- Katmai (Fort Carson, CO)
- …utilization review (UR) and utilization management (UM) program for all TRICARE eligible beneficiaries within the CMHS. **ESSENTIAL DUTIES & RESPONSIBILITIES** + ... Act as coordinator/ liaison with providers, staff and Managed Care Support Contractor...that actual health care received is appropriate to meet TRICARE beneficiaries' healthcare needs. + Gather information, identify, and… more
- Humana (Frankfort, KY)
- …The **Telephonic Care Manager (Autism Care Navigator)** serves as a Humana Military liaison to TRICARE beneficiaries, providers and others involved in the care ... **Become a part of our caring community and help us put health first** The...planning for beneficiaries receiving services under the TRICARE program. **Role Responsibilities** + Serves as primary advocate… more
- Avera (Fargo, ND)
- …responsible for the oversight of reimbursement associated with the Medicare, Medicaid, Tricare and any other governmental cost reports and regulatory support for ... and nursing homes. Oversight includes the Medicare, Medicaid and Tricare cost reports for all entities in the Avera...report impacts as requested. + Assist as the financial liaison to stakeholders in all Avera regions regarding reimbursement… more
- Defense Health Agency (Honolulu, HI)
- …outlying clinics and for phone consultation to other providers in the TRICARE referral region concerning patients with neurological problems. Daytime call coverage ... Provides recommendations through phone communication to other providers in the TRICARE referral region concerning patients with neurological problems. This includes… more
- Army National Guard Units (Wasilla, AK)
- …essential services; including but not limited to, Crisis, Legal, Financial, TRICARE , ID Cards/DEERS, Community Information and Outreach Services, ... all applicable Service Members and Family case information, unit support, community outreach, training provision, volunteer management and other Family Program data.… more
- Defense Health Agency (Fort Belvoir, VA)
- …in August 2011, replacing Fort Belvoir's existing medical facility, DeWitt Army Community Hospital, and integrating significant portions of the former Walter Reed ... its primary facility at Fort Belvoir, the hospital also operates the DiLorenzo TRICARE Health Clinic (DTHC) at the Pentagon and satellite health centers in Fairfax… more
- Mount Sinai Health System (New York, NY)
- …Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison , the Specialty Pharmacy Access Coordinator Lead supervises Financial Access ... with government-sponsored health plans including Medicare , Medicaid and TriCare . Preferred: 3 years of health care related billing...Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by US… more
- Defense Health Agency (Oceanside, CA)
- …Medical Home (PCMH) team leader providing comprehensive outpatient care for TRICARE beneficiaries ranging from newborn to geriatric age presenting with acute ... AmeriCorps) and other organizations (eg, professional; philanthropic; religious; spiritual; community ; student; social). You will receive credit for all qualifying… more