDUCATION:** HS Diploma or GED **TYPICAL EXPERIENCE:** 2… more
- State of Colorado (Denver, CO)
- Managed Care Rate & Reconciliation Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5054342) Apply Managed Care Rate & ... money on health care and driving value for Colorado. We are looking for a Managed Care Rate & Reconciliation Analyst to join our Managed Care … more
- Veterans Affairs, Veterans Health Administration (Omaha, NE)
- …and semi-critical medical devices with the RMD Program. Make a meaningful impact on patient care by ensuring that all RMDs are managed to the highest standards ... Summary We are seeking a dedicated Reusable Medical Devices Coordinator (RN) to bring clinical knowledge and oversight to our dynamic healthcare team. RMD … more
- Eastern Connecticut Health Network (Manchester, CT)
- …with accuracy and thoroughness in a timely manner and in accordance with JCAHO, Managed Care and other standards with which the program must comply, as ... create innovative ideas to improve employee engagement and patient care . What we offer: + Generous Vacation that is...POSITION SUMMARY: This position reports to the Adult Ambulatory Coordinator and/or to the Director of the Service and… more
- The Institute for Family Health (New Paltz, NY)
- …SKILLS: + Thorough understanding of FQHC, Article 28, Article 31, dental CMS, managed care , sliding fee, and commercial payer billing guidelines and regulations. ... REVENUE CYCLE COORDINATOR Job Details Job Location New Paltz Family...and interpret/analyze Crystal and EPIC Workbench reports preferred + Prior experience as an IFH Revenue Cycle Specialist III … more
- Methodist Health System (Dallas, TX)
- …relationships with coworkers and health plan representatives. **Job Roles:** + Supports managed care contracting + Research healthcare updates online + Proof ... services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care , neurosurgery, robotic surgical programs, oncology,… more
- City of New York (New York, NY)
- …appeal. HIV/AIDS Services Administration (HASA) is recruiting one (1) Principal Administrative Associate III to function as a Housing Team Coordinator , who will: ... select vocational goals and receive support. Other HASA services include home care and homemaking services, mental health and substance use screening and treatment… more
- The County of Los Angeles (Los Angeles, CA)
- …+ Develops and monitors revenue-generation procedures and objectives for programs managed , including achievement of revenue goals. + Develops and implements ... to ensure that services conform to acceptable standards of care and establishes and modifies program monitoring and review...audits and the implementation of audit recommendations for programs managed . + Represents managed programs in meetings… more
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