- CHRISTUS Health (Sulphur Springs, TX)
- …required to have a working knowledge of ICD9, CPT and HCPCS coding and managed care . Responds to incoming telephone calls and (per provider instructions) calls ... Summary: Under supervision, the incumbent of this position provides professional nursing care to clinic patients. Works collaboratively with the providers within the… more
- Fairview Health Services (St. Paul, MN)
- …ultimate accountability for effective and timely execution of all managed care contract negotiations and contract execution for hospital , physician and ... accountable for achieving budgeted net revenue expectations for all managed care contracts; assesses, evaluates, and directs... Management , elevates strategic and tactical decisions of managed care relationships to achieve alignment and… more
- Community Health Network (IN)
- …years of clinical staff management experience in population management or managed care /insurance or hospital case management department setting ... Manager Care Management , IHCI Job Ref 2407866...Manager Care Management , IHCI Job Ref 2407866 Category Leadership Job...for this position will bring population health and value-based care clinical operations and care management… more
- Cedars-Sinai (CA)
- …service the network's membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star ratings, access, physician network ... user or client acceptance. + Well versed within the various components that comprise Managed Care and its key concepts including but not limited to eligibility,… more
- Hartford HealthCare (Hartford, CT)
- …**Hartford HealthCare Corp.* **Title:** *Senior Contracts Administrator / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... on hospital , physician, behavioral health, skilled nursing, home health care , and rehabilitation with a solid understanding of reimbursement methodologies o… more
- Trinity Health (Fresno, CA)
- …care continuum for CVHP members. This includes discharge planning, utilization management , care coordination, and support for resource utilization. This ... professional agencies, familiarity with federal and state regulations governing hospital and home care , as well as understanding of the financial structure of… more
- UPMC (Pittsburgh, PA)
- …Health or a closely related field required. + A minimum of 5 years of management experience; preferably with managed care . + Experience with Medicaid and/or ... The Vice President has overall product ownership of the Managed Long-Term Services and Supports (MLTSS) program line of business, Community HealthChoices (CHC). In… more
- Molina Healthcare (San Bernardino, CA)
- …meetings. **Preferred Experience** 3-5 years clinical practice with managed care , hospital nursing or utilization management experience. Previous ... Care ). **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). Out of state candidates must work… more
- Nantucket Cottage Hospital (Nantucket, MA)
- …a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home ... innovation across our system. Founded by Brigham and Women's Hospital and Massachusetts General Hospital , Mass General...nurse is responsible and accountable for the overall nursing care management of a designated group of… more
- Molina Healthcare (ID)
- …meetings. **Preferred Experience** 3-5 years clinical practice with managed care , hospital nursing or utilization management experience. Previous ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …is primarily responsible for fostering collaborative relationships with managed care organizations (MCOs). The Leader of Contract Management works closely ... or a related field is required. + 7-10 years of experience in managed care contracting, network management , or payer relations within an integrated… more
- Mount Sinai Health System (New York, NY)
- … personnel as needed. The Nursing Clinical Manager collaborates with Appeals Management , Managed Care Contracting and other institutional departments ... Life Saver (BLS) Issuing Agency: AHA Non-Bargaining Unit, 329 - Case Management - MSH, Mount Sinai Hospital **Responsibilities** 1. Attends interdisciplinary… more
- State of Colorado (Denver County, CO)
- PROGRAM MANAGEMENT I - Colorado Mental Health Hospital - Ft Logan - Denver Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4738545) Apply ... PROGRAM MANAGEMENT I - Colorado Mental Health Hospital ...individuals. Medical services, occupational therapy, neuropsychological-rehabilitation services, and trauma-informed care services are available for all patients throughout the… 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 ... Postpartum unit is located on 4/5/6 Preston at Pennsylvania Hospital . There is a complement of 18 private patient...and staff function as one unit. More acute postpartum care includes: - Pre-eclampsia management - Hemorrhage… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …utilization management and/or discharge planning experience. Thorough knowledge of managed care , utilization management , discharges planning, and ... the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care...the multidisciplinary team to develop and implement a case management plan to ensure quality patient outcomes, and customer… more
- ProMedica Health System (Adrian, MI)
- The Charles and Virginia Hickman Hospital will give our community its first-ever wellness destination. Our families and friends will have improved access to ... nutrition education, exercise resources and state-of-the-art care like they never have before. We offer over...58 acute cate beds in our new state-of-the-art regional hospital . Our campus also features an organic farm with… more
- Robert Half Accountemps (Van Nuys, CA)
- …for managing Medicare managed care , commercial, PPO/HMO and Medical managed care . Responsibilities: * Conduct hospital billing and collection ... Description A Hospital located in the Van Nuys is looking...care , commercial, PPO/HMO, and Medical managed care * Appeals and denials management . *… more
- Omaha Children's Hospital (Omaha, NE)
- …disabilities. **A Brief Overview** Responsible for developing and maintaining an enterprise-wide care management / care transitions system to include acute, ... transitions that meet industry best practices. Provides oversight for care management across the care ...standard practices. + Ability to review, interpret and implement managed care contracts with third-party including governmental… more
- Crouse Hospital (Syracuse, NY)
- …organizational and problem solving skills. Knowledge of third party payers and /or managed care principles. Salary Range: $80,000+ *Based on verified education & ... collaboratively with the multidisciplinary healthcare team to ensure the appropriate allocation of hospital resources while maintaining the quality of care . The … more
- Community Hospital Corporation (Plano, TX)
- …overseeing corporate-wide supply chain processes, cost-savings initiatives, materials management efficiencies, and contract negotiations for owned, managed ... and cost-effectiveness across the supply chain. MAJOR RESPONSIBILITIES: Account & Hospital Relationship Management : + Cultivate and maintain strong,… more
Related Job Searches:
Care,
Care Management,
Hospital,
Hospital Managed Care,
Managed,
Managed Care,
Management